Moody's Investors Service affirmed its "Aa2" and "Aa2/VMIG 1" ratings on Fort Worth, Texas-based Cook Children's Medical Center's revenue bonds, affecting $427 million of debt.
The long term rating affirmation is a result of several factors, including the medical center's dominant market position, strong liquidity metrics and favorable leverage. Moody's also acknowledged CCMC's weakened operating performance thus far in fiscal year 2017 and its upcoming EMR installation.
The outlook is stable, reflecting Moody's expectation that the medical center will maintain its market position, healthy liquidity and solid leverage metrics.