Moody's Investors Service affirmed its "Ba1" rating for Flint, Mich.-based Hurley Medical Center, affecting $78.6 million of outstanding revenue bonds.
The affirmation reflects the hospital's leading market share in its primary service area and its role as a full-service safety net provider. Moody's expects margins will remain modest in fiscal year 2019.
The rating outlook has been revised from stable to negative.