The rating assignment was supported by a number of factors, including KCHD’s improved liquidity due to increased tax revenues. The hospital district’s unrestricted cash and investment grew from $2.5 million in 2010 to over $13.6 million in 2014.
In addition, the rating assignment was supported by KCHD’s critical access hospital designation, which leads to favorable reimbursement.
KCHD faces some challenges, which were considered for the rating assignment, such as the risks associated with the construction, completion and occupancy of the replacement facility.
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