14 recent hospital, health system outlook and credit rating actions

The following hospital and health system credit rating and outlook changes or affirmations occurred in the last week, beginning with the most recent:

1. Moody's affirms 'Baa1' rating for Ballad Health

Moody's Investors Service has affirmed its "Baa1" revenue bond ratings for Johnson City, Tenn.-based Ballad Health and Mountain States Health Alliance, affecting $535 million and $184 million of rated debt, respectively.

2. Moody's affirms 'Aa2' rating for Children's Hospital of Philadelphia

Moody's Investors Service has affirmed its "Aa2" and "Aa2/VMIG 1" ratings for Children's Hospital of Philadelphia, affecting approximately $880 million of debt.

3. Moody's affirms 'Baa3' rating for Shands Jacksonville Medical Center

Moody's Investors Service has affirmed its "Baa3" issuer rating and debt rating for Shands Jacksonville (Fla.) Medical Center, affecting $193 million in revenue bonds.

4. Moody's downgrades Wood County Hospital Association's rating to 'Ba2'

Moody's Investors Service has downgraded Wood County (Ohio) Hospital Association from "Ba1" to "Ba2," affecting about  $54 million of rated debt.

5. Moody's assigns 'Aa2' rating to University of Iowa Hospitals & Clinics

Moody's Investors Service has assigned an "Aa2" rating to Iowa City-based University of Iowa Hospitals & Clinics' proposed hospital revenue bonds.

6. Moody's affirms 'A1' rating for Legacy Health

Moody's Investors Service has affirmed its "A1" revenue bond rating for Portland, Ore.-based Legacy Health, affecting $480 million of rated debt.

7. Moody's affirms MultiCare Health System's 'Aa3' rating

Moody's Investors Service has affirmed its "Aa3" revenue bond rating for Tacoma, Wash.-based MultiCare Health System, affecting $882 million of rated debt.

8. S&P raises Martin Memorial Medical Center rating to 'A+'

S&P Global Ratings has raised its long-term rating for Stuart, Fla.-based Martin Medical Center from A- to A+.

9. Fitch affirms 'AA' rating for Cone Health

Fitch Ratings has assigned an "AA" issuer default rating and affirmed its "AA" rating for Greensboro, N.C.-based Cone Health.

10. Moody's affirms Morgan County Hospital Authority's 'MIG 3'

Moody's Investors Service has affirmed its "MIG 3" rating for Morgan County (Ga.) Hospital Authority.

11. Moody's downgrades Geisinger Health to 'Aa3'

Moody's Investors Service downgraded Danville, Pa.-based Geisinger Health's bonds from "Aa2" and "Aa2/VMIG 1" to "Aa3" and "Aa3/VMIG 1," affecting $1.2 billion of debt outstanding.

12. Fitch upgrades Butler Health System to 'A+'

Fitch Ratings has upgraded its rating for Butler (Pa.) Health System from "A-" to "A+."

13. Fitch affirms 'BBB+' rating for Silver Cross Health

Fitch Ratings has affirmed its "BBB+" bond rating and issuer default rating for Lenox, Ill.-based Silver Cross Health System.

14. Moody's assigns 'A2' rating to Wake Forest Baptist Health

Moody's Investors Service has assigned an "A2" rating to Winston-Salem, N.C.-based Wake Forest Baptist Health, affecting $611 million of existing debt.

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