12 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. Fitch affirms 'A+' rating on Gwinnett Hospital System's revenue bonds
Fitch Ratings affirmed its "A+" rating on Lawrenceville, Ga.-based Gwinnett Hospital System's series 2007A-D revenue bonds, affecting $132 million of debt.

2. Moody's affirms 'Baa1' rating on CentraState Medical Center's bonds
Moody's Investors Service affirmed its "Baa1" rating on Freehold, N.J.-based CentraState Medical Center's revenue bonds, affecting $38 million of outstanding debt. 

3. Fitch affirms 'BBB+' rating on Frederick Memorial Hospital's revenue bonds
Fitch Ratings affirmed its "BBB+" rating on Frederick (Md.) Memorial Hospital's series 2012A revenue bonds, affecting $97.1 million of debt.

4. Fitch affirms 'BBB+' on NYU Winthrop Hospital's bonds
Fitch Ratings affirmed the "BBB+" rating on Mineola, N.Y.-based NYU Winthrop Hospital's series 2012 revenue bonds, affecting $130 million of debt.

5. Fitch downgrades Lahey Health System's bonds to 'A'
Fitch Ratings downgraded Burlington, Mass.-based Lahey Health System's series 2015F revenue bonds to "A" from "A+," affecting $262 million of debt.  

6. Fitch affirms 'B' rating on Tenet Healthcare
Fitch Ratings affirmed its "B" issuer default rating on Dallas-based Tenet Healthcare, affecting $15.4 billion of debt.

7. Fitch affirms 'BB+' rating on Palomar Health's revenue bonds
Fitch Ratings affirmed its "BB+" issuer default rating on Escondido, Calif.-based Palomar Health and affirmed the "BB+" rating on the system's outstanding revenue bonds. 

8. Moody's assigns 'A1' to Avera Health's bonds
Moody's Investors Service assigned its "A1" rating to Sioux Falls, S.D.-based Avera Health's proposed $2.17 million series 2017 revenue bonds.

9. S&P affirms 'A' rating on Boulder Community Health
S&P Global Ratings affirmed its "A" rating on Boulder (Colo.) Community Health.  

10. Fitch assigns 'AA-' rating to Banner Health's series 2017 bonds
Fitch Ratings assigned its "AA-" rating to Phoenix-based Banner Health's proposed series 2017A, 2017B, 2017C and 2017D bonds, which will total approximately $452 million. 

11. Moody's affirms 'A3' rating on St. Luke's Health System's bonds
Moody's Investors Service affirmed the "A3" rating on Boise, Idaho-based St. Luke's Health System's bonds, affecting $531 million of debt.

12. Moody's upgrades PinnacleHealth System to 'A1'
Moody's Investors Service upgraded Harrisburg, Pa.-based PinnacleHealth System's debt rating to "A1" from "A3," affecting $287 million of debt.

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