13 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, starting with the most recent.

1. Moody's assigns 'A1' rating to Lexington County Health Services District's bonds
Moody's Investors Service assigned an "A1" rating to West Columbia, S.C.-based Lexington County Health Services District's proposed $171 million of series 2016 fixed rate revenue bonds.

2. Moody's assigns 'Aa1' rating to Bexar County Hospital District's bonds
Moody's Investors Service assigned an "Aa1" rating to San Antonio-based Bexar County Hospital District's $190 million of series 2016 bonds.

3. Moody's affirms Adena Health System's 'A3' rating
Moody's Investors Service affirmed the "A3" rating on Chillicothe, Ohio-based Adena Health System's outstanding bonds.

4. Moody's affirms Regional West Medical Center's 'Baa2' rating
Moody's Investors Service affirmed the "Baa2" rating on Scottsbluff, Neb.-based Regional West Medical Center's bonds, affecting approximately $18 million of rated debt.

5. S&P revises Boulder Community Health's outlook to negative
S&P Global Ratings revised the outlook to negative from stable and affirmed the "A" long-term rating on Boulder (Colo.) Community Health.

6. Moody's affirms Trinitas regional Medical Center's 'Baa2' rating
Moody's Investors Service affirmed the "Baa2" rating on Elizabeth, N.J.-based Trinitas Regional Medical Center's $115 million of bonds.

7. Moody's affirms Methodist Le Bonheur Healthcare's 'A1' and 'A1/VMIG 1' ratings
Moody's Investors Service affirmed the "A1" and "A1/VMIG 1" ratings on Memphis, Tenn.-based Methodist Le Bonheur Healthcare's $408 million of outstanding debt.

8. Fitch assigns 'AA-' rating to Nebraska Medicine's bonds
Fitch Ratings assigned an "AA-" rating to Omaha-based Nebraska Medicine's series 2016 bonds.

9. Fitch affirms Methodist Hospitals' 'BBB' rating
Fitch Ratings affirmed the "BBB" rating on Gary, Ind.-based Methodist Hospitals' $45.2 million of series 2014A bonds.

10. Fitch upgrades SoutheastHEALTH's rating to 'BB+'
Fitch Ratings upgraded the rating to "BB+" from "B" on Cape Girardeau, Mo.-based SoutheastHEALTH's $90.5 million of series 2007 revenue bonds.

11. Fitch assigns 'AA-' rating to Willis-Knighton Medical Center's bonds
Fitch Ratings assigned an "AA-" rating to Shreveport, La.-based Willis-Knighton Medical Center's series 1993, 1995 and 1997 bonds.

12. S&P assigns 'AA' rating to Nebraska Medicine's bonds
S&P Global Ratings assigned an "AA" rating to Omaha-based Nebraska Medicine's series 2016 bonds.

13. Moody's affirms University of Maryland Medical System's 'A2' rating
Moody's Investors Service affirmed the "A2" rating on Baltimore-based University of Maryland Medical System's $1.1 billion of debt.

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