...- U.S.-based ADMI Corp.'s (doing business as The Aspen Group) operating and financial results continue to lag our expectations due to more severe after-effects from a cyber incident earlier this year and weaker performance in its urgent care (WellNow) and dental implant (ClearChoice) businesses. - Furthermore, the company faces the maturities of its first-lien term loan ($875 million outstanding) and $450 million revolving credit facility ($272 million outstanding), which come due in 2025. - While we believe ADMI has good prospects to improve performance over the next year given favorable growth trends in its dental business (Aspen Dental), and the one-time nature of the cyber incident, we believe there is heightened refinancing risk based on its weak free cash flow generation, high leverage, and challenging capital market conditions. - We revised the outlook to negative from stable and affirmed all ratings on the company, including our 'B-' issuer credit rating. - The negative outlook...