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
16 Jan 2020	Compilation	Healthcare Quarterly: January 2020	Moody's Investors Service
16 Jan 2020	Sector Comment	Not-for-profit and for-profit hospitals - US : Developments to watch: 2020	Moody's Investors Service
16 Dec 2019	Sector Comment	Healthcare – US: Declining affordability underscores high social risks for US healthcare sector	Moody's Investors Service
13 Dec 2019	Outlook	Public Finance - US: 2020 Outlooks mostly stable amid continued economic expansion, strengthening revenues and solid reserves (Slides)	Moody's Investors Service
09 Dec 2019	Outlook	Not-for-profit and public healthcare – US: 2020 outlook revised to stable driven by stronger revenue growth	Moody's Investors Service
21 Nov 2019	Sector In-Depth	Not-for-profit and public healthcare - US: Benefit design, higher deductibles will increase bad debt for hospitals	Moody's Investors Service
13 Nov 2019	Sector In-Depth	Healthcare – US: Public health insurance proposals would be positive for US consumers but create fiscal risks for the sovereign	Moody's Investors Service
05 Nov 2019	Sector In-Depth	Public finance – US: Affordable housing shortage and homelessness pose social and financial risks	Moody's Investors Service
24 Oct 2019	Sector Comment	Hospitals – US: As rising costs curb margins, legislative and regulatory proposals add more risk	Moody's Investors Service
24 Oct 2019	Compilation	Healthcare Quarterly: October	Moody's Investors Service
22 Oct 2019	Sector In-Depth	Not-for-profit and public healthcare - US: Hospital reliance on specialty outpatient drugs poses risk as pricing scrutiny mounts	Moody's Investors Service
16 Oct 2019	Sector In-Depth	Healthcare – US: Public health insurance proposals would cut into industry margins, with single-payer posing the deepest threat	Moody's Investors Service
12 Sep 2019	Sector In-Depth	Hospitals & health service providers - US: Cyberattacks pose growing operational and financial risks for hospitals	Moody's Investors Service
03 Sep 2019	Sector Profile	Not-for-profit and public healthcare - US: Medians - Revenues outpace expenses across all regions, yielding financial stability	Moody's Investors Service
03 Sep 2019	Median Reports	Not-for-profit and public healthcare – US: Medians - Revenue growth rate inches ahead of expenses as margins hold steady	Moody's Investors Service
03 Sep 2019	Sector Profile	Not-for-profit and public healthcare – US: Medians – Smallest hospitals show margin stability while largest decline	Moody's Investors Service
29 Jul 2019	Sector Comment	For-Profit and Not-For-Profit Hospitals – US: Hospitals invest in data collection, telemedicine to reduce cost	Moody's Investors Service
29 Jul 2019	Compilation	Healthcare Quarterly: July 2019	Moody's Investors Service
18 Jul 2019	Sector Comment	Local government – New York: New York State approves Westchester County´s sales tax increase, a credit positive	Moody's Investors Service
31 May 2019	Sector Comment	Public finance – US: New GASB rules enhance transparency on conduit debt issuers' commitment to pay	Moody's Investors Service
16 May 2019	Sector In-Depth	Not-for-profit and public healthcare – US: Growth strategies beyond core competencies carry credit risk	Moody's Investors Service
25 Apr 2019	Median Reports	Not-for-profit and public healthcare - US: Preliminary medians - Profitability holds steady as revenues and expenses converge	Moody's Investors Service
24 Apr 2019	Compilation	Healthcare Quarterly: April 2019	Moody's Investors Service
28 Mar 2019	Sector In-Depth	Not-for-profit and public healthcare - US: Academic medical centers' unique strengths create challenges as sector shifts to value	Moody's Investors Service
08 Mar 2019	Sector In-Depth	Public finance - US: Rating revisions: Upgrades top downgrades for fourth straight year in 2018	Moody's Investors Service
01 Mar 2019	Sector In-Depth	Public finance - US: Self-liquidity report: Fourth quarter 2018	Moody's Investors Service
23 Jan 2019	Sector Comment	Not-for-profit healthcare and higher education - US: New accounting standard for operating leases is credit neutral	Moody's Investors Service
18 Jan 2019	Sector Comment	Not-for-profit and public healthcare - US: Developments to watch: 2019	Moody's Investors Service
18 Jan 2019	Compilation	Healthcare Quarterly: January 2019	Moody's Investors Service
07 Jan 2019	Sector Comment	Not-for-profit and public healthcare - US: Not-for-profit hospitals will benefit from court ruling that blocks 340B drug price cuts	Moody's Investors Service
17 Dec 2018	Sector Comment	Cross-sector: Likely appeal of judge's ruling on healthcare law means no immediate credit effect for states, hospitals or insurers	Moody's Investors Service
12 Dec 2018	Outlook	Public finance - US: 2019 Outlooks	Moody's Investors Service
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
05 Nov 2018	Sector In-Depth	Q3 2018 US Public Finance Quarterly Rating Revisions Data Excel Supplement	Moody's Investors Service
05 Nov 2018	Sector In-Depth	Public finance - US: Rating revisions: Upgrades top downgrades in Q3 2018 for fifth quarter in a row	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
17 Aug 2018	Sector In-Depth	Q2 2018 US Public Finance Quarterly Rating Revisions Data Supplement	Moody's Investors Service
17 Aug 2018	Sector In-Depth	Public finance - US: Rating revisions: Upgrades top downgrades in Q2 2018 for fourth quarter in a row	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

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