33 hospital outlook and credit rating actions in May

The following hospital and health system rating and outlook changes and affirmations took place during the month of May, beginning with the most recent.

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1. S&P raises rating on Carilion Clinic’s bonds to ‘AA-‘
S&P Global Ratings raised the rating to “AA-” from “A+” on Roanoke, Va.-based Carilion Clinic’s revenue bonds. 

2. S&P upgrades rating on Scotland Memorial Hospital’s bonds to ‘A-‘
S&P Global Ratings raised the underlying rating to “A-” from “BBB+” on Laurinburg, N.C.-based Scotland Memorial Hospital’s $6.5 million of series 1999 insured healthcare facility revenue bonds.

3. Fitch downgrades rating on MaineGeneral Health’s bonds to ‘BB’
Fitch Ratings downgraded the rating to “BB” from “BBB-” on Augusta-based MaineGeneral Health’s $280.75 million of series 2011 revenue bonds.

4. Moody’s places Mercy Hospital ‘Baa2’ rating on review for downgrade
Moody’s Investors Service placed the “Baa2” rating on Iowa City, Iowa-based Mercy Hospital’s bonds under review for a downgrade, affecting approximately $74 million of debt.

5. Fitch Ratings affirms ‘BBB’ rating on Pella Regional Health Center’s bonds
Fitch Ratings affirmed the “BBB” rating on Pella (Iowa) Regional Health Center’s $43.7 million of series 2006 health facilities revenue bonds.

6. Fitch affirms ‘AA-‘ rating on Greenville Health System’s bonds
Fitch Ratings affirmed the “AA-” rating on Greenville (S.C.) Health System’s bonds. 

7. Fitch withdraws rating on St. Anthony’s Medical Center’s bonds
Fitch Ratings withdrew the “A” rating on St. Louis-based St. Anthony’s Medical Center’s $66.63 million of series 2015B health facilities revenue bonds.

8. Fitch affirms ‘A-‘ rating on South Lake Hospital’s bonds
Fitch Ratings affirmed the “A-” rating on Clermont, Fla.-based South Lake Hospital’s $49.9 million of series 2009A hospital revenue bonds. 

9. Moody’s downgrades Gwinnett Medical Center’s rating to ‘A3’
Moody’s Investors Service downgraded the rating on Lawrenceville, Ga.-based Gwinnett Medical Center to “A3” from “A2,” affecting approximately $138 million of outstanding revenue anticipation certificates.

10. Moody’s Investors Service affirms ‘A1’ rating on Self Regional Healthcare’s bonds
Moody’s Investors Service affirmed the “A1” rating on Greenwood, S.C.-based Self Regional Healthcare’s $129 million of outstanding rated revenue bonds.

11. S&P revises Orlando Health’s outlook to positive
S&P Global Ratings revised Orlando Health’s outlook to positive from stable. The agency also affirmed the “A” long-term rating and underlying rating on the health system’s bonds. 

12. S&P assigns ‘AA’ rating to CHOP’s bonds
S&P Global Ratings assigned an “AA” rating to the Children’s Hospital of Philadelphia’s $177.7 million of series 2017 fixed-rate revenue bonds. 

13. Fitch assigns ‘AA’ rating to Duke University Health System’s bonds
Fitch Ratings assigned an “AA” rating to Durham, N.C.-based Duke University Health System’s $600 million of series 2017 taxable bonds. 

14. Moody’s assigns ‘Aa2’ rating to Ascension Health’s bonds
Moody’s Investors Service assigned an “Aa2” rating to St. Louis-based Ascension Health’s proposed series 2017 taxable bonds and series 2017A privately placed bonds.

15. Moody’s assigns ‘Aa2’ rating to CHOP’s bonds
Moody’s Investors Service assigned an “Aa2” rating to Children’s Hospital of Philadelphia’s proposed $177.48 million of series 2017 bonds. 

16. Moody’s assigns ‘A3’ rating to Adena Health System’s bonds
Moody’s Investors Service assigned an “A3” rating to Chillicothe, Ohio-based Adena Health System’s proposed series 2017 hospital facilities revenue refunding and improvement bonds.

17. Moody’s affirms ‘Baa1’ rating on Mount Sinai Medical Center’s bonds
Moody’s Investors Service affirmed the “Baa1” rating on Miami Beach, Fla.-based Mount Sinai Medical Center’s bonds, affecting approximately $276 million of debt.

18. Fitch affirms ‘BBB+’ rating on Denver Health and Hospital Authority’s bonds
Fitch Ratings affirmed the “BBB+” rating on Denver Health and Hospital Authority’s approximately $279 million of bonds.

19. Moody’s affirms ‘A3’ rating on Carolinas HealthCare System Blue Ridge’s bonds
Moody’s Investors Service affirmed the “A3” rating on Morganton, N.C.-based Carolinas HealthCare System Blue Ridge’s bonds, affecting approximately $38 million of rated debt. 

20. Moody’s assigns ‘A1’ rating to New Hanover Regional Medical Center’s bonds
Moody’s Investors Service assigned an “A1” rating to Wilmington, N.C.-based New Hanover Regional Medical Center’s proposed series 2017 hospital revenue bonds.

21. Moody’s affirms ‘Baa2’ rating on Princeton Health Care System’s bonds
Moody’s Investors Service affirmed the “Baa2” rating on Plainsboro, N.J.-based Princeton Health Care System’s bonds, affecting approximately $188 million in debt.

22. Fitch issues ‘AA-‘ median rating for nonprofit children’s hospitals
Fitch Ratings issued a strong “AA-” median rating for nonprofit children’s hospitals due to various factors, such as the hospitals’ unique credit profile. 

23. Fitch downgrades Midland County Hospital District’s bonds to ‘A+’
Fitch Ratings downgraded the rating to “A+” from “AA” on Midland (Texas) County Hospital District’s $102.1 million of series 2009A and series 2009B limited tax bonds.

24. Moody’s assigns ‘A1’ rating to Carilion Clinic’s bonds
Moody’s Investors Service affirmed the “A1” rating on Roanoke, Va.-based Carilion Clinic’s outstanding bonds, affecting $401.5 million of rated debt. 

25. Moody’s downgrades Baptist Healthcare’s existing debt and planned debt offering
Moody’s Investors Service downgraded the “A3” rating on Louisville, Ky.-based Baptist Healthcare System’s existing debt to “Baa2.”

26. Moody’s revises Mount Sinai Hospital’s outlook to stable
Moody’s Investors Service affirmed the “A3” rating on New York City-based Mount Sinai Hospital, affecting approximately $315 million in bonds.

27. Fitch affirms ‘A-‘ rating on Winchester Hospital’s bonds
Fitch Ratings affirmed the “A-” rating on Winchester (Mass.) Hospital’s approximately $65.6 million of revenue bonds.

28. S&P upgrades rating on Lurie Children’s Hospital’s bonds to ‘AA-‘
S&P Global Ratings upgraded the long-term rating to “AA-” from “A+” on Ann & Robert H. Lurie Children’s Hospital of Chicago’s series 2008A fixed-rate bonds and series 2008B fixed-rate bonds. 

29. Moody’s assigns ‘Baa2′ rating to Children’s Hospital Los Angeles’ bonds
Moody’s Investors Service assigned a “Baa2” rating to Children’s Hospital Los Angeles’ $52.2 million of series 2017B revenue refunding bonds. 

30. Moody’s assigns ‘Baa2’ rating to Eisenhower Medical Center’s bonds
Moody’s Investors Service assigned a “Baa2” rating to Rancho Mirage, Calif.-based Eisenhower Medical Center’s series 2017 revenue refunding bonds. 

31. Moody’s affirms ‘Baa2’ rating on Exeter Hospital’s bonds
Moody’s Investors Service affirmed the “Baa2” rating on Exeter (N.H.) Hospital’s revenue bonds, affecting approximately $23 million of debt.  

32. Moody’s affirms ‘A2′ rating on University Hospitals’ bonds
Moody’s Investors Service affirmed the “A2” rating on Cleveland-based University Hospitals’ $980 million of outstanding bonds. 

33. Moody’s affirms ‘Baa2’ rating on Bethesda Health’s bonds
Moody’s Investors Service affirmed the “Baa2” rating on Boynton Beach, Fla.-based Bethesda Health’s series 2010A fixed-rate bonds, affecting approximately $120 million of rated debt.

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