The following hospital and health system credit rating and outlook changes or affirmations occurred in the last week, beginning with the most recent:
1. Fitch downgrades UF Health Jacksonville's rating to 'BBB-'
Fitch Ratings downgraded its rating on UF Health Jacksonville (Fla.) to "BBB-" from "BBB." In addition, the credit agency assigned the health system an issuer default rating of "BBB-."
2. Fitch upgrades Cullman Regional Medical Center to 'BBB'
Fitch Ratings upgraded its rating on Cullman (Ala.) Regional Medical Center to "BBB" from "BBB-." Concurrently, the credit agency assigned the medical center an issuer default rating of "BBB."
3. Fitch assigns 'AA-' rating to Munson Healthcare
Fitch Ratings assigned its "AA-" rating to Traverse City, Mich.-based Munson Healthcare's proposed $18.7 million series 2019A and $14 million series 2019B revenue bonds.
4. S&P assigns 'BBB' rating to Beebe Medical Center's outstanding bonds
S&P Global Ratings assigned a "BBB" rating to Lewes, Del.-based Beebe Medical Center's outstanding bonds.
5. S&P revises Virginia Mason Medical Center rating outlook to negative
S&P Global Ratings revised its rating outlook for Seattle-based Virginia Mason Medical Center from stable to negative.
6. S&P downgrades NorthShore University HealthSystem's rating to 'AA-'
S&P Global Ratings lowered its rating for Evanston, Ill.-based NorthShore University HealthSystem's revenue refunding bonds to "AA-" from "AA."
7. Moody's assigns 'A2' rating to Jackson-Madison County General Hospital's proposed bonds
Moody's Investors Service assigned an "A2" rating to Jackson, Tenn.-based Jackson-Madison County General Hospital's proposed revenue bonds, affecting $265.7 million of debt.
8. Moody's withdraws ratings on Montefiore Medical Center's prior bond
Moody's Investors Service has withdrawn its ratings on Bronx, N.Y.-based Montefiore Medical Center's prior bonds because their full outstanding balances have been legally defeased or redeemed.
9. Fitch assigns 'A+' issuer rating to Hunterdon Medical Center
Fitch Ratings assigned its "A+" issuer default rating to Flemington, N.J.-based Hunterdon Medical Center.
10. Moody's downgrades rating for King's Daughters' Medical Center to 'Baa3'
Moody's Investors Service downgraded Ashland, Ky.-based King's Daughters' Medical Center's revenue bond rating to "Baa3" from "Baa2," affecting $177 million of rated debt.
11. Moody's affirms 'A2' rating for Harris County Hospital District
Moody's Investors Service affirmed Harris County (Texas) Hospital District's "A2" revenue bond rating, affecting $263 million of debt.
12. S&P upgrades Aspirus' rating to 'AA-'
S&P Global Ratings upgraded its long-term rating on Wausau, Wis.-based Aspirus from "A+" to "AA-."
13. Fitch assigns 'AA+' issuer rating to Ascension Health Alliance
Fitch Ratings assigned an "AA+" issuer default rating to St. Louis-based Ascension Health Alliance and affirmed its "F1+" short-term rating to the system's variable rate demand bonds.
14. Moody's downgrades Capital Region Medical Center's rating to 'Baa2'
Moody's Investors Service downgraded the bond rating for Jefferson City, Mo.-based Capital Region Medical Center from "Baa1" to "Baa2."