Fitch Ratings has placed St. Joseph, Mo.-based Heartland Health's "A+" rating on $202 million of series 2001A, 2001B, 2001D, 2009A and 2012 bonds on rating watch negative.
Although the rating watch is negative, Heartland Health has several strengths, including its strong liquidity and solid market position.
Fitch expects to resolve the rating watch negative by October, after the review of the prior year's Federal Reimbursement Allowance/Medicaid disproportionate share reimbursement is complete.
More hospital outlook and credit rating actions:
Fitch revises Gundersen Health's outlook to positive
S&P assigns 'AA-' rating to Providence St. Joseph Health's bonds
Moody's downgrades East Texas Medical Center Regional Healthcare System's rating to 'Ba1'