16 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. Moody's affirms North Memorial Health's and Maple Grove Hospital's 'Baa1' rating

Moody's Investors Services affirmed the "Baa1" ratings for Robbinsdale, Minn.-based North Memorial Health Care and and Maple Grove (Minn.) Hospital's outstanding revenue bonds, affecting a combined $162 million of debt.

2. Moody's downgrades Fairfield Medical Center's rating to 'Baa3'

Moody's Investors Service downgraded Lancaster, Ohio-based Fairfield Medical Center's revenue bond rating from "Baa2" to Baa3," affecting $90 million of debt.

3. Moody's downgrades Gwinnett Hospital System revenue certificates to 'Baa1'

Moody's Investors Service downgraded Lawrenceville, Ga.-based Gwinnett Hospital System's revenue certificates from "A3" to "Baa," affecting $132 million of rated debt.

4. Fitch assigns 'BBB+' rating to various series of ProMedica Health System debt

Fitch Ratings assigned a long-term "BBB+" rating to various series of debt for Toledo, Ohio-based ProMedica Health System.

5. Fitch downgrades Erlanger Health System's rating to 'BBB'

Fitch Ratings assigned a "BBB" issuer default rating to Chattanooga, Tenn.-based Erlanger Health System and downgraded its rating on a series 2014A bond from "BBB+" to "BBB."

6. Fitch affirms Regional West Health Services' 'BBB+' rating

Fitch Ratings assigned Scottsbluff, Neb.-based Regional West Health Services a "BBB+" issuer default rating and affirmed its "BBB+" rating for a series 2016A bond.

7. Fitch affirms Carson Tahoe Health System's 'BBB+' rating

Fitch Ratings assigned Carson City, Nev.-based Carson Tahoe Health System an issuer default rating of "BBB+" and affirmed its "BBB+" ratings for outstanding bonds issued by Carson City.

8. Moody's affirms Temple University Health System's 'Ba1' rating

Moody's Investors Service affirmed Philadelphia-based Temple University Health System's "Ba1" bond rating, affecting $478 million of debt.

9. Moody's affirms Forrest County General Hospital's 'A2' rating

Moody's Investors Service affirmed Hattiesburg, Ms.-based Forrest County General Hospital's "A2" bond rating, affecting $104 million of outstanding bonds.

10. Moody's affirms Holland Community Hospital's 'A2' rating

Moody's Investors Service affirmed Holland (Mich.) Community Hospital's "A2" bond rating, affecting $36.5 million of debt.

11. S&P lowers Integris Health's bond rating to 'A+'

S&P Global Ratings lowered its long-term rating for Oklahoma City-based Integris Health's series 2015A bonds from "A+" to "AA-" and its series 2015B bonds from "AA-/A-1+" to "A+/A-1."

12. Fitch assigns PeaceHealth 'F1+' short-term rating

Fitch Ratings assigned an "F1+" short-term rating to the state of Oregon, Oregon Facilities Authority refunding revenue bonds for Vancouver, Wash.-based PeaceHealth and also revised the bonds' long-term rating to "AA-."

13. Fitch revises Edward-Elmhurst's long-term rating to short term

Fitch Ratings revised its "A" long-term rating for Naperville, Ill.-based Edward-Elmhurst Healthcare's series 2018 bonds and assigned the bonds an "F1" short-term rating.

14. Fitch assigns 'AA-' issuer default rating to Johns Hopkins Health System

Fitch Ratings assigned an "AA-" issuer default rating to Baltimore-based Johns Hopkins Health System.

15. Moody's assigns 'A1' rating to UnityPoint Health's proposed bonds

Moody's Investors Service assigned an "A1" rating to West Des Moines, Iowa-based UnityPoint Health's proposed revenue bonds, affecting $929 million.

16. S&P revises TJ Samson Community Hospital outlook to positive

S&P Global Ratings revised its outlook on Glasgow, Ky.-based T.J. Samson Community Hospital from stable to positive.

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