12 recent hospital outlook and rating actions

The following hospital and health system rating and outlook changes and affirmations took place during the past week, starting with the most recent.

1. Moody's affirms Huntsville Health Care Authority's bond rating
Moody's Investors Service affirmed the "A1" long-term rating assigned to $63.3 million of Huntsville (Ala.) Health Care Authority's direct debt.

2. Fitch affirms MedAmerica Health System's bond rating
Fitch Ratings affirmed the "AA-" rating on approximately $289 million of series 2008, series 2009 and series 2011 revenue bonds issued on behalf of Miami Valley Hospital in Dayton, Ohio, a part of MedAmerica Health System.

3. Fitch downgrades Memorial Hospital at Gulfport's outlook to negative
Fitch Ratings affirmed the "A" rating assigned to $14.1 million of series 1994A revenue refunding and improvement bonds and $59.6 million of series 2001A revenue bonds issued on behalf of Memorial Hospital at Gulfport (Miss.) by the City of Gulfport.

4. Moody's affirms Baptist Health Care's bond rating
Moody's Investors Service affirmed the "A3" rating assigned to bonds issued on behalf of Baptist Health Care, a regional four-hospital health system headquartered in Pensacola, Fla.

5. Moody's, Fitch rate Silver Cross Hospital and Medical Center's bonds
Moody's Investors Service and Fitch Ratings assigned ratings to $282.9 million of New Lenox, Ill.-based Silver Cross Hospital and Medical Center's proposed series 2015C fixed rate revenue bonds.

6. Moody's affirms Mountain States Health Alliance's bond rating
Moody's Investors Service affirmed the "Baa1" rating on Johnson City, Tenn.-based Mountain States Health Alliance's outstanding debt.

7. Moody's assigns 'A2' rating to Bellin Memorial Hospital's bonds
Moody's Investors Service assigned an "A2" rating to Green Bay, Wis.-based Bellin Memorial Hospital's planned $45 million of series 2015 fixed rate revenue bonds.

8. Fitch revises Rex Healthcare's outlook to negative
Fitch Ratings revised Raleigh, N.C.-based Rex Healthcare's outlook to negative from stable and assigned an "AA-" rating on $50 million of series 2015A revenue bonds, which are expected to be issued on behalf of the system.

9. Fitch rates McLaren Health Care's bonds
Fitch Ratings assigned an "AA-" rating on approximately $264 million of series 2015 revenue bonds expected to be issued on behalf of Flint, Mich.-based McLaren Health Care. 

10. Moody's assigns rating to INTEGRIS Health's bonds
Moody's Investors Service assigned an "Aa3" rating to $194 million of Oklahoma City-based INTEGRIS Health Obligated Group's proposed series 2015A fixed rate bonds and an "Aa3/P-1" rating to $48 million of series 2015B multi-mode variable rate bonds.

11. Moody's upgrades Excela Health's outlook to stable
Moody's Investors Service affirmed the "A3" bond rating assigned to $83.7 million of Greensburg, Pa.-based Excela Health's revenue bonds and revised the three-hospital system's outlook to stable from negative.

12. Moody's assigns 'A2' rating to Rex Healthcare's bonds
Moody's Investors Service assigned an "A2" rating to $50 million of Raleigh, N.C.-based Rex Healthcare's proposed series 2015A revenue bonds.

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