The following hospital and health system credit rating and outlook changes or affirmations occurred in the last week, beginning with the most recent:
1. Fitch upgrades Via Christi Hospital Manhattan's rating to 'AA-'
Fitch Ratings upgraded its rating for Via Christi Hospital Manhattan (Kansas) from "A+" to "AA-."
2. Fitch affirms 'BB+' rating for Palomar Health
Fitch Ratings affirmed its "BB+" rating for Escondido, Calif.-based Palomar Health.
3. Moody's affirms 'A2' rating for Children's Hospital of the King's Daughters
Moody's Investors Service affirmed its "A2" issuer default rating for Norfolk, Va.-based Children's Hospital of the King's Daughters.
4. Moody's affirms 'Aa2' rating for Duke University Health System
Moody's Investors Service affirmed its "Aa2" rating for Durham, N.C.-based Duke University Health System, affecting $1.38 billion of rated debt.
5. Moody's affirms 'A3' rating for Tower Health
Moody's Investors Service affirmed West Reading, Pa.-based Tower Health's "A3" rating, affecting $946 million of debt outstanding.
6. Moody's affirms 'A1' rating of Arkansas Children's Hospital
Moody's Investors Service affirmed its "A1" rating on Little Rock-based Arkansas Children's Hospital, affecting $168 million of outstanding revenue bonds.
7. Moody's assigns 'Baa2' rating to Chelan County Public Hospital District 2
Moody's Investors Service assigned a "Baa2" rating to Chelan County (Wash.) Public Hospital District 2 and downgraded the district's issuer rating from "Baa1" to "Baa2."