Moody's Investors Service has downgraded Indiana (Pa.) Regional Medical Center's rating to "Ba1" from "Baa3," affecting $34.8 million of debt.
The downgrade is based on a number of factors, including heavy competition from the greater Pittsburgh area and IRMC's low level of operating performance.
The outlook is negative, reflecting IRMC's continued and significant deviation from expected performance through the beginning of 2016.