The following hospital and health system rating and outlook changes and affirmations took place in the last week, starting with the most recent.
1. Moody's affirms Gundersen Health System's 'A1' rating
Moody's Investors Service affirmed the "A1" rating on La Crosse, Wis.-based Gundersen Health System's $207 million of outstanding rated debt.
2. S&P assigns 'AA' rating to Duke University Health System's bonds
S&P Global Ratings assigned an "AA" rating to Durham, N.C.-based Duke University Health System's series 2016D bonds.
3. Moody's assigns 'Aa2' rating to Duke University Health System's bonds
Moody's Investors Service assigned an "Aa2" rating to Durham, N.C.-based Duke University Health System's $127 million of series 2016D bonds.
4. Fitch affirms Tufts Medical Center's 'BBB' rating
Fitch Ratings affirmed the "BBB" rating on Boston-based Tufts Medical Center's $210 million of series 2011 bonds and $100 million of series 2013 bonds.
5. Moody's affirms Children's Healthcare of Atlanta's 'Aa2' and 'Aa2/VMIG 1' ratings
Moody's Investors Service affirmed Children's Healthcare of Atlanta's "Aa2" and "Aa2/VMIG 1" ratings, affecting approximately $440 million.
6. S&P revises Fred Hutchinson Cancer Research Center's outlook to positive
S&P Global Ratings revised the outlook to positive from stable and affirmed the "A" long-term rating on Seattle-based Fred Hutchinson Cancer Research Center's series 2009A and series 2011A bonds.
7. S&P revises East Jefferson General Hospital's outlook to negative
S&P Global Ratings revised the outlook to negative from stable and affirmed the "BB" long-term rating on Metairie, La.-based East Jefferson General Hospital's $155 million of series 2011 bonds.
8. Moody's revises Lehigh Valley Health Network's outlook to negative
Moody's Investors Service revised Allentown, Pa.-based Lehigh Valley Health Network's outlook to negative from stable.
9. Moody's upgrades Washington Regional Medical Center's rating to 'A3'
Moody's Investors Service upgraded Fayetteville, Ark.-based Washington Regional Medical Center's rating to "A3" from "Baa1," affecting approximately $107.8 million of debt.
10. Fitch affirms Wright Memorial Hospital's 'BBB-' rating
Fitch Ratings affirmed the "BBB-" rating on Trenton, Mo.-based Wright Memorial Hospital's $27 million of series 2009 revenue bonds.
11. Moody's assigns 'VMIG 1' rating to OhioHealth's bonds
Moody's Investors Service assigned an "Aa2/VMIG 1" rating to Columbus-based OhioHealth's series 2011D bonds.
12. Moody's affirms Overlake Hospital Medical Center's 'A2' rating
Moody's Investors Service affirmed the "A2" rating on Bellevue, Wash.-based Overlake Hospital Medical Center's $150 million of rated debt.
13. Moody's affirms Einstein Health Network's 'Baa2' rating
Moody's Investors Service affirmed the "Baa2" rating on Philadelphia-based Einstein Healthcare Network's $479 million of outstanding debt.