59 hospital outlook and credit rating actions in February

The following hospital and health system rating and outlook changes and affirmations took place in February.

1. Moody's affirms 'VMIG 1' rating on CHOP's bonds
Moody's Investors Service affirmed the "Aa2" long-term rating and "VMIG 1" short-term rating on the Children's Hospital of Philadelphia's series 2011A bonds.

2. S&P revises Peterson Regional Medical Center's outlook to positive
S&P Global Ratings revised Kerrville, Texas-based Peterson Regional Medical Center's outlook to positive from stable.

3. S&P downgrades Greenville Health System's fixed-rate debt rating to 'A+'
S&P Global Ratings downgraded the rating on Greenville (S.C.) Health System's long-term fixed rate debt to "A+" from "AA-." 

4. Moody's affirms 'A2' rating on Southeast Georgia Health System's bonds
Moody's Investors Service affirmed the "A2" rating on Brunswick-based Southeast Georgia Health System's revenue bonds, affecting approximately $142 million of debt. 

5. Moody's affirms 'Aa1' rating on Children's Hospital & Medical Center's LOC-backed bonds
Moody's Investors Service affirmed the "Aa1" long-term joint support letter of credit-backed rating of Omaha, Neb.-based Children's Hospital & Medical Center's series 2008A revenue refunding bonds.

6. Moody's affirms 'A1' rating on Mosaic Life Care's bonds
Moody's Investors Service affirmed St. Joseph, Mo.-based Mosaic Life Care's "A1" rating, affecting approximately $119 million of rated debt.

7. Fitch revises ratings watch on Tulare Regional Medical Center's 'BB-' rated bonds to negative
Fitch Ratings revised the rating watch on Tulare (Calif.) Regional Medical Center's "BB-" rated $13.65 million of series 2007 fixed-rate bonds to negative from positive.

8. S&P lowers rating on Ryder Memorial Hospital's bonds to 'B+'
S&P Global Ratings lowered Humacao, Puerto Rico-based Ryder Memorial Hospital's rating on $7.8 million of series 1994A bonds to "B+" from "BB-." 

9. Moody's assigns 'Ba2' rating to Reliant Medical Group's bonds
Moody's Investors Service assigned a "Ba2" rating to Worcester, Mass.-based Reliant Medical Group's proposed $142 million of series 2017 bonds. 

10. Moody's assigns 'A3' rating to Fred Hutchinson Cancer Research Center's bonds
Moody's Investors Service assigned an "A3" rating to Seattle-based Fred Hutchinson Cancer Research Center's proposed bonds.

11. S&P assigns 'A' rating to Fred Hutchinson Cancer Research Center's bonds
S&P Global Ratings assigned and affirmed the "A" rating on Seattle-based Fred Hutchinson Cancer Research Center's bonds.

12. S&P places MetroHealth System's 'A-' bonds on CreditWatch
S&P Global Ratings placed the "A-" long-term rating on Cleveland-based MetroHealth System's series 2009B taxable hospital revenue bonds on CreditWatch with negative implications.

13. Fitch assigns 'AA-' rating to University Medical Center of El Paso's bonds
Fitch Ratings assigned an "AA-" rating to Texas-based University Medical Center of El Paso's $102.48 million of series 2017 general obligation refunding bonds. 

14. Moody's affirms 'Aa3' rating on Tarrant County Hospital District's bonds
Moody's Investors Service affirmed the "Aa3" rating on Fort Worth, Texas-based Tarrant County Hospital District's bonds, affecting $20 million of rated revenue bond debt.

15. Fitch affirms 'A-' rating on Mon Health System's bonds
Fitch Ratings affirmed the "A-" rating on Morgantown, W.Va.-based Mon Health System's bonds.

16. Moody's affirms 'Baa3' rating to South County Hospital
Moody's Investors Service affirmed Wakefield, R.I.-based South County Hospital's "Baa3" issuer rating. 

17. Moody's assigns 'A2' rating to West Virginia University Medicine's bonds
Moody's Investors Service assigned an "A2" rating to Morgantown-based West Virginia University Medicine's proposed $180 million of series 2017A hospital revenue improvement bonds. 

18. 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.

19. 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.

20. 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.

21. 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.

22. 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.

23. S&P revises University Medical Center of El Paso's outlook to negative
S&P Global Ratings revised Texas-based University Medical Center of El Paso's outlook to negative from stable.

24. 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. 

25. 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. 

26. 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. 

27. Fitch upgrades New York City Health + Hospitals' rating to 'AA-'
Fitch Ratings upgraded New York City Health + Hospitals' rating to "AA-" from "A+" on $814 million of its bonds. 

28. 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.

29. 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." 

30. 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. 

31. S&P downgrades Reading Health System's rating to 'A+'
S&P Global Ratings downgraded the rating on Reading (Pa.) Health System's long-term revenue refunding bonds to "A+" from "AA-."

32. 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. 

33. 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.

34. 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.

35. 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. 

36. 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. 

37. S&P assigns 'AA-/A-1+' rating to University of Colorado Health Authority's bonds
S&P Global Ratings assigned an "AA-/A-1+" rating to Denver-based University of Colorado Health Authority's series 2017B revenue bonds. 

38. Fitch affirms 'A+' rating on Children's National Medical Center's bonds
Fitch Ratings affirmed the "A+" rating on Washington, D.C.-based Children's National Medical Center's $369.3 million of series 2015 refunding revenue bonds.

39. Moody's revises St. John Health System's outlook to negative
Moody's Investors Services revised Tulsa, Okla.-based St. John Health System's outlook to negative from stable.

40. Moody's downgrades Capital Region Medical Center's rating to 'Baa1'
Moody's Investors Services revised Jefferson City, Mo.-based Capital Region Medical Center's rating to "Baa1" from "A3," affecting approximately $25.8 million of series 2011 fixed-rate revenue bonds. 

41. Moody's revises Tampa Bay General Hospital's outlook to stable
Moody's Investors Service revised Tampa Bay (Fla.) General Hospital's outlook to stable from positive.

42. S&P revises Vernon Memorial Hospital's outlook to negative
S&P Global Ratings revised Viroqua, Wis.-based Vernon Memorial Hospital's outlook to negative from stable. 

43. Moody's affirms 'Aa3' rating on Methodist Health System's debt
Moody's Investors Service affirmed the "Aa3" rating on Dallas-based Methodist Health System's $354 million of rated debt. 

44. Moody's affirms 'Ba3' rating on Antelope Valley Healthcare District's debt
Moody's Investors Service affirmed the "Ba3" rating on Lancaster, Calif.-based Antelope Valley Healthcare District's $126 million of rated debt. 

45. S&P assigns 'AA-' rating to Oregon Health and Science University's bonds
S&P Global Ratings assigned an "AA-" rating to Portland-based Oregon Health and Science University's $61.6 million of series 2017A bonds. 

46. S&P raises rating on Advocate Health Care Network's bonds to 'AA+'
S&P Global Ratings raised the rating on Downers Grove, Ill.-based Advocate Health Care Network's various series of fixed-rate tax-exempt bonds to "AA+" from "AA."

47. Moody's affirms 'Baa2' rating on St. Anthony Regional Hospital's bonds
Moody's Investors Service affirmed the "Baa2" rating on Carroll, Iowa-based St. Anthony Regional Hospital's $9.3 million of outstanding rated revenue bonds.

48. Moody's affirms 'Aa1' on Charleston Area Medical Center's bonds
Moody's Investors Service affirmed the "A1" long-term joint support letter of credit-backed rating on Charleston (W.Va.) Medical Center's series 2008A variable rate revenue bonds.

49. S&P revises St. Luke's Episcopal-Presbyterian Hospital's outlook to negative
S&P Global Ratings revised Chesterfield, Mo.-based St. Luke's Episcopal-Presbyterian Hospital's outlook to negative from stable. 

50. S&P revises Coalinga Regional Medical Center's outlook to stable
S&P Global Ratings revised Coalinga (Calif.) Regional Medical Center's outlook to stable from negative.

51. Moody's assigns 'A3' rating to Dignity Health's bonds
Moody's Investors Service assigned an "A3" rating to San Francisco-based Dignity Health's $270 million of series 2016A revenue bonds. 

52. S&P places Mission Regional Medical Center on CreditWatch negative
S&P Global Ratings placed Mission (Texas) Regional Medical Center on CreditWatch negative. 

53. S&P revises Partners HealthCare System's outlook to negative
S&P Global Ratings revised Boston-based Partners HealthCare's outlook to negative from stable.

54. Fitch affirms 'BBB+' rating on Carson Tahoe Health System's bonds
Fitch Ratings affirmed the "BBB+" rating on Carson City, Nev.-based Carson Tahoe Health System's bonds.

55. Moody's assigns 'Baa1' to Community Hospitals of Central California's bonds
Moody's Investors Service assigned a "Baa1" rating to Fresno-based Community Hospitals of Central California's proposed $397 million of series 2017A fixed rate revenue bonds.

56. Fitch affirms 'A-' rating on Butler Health System's bonds
Fitch Ratings affirmed the "A-" rating on Butler (Pa.) Health System's $91.23 million of series 2015A revenue bonds.

57. Moody's affirms 'Aa1' on Charleston Area Medical Center's bonds
Moody's Investors Service affirmed the "A1" long-term joint support letter of credit-backed rating on Charleston (W.Va.) Medical Center's series 2008A variable rate revenue bonds.

58. S&P assigns 'A-' rating to Community Medical Center's bonds
S&P Global Ratings assigned an "A-" rating to Fresno, Calif.-based Community Medical Centers' 2017 tax exempt bonds. 

59. Moody's affirms 'A1' rating on Hawaii Pacific Health's bonds
Moody's Investors Service affirmed the "A1" rating on Honolulu-based Hawaii Pacific Health's bonds, affecting $305 million of rated debt.

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