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. Fitch affirms 'A-' rating on University of Maryland Medical System
Fitch Ratings affirmed its "A-" rating on Baltimore-based University of Maryland Medical System's outstanding revenue bonds.
2. Moody's affirms 'A3' on St. Joseph's/Candler Health System
Moody's Investors Service affirmed its "A3" rating on Savannah, Ga.-based St. Joseph's/Candler Health System, affecting $76 million of outstanding debt.
3. Moody's affirms 'Baa1' rating on Northeast Health System
Moody's Investors Service affirmed its "Baa1" rating on Beverly, Mass.-based Northeast Health System's series G bonds, affecting $43 million of debt.
4. Fitch upgrades its rating on King's Daughters' Hospital to 'A'
Fitch Ratings upgraded its rating to "A" from "BBB+" on the revenue bonds of Madison, Ind.-based King's Daughters' Hospital, affecting $92 million of debt.
5. Fitch affirms 'A' rating on Conway Medical Center
Fitch Ratings affirmed its "A" rating on Conway (S.C.) Medical Center's series 2007 and series 2016 revenue bonds.
6. S&P downgrades Vernon Memorial Hospital to "BBB-"
S&P Global Ratings downgraded Viroqua, Wis.-based Vernon Memorial Hospital to "BBB-" from BBB."
7. S&P assigns 'AA-' rating to Sutter Health's bonds
S&P Global Ratings assigned its "AA-" rating to Sacramento, Calif.-based Sutter Health's proposed $700 million series 2018A revenue bonds.
8. Fitch affirms 'AA-' rating on Palos Community Hospital
Fitch Ratings affirmed its "AA-" rating on Palos Heights, Ill.-based Palos Community Hospital's series 2010C revenue bonds, affecting $139 million of debt.