Fitch Ratings affirmed its "A-" rating on Washington (Pa.) Hospital's 2007A, 2007B and 2013A bonds, affecting a total of $42.34 million of debt.
The affirmation is a result of several positive and negative factors including the hospital's dominant market position, modest capital spending, decreasing leverage and softened operating performance in fiscal year 2016 and fiscal year 2017.
The outlook is stable.