Moody's Investor Service affirmed its "Baa2" rating for Elizabeth, N.J.-based Trinitas Regional Medical Center's outstanding revenue bonds, worth $89.6 million.
The "Baa2" rating reflects the hospital's role as a safety-net provider, significant liquid growth and deleveraging.
Moody's also downgraded Tristar's rating outlook from stable to negative because the hospital is expected to face operating headwinds after weaker than expected results from 2017, along with declining utilization in a competitive market.