Moody's Investors Service has lowered its rating to Baa3 from Baa2 on Anderson Hospital due to its weakened financial performance. The action affects $33.9 million of rated debt sold through the Southwestern Illinois Development Authority.

The Maryville hospital's financial performance suffered through the first 10 months of fiscal 2011, with volume trends declining and an unexpected increase in debt — through a private placement — without a boost in cash flow to support it. Additional issuance is expected in fiscal 2012.

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