Fitch Ratings downgraded Columbia, Md.-based MedStar Health's bond ratings to "A-" from "A."
Concurrently, Fitch assigned its "A-" issuer default rating to MedStar Health.
The downgrade and assignment are based on Fitch's revised rating criteria, which added more emphasis on MedStar's leverage, which is higher than similarly rated peers. Fitch favorably viewed the health system's solid market presence, consistent operating results and a higher adjusted debt position which is improving its leverage metrics.
The bonds have been removed from rating watch negative. The outlook is stable at the lower rating.