Moody's Investors Service downgraded the revenue bond rating of Vincennes, Ind.-based Good Samaritan Hospital from "Baa3" to "Ba1."
The rating reflects a high degree of operating variability and expected cash flow problems due to an unfavorable payer mix and declining volumes. Moody's expects a meager cash flow will limit the prospects for meaningful liquidity growth.
The outlook has been revised from negative to stable.