The following hospital and health system rating and outlook changes and affirmations took place in the last week, starting with the most recent.
1. Fitch affirms Hurley Medical Center's 'BBB-' rating
Fitch Ratings affirmed the "BBB-" rating on Flint, Mich.-based Hurley Medical Center's bonds.
2. Fitch assigns 'BBB-' rating to Adventist HealthCare's bonds
Fitch Ratings assigned a "BBB-" rating to Gaithersburg, Md.-based Adventist HealthCare's $244.75 million of series 2016A bonds.
3. Moody's affirms Reading Hospital and Medical Center's 'A2' rating
Moody's Investors Service affirmed the "A2" rating on Reading (Pa.) Hospital and Medical Center's $358.3 million of outstanding debt.
4. Moody's affirms Erlanger Health System's 'Baa2' rating
Moody's Investors Service affirmed the "Baa2" rating on Chattanooga, Tenn.-based Erlanger Health System's $186 million of outstanding debt.
5. Fitch affirms Munson Healthcare's 'AA-' rating
Fitch Ratings affirmed the "AA-" rating on Traverse City, Mich.-based Munson Healthcare's bonds.
6. S&P revises Milford Regional Medical Center's outlook to negative
S&P Global Ratings revised the outlook to negative from stable on Milford (Mass.) Regional Medical Center's $107 million of series 2014F and 2017E bonds.
7. Fitch revises Cullman Regional Medical Center's outlook to stable
Fitch Ratings revised Cullman (Ala.) Regional Medical Center's outlook to stable from positive.
8. S&P lowers Kuakini Health System's rating to 'B+'
S&P Global Ratings lowered the long-term rating on Honolulu-based Kuakini Health System to "B+" from "BB."
9. Fitch assigns 'BBB+' rating to Regional West Health Services' bonds
Fitch Ratings assigned a "BBB+" rating to Scottsbluff, Neb.-based Regional West Health Services' $63.2 million of series 2016A bonds.