Fitch downgrades Boone Hospital Center to 'A-'

Fitch Ratings downgraded Columbia, Mo.-based Boone Hospital Center to "A-" from "A," affecting $79.4 million of debt.

Concurrently, Fitch assigned its "A-" issuer default rating to Boone Hospital Center.

The downgrade and assignment are a result of several factors, including the hospital's weakened market share, lower near-term profitability and moderate leverage.

The outlook remains negative, reflecting Fitch's expectation of continued revenue declines.

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