7 recent hospital, health system outlook and credit rating actions

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."

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