“The negative outlook revision and ratings reflect our view of SSM Health’s comparatively higher debt levels relative to medians,” said S&P analyst Kevin Holloran. “It also reflects our expectation of additional debt and balance sheet pressure related to funding in order to complete a merger with [Oklahoma City-based] OU Medicine, anticipated in 2017, and a possible debt issuance for construction of a new St. LouisUniversityHospital inpatient facility that will be considered for 2018.”
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