The health system has a number of strengths, which were considered for the rating affirmation, such as its distinctly leading market share and sole community provider status in two different markets.
SGHS’s rebounded operating performance was also considered for the affirmation. After recording a 2.7 operating cash flow margin in fiscal year 2014, the system improved with a 9.5 percent operating cash flow margin through the first five months of unaudited FY 2015.
SGHS also faces some challenges, which were considered for the rating upgrade, such as its moderate sized revenue base and its large debt load.
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