Moody's Investors Service assigned a "Caa1" rating to Longview, Texas-based Good Shepherd Health System's $69.2 million of series 2017A proposed hospital revenue refunding bonds.
The ratings assignment is based on a number of factors, including the health system's material cash flow losses and liquidity declines.
The ratings agency also affirmed the "Caa1" and "Caa1/SG" ratings on GSHS's outstanding series 2015A bonds, affecting $145 million of debt.
The outlook was revised to stable from negative, reflecting Moody's Investors Service's expectation GSHS's merger with Irving, Texas-based Christus Health will have lasting management and financial benefits and will reduce acceleration risk in the near-term following expected waiver of financial covenants.