16 recent hospital, health system outlook and credit rating actions

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The following hospital and health system credit rating and outlook changes or affirmations occurred in the last two weeks, beginning with the most recent:

1. Moody's affirms 'A1' rating for Regional Health

Moody's Investors Service affirmed its "A1" rating for Rapid City, S.D.-based Regional Health, affecting $212 million of rated debt.

2. Moody's downgrades North Mississippi Health Services' rating to 'A2'

Moody's Investors Service has downgraded Tupelo, Miss.-based North Mississippi Health Services' long-term rating from "Aa3" to "A1," affecting $111 million of outstanding rated bonds.

3. Moody's downgrades CentraCare Health System rating to 'A2'

Moody's Investors Service has assigned an "A2" rating to St. Cloud, Minn.-based CentraCare Health System's proposed revenue bonds and downgraded its existing bonds from "A1" to A2," affecting $247 million of outstanding debt.

4. S&P lowers rating for Milford Regional Medical Center to 'BB+'

S&P Global Ratings lowered its rating for Milford (Mass.) Regional Medical Center from "BBB-" to "BB+."

5. Moody's affirms 'A2' rating for University of Vermont Health Network

Moody's Investors Service affirmed its "A2" rating for Burlington-based University of Vermont Health Network, affecting $313 million of rated debt.

6. Fitch assigns 'AA' rating to WellSpan Health

Fitch Ratings assigned an "AA-" revenue bond rating to York, Pa.-based WellSpan Health and affirmed the system's "AA-" issuer default rating.

7. Fitch withdraws issue default rating for Summit Health

Fitch Ratings has withdrawn its issuer default rating for Chambersburg, Pa.-based Summit Health.

8. Fitch affirms 'BBB-' ratings for Marshall Medical Center

Fitch Ratings affirmed its "BBB-" issuer default and revenue bond ratings for Placerville, Calif.-based Marshall Medical Center.

9. Fitch affirms 'AA' ratings for Advocate Aurora Health

Fitch Ratings affirmed "AA" issuer default and revenue bond ratings for Milwaukee-based Advocate Aurora Health and assigned an "F1+" short term rating to the system's taxable commercial paper program.

10. Moody's revises outlook to negative for Washington Township Health Care District

Moody's Investors Service has revised its outlook for Washington Township (Calif.) Health Care District from stable to negative.

11. Moody's revises outlook to negative for Washington Township Health Care District

Moody's Investors Service has revised its outlook for Washington Township (Calif.) Health Care District from stable to negative.

12. S&P revises outlook to positive for H. Lee Moffitt Cancer Center & Research Institute

S&P Global Ratings has revised its outlook from stable to positive for Tampa, Fla.-based H. Lee Moffitt Cancer Center & Research Institute.

13. Fitch affirms 'AA-' ratings for Salem Health

Fitch Ratings has affirmed its "AA-" issuer default rating and "AA-" long-term rating for Salem (Ore.) Health.

14. S&P raises Carson Tahoe Regional Healthcare rating to 'A-'

S&P Global Ratings raised its rating for Carson City, Nev.-based Carson Tahoe Regional Healthcare from "BBB+" to "A-."

15. S&P revises Southcoast Health System outlook to stable

S&P Global Ratings has revised its rating outlook for New Bedford, Mass.-based Southcoast Health System from negative to stable.

16. Fitch assigns 'AA' issuer default rating to Rady's Children's Hospital

Fitch Ratings has assigned a "AA" issuer default rating to San Diego-based Rady Children's Hospital.

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