The following hospital and health system rating and outlook changes and affirmations took place in the last week, beginning with the most recent.
1. Moody's affirms 'A1' rating on CaroMont Health's bonds
Moody's Investors Service affirmed the "A1" rating on Gastonia, N.C.-based CaroMont Health's $186.9 million of outstanding bonds.
2. Moody's affirms 'Baa2' rating on Holy Name Medical Center's bonds
Moody's Investors Service affirmed the "Baa2" rating on Teaneck, N.J.-based Holy Name Medical Center's approximately $40 million of revenue bonds.
3. Moody's affirms 'Aa3' rating on WellSpan Health's bonds
Moody's Investors Service affirmed the "Aa3" rating on York, Pa.-based WellSpan Health's bonds, affecting approximately $274 million of debt.
4. Moody's affirms 'A2' rating on WakeMed Health's bonds
Moody's Investors Service affirmed the "Aa2" rating on Raleigh, N.C.-based WakeMed Health's bonds, affecting $400 million of rated debt.
5. S&P revises Good Shepherd Health System's rating to 'A' on bonds
S&P Global Ratings revised the rating on Longview, Texas-based Good Shepherd Health System's series 2010, series 2012C and series 2015 bonds to "A" from "B-" and removed the ratings from CreditWatch developing.
6. S&P revises University Medical Center of El Paso's outlook to negative
S&P Global Ratings revised University Medical Center of El Paso (Texas)'s outlook to negative from stable.
7. Moody's affirms 'A1' rating on Jackson-Madison County General Hospital's outstanding debt
Moody's Investors Service affirmed the "A1" rating on Jackson (Tenn.)-Madison County General Hospital's $277 million of outstanding debt.
8. Moody's assigns 'Caa1' rating to Good Shepherd Health System's bonds
Moody's Investors Service assigned a "Caa1" rating to Longview, Texas-based Good Shepherd Health System's $69.2 million of series 2017A proposed hospital revenue refunding bonds.
9. Moody's assigns 'A1' rating to Children's Hospital & Medical Center's bonds
Moody's Investors Service assigned an "A1" rating to Omaha, Neb.-based Children's Hospital & Medical Center's $100 million of proposed series 2017 fixed-rate revenue bonds.
10. Fitch upgrades New York City Health + Hospitals' rating to 'AA-'
Fitch Ratings upgraded New York City (N.Y.) Health + Hospitals' rating to "AA-" from "A+" on $814 million of its bonds.
11. Moody's assigns 'MIG1' rating to South Central Regional Medical Center's notes
Moody's Investors Service assigned a "MIG1" rating to Laurel, Miss.-based South Central Regional Medical Center's proposed $58 million of series 2017 hospital revenue notes.
12. Moody's adjusts rating for Medstar Health's line of credit-back bonds
Moody's Investors Service downgraded the rating on Columbia, Md.-based MedStar Health's series 1998A multimodal revenue bonds to "Aa2" from "Aa1."
13. S&P revises Massachusetts Ear and Eye's outlook to negative
S&P Global Ratings revised Boston-based Massachusetts Ear and Eye's outlook to negative from stable.
14. S&P downgrades Reading Health System's rating to 'A+'
S&P Global Ratings downgraded Reading (Pa.) Health System's rating to "A+" from "AA-" on the health system's long-term revenue refunding bonds.
15. Fitch affirms 'AA-' rating on Children's Hospital & Medical Center's bonds
Fitch Ratings affirmed the "AA-" rating on Omaha, Neb.-based Children's Hospital & Medical Center's $100 million of series 2017 revenue bonds.
16. Fitch affirms 'BBB+' rating on Silver Cross Health System's bonds
Fitch Ratings affirmed the "BBB+" rating on New Lenox, Ill.-based Silver Cross Health System's $282 million of series 2015C revenue refunding bonds and $81 million of series 2008A revenue refunding bonds.
17. Fitch affirms 'BB+' rating on Marshall Medical Center's bonds
Fitch Ratings affirmed the "BB+" rating on Placerville, Calif.-based Marshall Medical Center's $20 million of series 2004B auction rate bonds.
18. Moody's affirms 'A1' rating on Children's National Medical Center's bonds
Moody's Investors Service affirmed the "A1" rating on Washington, D.C.-based Children's National Medical Center's series 2015 refunding revenue bonds.
19. S&P withdraws 'BBB' rating on South Central Regional Medical Center's bonds
S&P Global Ratings withdrew the "BBB" long-term rating on Laurel, Miss.-based South Central Regional Medical Center's $21 million of series 2016 bonds.