Fitch also affirmed the “AA-” rating on the health system’s approximately $837 million of outstanding bonds and affirmed the “F1+” short-term rating on SSM Health’s commercial paper program and bonds supported by the system’s internal liquidity.
The ratings assignment is based on a variety of factors, including the health system’s compressed profitability, broadened operating platform and manageable debt burden.
The outlook was revised to negative from stable.
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