S&P has lowered the rating to "A-" from "A" on Liberty, Mo.-based New Liberty Hospital District's tax-exempt series 2010A and taxable series 2010B fixed rate revenue bonds.
The downgrade is based on a number of factors, including Liberty Hospital's weakened credit characteristics and the application of S&P's U.S. Not-For-Profit Acute-Care Standalone Hospital criteria.
The outlook is negative.