7 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. Moody's affirms 'Baa1' rating on Catholic Health System, maintains negative outlook
Moody's Investors Service affirmed its "Baa1" rating on Buffalo, N.Y.-based Catholic Health System and maintained its negative outlook.

2. Moody's revises Indiana Regional Medical Center's outlook to negative
Moody's Investors Service affirmed its "Ba1" rating of Indiana (Pa.) Regional Medical Center, affecting $23.6 million of debt. Concurrently, the medical center's outlook was revised to negative from stable.

3. Moody's revises Franciscan Missionaries of Our Lady Health System's outlook to stable
Moody's Investors Service revised Baton Rouge, La.-based Franciscan Missionaries of Our Lady Health System's outlook to stable from negative. Concurrently, the credit rating agency affirmed the health system's "A2" rating.

4. Moody's downgrades Integris Health to 'A1'
Moody's Investors Service downgraded Oklahoma City-based Integris Health one notch, to 'A1' from "Aa3." The action affects $226 million of outstanding debt.

5. S&P assigns 'BBB+' rating to CHI's bonds
S&P Global Ratings assigned its "BBB+" rating to Englewood, Colo.-based Catholic Health Initiative's $250 million series 2017A revenue bonds.  

6. S&P assigns 'AA' rating to Mayo Clinic's bonds
S&P Global Ratings assigned its "AA" rating to Rochester, Minn.-based Mayo Clinic's $200 million series 2018 revenue bonds.

7. S&P affirms 'CCC' rating on Coalinga Regional Medical Center
S&P Global Ratings affirmed its "CCC" long-term rating on Coalinga (Calif.) Regional Medical Center's certificates of participation. The outlook is negative.

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