Fitch Ratings has revised Raleigh, N.C.-based Rex Healthcare's outlook to negative from stable and assigned an "AA-" rating on $50 million of series 2015A revenue bonds, which are expected to be issued on behalf of the system.
The rating assignment was based on a number of factors, including Rex Healthcare's historically solid operating profitability.
The system also faces some challenges, which were considered for the rating assignment, such as having weak liquidity.
Rex Healthcare's outlook revision was due to the system's pro forma liquidity metrics being weak relative to the "AA" category medians, according to Fitch.
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