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. Fitch affirms 'A+' rating on North Colorado Medical Center
Fitch Ratings affirmed its "A+" rating on Greeley-based North Colorado Medical Center.
2. Fitch upgrades Sky Lakes Medical Center to 'A'
Fitch Ratings upgraded Klamath Falls, Ore.-based Sky Lakes Medical Center's series 2012 and series 2016 revenue bonds to "A" from "A-."
3. Fitch downgrades MetroHealth's rating to 'BB'
Fitch Ratings downgraded Cleveland-based MetroHealth's series 2009B and series 2017 revenue bonds to "BB" from "BBB-," affecting more than $1 billion of debt.
4. Fitch affirms 'AA-' rating on St. Clair Hospital
Fitch Ratings affirmed its "AA-" rating on Pittsburgh-based St. Clair Hospital's series 2012 revenue bonds, affecting $17.9 million of debt.
5. Moody's revises University of Chicago Medical Center's outlook to negative
Moody's Investors Service affirmed its "Aa3" rating on University of Chicago Medical Center, and also revised its outlook to negative from stable.
6. Moody's affirms Oregon Health & Science University's 'Aa3' rating
Moody's Investors Service affirmed its "Aa3" rating on Portland-based Oregon Health & Science University's revenue bonds, affecting $708 million of rated debt.
7. Moody's downgrades Lincoln County Public Hospital District to 'A3'
Moody's Investors Service downgraded the issuer rating on Davenport, Wash.-based Lincoln County Public Hospital District No. 3 to "A3" from "A2."
8. Moody's affirms 'Baa1' on Palmetto Health
Moody's Investors Service affirmed its "Baa1" rating on Columbia, S.C.-based Palmetto Health's series 2005 bonds, affecting $180 million of debt.
9. Moody's revises Greenville Health System's outlook to negative
Moody's Investors Service affirmed its "A1" rating on Greenville (S.C.) Health System's bond ratings, affecting $490 million of debt.
10. Moody's affirms 'A2' rating on Kettering Health Network
Moody's Investors Service affirmed its "A2" rating on Dayton, Ohio-based Kettering Health Network's revenue bond rating, affecting $644 million of debt.
11. Fitch assigns 'AA-' rating to Hackensack Meridian Health
Fitch Ratings assigned its "AA-" rating to Edison, N.J.-based Hackensack Meridian Health's proposed $300 million series 2018 bonds.