Moody’s Investors Service has revised its outlook to negative from stable on Elmhurst Memorial Healthcare’s Baa1 rating as a result of the hospital’s weakened credit profile. The action affects $502 million of debt.

Moody’s revised its outlook to reflect Elmhurst’s material decline in balance sheet resources, plans for $125 million of cash-funded capital spending over the next two years that will challenge its balance sheet, significant swap exposure, and a decline in patient volume levels and market share.

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