17 recent hospital outlook and credit rating actions

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

1. Fitch assigns 'BB/RR4' rating to LifePoint Health's notes
Fitch Ratings assigned a "BB/RR4" rating to Brentwood, Tenn.-based LifePoint Health's $400 million of senior notes, which will mature in 2024.

2. Moody's affirms Winthrop-University Hospital Association's 'Baa2' rating
Moody's Investors Service affirmed the "Baa2" rating on Mineola, N.Y.-based Winthrop-University Hospital Association's $122 million of outstanding rated debt.

3. Moody's assigns 'A3' rating to Health Quest's bonds
Moody's Investors Service assigned an "A3" rating to LaGrangeville, N.Y.-based Health Quest's proposed series 2016A and series 2016B fixed rate bonds, affecting $381.4 million.

4. Moody's affirms Cook Children's Medical Center's 'Aa2' and 'Aa2/VMIG 1' ratings
Moody's Investors Service affirmed the "Aa2" and "Aa2/VMIG 1" ratings on Fort Worth, Texas-based Cook Children's Medical Center's $435 million of outstanding revenue bonds.

5. Moody's affirms Cape Fear Valley Health System's 'A3' rating
Moody's Investors Service affirmed the "A3" rating on Fayetteville, N.C.-based Cape Fear Valley Health System's outstanding rated debt, affecting approximately $250 million.

6. Moody's downgrades East Jefferson General Hospital's rating to 'Ba3'
Moody's Investors Service downgraded the rating on Metairie, La.-based East Jefferson General Hospital's outstanding debt of $154 million to "Ba3" from "Ba2."

7. S&P assigns 'A+' rating to Memorial Hermann Health System's bonds
S&P Global Ratings assigned an "A+" rating to Houston-based Memorial Hermann Health System's $132.45 million of series 2016A fixed rate revenue bonds.

8. Fitch assigns 'AA-' rating to UnityPoint Health's bonds
Fitch Ratings assigned an "AA-" rating to West Des Moines, Iowa-based UnityPoint Health's series 2016D and series 2016E bonds.

9. Moody's downgrades CHI's rating to 'A3'
Moody's Investors Service downgraded the ratings on Englewood, Colo.-based Catholic Health Initiatives' long-term debt to "A3" from "A2."

10. Moody's assigns 'A1' rating to Memorial Hermann Health System's bonds
Moody's Investors Service assigned an "A1" rating to Houston-based Memorial Hermann Health System's proposed $129 million of fixed rate bonds.

11. Moody's revises UnityPoint Health's outlook to negative
Moody's Investors Service revised West Des Moines, Iowa-based UnityPoint Health's outlook to negative from stable.

12. Moody's assigns 'A2' rating to PinnacleHealth System's bonds
Moody's Investors Service assigned an "A2" rating to Harrisburg, Pa.-based PinnacleHealth System's $100.5 million of proposed series 2016A fixed rate bonds.

13. Fitch assigns 'A' rating to Inspira Health's bonds
Fitch Ratings assigned an "A" rating to Woodbury, N.J.-based Inspira Health Network's $187.2 million of series 2016A bonds.

14. Moody's revises Baxter Regional Medical Center's outlook to negative
Moody's Investors Service revised the outlook on Mountain Home, Ark.-based Baxter Regional Medical Center to negative from stable.

15. Moody's assigns 'Aa3/VMIG 1' rating to Sisters of Charity of Leavenworth Health System's bonds
Moody's Investors Service assigned an "Aa3/VMIG 1" rating to Broomfield, Colo.-based Sisters of Charity of Leavenworth Health System's proposed series 2016A-D variable rate demand bonds, affecting $222 million.

16. S&P raises PinnacleHealth System's rating to 'A+'
S&P Global Ratings raised its long-term rating to "A+" from "A" on Harrisburg, Pa.-based PinnacleHealth System's existing revenue debt.

17. S&P assigns 'AA-/A-1+' rating to Sisters of Charity of Leavenworth's bonds
S&P Global Ratings assigned an "AA-/A-1+" rating to Broomfield, Colo.-based Sisters of Charity of Leavenworth Health System's $55.5 million of series 2016A bonds and $55.5 million of series 2016C bonds.

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