Moody's Investors Service assigned an "A2" rating to Lynchburg, Va.-based Centra Health's proposed series 2017A fixed-rate hospital revenue bonds, and series 2017B and series 2017C variable-rate revenue and refunding bonds.
Moody's also affirmed the "A2" rating on the health system's outstanding bonds.
The ratings affirmations are based on several factors, including the health system's solid and leading market share position and solid leverage metrics.
The outlook was revised from stable to negative, reflecting Moody's Investors Service's unfavorable opinion of the health system's multiyear trend of challenged operating performance through fiscal year 2017.