The following hospital and health system credit rating and outlook changes and affirmations occurred in the last week, beginning with the most recent.
1. S&P upgrades Saratoga Hospital to 'A'
S&P Global Ratings upgraded Saratoga Springs, N.Y.-based Saratoga Hospital's long-term and underlying rating to "A" from "A-."
2. Fitch affirms 'BBB-' on Wright Memorial Hospital
Fitch Ratings affirmed its "BBB-" rating on Trenton, Mo.-based Wright Memorial Hospital's series 2009 revenue bonds, affecting $26 million of debt.
3. Moody's affirms 'A2' rating on Southwest General Health Center
Moody's Investors Service affirmed its "A2" rating on Middleburg Heights, Ohio-based Southwest General Health Center, affecting about $153 million of debt.
4. Moody's affirms New York-Presbyterian Hospital's issuer, bond ratings
Moody's Investors Service affirmed its "Aa2" issuer rating and its "Aa3" bond rating on New York City-based NewYork-Presbyterian Hospital.
5. Moody's affirms 'A2' rating on WakeMed
Moody's Investors Service affirmed its "A2" long-term rating on Raleigh, N.C.-based WakeMed, affecting about $390 million of debt.
6. Moody's affirms 'Aa2' rating on Cleveland Clinic
Moody's Investors Service affirmed its "Aa2" long-term rating on Cleveland Clinic, affecting about $2.8 billion of outstanding debt.
7. Fitch affirms 'BBB' rating on the Methodist Hospitals, revises outlook to negative
Fitch Ratings affirmed its "BBB" rating on Gary, Ind.-based the Methodist Hospitals' series 2014A revenue refunding bonds and assigned its "BBB" issuer default rating to the health system.
8. S&P changes Valley Medical Center's rating to 'A-'
S&P Global Ratings upgraded the rating on Renton, Wash.-based Valley Medical Center's series 2010A and 2010B revenue bonds to "A-" from "BBB+." At the same time, S&P downgraded Valley Medical Center's series 2016 and 2008B general obligation bonds to "A-" from "A."
9. S&P assigns 'BBB' rating to Montefiore Health System
S&P Global Ratings assigned its "BBB" long-term rating to New York City-based Montefiore Health System's series 2018A, 2018B and 2018C bonds.
10. Moody's affirms 'A3' rating on Torrance Memorial Medical Center
Moody's Investors Service affirmed its "A3" rating on Torrance (Calif.) Memorial Medical Center, affecting about $230 million of debt.
11. Moody's assigns 'A1' rating to Valley Children's Healthcare
Moody's Investors Service assigned its "A1" rating to Madera, Calif.-based Valley Children's Healthcare's proposed $202.5 million series 2018A bonds.
12. Fitch downgrades Lexington Medical Center to 'BB+'
Fitch Ratings downgraded West Columbia, S.C.-based Lexington Medical Center's rating to "BB+" from "A+."
13. Fitch downgrades University Hospital's rating to 'BB-'
Fitch Ratings downgraded the rating on Newark, N.J.-based University Hospital's series 2015A revenue and refunding bonds to "BB-" from "BBB," affecting about $255 million of debt.
14. Fitch downgrades Dignity Health to 'A-'
Fitch Ratings downgraded San Francisco-based Dignity Health's bond ratings to "A-" from "A."