The following hospital and health system rating and outlook changes and affirmations took place in the last week.
1. Fitch affirms 'A+' rating on Hawaii Pacific Health's debt
Fitch Ratings affirmed the "A+" rating on Honolulu-based Hawaii Pacific Health's $309,060,000 of outstanding debt.
2. Fitch affirms Sabra Healthcare REIT's 'BB+' rating
Fitch Ratings affirmed Irvine, Calif.-based Sabra Healthcare REIT's "BB+" rating.
3. Fitch downgrades Elmhurst Memorial Healthcare's rating to 'A+'
Fitch Ratings downgraded Elmhurst (Ill.) Memorial Healthcare's rating to "A+" from "AA-" on its $50 million of variable rate demand revenue bonds.
4. S&P revises Guadalupe Regional Medical Center's outlook to negative
S&P Global Ratings revised Seguin, Texas-based Guadalupe Regional Medical Center's outlook to negative from stable.
5. S&P affirms 'A-' rating on York Health Authority's tax anticipation notes
S&P Global Ratings affirmed the "A-" rating on York (Ala.) Health Care Authority's series 2011 special tax anticipation notes.
6. S&P assigns 'AA' rating to Memorial Healthcare System's bonds
S&P Global Ratings assigned an "AA" rating to Hollywood, Fla.-based Memorial Healthcare System's $115.180 million of series 2017 healthcare revenue refunding bonds.
7. S&P revises Flagler Hospital's outlook to negative
S&P Global Ratings revised St. Augustine, Fla.-based Flagler Hospital's outlook to negative from stable.
8. Moody's downgrades Fremont-Rideout Health's rating to 'B1'
Moody's Investors Service downgraded Yuba City, Calif.-based Fremont-Rideout Health Group's rating to "B1" from "Ba3," affecting approximately $112 million of debt.
9. Moody's affirms 'A1' rating on Augusta Health Care's bonds
Moody's Investors Service affirmed the "A1" rating on Fishersville, Va.-based Augusta Health Care's $18.2 million of rated bonds.
10. Moody's affirms 'A1' rating on Rush University Medical Center's bonds
Moody's Investors Service affirmed the "A1" rating on Chicago-based Rush University Medical Center's $475 million of fixed-rate revenue bonds.
11. Moody's assigns 'Aa3' to University of Colorado Hospital Authority's bonds
Moody's Investors Service assigned an "Aa3" rating to Aurora-based University of Colorado Authority's proposed $153 million of series 2017A direct-loan bonds and $304 million of series 2017C bonds.
12. Moody's affirms 'Aa3' rating on Partners HealthCare's bonds
Moody's Investors Service affirmed the "Aa3" and "Aa3/VMIG1" ratings on Boston-based Partners HealthCare System's $3.7 million of rated debt.
13. S&P assigns 'AA-/A-1+' rating to Hospital Sisters Health System's bonds
S&P Ratings assigned an "AA-/A-1+" dual rating to Springfield, Ill.-based Hospital Sisters Health System's series 2017B bonds.
14. Fitch affirms 'BB' rating on Marietta Memorial Health System's bonds
Fitch Ratings affirmed the "BB" rating on Marietta (Ohio) Memorial Health System's $60 million of series 2015 revenue bonds and $136.8 million of series 2012 improvement bonds.