Scott,
I agree with Dave, the biggest issue is termination.
There are 50 Ohm and 75 Ohm BNC connectors. The company has to choose the 75 Ohm version to use with RG59 or similar cable to give a 75Ohm system.
From what I have read, RCA's were developed for 50 Ohm applications. Canare is one of the MFG's that makes a 75Ohm version of an RCA connector for use in S/PDIF applications.