NEW YORK - Standard & Poor's Ratings Services said it lowered its long-term rating and underlying rating (SPUR) on Ross County, Ohio's revenue bonds, issued for Adena Health System, one notch to A-minus from A. The outlook is stable.

The downgrade reflects Standard & Poor's assessment of the system's weaker operating results in the past fiscal year, soft operating results in the interim period, and balance sheet that is more consistent with the new rating. Adena operates in an economically challenged area, and it has recently encountered a number of challenges related to physician turnover combined with a weakening payor mix.

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