9 recent hospital, health system outlook and credit rating actions

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. S&P assigns 'A+' rating to Saint Luke's Health System
S&P Global Ratings assigned its "A+" rating to Kansas City, Mo.-based Saint Luke's Health System's proposed $93.1 million series 2018A revenue bonds. 

2. S&P downgrades Coalinga Regional Medical Center's rating to 'CCC'
S&P Global Ratings downgraded Coalinga (Calif.) Regional Medical Center's rating to "CCC" from "B-."

3. S&P places ProMedica's bonds on rating watch negative following HCR ManorCare acquisition
S&P Global Ratings placed its Toledo, Ohio-based ProMedica's "A+" rated debt on CreditWatch with negative implications after the hospital operator announced it would acquire a nursing home chain. 

4. S&P revises Catholic Health Initiatives outlook to positive
S&P Global Ratings affirmed its "BBB+" long-term rating and underlying rating on Englewood, Colo.-based Catholic Health Initiative's outstanding debt.

5. S&P affirms 'A' rating on Dignity Health, outlook remains negative pending CHI merger
S&P Global Ratings affirmed its "A" long-term rating and underlying rating on San Francisco-based Dignity Health. 

6. S&P assigns 'AA' rating to Sentara Healthcare's bonds
S&P Global Ratings assigned its "AA" long-term rating to Norfolk, Va.-based Sentara Healthcare's series 2018 revenue refunding bonds.

7. S&P assigns 'A-' rating to Marin General Hospital
S&P Global Ratings assigned its "A-" rating to Kentfield, Calif.-based Marin General Hospital's proposed $91.9 million series 2018A revenue bonds and $64.8 million series 2018B bonds.  

8. S&P assigns 'A-' rating to Ballad Health's bonds
S&P Global Ratings assigned its "A-" rating to Johnson City, Tenn.-based Ballad Health's $514 million series 2018A bonds. 

9. Moody's affirms 'A2' on Riverside Healthcare
Moody's Investors Service affirmed its "A2" rating on Kankakee, Ill.-based Riverside Healthcare's bonds, affecting $131 million of debt. 

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