5 recent hospital, health system outlook and credit rating actions

The following hospital and health system credit rating and outlook changes and affirmations occurred in the last week, beginning with the most recent.

1. S&P revises West Park Hospital District's outlook to stable
S&P Global Ratings revised the outlook to stable from positive on Cody, Wyo.-based West Park Hospital District.

2. Moody's revises ThedaCare's outlook to negative
Moody's Investors Service affirmed its "A1" rating on $223 million of Appleton, Wis.-based ThedaCare's debt. Concurrently, the credit agency revised the healthcare provider's outlook to negative from stable. 

3. S&P downgrades EvergreenHealth's rating to 'A'
S&P Global Ratings downgraded Kirkland, Wash.-based EvergreenHealth's long-term rating to "A" from "A+." The health system is also known as King County Public Hospital District No. 2.

4. ProMedica gets 3-notch downgrade, negative outlook from Moody's
Six days after a multinotch downgrade from S&P, a second credit rating agency, Moody's Investors Service, lowered Toledo, Ohio-based ProMedica Health System's rating several notches to "Baa1" from "A1." The rating action affects $420 million of debt.    

5. Fitch upgrades Gundersen Lutheran's debt to 'AA-'
Fitch Ratings upgraded La Crosse, Wis.-based Gundersen Lutheran Medical Center's series 2011A and series 2012 bonds to "AA-" from "A+," affecting $194 million of debt.  

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