The outlook change on New Jersey Health Care Facilities Finance Authority's bonds, issued for Holy Name Hospital, is based on the hospital's: Gradual weakening of operating performance and slight decline in liquidity, Decline in overall business volumes related to a very competitive market place, and Downward pressure on reimbursements from managed care and governmental payors. Holy Name is a 361-staffed bed acute provider located in town of Teaneck, Bergen County, an affluent and densely populated area in New Jersey. Like many providers in New Jersey, Holy Name has had to reconfigure its strategy in recent years, in order to cope with rapid growth of managed care and reduced reimbursements from Medicare. Between 1994-1998, Holy Name posted an average operating income