The following hospital and health system rating and outlook changes and affirmations took place in the last week, beginning with the most recent.
1. S&P assigns 'AA-/A-1+' rating to University of Colorado Health Authority's bonds
S&P Global Ratings assigned an "AA-/A-1+" rating to Denver-based University of Colorado Health Authority's series 2017B revenue bonds.
2. Fitch affirms 'A+' rating on Children's National Medical Center's bonds
Fitch Ratings affirmed the "A+" rating on Washington, D.C.-based Children's National Medical Center's $369.3 million of series 2015 refunding revenue bonds.
3. Moody's revises St. John Health System's outlook to negative
Moody's Investors Services revised Tulsa, Okla.-based St. John Health System's outlook to negative from stable.
4. Moody's downgrades Capital Region Medical Center's rating to 'Baa1'
Moody's Investors Services revised Jefferson City, Mo.-based Capital Region Medical Center's rating to "Baa1" from "A3," affecting approximately $25.8 million of series 2011 fixed-rate revenue bonds.
5. Moody's revises Tampa Bay General Hospital's outlook to stable
Moody's Investors Service revised Tampa Bay (Fla.) General Hospital's outlook to stable from positive.
6. S&P revises Vernon Memorial Hospital's outlook to negative
S&P Global Ratings revised Viroqua, Wis.-based Vernon Memorial Hospital's outlook to negative.
7. Moody's affirms 'Aa3' rating on Methodist Health System's debt
Moody's Investors Service affirmed the "Aa3" rating on Dallas-based Methodist Health System's $354 million of rated debt.
8. Moody's affirms 'Ba3' rating on Antelope Valley Healthcare District's debt
Moody's Investors Service affirmed the "Ba3" rating on Lancaster, Calif.-based Antelope Valley Healthcare District's $126 million of rated debt.
9. S&P assigns 'AA-' rating to Oregon Health and Science University's bonds
S&P Global Ratings assigned an "AA-" rating to Portland-based Oregon Health and Science University's $61.6 million of series 2017A bonds.
10. S&P raises rating on Advocate Health Care Network's bonds to 'AA+'
S&P Global Ratings raised the rating on Downers Grove, Ill.-based Advocate Health Care Network's various series of fixed-rate tax-exempt bonds to "AA+" from "AA."