S&P Global Ratings downgraded the long-term and underlying ratings to "CCC" from "BBB" on Lamesa, Texas-based Dawson County Hospital District's general obligation debt.
"The speculative-grade rating reflects the district's significant and sustained financial challenges characterized by extremely light liquidity, which has deteriorated swiftly over the past two years," said S&P analyst Patrick Zagar.
The outlook is negative, reflecting S&P Global Ratings' opinion the district's available liquidity provides little to no cushion for any unforeseen operational challenges that may arise. S&P also said the district's weak economic activity and demographics, limited revenue base and material reliance on supplemental funding may make it more vulnerable to reimbursement changes.