University Medical Center of El Paso (Texas) had its outlook revised to stable from positive as it continues to deal with challenging revenues and restricted cash flow, Fitch Ratings said March 31.
The system's rating on a series of bonds as well as its default rating was affirmed at "A-." It has $352 million of outstanding debt.
While the medical center has strong inherent support from its public tax-raising district, it is limited by its demographics on how it can potentially increase revenues, Fitch said. Days of cash on hand total only 58, still an improvement on recent years.
The longer-term viability of the organization is solid as management operates under a 10-year strategic capital plan to assess future needs, Fitch said.
University Medical Center of El Paso operates a 354-bed acute care hospital as well as the 122-bed El Paso Children's Hospital and runs its own health insurance plan.