Here are three things to know about the rating assignment and the system’s outlook.
1. The rating assignment was supported by a number of factors, including Nebraska Methodist’s conservative capital profile, healthy balance sheet and solid profitability. The health system continues to generate very strong operating cash flow, with 13.6 percent in operating EBITDA in 2014, and 14.8 percent through April 30, 2015.
2. Nebraska Methodist faces a competitive landscape. However, competitive threat is mitigated somewhat by Nebraska Methodist’s collaborative relationship with Omaha-based Nebraska Medicine and by Omaha’s favorable economic environment, according to Fitch.
3. The health system’s outlook is stable.
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