The outlook change was supported by the health system’s improved margins and investment position growth. Adena maintained solid revenue growth and improved operating margins in fiscal year 2013 and through eight months of FY 2014.
The rating affirmation was based on a number of factors, including the health system’s dominant market position. Adena has little hospital and physician competition, as it is the only acute-care provider in Ross County, Ohio.
The system also faces some challenges, which were considered for the outlook change and the rating affirmation, such as experiencing a decline in inpatient volume.
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