13 recent hospital, health system outlook and credit rating actions

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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 affirms 'BBB-' rating for Temple University Health System

S&P Global Ratings affirmed its "BBB-" rating for Philadelphia-based Temple University Health System.

2. Moody's affirms 'A2' rating for Lakeland Regional Health System

Moody's Investors Service affirmed its "A2' rating for Lakeland (Fla.) Regional Health System, affecting $298 million of debt.

3. Fitch affirms 'A-' rating for Lake Hospital System

Fitch Ratings affirmed its "A-" issuer default rating for Painesville, Ohio-based Lake Hospital System, now known as Lake Health.

4. S&P affirms 'A+' rating for Children's Hospital of Orange County

S&P Global Ratings affirmed its "A+" long-term rating for Orange, Calif.-based Children's Hospital of Orange County.

5. S&P lowers Legacy Health rating to 'A+'

S&P Global Ratings lowered its rating for Portland, Ore.-based Legacy Health from "AA-" to "A+."

6. Moody's affirms 'Baa2' rating for Irving Hospital Authority

Moody's Investors Service affirmed the "Baa2" rating for Irving Hospital Authority, affecting $105 million of debt.

7. Moody's affirms Elliot Hospital's 'Baa1' rating

Moody's Investors Service affirmed the "Baa1" rating for Manchester, N.H.-based Elliot Hospital, affecting $145 million of rated debt.

8. Moody's assigns 'A1' rating to Memorial Health System

Moody's Investors Service assigned an "A1" rating to Springfield, Ill.-based Memorial Health System on proposed revenue bonds and affirmed its "A1" rating on existing revenue bonds, affecting $200 million of rated debt.

9. Fitch assigns 'A-' rating to Boca Raton Regional Hospital

Fitch Ratings assigned an "A-" issuer default rating to Boca Raton (Fla.) Regional Hospital.

10. Moody's downgrades Hunt Memorial Hospital District to 'A2'

Moody's Investors Service downgraded the rating for Hunt Memorial Hospital District (Texas) from "A1" to "A2," affecting $23 million of general obligation limited tax debt.

11. Moody's affirms Christiana Care's 'Aa2' rating

Moody's Investors Service affirmed the "Aa2" and "Aa2/VMIG 1" ratings for Newark, Del.-based Christiana Care, affecting $226 million of debt.

12. Moody's affirms 'A2' rating for Bronson Healthcare

Moody's Investors Service affirmed the "A2" rating for Kalamazoo, Mich.-based Bronson Healthcare Group, affecting $203 million of outstanding rated debt.

13. Fitch upgrades TriHealth rating to 'AA-'

Fitch Ratings upgraded Cincinnati-based TriHealth's issuer default rating from "A+" to "AA-."

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