15 recent hospital, health system outlook and credit rating actions

The following hospital and health system rating and outlook changes and affirmations took place in the last week, beginning with the most recent.

1. Moody's assigns 'A3' to Vanderbilt University Medical Center's bonds
Moody's Investors Service assigned its "A3" rating to Nashville, Tenn.-based Vanderbilt University Medical Center's upcoming series 2017A tax-exempt and taxable revenue bonds totaling $117.5 million, which will be fixed rate and mature in 2048 and 2037, respectively. 

2. S&P revises North Colorado Medical Center's outlook to negative
S&P Global Ratings affirmed the "A+" rating on Greeley-based North Colorado Medical Center's revenue bonds issued by Colorado Health Facilities Authority. 

3.Fitch downgrades East Texas Medical Center Regional Health System's rating to 'B+'
Fitch Ratings downgraded Tyler-based East Texas Medical Center Regional Health System's series 2011 and series 2007A revenue bonds to "B+" from "BBB-," affecting a total of $280 million of debt.

4. Moody's affirms BJC Health's bond ratings
Moody's Investors Service affirmed "Aa2" and "Aa2/VMIG 1" ratings on St. Louis- based BJC Health System's fixed rate revenue bonds and variable rate demand bonds, backed by the system's liquidity. 

5. Moody's revises Jackson Hospital and Clinic's outlook to negative
Moody's Investors Service affirmed the "Baa2" rating on Montgomery, Ala.-based Jackson Hospital and Clinic's revenue bonds issued through the Medical Clinic Board of the City of Montgomery, affecting $84 million of outstanding debt.

6. Moody's assigns 'A2' rating to WellStar's bonds
Moody's Investors Service assigned its "A2" rating to Marietta, Ga.-based WellStar Health System's four upcoming series 2017 revenue anticipation certificates and hospital revenue bonds totaling $546.7 million. The certificates and bonds will be at a fixed rate and mature in 2047.

7. Moody's affirms South Lake County Hospital District's 'Baa1' rating
Moody's Investors Service affirmed a "Baa1" rating on Clermont, Fla.-based South Lake County Hospital District, affecting $49.9 million of outstanding debt.

8. Moody’s assigns 'VMIG 1' rating to Partners' series 2007 G-6 bonds
Moody's Investors Service assigned a "VMIG 1" short-term rating to Boston-based Partners HealthCare series 2007 G-6 bonds, issued through the Massachusetts Development Finance Agency. 

9. Moody's affirms 'A2' rating on Orlando Health
Moody's Investors Service affirmed the "A2" rating on Orlando (Fla.) Health, affecting $769 million of debt issued through Orange Country Health Facilities Authority.  

10. Moody’s assigns 'Aa3' to Sutter Health's proposed bonds
Moody's Investors Service assigned its "Aa3" rating to Sacramento, Calif.-based Sutter Health's proposed $440 million series 2017A refunding revenue bonds to be issued by California Health Facilities Financing Authority.

11. Moody's affirms 'A2' rating on Baystate Medical Center
Moody's Investors Service affirmed the "A2" rating on Springfield, Mass.-based Baystate Medical Center's $240 million of debt issued through the Massachusetts Development Finance Agency. 

12. Moody's affirms 'Ba2' rating on Genesis HealthCare System
Moody's Investors Service affirmed the "Ba2" rating on Zanesville, Ohio-based Genesis HealthCare System's debt issued through the County of Muskingum, Ohio, affecting $292 million of outstanding debt.  

13. Moody's affirms 'A1' rating on Valley Health System's bonds
Moody's Investors Service affirmed the "A1" rating on Winchester, Va.-based Valley Health System's revenue bonds issued through the West Virginia Hospital Finance Authority, the Economic Development Authority of the City of Winchester and the Winchester Industrial Development Authority, affecting $179 million of debt. 

14. Moody's affirms 'Aa1' rating on Indiana University Health's LOC-backed bonds
Moody's Investors Service affirmed the "Aa1" rating on Indianapolis-based Indiana University Health's revenue bonds backed by Northern Trust Company, TD Bank, Bank of America and BMO Harris Bank.

15. S&P assigns 'AA-' rating to Sutter Health refunding revenue bonds
S&P Global Ratings assigned its "AA-" rating to California Health Facilities Financing Authority's 2017A refunding revenue bonds issued for Sacramento, Calif.-based Sutter Health, affecting $440.9 million in debt.

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