Moody’s cuts Oklahoma hospital authority rating to Caa3

Norman Regional Hospital in Norman, Oklahoma
Norman Regional Hospital in Norman, Oklahoma. Moody’s downgraded the Norman Regional Hospital Authority’s revenue bonds a notch to Caa3 and confirmed a Caa2 issuer rating, both with stable outlooks.

Norman Regional Health System

Moody’s Ratings ended a review of Oklahoma’s Norman Regional Hospital Authority (NRHA) in the wake of a debt service payment default by downgrading its revenue bond rating a notch to Caa3, confirming a Caa2 issuer rating, and revising the outlook to stable from negative. 

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The action announced on Friday followed the closing earlier this month of NRHA’s $40 million senior bond sale to majority bondholders with proceeds used in part for a missed Sept. 1 debt service payment on bonds issued in 2016, 2017, and 2019.

Moody’s, which placed NRHA’s junk ratings under review for potential downgrades on Sept. 11, said the Caa2 issuer rating “reflects benefits from the recent financing that provides short-term liquidity and early indications of positive cashflow.”

“The downgrade of the revenue bonds to Caa3 is solely due to their legal subordination to the new Series 2026 debt, which has first priority on pledged gross revenues and collateral and senior rights to payment and recoveries if there were to be another default,” the rating agency added.

Bondholders of the Series 2026 tax-exempt bonds, which mature on Sept. 1, 2031, and carry a 7.5% interest rate, were provided liens and security interest in the authority’s real and personal property with the new bonds taking priority over the previous three outstanding issues. 

The health system did not immediately provide a comment on Moody’s rating action.

S&P Global Ratings downgraded the authority‘s bonds to D from CC last month after launching a CreditWatch negative review on Aug. 31.  

In a Sept. 4 disclosure notice, bond trustee Argent Trust Oklahoma said while nonpayment was an event of default and bond documents do not include a formal grace period, a short-term forbearance was granted for the payment at the direction of majority bondholders. 

The trustee set an Oct. 16 distribution date for bondholders to receive $4.9 million in interest and $7.07 million in principal payments, plus $44,218 for interest on principal in arrears.

The health system, which provides services at multiple campuses in south central Oklahoma, had $247.45 million of outstanding bonds from the three previous issues as of June 30, 2025, according to its latest annual report.

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