11 Statistics on Hospital Debt-to-Capitalization Ratios

For most hospitals and health systems, debt-to-capitalization ratios fell between 2009 and 2011 as many organizations looked to refinance debt and build cash on hand.

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Debt-to-capitalization is the hospital’s long-term debt divided by the sum of long-term debt and unrestricted net assets. This ratio essentially shows how much debt a hospital has compared to the hospital’s overall equity.

Here are 11 statistics on median hospital debt-to-capitalization ratios over the past several years from two credit rating agencies, Standard & Poor’s Ratings Services and Moody’s Investors Service. Note: All data are medians. S&P’s data reflects only standalone hospitals in its portfolio, while Moody’s data reflects standalone hospitals and single-state health systems in its portfolio.

S&P median hospital debt-to-capitalization ratios

2006: 37.4 percent
2007: 36.1 percent
2008: 39 percent
2009: 39 percent
2010: 38.1 percent
2011: 36.9 percent

Moody’s median hospital debt-to-capitalization ratios
2007: 37.6 percent
2008: 41.1 percent
2009: 42.1 percent
2010: 41.6 percent
2011: 40.4 percent

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