Moody's Investors Service has affirmed the "A3" rating on Jefferson City, Mo.-based Capital Region Medical Center's series 2011 fixed rate revenue bonds, affecting $27.6 million.
The rating affirmation is based on a number of factors, including CRMC's continued good debt coverage ratios, consistent profitable operations and favorable relationship with the University of Missouri-Columbia Alliance.
The outlook is revised to negative from stable, which reflects CRMC's modest operating margins in fiscal year 2014 and FY 2015.