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 week, beginning with the most recent:

1. S&P downgrades Northern Arizona Healthcare System's rating from 'AA' to 'AA-'

S&P Global Ratings lowered its long-term rating for Flagstaff-based Northern Arizona Healthcare System from "AA" to "AA-."

2. Moody's affirms Rush University Medical Center's 'A1' rating

Moody's Investors Service affirmed its "A1" long-term underlying rating for Chicago-based Rush University Medical Center, affecting $466 million of rated debt.

3. Moody's affirms 'Baa2' rating for Jupiter Medical Center

Moody's Investors Service affirmed its "Baa2" rating for Jupiter (Fla.) Medical Center, affecting $38 million of outstanding debt.

4. Moody's affirms 'Baa3' rating for OU Medicine

Moody's Investors Service affirmed its "Baa3" rating for Oklahoma City-based OU Medicine, affecting $1.2 billion of debt.

5. Moody's affirms 'A3' rating for Tampa General Hospital

Moody's Investors Service affirmed its "A3" rating for Tampa (Fla.) General Hospital, affecting $155 million of debt.

6. Fitch assigns 'AA-' issuer default rating to Cedars Sinai Medical Center

Fitch Ratings assigned an "AA-" issuer default rating to Los Angeles-based Cedars Sinai Medical Center and affirmed its "AA-" revenue bond rating.

7. Moody's assigns 'Aa3' rating to Wellspan Health, upgrades Summit Health to 'Aa3'

Moody's Investors Service assigned an "Aa3" rating to York, Pa.-based WellSpan Health and upgraded Chambersburg, Pa.-based Summit Health's rating from "A2" to "Aa3" after Summit formally became part of WellSpan.

8. Moody's affirms 'A3' rating for Spectrum Health

Moody's Investors Service has affirmed its "Aa3," "Aa3/VMIG 1" and "Aa3/P-1" ratings for Grand Rapids, Mich.-based Spectrum Health.

9. Moody's affirms 'A2' rating for WellStar Health System

Moody's Investors Service has affirmed its "A2" long-term senior revenue rating for Marietta, Ga.-based WellStar Health System, affecting $872 million of rated debt.

10. Moody's downgrades Baxter Regional Medical Center to 'Baa3'

Moody's Investors Service downgraded its rating for Mountain Home, Ark.-based Baxter Regional Medical Center from "Baa2" to "Baa3," affecting $43.7 million of rated debt.

11. Moody's affirms 'A3' rating for Anne Arundel Health System

Moody's Investors Service affirmed its "A3" rating for Annapolis, Md.-based Anne Arundel Health System, affecting $301 million of debt.

12. S&P revises MidMichigan Health outlook to stable

S&P Global Ratings revised its outlook for Midland-based MidMichigan Health from positive to stable.

13. S&P affirms 'BBB-' rating for Trinitas Regional Medical Center

S&P Global Ratings affirmed its "BBB-" rating for Elizabeth, N.J.-based Trinitas Regional Medical Center.

14. S&P revises outlook for Memorial Hospital of Sweetwater County to negative

S&P Global Ratings revised its outlook for Rock Springs, Wyo.-based Memorial Hospital of Sweetwater County from stable to negative.

15. Moody's affirms 'MIG 2' rating for Southwest Mississippi Regional Medical Center

Moody's Investors Service affirmed its "MIG 2" short-term rating for McComb-based Southwest Mississippi Regional Medical Center, affecting $18.6 million of hospital revenue notes that mature June 1.

16. Moody's upgrades Community Hospitals of Central California rating to 'A3'

Moody's Investors Service has upgraded its rating for Community Hospitals of Central California from "Baa1" to "A3," affecting $507 million of rated debt.

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