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. S&P assigns 'A+' rating to St. Luke's Episcopal-Presbyterian Hospital's bonds
S&P assigned an "A+" long-term rating to Missouri Health & Educational Facilities Authority's series 2015B bonds issued on behalf of Chesterfield, Mo.-based St. Luke's Episcopal-Presbyterian Hospital.

2. Fitch affirms Dallas County Hospital District's 'AA+' rating
Fitch Ratings affirmed the "AA+" rating on four sets of Dallas County Hospital District's bonds.

3. S&P revises outlook on Adena Health System's debt to stable
S&P revised the outlook to stable from negative on Chillicothe, Ohio-based Adena Health System's revenue debt. 

4. Fitch assigns 'AA-' rating to Cedars-Sinai Medical Center's bonds
Fitch Ratings assigned an "AA-" rating to Los Angeles-based Cedars-Sinai Medical Center's series 2015 bonds. 

5. Moody's assigns 'MIG 1' to Livingston Memorial Hospital's notes
Moody's Investors Service assigned an "MIG 1" to Livingston (Mont.) Memorial Hospital's proposed series 2015 refunding revenue anticipation notes.

6. Fitch assigns 'A+' rating to St. Luke's Episcopal-Presbyterian Hospitals' bonds
Fitch Ratings assigned an "A+" rating to St. Luke's Episcopal-Presbyterian Hospitals' series 2015B revenue bonds, affecting approximately $31.9 million. 

7. S&P lowers rating on New Liberty Hospital District's bonds
S&P lowered the rating to "A-" from "A" on Liberty, Mo.-based New Liberty Hospital District's tax-exempt series 2010A and taxable series 2010B fixed rate revenue bonds. 

8. Moody's assigns 'Baa1' 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 proposed series 2015A revenue refunding bonds.

9. S&P revises rating on Memorial Hermann Healthcare System's bonds
S&P revised the outlook to positive from stable and affirmed the "A+" long-term rating, "A+" underlying rating and "A+/A-1" dual rating on Houston-based Memorial Hermann Healthcare System's fixed rate and variable rate bonds, affecting approximately $1.3 billion.

10. S&P raises Temple University Health System's rating to 'BBB-'
S&P raised the long-term rating on Philadelphia-based Temple University Health System's $515 million of series 2012A, 2012B, 2007A and 2007B bonds to "BBB-" from "BB+." 

11. S&P revises outlook on Ryder Memorial Hospital
S&P revised its outlook to negative from stable on Humacao, Puerto Rico-based Ryder Memorial Hospital's $8.4 million of series 1994A bonds.

12. Moody's revises Memorial Hermann Health System's outlook to positive
Moody's Investors Service affirmed the "A1" and "A1/VMIG 1" ratings on Houston-based Memorial Hermann Health System's bonds, affecting $1 billion of outstanding debt.

13. Moody's affirms Lancaster General Hospital's 'Aa3' rating
Moody's Investors Service affirmed the "Aa3" rating assigned to Lancaster (Pa.) General Hospital's bonds, affecting approximately $186.5 million of rated debt.

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