Fitch Ratings has affirmed the "BBB+" rating assigned to approximately $13.9 million of series 2006 revenue bonds issued on behalf of Hannibal (Mo.) Regional Healthcare System and upgraded the system's outlook to positive from stable.
The rating affirmation and outlook revision were supported by a number of factors, including the system's consistently strong cash flows and strong operating performance.
The system does face some challenges, which were considered for the rating and outlook actions, such as experiencing declining market share. The system's market share fell from 43.9 percent in fiscal 2010 to 38.1 percent in 2013.
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