Moody's Investors Service has affirmed the "Ba1" rating on Cullman (Ala.) Regional Medical Center's series 2009A bonds, affecting approximately $62.5 million of outstanding debt.
The rating affirmation is based on a number of factors, including CRMC's improvements in operations and management.
CRMC also faces numerous difficulties, including its small size, high leverage and a challenging payer mix.
The outlook remains stable, reflecting Moody's expectation that CRMC will maintain operating performance more in line with recent years, continue to build its cash position and continue to pay down debt.