S&P Global Ratings placed Puerto Rico-based Ryder Memorial Hospital's series 1994A bonds, which are rated "B+," on credit watch with negative implications.
"The credit watch with negative implications reflects uncertainty related to Ryder's current operating profile following the devastating impact of Hurricane Maria to the island of Puerto Rico," said S&P Global Ratings credit analyst Jennifer Soule.
In addition S&P acknowledged the hospital's weakening financial profile, declining patient volume and increased risk of operating losses from halted inpatient services throughout October due to roofing damages from the storm.
Offsetting the credit watch with negative implications includes the hospital's dominant market position.