Here are three things to know about the rating and the system’s outlook.
1. The rating action is based on a number of factors, including NSLIJ’s expanding geographic coverage, significant level of integration and leading market share.
2. The system also faces a manageable debt burden, as well as a compressed operating margin due to flattening inpatient volumes and expenses related to investment in system growth and diversification, according to Fitch.
3. The system’s outlook is stable.
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