CFO Anne Krebs: Keeping Butler Health System Competitive

Anne Krebs, CFO of Butler (Pa.) Health System, faces a lot of financial competition in the surrounding marketplace, but she and others on the executive team have shored up the health system's finances to make it a leading provider in the region.

AnneKrebsCurrently, Butler Health System has a 65 percent market share in its primary service area, but it still competes with healthcare titans University of Pittsburgh Medical Center and West Penn Allegheny Health System in Butler County, which is roughly 30 miles north of Pittsburgh.

Ms. Krebs has reported consistent profitability metrics over the past several years, which recently led Fitch Ratings analysts to affirm Butler Health System's "A-" credit rating. Over the past four fiscal years, Butler Health System has averaged a 9.8 percent operating EBITDA margin, and as of June 30, 2012, the system had 177.4 days cash on hand with an 81.7 percent cash-to-debt ratio.

Fitch Ratings analysts also credited Ms. Krebs and others for their financial strategy of expanding service lines to grow revenue in outpatient sites. "Despite the Pittsburgh market generally seeing lower patient volume trends, BHS has been able to grow certain service lines such as cardiology and orthopedics in part due to management's effective physician alignment strategy," according to Fitch's report. "Additionally, BHS has opened and operates a number of outpatient care sites in its service area, which is another focus of management that has supported outpatient utilization growth."

Before joining Butler Health System in 2001, Ms. Krebs served as an executive within the Mercy health system, based in St. Louis. She has more than 28 years of healthcare finance experience and is a certified public accountant.

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