9 recent hospital outlook and credit rating actions

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

1. Moody's affirms 'A2' rating on Greater Baltimore Medical Center's bonds
Moody's Investors Service affirmed the "A2" and "A2/VMIG1" ratings on Greater Baltimore (Md.) Medical Center's $30.6 million of outstanding revenue bonds.

2. Moody's affirms 'Ba1' rating on Saint Peter's University Hospital's debt
Moody's Investors Service affirmed the "Ba1" rating on New Brunswick, N.J.-based Saint Peter's University Hospital's $149 million of outstanding debt. 

3. Moody's affirms 'Aa3' rating on Baylor Scott & White Health's bonds
Moody's Investors Service affirmed the "Aa3" long-term rating and the "Aa3/P-1" short-term rating on Dallas-based Baylor Scott & White Health's bonds, affecting $2.1 billion of debt. 

4. S&P assigns 'AA-' rating to Kansas Hospital Authority's bonds
S&P Global Ratings assigned an "AA-" rating to Kansas City-based Kansas Hospital Authority's $198.78 million of series 2017A health facilities improvement revenue bonds. 

5. Fitch affirms 'BBB+' rating on Valley Medical Center's bonds
Fitch Ratings affirmed the "BBB+" rating on Renton, Wash.-based Valley Medical Center's outstanding revenue bonds and removed the bonds from rating watch evolving.

6. Fitch places Meridian Health System's bonds on rating watch positive
Fitch Ratings placed the "A+" rating on Neptune, N.J.-based Meridian Health System's bonds on rating watch positive. 

7. Fitch upgrades rating on Children's Hospital Medical Center of Akron to 'AA-'
Fitch Ratings upgraded the rating to "AA-" from "A+" on Children's Hospital Medical Center of Akron's bonds.

8. S&P downgrades rating on Covenant Health's bonds to 'BBB+'
S&P Global Ratings lowered the rating on Tewksbury, Mass.-based Covenant Health's bonds to "BBB+" from "A-."

9. S&P assigns 'AA-' rating to Kaiser Permanente's bonds
S&P Global Ratings assigned an "AA-" long-term rating to Oakland, Calif.-based Kaiser Permanente's $1.5 billion series A-1 and series A-2 fixed-rate tax-exempt bonds and its $500 million of series 2017B-E floating-rate notes. 

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