13 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 upgrades Yavapai Regional Medical Center's revenue bonds to 'A'
Fitch Ratings upgraded Prescott, Ariz.-based Yavapai Regional Medical Center's series 2016 and 2013A revenue bonds to "A" from "BBB+," affecting $73 million of debt.  

2. Moody's assigns 'Aa2' rating to Nationwide Children's Hospital's bonds
Moody's Investors Service assigned its "Aa2" rating to Columbus, Ohio-based Nationwide Children's Hospitals proposed $85 million series 2017A revenue refunding bonds. 

3. S&P upgrades Children's Hospital of Orange County to 'A+'
S&P Global Ratings upgraded the rating to "A+" from "A-" on Orange, Calif.-based Children's Hospital of Orange County's series 2011 and 2009A as well as its underlying rating on series 2009B-D.  

4. Moody's assigns 'Aa3' rating to Mercy Health's bonds
Moody's Investors Service assigned its "Aa3" rating to Cincinnati-based Mercy Health's proposed $292 million series 2017C revenue bonds.

5. Fitch affirms 'A+' rating on PeaceHealth's revenue bonds
Fitch Ratings affirmed its "A+" rating on Vancouver, Wash.-based PeaceHealth's outstanding debt, affecting a total of $477 million of debt.

6. Moody's affirms 'A3' rating on Central Florida Health's outstanding bonds
Moody's Investors Service affirmed its "A3" rating on Winter Haven, Fla.-based Central Florida Health's outstanding bonds, affecting $84 million of debt.  

7. Moody's assigns 'A1' rating to Aspirus' bonds
Moody's Investors Service assigned its "A1" rating to Wausau, Wis.-based Apirus' proposed $68 million series 2017 revenue bonds.

8. Moody's revises North Mississippi Health Services' outlook to negative
Moody's Investors Service affirmed its "Aa3" and "Aa3/VMIG 1" ratings on Tupelo-based North Mississippi Health Service's outstanding rating bonds, affecting $156 million of debt.

9. S&P assigns 'BBB+' rating to Hannibal Regional Hospital's bonds
S&P Global Ratings assigned its "BBB+" rating to Hannibal (Mo.) Regional Hospital's proposed $39.4 million series 2017 hospital revenue bonds.  

10. S&P assigns 'BBB-' rating to Samaritan Medical Center's bonds
S&P Global Ratings assigned its "BBB-" rating to Watertown, N.Y.-based Samaritan Medical Center's proposed series 2017A and series 2017B hospital revenue bonds.

11. Moody's assigns 'A1' rating to LifeBridge Health's bonds
Moody's Investors Service assigned its "A1' rating to Baltimore-based LifeBridge Health's proposed $119 million series 2017 revenue bonds. 

12. Moody's assigns 'Aa3' rating to MultiCare Health System's bonds
Moody's Investors Service assigned its "Aa3" rating to Tacoma, Wash.-based MultiCare Health System's proposed $318 million series 2017A and 2017B revenue bonds.

13. Moody's assigns 'A3' rating to Anne Arundel Health System's bonds
Moody's Investors Service assigned its "A3" rating to Annapolis, Md.-based Anne Arundel Health System's proposed $40.7 million of revenue bonds and $17.8 million of taxable revenue bonds.  

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