Fitch Ratings downgraded the rating on Rancho Mirage, Calif.-based Eisenhower Medical Center's series 2017A and 2017B revenue refunding bonds to "BBB-" from "BBB," affecting approximately $333.3 million of debt.
Concurrently, Fitch assigned its "BBB-" issuer default rating to EMC.
The downgrade is a result of EMC's constrained profit margin due to an EHR installation and the facility's unfavorable leverage metrics. Fitch also acknowledged the medical center's leading market position and strong philanthropy.
The outlook is stable, reflecting Fitch's expectation that EMC's profit margin will return to historical levels after the EHR installation.