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.