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:

1. Fitch assigns 'AA-' long-term rating to WellSpan Health
Fitch Ratings assigned its "AA-" long-term rating to York, Pa.-based WellSpan Health's series 2019 revenue bonds.

2. Fitch assigns 'A' rating to CoxHealth's bonds
Fitch Ratings assigned its "A" rating to Springfield, Mo.-based CoxHealth's $115.5 series 2019 revenue bonds.

3. Fitch assigns 'A+' rating to Children's National Medical Center
Fitch Ratings assigned its "A+" issuer default rating to Children's National Medical Center, based in Washington, D.C. The credit agency also affirmed its "A+" rating on the hospital's outstanding bonds.

4. Fitch upgrades Washington Hospital to 'A'
Fitch Ratings upgraded its rating on Washington (Pa.) Hospital to "A" from "A-." The credit agency also assigned the hospital an issuer default rating of "A."

5. Moody's affirms 'A1' rating on Dana-Farber Cancer Institute
Moody's Investors Service affirmed its "A1" rating on Boston-based Dana-Farber Cancer Institute.

6. Moody's assigns 'A3' issuer rating to Randolph County Health Care Authority
Moody's Investors Service assigned its "A3" issuer rating to Randolph County Health Care Authority, which owns and leases a 15-bed critical access facility to Carrollton, Ga.-based Tanner Medical System.

7. Moody's assigns 'A2' rating to WakeMed's proposed bonds
Moody's Investors Service assigned its "A2" rating to Raleigh, N.C.-based WakeMed's proposed $358 million series 2019 hospital revenue bonds.

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