The following hospital and health system credit rating and outlook changes and affirmations took place in the last week, beginning with the most recent.
1. S&P assigns 'AA+' rating to Inova Health System Foundation
S&P Global Ratings assigned its "AA+" long-term rating to Falls Church, Va.-based Inova Health System Foundation's $500 million series 2018A and 2018B revenue bonds.
2. Fitch affirms 'BBB+' rating on Lifespan's bonds
Fitch Ratings affirmed its "BBB+" rating on Providence, R.I.-based Lifespan's revenue refunding bonds. In addition, Fitch assigned Lifespan an issuer default rating of "BBB+."
3. Fitch downgrades MedStar Health's rating to 'A-'
Fitch Ratings downgraded Columbia, Md.-based MedStar Health's bond ratings to "A-" from "A."
4. Fitch downgrades King's Daughters Medical Center to 'BBB-'
Fitch Ratings downgraded Ashland, Ky.-based King's Daughters Medical Center's bonds to "BBB-" from "A-."
5. Fitch upgrades Calvert Health System's rating to 'AA-'
Fitch Ratings upgraded the rating on Prince Frederick, Md.-based Calvert Health System's revenue bonds to "AA-" from "A."
6. Moody's affirms 'Aa3' rating on Methodist Health System
Moody's Investors Service affirmed its "Aa3" rating on Dallas-based Methodist Health System, affecting about $348 million of outstanding debt.
7. Moody's assigns 'A2' rating to Centra Health, maintains negative outlook
Moody's Investors Service assigned its "A2" rating to Lynchburg, Va.-based Centra Health's proposed $126.6 million series 2018 bonds.