Fitch upgrades rating on Mercy Regional Health Center's bonds to 'A+'

Fitch Ratings has upgraded the rating on $23 million of series 2013 hospital refunding revenue bonds issued on behalf of Manhattan, Kan.-based Mercy Regional Medical Center to "A+" from "A-."

The rating upgrade was supported by a number of factors, including MRHC's solid operating performance. After a negative operating margin in fiscal 2008, the hospital has had strong profitability, driven by a change in leadership at MRHC.

The hospital faces some challenges, which were considered for the rating upgrade, including having a small revenue base. MRHC's small revenue base "exposes the organization to more operating volatility," according to Fitch.

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