Moody's Investors Service has affirmed the "Ba1" rating on Cullman (Ala.) Regional Medical Center's series 2009A bonds, affecting $64 million in debt.
The rating affirmation was supported by a number of factors, including, CRMC's good operating performance for the past two years, status as a sole community provider and increasing balances.
The rating affirmation was also supported by the medical center's engagement with A1-rated Huntsville (Ala.) Healthcare Authority to manage CRMC's revenue cycle.
CRMC also faces some challenges, such as its declining patient volumes, challenging payer mix and high debt load.