Moody's Investors Service revised Painesville, Ohio-based Lake Health's outlook to negative.
The outlook revision reflects challenges the health system faces to improving operations following material receivables write-offs and costs related to an IT conversion.
Moody's also affirmed the "A3" rating on Lake Health's $81 million of outstanding debt. The rating affirmation is based on the health system's track record of consistent margins and expected rebound in performance in fiscal year 2017.