Moody's Investors Service affirmed the "Baa2" underlying rating on South Bend, Wash.-based Pacific County Public Hospital District's $1.9 million in outstanding general obligation bond debt.
The ratings affirmation is based on a number of factors, including the district's small and rural tax base, narrow operating margins and weak liquidity position.
According to Moody's Investors Service, outlooks are not generally assigned to local government credits with such large amounts of outstanding debt.