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Fitch Ratings

Fitch Affirms Cass Regional Medical Center, Missouri, at 'BBB-'; Outlook Stable

Published in Hospital Business Week, January 25th, 2009

Fitch Ratings affirms the $50 million Cass County, Missouri hospital revenue bonds, series 2007 (Cass Medical Center Replacement Project) at 'BBB-'.

The 'BBB-' rating is supported by Cass Regional's critical access hospital designation (CAH), its operating profitability, favorable market characteristics, community tax support, and its management agreement with the Hospital Corporation of America (HCA, rated 'B' by Fitch). Cass Regional received CAH designation in June 2005, which provides the hospital enhanced Medicare and Medicaid reimbursement (both payors make up a combined 53% of revenues). After receiving the designation, Cass Regional's operating margins have...

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