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Madera County, California Children's Hospital Central California; Hospital Feb 13

Standard & Poors, February 2013

Abstract
Standard & Poor's Ratings Services affirmed its long-term 'A+' rating on Children's Hospital Central California's (Children's) outstanding debt issued by Madera County. The outlook is stable. The rating reflects Children's robust operating results in recent years and much improved balance sheet due in large part to the receipt of significant net Quality Assurance Fee funds, despite a challenging payer mix. Children's' has a strong market position as the only specialty children's hospital in Central California. Despite the considerable improvement in the financial profile, the hospital continues to have a challenging payer mix. We believe there is risk associated with the long-term benefit of the Quality Assurance Fee and future governmental reimbursement reductions. More specifically, the rating reflects our view of Children's:...

Companies mentioned in this report are:
- Children's Hosp Central California
- Madera Cnty

Action: Affirmed

Standard and Poors RatingsXpress Credit Research provides in-depth coverage of international corporates, financial institutions, insurance companies, utilities, sovereigns and structured finance programs. RatingsXpress Credit Research lets users determine the credit rating of holdings and identify key factors underlying an issuer's creditworthiness, distinguishes the different risk exposures for new and existing deals, and provides an understanding of how their analysts interpret key regulatory, political and environmental events and their economic impact.

Research Type: Full Analysis

- Children's Hosp Central California
- Madera Cnty

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