• Fitch trims Parrish Medical Center, Fla., 2008 revenue refunding bonds to BBB

• Fitch cuts Los Angeles Water and Power’s 2001B power system bonds to F1

• S&P raises Middletown, Del.'s general obligation debt to AA- from A+

• S&P cuts Providence, R.I.’s 2001B, 2013A G.O. bonds to BBB- from BBB

• Moody’s: Raleigh, N.C.’s 2016A, B, C, G.O. bonds Aaa; 2016 limited obligation bonds Aa2

• Moody’s rates Cuyahoga CCD, Ohio’s 2016 E general receipts refunding bonds Aa2

• Fitch applies AA+ rating to Nevada’s 2016 highway revenue improvement and refunding bonds

• S&P gives AAA to Nevada’s 2016 highway revenue improvement refunding bonds

• S&P provides AA+ to South Carolina’s 2016A-E G.O. bonds

• Moody’s: A1 to University of Kansas' 2016C Kansas University Medical Center parking bonds

• S&P rates Imperial Unified School District, Calif.'s 2016 G.O. refunding bonds A+

• Fitch gives Carson Tahoe Health System, Nev.’s health system revenue bonds BBB+

• S&P applies AA+ rating to York County, S.C.'s 2016 G.O. bonds

• Moody’s assigns P-1 to Children's Health System of Texas series A taxable CP notes

• S&P provides AA issuer credit rating to Santa Ana, Calif.

• S&P rates NYC Transitional Finance’s 2016 E-1, 2, 3 future tax-secured bonds AAA

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