Ratings

A six-notch downgrade gives the financially troubled city a non-investment grade rating of BB-plus with a negative outlook.

The ratings agency cited low days cash on hand and operating losses at the system, which operates one of the leading academic medical centers in Kentucky.

Illinois school districts face worsening credit pressure due rising personnel and special education costs and slower home price growth, S&P Global Ratings said.

La Marque's two-notch downgrade from Moody's follows a rating cut last month by S&P; both agencies put the city on review for potential further downgrades.

Fitch revised its outlook on the AAA-rated southern California to negative. The city is grappling with child sexual abuse claims from hundreds of people against one former employee.

The rating agency cited narrowing reserves and the expectation that the city will experience declining revenues next year.

The Baa3 rated government will now have more trouble supporting the struggling Guam Memorial Hospital, Moody's Ratings said.

S&P Global Ratings cut the Toms River Regional School District to A-minus from A, ending a negative CreditWatch but assigning a negative outlook.

S&P Global Ratings warned that Indiana's property tax reform law, Senate Enrolled Act 1, creates uncertainty for local income tax-backed debt.

It affirmed the California city's Aaa issuer rating, but cited the drag on revenues from tepid tourism numbers and liabilities from child sexual abuse claims.