The following hospital and health system credit rating and outlook changes and affirmations took place in the last week, beginning with the most recent.
1. Fitch downgrades El Paso County Hospital District to 'A-'
Fitch Ratings downgraded El Paso (Texas) County Hospital District to "A-" from "AA-," affecting about $348.3 million of debt. The hospital district does business as University Medical Center of El Paso.
2. Fitch affirms 'A' rating on CoxHealth
Fitch Ratings affirmed its "A" rating on Springfield, Mo.-based CoxHealth's revenue bonds, affecting about $490.3 million of debt.
3. Fitch assigns 'A' issuer default rating to HonorHealth
Fitch Ratings assigned its "A" issuer default rating to Scottsdale, Ariz.-based HonorHealth.
4. S&P downgrades Infirmary Health System to 'BBB+'
S&P Global Ratings downgraded Mobile, Ala.-based Infirmary Health System's issuer credit rating to "BBB+" from "A-."
5. Moody's affirms 'Aa3' on Piedmont Healthcare, outlook remains negative
Moody's Investors Service affirmed its "Aa3" rating on Atlanta-based Piedmont Healthcare's outstanding bonds after the health system completed its acquisition of Columbus (Ga.) Regional Health System and Clearview Regional Medical Center based in Monroe, Ga.
6. Fitch upgrades Mount Sinai Medical Center of Greater Miami to 'A-'
Fitch Ratings upgraded the rating on Mount Sinai Medical Center of Greater Miami's debt to "A-" from "BBB+."
7. Fitch assigns 'AA-' rating to McLaren Health Care's bonds
Fitch Ratings assigned its "AA-" rating to Grand Blanc, Mich.-based McLaren Health Care's $300 million series 2018 taxable bonds.
8. Fitch upgrades Central Washington Hospital's rating to 'A-'
Fitch Ratings upgraded Wenatchee-based Central Washington Hospital's series 2015 and 2009 revenue bonds to "A-" from "BBB+," affecting about $113.4 million of debt.
9. Fitch downgrades Northwell Health to 'A-'
Fitch Ratings downgraded New Hyde Park, N.Y.-based Northwell Health's long-term bond ratings to "A-" from "A."
10. S&P revises West Tennessee Healthcare's outlook to negative after acquisition
S&P Global Ratings affirmed its "A+" long-term rating on Jackson-based West Tennessee Healthcare's series 2015 and 2008 revenue bonds.
11. S&P upgrades El Camino Hospital's rating to 'AA'
S&P Global Ratings upgraded the long-term rating and underlying rating on Mountain View, Calif.-based El Camino Hospital's series 2017A and 2015A revenue bonds to "AA" from "A+."
12. S&P upgrades Rogers Memorial Hospital to 'A'
S&P Global Ratings upgraded Oconomowoc, Wis.-based Rogers Memorial Hospital's series 2014A and series 2014B rating to "A" from "A-."
13. S&P affirms 'BB-' rating on Care New England amid proposed acquisition
S&P Global Ratings affirmed its "BB-" rating on Providence, R.I.-based Care New England and revised its outlook to developing from negative as the health system works to secure regulatory approval for its deal with Boston-based Partners HealthCare.
14. S&P downgrades Kalispell Regional Medical Center to 'BBB'
S&P Global Ratings downgraded its rating on Kalispell (Mont.) Regional Medical Center to "BBB" from "A-."
15. Fitch upgrades Meritus Medical Center's rating to 'BBB+'
Fitch Ratings upgraded its rating on Hagerstown, Md.-based Meritus Medical Center's series 2015 revenue bonds to "BBB+" from "BBB."
16. Moody's affirms 'A1' rating of Gundersen Lutheran
Moody's Investors Service affirmed its "A1" rating on La Crosse, Wis.-based Gundersen Lutheran Medical Center, affecting about $197 million of rated debt.