Clinton (County of) OH, Variable Rate Demand Hospital Refunding Revenue Bonds (Kettering Medical Center Netowrk Obligated Group Project), Series 2003 D-1, $28.6MM Credit Rating

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Date	Document Type	Title	Source
05 Dec 2018	Sector In-Depth	Public finance - US: Self-liquidity report: Third quarter 2018	Moody's Investors Service
03 Dec 2018	Outlook	Not-for-profit and public healthcare - US: 2019 outlook remains negative amid glimmers of stability	Moody's Investors Service
07 Nov 2018	Sector Comment	State government - US: Voters show mixed support for higher state taxes to fund transportation and schools	Moody's Investors Service
22 Oct 2018	Sector Comment	Healthcare - US: Government reimbursement changes will have mixed effects on hospitals	Moody's Investors Service
22 Oct 2018	Compilation	Healthcare Quarterly: October 2018	Moody's Investors Service
17 Oct 2018	Sector In-Depth	State and local government - US: New OPEB accounting sheds light on credit impact of retiree healthcare liabilities	Moody's Investors Service
16 Oct 2018	Sector In-Depth	Hospitals & health service providers - US: Medians - Strong demand will drive financial strength at children's hospitals	Moody's Investors Service
18 Sep 2018	Sector In-Depth	Cross-Sector - US: High healthcare costs strain governments, businesses and households, with ripple effects across the economy	Moody's Investors Service
14 Sep 2018	Sector In-Depth	US Public Finance: Self-liquidity report: Second quarter 2018	Moody's Investors Service
28 Aug 2018	Sector In-Depth	Not-for-profit and public healthcare - US: Medians - Regional hospital medians mirror stress seen in national trends	Moody's Investors Service
28 Aug 2018	Sector In-Depth	Not-for-profit and public healthcare - US: Medians - Operating pressures persist as growth in expenses exceeds revenue	Moody's Investors Service
28 Aug 2018	Sector In-Depth	Not-for-profit and public healthcare - US: Medians - Less variation in performance for higher-rated credits highlights financial flexibility	Moody's Investors Service
28 Aug 2018	Sector In-Depth	Not-for-profit and public healthcare - US: Medians - Expense pressures agnostic to size, driving quest for scale	Moody's Investors Service
08 Aug 2018	Sector Comment	Cross-Sector - US: CMS’s proposed changes to outpatient services, if finalized, would hurt hospital margins	Moody's Investors Service
12 Jul 2018	Sector Comment	Not-for-profit and public healthcare - US: Midyear update: M&A, nursing shortages and insurer disruption continue	Moody's Investors Service
12 Jul 2018	Compilation	Healthcare Quarterly: July 2018	Moody's Investors Service
09 Jul 2018	Sector Comment	State and local government - Mississippi: Stronger contributions are positive, but pension funding will remain a challenge	Moody's Investors Service
07 Jun 2018	Sector In-Depth	Public finance - US: Self-liquidity report: First quarter 2018	Moody's Investors Service
07 Jun 2018	Sector Comment	Hospitals & Health Service Providers: Virginia's expansion of Medicaid eligibility is credit positive for hospitals	Moody's Investors Service
16 May 2018	Sector In-Depth	Not-for-profit and public healthcare - US: Flexibility, integrated planning key to the healthcare system of the future	Moody's Investors Service
15 May 2018	Sector In-Depth	Not-for-profit and public healthcare - US: FAQ: Effect of investment market returns on hospital credit quality	Moody's Investors Service
23 Apr 2018	Sector In-Depth	Not-for-profit and public healthcare - US: Preliminary medians underscore negative sector outlook	Moody's Investors Service
16 Apr 2018	Compilation	Healthcare Quarterly: April 2018	Moody's Investors Service
08 Mar 2018	Sector In-Depth	Public finance - US: Self-liquidity report: Fourth quarter 2017	Moody's Investors Service
07 Mar 2018	Sector In-Depth	Not-for-profit and public healthcare - US: Nursing shortage will pressure hospital margins over the next three to four years	Moody's Investors Service
05 Mar 2018	Sector In-Depth	Not-for-profit and public healthcare - US : Sector pressures drove elevated credit activity in 2017 and into 2018	Moody's Investors Service
21 Feb 2018	Sector In-Depth	Not-for-profit and public healthcare - US: Hospitals face new threat from health insurers’ disruptive growth strategies	Moody's Investors Service
12 Feb 2018	Sector Comment	Hospitals & Health Service Providers: Delay of Medicaid DSH cuts is credit positive for safety-net hospitals and some local governments	Moody's Investors Service
08 Feb 2018	Sector Comment	Not-for-profit and public healthcare, higher education – US : New FASB standard on presentation of pension and OPEBs expense is credit neutral	Moody's Investors Service
31 Jan 2018	Sector Comment	Municipal supported products - US: Municipal VRDB issuers continue to benefit from a diversified investor base	Moody's Investors Service
29 Jan 2018	Sector Comment	Not-for-profit and public hospitals - US: Severe flu season will create financial strain for hospitals despite increase in admissions	Moody's Investors Service
17 Jan 2018	Sector Comment	Not-for-profit and public healthcare – US: CHIP funding's potential expiration or delay is credit negative for children's hospitals	Moody's Investors Service
10 Jan 2018	Sector Comment	Not-for-profit and public healthcare - US: Developments to watch: 2018	Moody's Investors Service
12 Dec 2017	Outlook	Public finance - US: 2018 Outlooks (Slides)	Moody's Investors Service
12 Dec 2017	Sector Comment	Cross-sector - US: Elimination of private activity bonds would have differing negative credit effects	Moody's Investors Service
04 Dec 2017	Outlook	Not-for-profit and public healthcare - US: 2018 outlook changed to negative due to reimbursement and expense pressures	Moody's Investors Service
28 Nov 2017	Sector In-Depth	Public finance - US: Self-liquidity report: Third quarter 2017	Moody's Investors Service
23 Oct 2017	Compilation	Healthcare Quarterly: October 2017	Moody's Investors Service
23 Oct 2017	Sector Comment	Not-for-profit and public healthcare - US : Escalating costs and slower revenue growth spur hospital consolidation	Moody's Investors Service
02 Oct 2017	Sector In-Depth	Public finance - Texas: Hurricane Harvey unlikely to impair credit quality of most affected issuers	Moody's Investors Service
27 Sep 2017	Sector In-Depth	Not-for-profit and public healthcare, Pharmaceuticals - US : Drug price increases abate, but potential 340B change would hurt hospital margins	Moody's Investors Service
14 Sep 2017	Sector Comment	Healthcare, higher education, housing, state revolving funds - Florida: Hurricane Irma's immediate credit effects limited, liquidity to drive long-term impact	Moody's Investors Service
31 Aug 2017	Sector Comment	Not-for-profit and public healthcare, higher education and housing - Texas: Hurricane impact tied to patient volume for hospitals and enrollment for universities	Moody's Investors Service
21 Aug 2017	Sector In-Depth	Not-for-profit and public healthcare – US: Medians - Operating pressures weigh on smallest and largest hospitals	Moody's Investors Service
21 Aug 2017	Sector In-Depth	Not-for-profit and public healthcare - US : Medians - Reimbursement and expense hurdles strain performance across regions	Moody's Investors Service
21 Aug 2017	Sector In-Depth	Not-for-profit and public healthcare - US : Medians - Performance levels less dispersed among higher rating categories	Moody's Investors Service
21 Aug 2017	Sector In-Depth	Not-for-profit and public healthcare - US : Medians - Key financial metrics underperform as pressures mount	Moody's Investors Service
17 Aug 2017	Sector Comment	Not-for-profit and public healthcare - US : CMS move to cancel cardiac bundling is credit positive	Moody's Investors Service
17 Aug 2017	Sector In-Depth	Public Finance - US: Moody’s Public Finance Self-Liquidity Quarterly Report: Second Quarter 2017	Moody's Investors Service
14 Aug 2017	Sector Comment	Extension of Medicaid Waiver Is Credit Positive for Florida Safety-Net Hospitals	Moody's Investors Service

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