22 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. Moody's assigns 'A3' rating to to CareGroup's bonds
Moody's Investors Service assigned an "A3" rating to Boston-based CareGroup's proposed $231 million of Series I bonds. Moody's also affirmed its "A3" rating on $517 million of rated debt.

2. S&P revises Dignity Health's outlook to negative
Standard & Poor's Ratings Services revised its outlook to negative from stable and affirmed its "A" ratings on San Francisco-based Dignity Health's bonds.

3. S&P revises Baylor College of Medicine's rating to 'A'
Standard & Poor's Ratings Services raised its ratings on Houston-based Baylor College of Medicine's parity debt to "A" from "A-."

4. S&P assigns 'AA+' rating to Ascension Health's bonds
Standard & Poor's Ratings Services assigned an "AA+" rating to St. Louis-based Ascension Health's 2016 bonds.

5. Fitch affirms Yale New Haven Health's 'AA-' rating
Fitch Ratings affirmed the "AA-" rating on Yale New Haven (Conn.) Health's $842.1 million of bonds.

6. Fitch assigns 'AA+' rating to Ascension Health's bonds
Fitch Ratings assigned an "AA+" rating to St. Louis-based Ascension Health's series 2016 bonds, affecting $1.9 billion.

7. Moody's assigns 'Baa1' rating to Mary Washington Healthcare's bonds
Moody's Investors Service assigned a "Baa1" rating to Fredericksburg, Va.-based Mary Washington Healthcare's proposed series 2016 bonds and affirmed the "Baa1" ratings on MWH's previous bonds, affecting approximately $261 million of debt.

8. Moody's affirms Northern Hospital of Surry County's 'Baa3' rating
Moody's Investors Service affirmed the "Baa3" rating on Mount Airy, N.C.-based Northern Hospital of Surry County, affecting approximately $17 million of rated debt.

9. Moody's assigns 'A1' rating to CentraCare Health System's bonds
Moody's Investors Service assigned an "A1" rating to St. Cloud, Minn.-based CentraCare Health System's series 2016A bonds to be issued through the City of St. Cloud with a par amount not to exceed $203.2 million.

10. S&P revises Genesis Healthcare System's outlook to negative
Standard & Poor's Ratings Services revised the outlook to negative from stable and affirmed the "BB+" rating on Zanesville, Ohio-based Genesis Healthcare System's $293 million of series 2013 revenue bonds.

11. S&P revises Froedtert Health's outlook to positive
Standard & Poor's Ratings Services revised the outlook to positive from stable and affirmed its "AA-" rating on Milwaukee-based Froedtert Health's long-term debt.

12. S&P assigns 'AA-' rating to Medical Center of Central Georgia's bonds
Standard & Poor's Ratings Services assigned an "AA-" long-term rating to Macon-based Medical Center of Central Georgia's series 2016 fixed rate bonds, affecting $90 million.

13. Moody's assigns 'Aa2' and 'Aa2/VMIG 1' ratings to Ascension Health's bonds
Moody's Investors Service assigned "Aa2" and "Aa2/VMIG 1" ratings to St. Louis-based Ascension Health's proposed series 2016 bonds.

14. Moody's upgrades Willis-Knighton Medical Center's rating to 'A1'
Moody's Investors Service upgraded the rating on Shreveport, La.-based Willis-Knighton Medical Center's revenue bonds to "A1" from "A2," affecting $145 million of outstanding revenue bonds issued through the Louisiana Public Facilities Authority.

15. Moody's affirms Milford Regional Medical Center's 'Baa3' rating
Moody's Investors Service affirmed the "Baa3" rating on Milford (Mass.) Regional Medical Center's outstanding revenue bonds.

16. Moody's downgrades Bethesda Health's rating to 'Baa2'
Moody's Investors Service downgraded to "Baa2" from "Baa1" the underlying rating on Boynton Beach, Fla.-based Bethesda Health's series 2010A fixed rate bonds, affecting approximately $125 million of rated debt.

17. Moody's assigns 'Aa2' rating to University of Iowa Hospitals and Clinics' bonds
Moody's Investors Service assigned an "Aa2" rating to Iowa City-based University of Iowa Hospitals and Clinics' series SUI 2016 hospital revenue refunding bonds, affecting $32.1 million.

18. Moody's downgrades Ohio Valley General Hospital's rating to 'B2'
Moody's Investors Service downgraded Kennedy Township, Pa.-based Ohio Valley General Hospital's rating to "B2" from "Ba3," affecting approximately $25 million of outstanding debt.

19. Fitch revises Loma Linda University Medical Center's outlook to stable
Fitch Ratings revised Loma Linda (Calif.) University Medical Center's outlook to stable from negative and assigned a "BB+" rating to its series 2016A bonds, affecting approximately $883 million.

20. Moody's affirms Frederick Memorial Hospital's 'Baa1' rating
Moody's Investors Service affirmed the "Baa1" rating on Frederick (Md.) Memorial Hospital's $97 million of series 2012A fixed rate revenue bonds.

21. Fitch revises Nanticoke Health Services' outlook to stable
Fitch Ratings revised Seaford, Del.-based Nanticoke Health Services' outlook to stable from positive.

22. S&P lowers Loma Linda University Medical Center's rating to 'BB'
Standard & Poor's Ratings Services lowered its rating to "BB" from "BB+" on Loma Linda (Calif.) University Medical Center's 2014 bonds.

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