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. Moody's downgrades South Nassau Communities Hospital to 'Baa1'
Moody's Investors Service downgraded Oceanside, N.Y.-based South Nassau Communities Hospital's bonds to "A3" from "Baa1," affecting $77 million of debt.
2. Moody's affirms 'A3' issuer default rating on Mercyhealth
Moody's Investors Service assigned its "A3" issuer default rating to Janesville, Wis.-based Mercyhealth, affecting approximately $649 million of debt.
3. Fitch assigns 'A' rating, positive outlook to Adventist Health
Fitch Ratings assigned an "A" issuer default rating to Roseville, Calif.-based Adventist Health, affecting approximately $930 million of outstanding rated debt.
4. Moody's affirms 'Aa3' on Mission Health System
Moody's Investors Service affirmed its "Aa3" rating on Asheville, N.C.-based Mission Health System, affecting $470 million of rated debt.
5. Moody's assigns 'A2' rating to Community Health Network's bonds
Moody's Investors Service assigned its "A2" rating to Indianapolis-based Community Health Network's proposed $202 million series 2018A.
6. S&P upgrades Redlands Community Hospital to 'BBB+'
S&P Global Ratings upgraded its issuer default rating on Redlands (Calif.) Community Hospital to "BBB+" from "BBB."
7. Fitch downgrades Memorial Health System to 'BB-'
Fitch Ratings downgraded Marietta, Ohio-based Memorial Health System's series 2015 and series 2012 bonds to "BB-" from "BB," affecting approximately $196 million of debt.
8. Moody's upgrades University of Vermont Health Network to 'A2'
Moody's Investors Service upgraded Burlington-based University of Vermont Health Network to "A2" from "A3," affecting $315 million of rated debt.