Moody's Investors Service has revised Pinehurst, N.C.-based FirstHealth of the Carolinas' outlook to negative.
The outlook revision reflects Moody's Investors Service's view that FirstHealth's operating cash flow margins will remain suppressed over the near term.
Moody's also affirmed the "Aa3" and "Aa3/VMIG 1" ratings on FirstHealth of the Carolinas' bonds, affecting approximately $103 million of debt.
The rating affirmation is based on FirstHealth's strong market share in its primary service area and excellent balance sheet metrics.