Moody's Investors Service has downgraded the bond rating for Gainesville (Texas) Hospital District, which does business as North Texas Medical Center, to "A3" from "A2."
The rating downgrade was based on the district's decline in admissions, weak liquidity and narrowing financial position.
The district's outlook is negative, which reflects Moody's belief that the district will face challenges in improving its liquidity and financial performance in the near term.
The district's rating could go up if it experiences a sustained trend of improved financial operations and increases it reserve levels, according to Moody's.
However, if admissions continue to decline and operating deficits require the district to dip into cash reserves, the rating could go down.
More articles on healthcare finance:
Politics surrounding the permanent 'doc fix' debate: 10 key points
MedPAC issues March report to Congress: 10 key Medicare issues
House leaders in talks over $200B Medicare deal