9 recent hospital outlook and rating actions

The following hospital and health system rating and outlook changes and affirmations have taken place in the last week, starting with the most recent.

1. Moody's downgrades King's Daughters' Medical Center to 'Baa2'
Moody's Investors Service downgraded Ashland, Ky.-based King's Daughters' Medical Center's rating to "Baa2," affecting $239 million of outstanding debt.

2. Moody's revises Elliot Hospital's outlook to stable
Moody's Investors Service affirmed the "Baa1" rating on Manchester, N.H.-based Elliot Hospital's $129 million of outstanding series 2009A revenue bonds issued through the New Hampshire Business Finance Authority.

3. Moody's affirms Aspen Valley Hospital District's 'Baa2' rating
Moody's Investors Service affirmed the "Baa2" revenue bond rating on Aspen (Colo.) Valley Hospital District's $19.5 million of series 2012 and series 2007 bonds.

4. Moody's affirms Akron Children's Hospital's 'A1' rating
Moody's Investors Service affirmed the "A1" rating on Akron (Ohio) Children's Hospital, affecting $190 million of outstanding debt.

5. Fitch affirms Community Health Systems' 'B+' rating
Fitch Ratings affirmed the ratings on Franklin, Tenn.-based Community Health Systems' bonds, including the "B+" issuer default rating. The ratings apply to $16.8 billion of debt.

6.Moody's assigns 'A3' rating to to CareGroup’s bonds
Moody's Investors Service assigned an "A3" rating to Boston-based CareGroup's proposed $214 million of 2015 H-1 bonds and $50.8 million of 2015 H-2 bonds. Moody's also affirmed its "A3" rating on approximately $470 million of outstanding debt.

7. Moody's assigns 'A1' rating to Children's Hospital of Alabama bonds
Moody's Investors Service assigned an "A1" rating to Birmingham-based Children's Hospital of Alabama's proposed $155.1 million of series 2015 bonds and affirmed the "A1" rating on the series 2009 bonds.

8. Moody's confirms Good Samaritan Hospital’s 'B1' bond rating: 3 things to know
Moody's Investors Service confirmed the "B1" bond rating assigned to Lebanon, Pa.-based Good Samaritan Hospital, removing the rating from review.

9. Moody's downgrades East Texas Medical Center Regional Healthcare System's outlook to 'Baa3'
Moody's Investors Service downgraded Tyler-based East Texas Medical Center Regional Healthcare System's bond rating to "Baa3" from "Baa2," affecting approximately $291 million of outstanding bonds issued by Tyler Health Facilities Development Corporation and Wood County Central Hospital District.


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