Moody's Investors Service affirmed its "Baa3" rating on Meadowbrook, Pa.-based Holy Redeemer Health System, affecting $46 million of debt.
The affirmation is a result of the health system's solid investment position and manageable direct debt leverage. Moody's also acknowledged HRHS' weakened operating performance, highly competitive service area and deteriorating patient volume.
The outlook was revised to negative from stable, reflecting the health system's suppressed operating margins.