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 downgrades Covenant Health to 'BBB+'
Fitch Ratings downgraded Tewksbury, Mass.-based based Covenant Health's bond rating to "BBB+" from "A-."
2. Fitch downgrades Adventist HealthCare to 'BB+'
Fitch Ratings downgraded Gaithersburg, Md.-based Adventist HealthCare's bond rating to "BB+" from "BBB-."
3. Fitch affirms 'A' rating on Northeast Georgia Health System
Fitch Ratings affirmed its "A" rating on Gainesville-based Northeast Georgia Health System's revenue anticipation notes, affecting $448.8 million of debt.
4. Fitch affirms 'A' rating on St. Francis Regional Medical Center
Fitch Ratings affirmed its "A" rating on Shakopee, Minn.-based St. Francis Regional Medical Center's series 2014 revenue bonds, affecting $38 million of debt.
5. Moody's affirms 'Aa2' on Texas Health Resources
Moody's Investors Service affirmed its "Aa2" rating of Arlington-based Texas Health Resources' revenue bonds.
6. Moody's downgrades Lake Health's rating to 'Baa1'
Moody's Investors Service downgraded Concord Township, Ohio-based Lake Health's rating to "Baa1" from "A3," affecting $76 million of outstanding debt.
7. Fitch affirms 'AA-' rating on Mercy Health
Fitch Ratings affirmed its "AA-" rating on Cincinnati-based Mercy Health's bonds, affecting $1.5 billion of debt.
8. Fitch upgrades Berkshire Health System to 'AA-'
Fitch Ratings upgraded Pittsfield, Mass.-based Berkshire Health System's series 2012G revenue bonds to "AA-" from "A-," affecting $76.6 million of debt.
9. Moody's affirms 'Baa1' on Tallahassee Memorial HealthCare
Moody's Investors Service affirmed its "Baa1" rating on Tallahassee (Fla.) Memorial HealthCare, affecting approximately $352 million of rated debt.
10. Moody's affirms 'Baa1' rating on CHI, revises outlook to stable
Moody's Investors Service affirmed its "Baa1" rating on Englewood, Colo.-based Catholic Health Initiatives, affecting $6.3 billion of rated debt.
11. S&P downgrades Greenville Health System to 'A' after merger
S&P Global Ratings downgraded Greenville (S.C.) Health System to "A" from "A+."
12. S&P upgrades Palmetto Health's rating to 'A' after merger
S&P Global Ratings upgraded Columbia, S.C.-based Palmetto Health's rating to "A" from "BBB+."