15 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. Fitch affirms 'BBB-' rating for Prime Healthcare

Fitch Ratings assigned a "BBB-" issuer default rating on Ontario, Calif.-based Prime Healthcare and affirmed its "BBB-" rating on outstanding bonds.

2. Fitch affirms 'AA-' rating for ThedaCare

Fitch Ratings assigned a "AA-" issuer default rating to Appleton, Wis.-based ThedaCare and affirmed its "AA-" rating on its outstanding bonds.

3. Moody's affirms Bryan Health's 'A1' rating

Moody's Investors Service affirmed its "A1" rating on Lincoln, Neb.-based Bryan Health, affecting $71 million of debt.

4. Moody's assigns 'A1' rating to Munson Healthcare

Moody's Investors Service assigned an "A1" rating to Traverse City, Mich.-based Munson Healthcare's proposed revenue bonds.

5. Moody's affirms 'A1' rating for Self Regional Healthcare

Moody's Investors Service affirmed its "A1" rating on Greenwood, S.C.-based Self Regional Healthcare, affecting $100 million of outstanding revenue bonds.

6. Moody's affirms 'Aa1/VMIG 1' rating for Renown Health

Moody's Investors Service affirmed its 'Aa1/VMIG 1' ratings on Reno, Nev.-based Renown Health's outstanding revenue bonds.

7. S&P upgrades Southeast Health rating to 'BBB+'

S&P Global Ratings raised its long-term rating on Dothan, Ala.-based Southeast Health from "BBB" to "BBB+."

8. Fitch upgrades Heartland Health rating to 'AA-'

Fitch Ratings upgraded its rating for St. Joseph, Mo.-based Heartland Health, which includes Heartland Regional Medical Center and Mosaic Life Care, from "A+" to "AA-" and assigned an issuer default rating of "AA-."

9. Moody's affirms 'A2' rating for Hendrick Medical Center

Moody's Investors Service affirmed its "A2" rating for Abilene, Texas-based Hendrick Medical Center, affecting $111 million of debt.

10. Moody's affirms 'A1' rating for Beaumont Health

Moody's Investors Service affirmed its "A1" rating on Southfield, Mich.-based Beaumont Health's outstanding revenue bonds.

11. S&P drops underlying rating for Wayne County Hospital Authority to 'A'

S&P Global Ratings lowered its underlying ratings for Wayne County Hospital Authority, which includes Jesup, Ga.-based Wayne Memorial Hospital, from "A+" to "A."

12. Fitch affirms 'BB+' rating for Jennie Stuart Medical Center

Fitch Ratings assigned a "BB+" issuer default rating to Hopkinsville, Ky.-based Jennie Stuart Medical Center.

13. Fitch revises UnityPoint Health's long-term rating to 'AA'

Fitch Ratings revised its long-term rating for West Des Moines, Iowa-based UnityPoint Health from "AA-" to "AA."

14. Moody's assigns 'Aa3/VMIG 1' rating to Atrium Health

Moody's Investors Service assigned an "Aa3/VMIG 1" rating to Charlotte, N.C.-based Atrium Health, which operates legally as Charlotte-Mecklenburg Hospital Authority.

15. Moody's downgrades Major Health Partners' rating to 'Baa3'

Moody's Investors Service downgraded the rating for Shelbyville, Ind.-based Major Health Partners from "Baa2" to "Baa3."

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