8 recent hospital outlook and credit rating actions

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

1. Moody's upgrades PinnacleHealth System's rating to 'A2'
Moody's Investors Service upgraded Harrisburg, Pa.-based PinnacleHealth System's rating to "A2" from "A3," affecting nearly $300 million of debt.

2. Moody's assigns 'Aa3' rating to Franciscan Alliance's bonds
Moody's Investors Service assigned an "Aa3" rating to Mishawaka, Ind.-based Franciscan Alliance's proposed series 2016A and series 2016B bonds, affecting $180.7 million and $87.7 million, respectively.

3. Fitch assigns 'AA' rating to Franciscan Alliance's bonds
Fitch Ratings assigned an "AA" rating to Mishawaka, Ind.-based Franciscan Alliance's bonds.

4. Moody's affirms Mountain States Health Alliance's 'Baa1' rating
Moody's Investors Service affirmed the "Baa1" rating on Johnson City, Tenn.-based Mountain States Health Alliance's $630 million of outstanding rated debt.

5. S&P assigns 'A-' rating to University of Vermont Medical Center's bonds
Standard & Poor's Ratings Services assigned an "A-" long-term rating to Burlington-based University of Vermont Medical Center's series 2016 refunding bonds, affecting $72.6 million.

6. Fitch assigns 'AA-' rating to Sutter Health's bonds
Fitch Ratings assigned an "AA-" rating on Sacramento, Calif.-based Sutter Health's series 2016A revenue bonds, affecting approximately $500 million.

7. Fitch assigns 'AA' rating to Indiana University Health's bonds
Fitch Ratings assigned "AA" ratings to Indianapolis-based Indiana University Health's bonds.

8. Moody's upgrades UMass Memorial Health Care's rating to 'Baa3'
Moody's Investors Service upgraded the rating on Worcester-based UMass Memorial Health Care's revenue bonds to "Baa3" from "Ba1," affecting approximately $265 million of outstanding rated debt.

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