11 recent hospital, health system outlook and credit rating actions

The following hospital and health system credit rating and outlook changes and affirmations took place in the last week, beginning with the most recent.

1. S&P downgrades Hunt Memorial Hospital District to 'A-'
S&P Global Ratings downgraded its long-term rating on Greenville, Texas-based Hunt Memorial Hospital District's general obligation debt to "A-" from "A+.

2. S&P assigns 'A-' rating to St. Luke's University Health Network's bonds
S&P Global Ratings assigned its "A-" rating to Bethlehem, Pa.-based St. Luke's University Health Network's series 2018A and 2018B revenue bonds.

3. S&P downgrades New Liberty Hospital District to 'BBB+'
S&P Global Ratings downgraded its long-term rating on New Liberty (Mo.) Hospital District to "BBB+" from "A-." The district does business as Liberty Hospital. 

4. Fitch affirms 'A' rating on Good Shepherd Rehabilitation Network
Fitch Ratings affirmed its "A" rating on Allentown, Pa.-based Good Shepherd Rehabilitation Network.

5. Fitch places Centegra Health System on rating watch negative
Fitch Ratings placed its "BBB-" issuer default rating on Crystal Lake, Ill.-based Centegra Health System on rating watch negative pending the acquisition by Chicago-based Northwestern Memorial HealthCare. 

6. S&P revises Southeastern Regional Medical Center's outlook to negative
S&P Global Ratings affirmed its "A" long-term rating on Lumberton, N.C.-based Southeastern Regional Medical Center's bonds.  

7. Fitch upgrades Kaiser Permanente's bond rating to 'AA-'
Fitch Ratings upgraded Oakland, Calif.-based Kaiser Permanente's revenue bond rating to "AA-" from "A+," affecting approximately $10 billion of outstanding debt.  

8. Fitch upgrades University of Vermont Medical Center to 'A+'
Fitch Ratings upgraded Burlington-based University of Vermont Medical Center to "A+" from "A-."  

9. Fitch affirms 'A-' on Beloit Health System, revises outlook to positive
Fitch Ratings affirmed its "A-" rating on Beloit (Wis.) Health System's revenue bonds, affecting $42.9 million of debt.

10. Fitch upgrades Peterson Regional Medical Center to 'A'
Fitch Ratings upgraded Kerrville, Texas-based Peterson Regional Medical Center's revenue bonds to "A" from "BBB+," affecting $51.2 million of debt. 

11. Moody's affirms 'Baa1' rating on South Shore Hospital
Moody's Investors Service affirmed its "Baa1" rating on South Weymouth, Mass.-based South Shore Hospital's bonds, affecting approximately $115 million of rated debt. 

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