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The Business of Health Care Report
Why Debt Ratings Are So Important To Health Care Providers - August 2002


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Doug Hawthorne, President and CEO of Texas Health Resources I'm Doug Hawthorne, President and CEO of Texas Health Resources, with "The Business of Health Care Report" on News Radio 1080 KRLD. Today's topic is the importance of debt ratings to health care providers.

Recently, Moody's Investors Service upgraded the debt rating on Texas Health Resources to A1 stable. For THR, this was positive confirmation of the entire organization's hard work and focus to achieve aggressive business goals. But, debt-rating upgrades for health care organizations have been the exception rather than the rule over the past several years.

Moody's rates more than 500 non-profit hospitals and health systems with more than $90 billion in total outstanding debt. According to the Healthcare Financial Management Association, the 77 upgrades and downgrades in 2001 accounted for almost one-third of all rating actions in the revenue-backed municipal bond sectors.

Why are debt ratings so important to non-profit health care providers and their patients? Look at the D/FW marketplace for example. Within the past six months, health care providers have announced plans to build or renovate facilities at a value of more than $1 billion. The rapidly growing population in North Texas has challenged health care providers to keep up with the demand for their services. Couple this with a growing number of uninsured residents, decreased reimbursement from all payers including federal and state governments, and the need to access additional capital dollars through the sale of bonds becomes apparent.

Bond buyers closely follow the debt ratings issued by Moody's and others. The better the debt rating for a health care organization, the more attractive its bonds are to potential buyers.

Moody's lists the top five reasons for debt rating upgrades as:
1. Successful improvement of financial performance
2. An increase in market share
3. Implementation of significant business decisions such as closing or restructuring unprofitable ventures
4. Maintenance of cash growth and higher cash levels
5. And favorable market characteristics

Telling our story to the investment community may be new for our industry, but it must be a part of our day-to-day business if we are to continue to appropriately serve the health care needs of North Texans.

For Texas Health Resources and its family of hospitals - Harris Methodist Hospitals, Presbyterian Healthcare System and Arlington Memorial Hospital - I'm CEO Doug Hawthorne with "The Business of Health Care Report" on NewsRadio 1080 KRLD.

Doug Hawthorne

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