The rating affirmation is based on several factors, including Baptist's manageable debt level. The rating outlook is revised to negative from stable, reflecting Baptist's decline in liquidity and its recent decline in operating profitability, which is expected to continue in fiscal year 2016. More hospital outlook and credit rating actions: Moody's assigns 'Baa3' rating to Shands Jacksonville Medical Center's bonds 9 recent hospital outlook and credit rating actions Moody's affirms Children's Hospital of Philadelphia's 'Aa2' and 'Aa2/VMIG 1' ratings