S&P Global Ratings downgraded the long-term and underlying ratings on Greenville, Texas-based Hunt Memorial Hospital District's general obligation debt to "A+" from "AA-."
"The downgrade is primarily driven by the district's somewhat economically limited service area," said S&P analyst Jennifer Garza. "Although financial performance is adequate in our view, the district's liquidity position is weaker than that of its peers."
The outlook is stable, reflecting S&P's view of the district's tax-revenue flexibility and solid market position.