14 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. Fitch assigns 'A+' rating to Lahey Health's bonds
Fitch Ratings assigned an "A+" rating to approximately $237.9 million of series 2015F revenue bonds issued on behalf of Burlington, Mass.-based Lahey Health System by the Massachusetts Development Finance Agency.

2. S&P raises rating on Central Florida Health Alliance's bonds
S&P raised its rating on series 2014A and 2014B bonds issued on behalf of Leesburg-based Central Florida Health Alliance to "A-" from "BBB+."  

3. Fitch assigns 'AA-' rating to UPMC's bonds
Fitch Ratings assigned an "AA-" rating to UPMC's series 2015B revenue bonds, affecting $150 million.

4. Moody's affirms Children's Hospital and Health System's 'Aa3' rating
Moody's Investors Service affirmed the "Aa3" rating assigned to Wauwatosa, Wis.-based Children's Hospital and Health System's bonds, affecting approximately $264.4 million of debt.

5. Moody's revises Main Line Health System's outlook to positive
Moody's Investors Service revised the outlook to positive from stable on Philadelphia-based Main Line Health System's series 2010A and series 2012A bonds and affirmed the system's "Aa3" rating, affecting $200 million.

6. Fitch affirms Winthrop-University Hospital's bond rating
Fitch Ratings affirmed the "BBB+" rating on Mineola, N.Y.-based Winthrop-University Hospital's series 2012 bonds, reflecting $130 million. 

7. S&P rates Sutter Health's refunding bonds
S&P assigned an "AA-" long-term rating to $200 million of series 2015A refunding revenue bonds issued on behalf of Sacramento, Calif.-based Sutter Health by the California Health Facilities Financing Authority.

8. Fitch affirms Frederick Memorial Hospital's 'BBB+' rating
Fitch Ratings affirmed the "BBB+" rating on Frederick (Md.) Memorial Hospital's series 2012A revenue bonds, affecting approximately $98.1 million.  

9. Moody's assigns 'VMIG 1' to University of North Carolina Hospitals' bonds
Moody's Investors Service assigned a "VMIG 1" rating to Chapel Hill-based University of North Carolina Hospitals' series 2009A bonds in connection with an SBPA provided by Portland, Maine-based TD Bank.

10. Moody's affirms MetroHealth's 'A3' rating
Moody's Investors Service affirmed the "A3" rating assigned to Cleveland-based MetroHealth System's $93 million of outstanding rated bonds issued by Cuyahoga County, Ohio.

11. Moody's affirms Spartanburg Regional Health Services' 'A1' rating
Moody's Investors Service affirmed Spartanburg (S.C.) Regional Health Services District's "A1" rating, affecting $195.4 million of outstanding debt.

12. S&P raises Winchester Hospital's bond rating to 'A'
S&P raised its rating on $70.7 million of series 2010H bonds issued on behalf of Winchester (Mass.) Hospital, a subsidiary of Lahey Health System, to "A" from "A-." 

13. S&P revises Lancaster General Hospital's outlook to stable
S&P revised the outlook to stable from positive and affirmed its "AA-" long-term rating on Lancaster (Pa.) County Hospital Authority's series 2012B, 2007A and 2007B revenue bonds issued for Lancaster (Pa.) General Hospital.

14. S&P revises University of Wisconsin Hospital and Clinics Authority's outlook to positive
S&P revised the outlook to positive from stable and affirmed the "A+" long-term rating on Madison-based University of Wisconsin Hospital & Clinics Authority's series 2013 revenue bonds.

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