Fitch Ratings has revised Owensboro (Ky.) Health's outlook to negative from stable.
The outlook revision is based on a number of factors, including Owensboro's weakened financial profile and high debt burden.
Based on Owensboro's dominant market position, Fitch affirmed the "BBB+" rating on its following bonds:
- $67.6 million of series 2015A bonds
- $23.7 million of series 2015B bonds
- $440.9 million of series 2010A bonds
- $37 million of series 2010B bonds