12 recent hospital outlook and credit rating actions

The following hospital and health system rating and outlook changes and affirmations took place in the last week, beginning with the most recent.

1. Moody's assigns 'Baa1' rating to Washington Township Health Care District's bonds
Moody's Investors Service assigned a "Baa1" rating to Fremont, Calif.-based Washington Township Health Care District's $36.4 million of series 2017A fixed-rate revenue bonds. 

2. Moody's affirms 'Aa3' rating on Virginia Commonwealth University Health System's bonds
Moody's Investors Service affirmed the "Aa3" rating on Richmond-based Virginia Commonwealth University Health System's bonds, affecting approximately $315 million of rated debt.

3. Fitch affirms 'B' rating on Snohomish County Public Hospital District No. 1's bonds
Fitch Ratings affirmed the "B" rating on Monroe, Wash.-based Snohomish County Public Hospital District No. 1's $1.5 million of series 2004 limited tax general obligation bonds.

4. Fitch affirms 'AA-' rating on Sarasota County Public Hospital District's bonds
Fitch Ratings removed Sarasota (Fla.) County Public Hospital District from rating watch evolving and affirmed the "AA-" ratings on the hospital district's $78.9 million of series 2009A fixed-rate hospital revenue bonds. 

5. Moody's downgrades ProMedica Health System's rating to 'A1'
Moody's Investors Service downgraded the rating on Toledo, Ohio-based ProMedica Health System to "A1" from "Aa3," affecting approximately $775 million of debt.

6. Fitch affirms 'BBB' rating on Martin County Hospital District's bonds
Fitch Ratings affirmed the "BBB" rating on Stanton, Texas-based Martin County Hospital District's $19.5 million of series 2011A and series 2011B combination limited tax and revenue bonds.

7. Fitch affirms 'AA-/F1+' on MemorialCare Health System's bonds
Fitch Ratings affirmed the "AA-/F1+" rating on Fountain Valley, Calif.-based MemorialCare Health System's outstanding debt. 

8. S&P raises rating on Baptist Health's bonds to 'AA'
S&P Global Ratings upgraded the rating on Jacksonville, Fla.-based Baptist Health's series 2007A tax-exempt hospital revenue bonds to "AA" from "AA-."

9. Moody's affirms 'Baa2' rating on Jupiter Medical Center's bonds
Moody's Investors Service affirmed the "Baa2" rating on Jupiter (Fla.) Medical Center's series 2013A bonds, affecting $40.1 million of debt.

10. Moody's affirms 'Aa3' rating on Mercy Health's bonds
Moody's Investors Service affirmed the "Aa3" rating on St. Louis-based Mercy Health's $872 million of outstanding fixed-rate and auction-rate revenue bonds.

11. Fitch upgrades Karnes County Hospital District's rating, removes ratings watch evolving
Fitch Ratings upgraded the rating on Kenedy, Texas-based Karnes County Hospital District's $46 million of series 2014 hospital revenue bonds to "A" from "BBB" and removed the hospital district from ratings watch evolving.

12. Fitch downgrades Dallas County Hospital District's rating to 'AA'
Fitch Ratings downgraded the rating on Dallas (Texas) County Hospital District's bonds. 

More articles on healthcare finance:
7 latest hospital credit downgrades
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