Fitch Ratings downgraded $572 million in debt issued for Loma Linda University Medical Center one notch to BBB-minus, the lowest investment grade rating, based partly on a history of missed financial targets. The outlook was revised to stable from negative.

Citing weak liquidity and a high debt burden, Fitch analysts said Monday that the rating agency had held the rating at BBB for several years expecting the medical center would benefit from its strategic initiatives.

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