MedStar’s rating was based on a number of factors, such as its maintenance of a consistent level of profitability. The health system has operating margins of around 2 percent, which has allowed the MedStar to generate an average of $241 million in annual cash flow from its operations over the last four years. MedStar had total operating revenues of $4.2 billion in 2013.
MedStar also has a strong market share, with more than 21 percent of the market share in its primary service area, which encompasses the cities of Baltimore and Washington D.C. and the 11 surrounding counties in Maryland.
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