8 recent hospital, health system outlook and credit rating actions


The following hospital and health system credit rating and outlook changes or affirmations occurred in the last week, beginning with the most recent:

1. Moody's revises NorthShore University HealthSystem outlook to negative

Moody's Investors Service revised its rating outlook for Evanston, Il.-based NorthShore University HealthSystem from stable to negative, and affirmed its "Aa2" and "Aa2/VMIG 1" ratings.

2. S&P assigns 'AA/A-1+' rating to Mayo Clinic

S&P Global Ratings assigned an "AA/A-1+" long-term rating to Rochester, Minn.-based Mayo Clinic's series 2011B revenue bonds and a "A-1+" commercial paper rating to its series 2011A bonds.

3. Moody's affirms 'A1' rating for Children's Hospital of Alabama

Moody's Investors Service affirmed its "A1" rating for Birmingham-based Children's Hospital of Alabama, affecting $153 million of outstanding revenue bonds.

4. Moody's assigns 'Aa3' rating to UW Health's proposed bonds

Moody's Investors Service assigned an "Aa3/VMIG 1" rating to Madison, Wis.-based UW Health's  proposed variable rate demand revenue refunding bonds.

5. Fitch affirms Hurley Medical Center's 'BBB-' rating

Fitch Ratings assigned its "BBB-" issuer default rating to Flint, Mich.-based Hurley Medical Center. Concurrently, the credit agency affirmed its "BBB-" rating on the medical center's outstanding bonds.

6. Fitch affirms 'BB+' rating on Temple University Health System

Fitch Ratings affirmed its "BB+" rating on Philadelphia-based Temple University Health System. Concurrently, the credit agency assigned its "BB+" issuer default rating to the health system.

7. S&P downgrades Jackson-Madison County General Hospital to 'A'

S&P Global Ratings downgraded Jackson-Madison County General Hospital, based in Jackson, Tenn., to "A" from "A+." The hospital does business as West Tennessee Healthcare.

8. Fitch assigns 'A-' rating to Prisma Health

Fitch Ratings assigned its "A-" issuer default rating to Prisma Health, the new brand name of the merged Greenville (S.C.) Health System and Columbia, S.C.-based Palmetto Health.

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