12 recent hospital, health system outlook and credit rating actions

The following hospital and health system credit rating and outlook changes or affirmations occurred in the last week, beginning with the most recent:

1. S&P assigns 'AA+' rating to OhioHealth's bonds
S&P Global Ratings assigned its "AA+" long-term rating to Columbus-based OhioHealth's $125 million series 2018A and $50 million series 2018B. Concurrently, S&P assigned its "AA+/A-1+" dual rating to the health system's $37.5 million series 2018C and $37.5 million series 2018D. 

2. S&P assigns 'AA-' long-term rating to Atrium Health's bonds
S&P Global Ratings assigned its "AA-" long-term rating to Charlotte, N.C.-based Atrium Health's series 2018A-E bonds. Concurrently, S&P affirmed its "AA-" underlying rating on the health system's existing bonds. 

3. S&P revises Mercy Health Services' outlook to positive
S&P Global Ratings revised Baltimore-based Mercy Health Services outlook to positive from stable.

4. Fitch assigns 'BBB+' issuer rating to ProMedica
Fitch Ratings assigned its "BBB+" issuer default rating to Toledo, Ohio-based ProMedica. Concurrently, Fitch assigned its "BBB+" long term rating to ProMedica's $300 million series 2018A bonds and $1.15 billion series 2018B taxable bonds. 

5. Fitch upgrades St. Francis Healthcare System to 'AA'
Fitch Ratings upgraded Cape Girardeau, Mo.-based St. Francis Healthcare System's rating to "AA" from "AA-," affecting $139.3 million of debt. Concurrently, Fitch assigned the health system its "AA" issuer default rating. 

6. S&P downgrades South Georgia Medical Center's rating to 'BBB+,' assigns negative outlook
S&P Global Ratings downgraded its long-term rating on Valdosta, Ga.-based South Georgia Medical Center's certificates to "BBB+" from "A-." 

7. Fitch assigns 'A' rating to Edward-Elmhurst Healthcare's bonds
Fitch Ratings assigned its "A" rating to Naperville, Ill.-based Edward-Elmhurst Healthcare's series 2018 bonds, affecting about $249.74 million of debt. Concurrently, Fitch affirmed its "A" issuer default and revenue bond ratings. 

8. S&P revises PeaceHealth's outlook to positive for improved operations
S&P Global Ratings affirmed its "A" long-term and underlying rating on Vancouver, Wash.-based PeaceHealth and assigned its "A" rating to the health system's series 2018A bonds. Concurrently, the outlook was revised to positive from stable. 

9. S&P revises SSM Healthcare's outlook to stable
S&P Global Ratings affirmed its "A+" long-term and underlying rating on St. Louis-based SSM Health. Concurrently, the outlook was revised to stable from negative. 

10. S&P downgrades Crawford Memorial Hospital's rating to 'BBB'
S&P Global Ratings downgraded Robinson, Ill.-based Crawford Memorial Hospital's long-term and underlying rating to "BBB" from "A." 

11. S&P downgrades Lexington Medical Center to 'A' after error correction
S&P Global Ratings downgraded West Columbia, S.C.-based Lexington Medical Center's series 2011, 2016 and 2017 revenue bonds to "A" from "A+.

12. S&P assigns 'AA-' rating to Parkview Regional Medical Center
S&P Global Ratings assigned its "AA-" rating to Fort Wayne, Ind.-based Parkview Regional Medical Center's series 2018 and 2019A bonds, affecting about $162 million of debt. 

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