The rating affirmation was supported by a number of factors, including MLHS’s strong financial profile and low debt burden. The system’s maximum annual debt service was at 1 percent of total revenues in fiscal 2014.
The rating affirmation was also supported by MLHS’s 46.4 percent market share, which is the leading market share in its primary service area.
The system also faces some challenges, which were considered for the rating affirmation, including operating in a competitive environment with several other health systems.
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