9 recent hospital, health system outlook and credit rating actions

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

1. Fitch downgrades University Health System to 'BBB,' maintains negative outlook
Fitch Ratings downgraded its rating on Knoxville, Tenn.-based University Health System to "BBB" from "BBB+." At the same time, Fitch assigned the health system its "BBB" issuer default rating.

2. Fitch upgrades Forrest Health's rating to 'A+'
Fitch Ratings upgraded Hattiesburg, Miss.-based Forrest Health's rating to "A+" from "A." Concurrently, Fitch assigned its "A+" issuer default rating to the health system.

3. Moody's assigns 'Aa3' rating to Atrium Health
Moody's Investors Service assigned its "Aa3" long-term rating to Charlotte, N.C.-based Atrium Health's proposed $464 million series 2018 bonds. Concurrently, Moody's affirmed its "Aa3" rating on about $1.7 billion of Atrium's outstanding debt. 

4. Moody's assigns 'Aa3' to South Broward Hospital District
Moody's Investors Service assigned its "Aa3" rating to Hollywood, Fla.-based South Broward Hospital District's proposed $100 million series 2018 hospital revenue bonds. The district does business as Memorial Healthcare System.

5. Moody's revises Flagler Healthcare System's outlook to stable, affirms 'Baa1' rating
Moody's Investors Service affirmed its "Baa1" issuer rating on St. Augustine, Fla.-based Flagler Healthcare System. Concurrently, Moody's affirmed its "Baa1" rating on $32.6 million of the health system's bonds.

6. Moody's assigns 'A2' rating, negative outlook to OSF Healthcare System
Moody's Investors Service assigned its "A2" rating to Peoria, Ill.-based OSF Healthcare System's proposed $472 million series 2018 bonds. Concurrently, Moody's affirmed its "A2" rating on the health system's existing debt, affecting about $1.15 billion.

7. Moody's assigns 'Aa3' rating to Parkview Health System
Moody's Investors Service assigned its "Aa3" rating to Fort Wayne, Ind.-based Parkview Health System's proposed $140.1 million series 2018 and $22 million series 2019A hospital revenue bonds. 

8. Moody's affirms 'Aa3' rating on Atlantic Health System
Moody's Investors Service affirmed its "Aa3" rating to Morristown, N.J.-based Atlantic Health System, affecting $830 million of outstanding debt.  

9. Moody's affirms 'Baa1' on Charleston Area Medical Center, maintains negative outlook
Moody's Investors Service affirmed its "Baa1" rating on Charleston (W.Va.) Area Medical Center, affecting $262 million of outstanding debt. 

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