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Rating Action:

Moody's assigns A1 to MidMichigan Health's (MI) $174.0M Ser. 2014; outlook stable

26 Nov 2014

Parity ratings affirmed; $174.0M rated debt to be outstanding

New York, November 26, 2014 --

Moody's Rating

Issue: Series 2014 Hospital Revenue Bonds; Rating: A1; Sale Amount: $173,975,000; Expected Sale Date: 12/08/2014; Rating Description: Revenue: Other

Opinion

Moody's Investors Service has assigned an A1 long-term rating to MidMichigan Health's (MidMichigan) $174.0 million of Series 2014 fixed rate bonds to be issued through the Michigan Finance Authority. At the same time, Moody's is affirming the A1 unenhanced and underlying long-term bond ratings affecting approximately $166.5 million of rated bonds outstanding. The rating outlook is stable.

MidMichigan Health is a four-hospital healthcare system located in central Michigan. The system is anchored by 12,650 admission (for fiscal year 2014) MidMichigan Medical Center-Midland (Midland) located in Midland. Other system hospitals and subsidiaries include: 4,300 admission MidMichigan Medical Center-Gratiot (Gratiot) in Gratiot County; 1,172 admission MidMichigan Medical Center-Clare (Clare) in Clare County; and 638 admission MidMichigan Medical Center-Gladwin (Gladwin) in Gladwin County; MidMichigan Physicians Group (MPG); MidMichigan Regional Imaging (MRI); one home care organization; two nursing home facilities; an urgent care walk-in center; and a real estate management company.

SUMMARY RATING RATIONALE

The assignment and affirmation of the A1 rating and maintenance of the stable rating outlook incorporate MidMichigan's leading market position over a broad service area, its strong and growing balance sheet position and good debt coverage ratios. The maintenance of the stable outlook is also supported by the system's rebound in operating performance in interim FY 2015 following an expected decline in performance in FY 2014 as the system digested escalating revenue pressures and aligned itself to be lower-cost and more efficient. The system also benefits from its recent affiliation with University of Michigan Health System (part of Aaa-rated University of Michigan; UMHS), which is expected to help stem outmigration for certain clinical services.

STRENGTHS

*MidMichigan is a diversified health system with a distinctly leading market position across a broad service area covering multiple counties in central Michigan. Each MidMichigan hospital is the only acute care facility located in its respective county.

*Midland County, where the flagship facility is located, is characterized by good demographics with a stable population and a strong employer market including Dow Chemical and Dow Corning.

*MidMichigan formed a clinical and branding affiliation with UMHS, beginning June 2013. UMHS has a minority stake in MidMichigan. The first year results were positive and MidMichigan expects further reduction of outmigration and greater expense savings going forward.

*MidMichigan's balance sheet metrics are strong and continued to improve with 346 days cash on hand and 275% cash-to-debt at fiscal year end (FYE) 2014.

*MidMichigan paid down a large portion of its debt in FY 2014 and debt coverage ratios remained strong, despite the softer operating performance, with Moody's adjusted maximum annual debt service (MADS) coverage of 5.0 times and adjusted cash-to-debt of 2.8 times.

*The system's debt structure is conservative with almost 100% in a fixed rate mode and no interest rate derivatives.

CHALLENGES

*In FY 2014, MidMichigan faced a number of escalating revenue pressures and reported a -1.4% operating margin and a 7.6% operating cash flow margin. Management has been implementing a number of initiatives over the last several years that have improved performance through four months of FY 2015.

*While Midland County has favorable demographics, the demographics in the rest of MidMichigan's service area are modest.

*MidMichigan's payor mix is challenging with a growing concentration in Medicare and Medicaid leading to slower revenue growth and the low three year compounded average growth rate of 2.9% in FY 2014. Management is focused on several initiatives to grow revenue despite the heavy reliance on governmental payors.

OUTLOOK

The stable rating outlook is supported by MidMichigan's improved operating results in FY 2015 with management driven initiatives and supported by its leading market share in a broad service area and strong balance sheet metrics. We also believe the system will continue to benefit from the new relationship with UMHS in FY 2015 and maintain or improve current levels of operating performance.

WHAT COULD MAKE THE RATING GO UP

A rating upgrade, while unlikely given the modest operating revenue base compared to the Aa3 medians, would be considered if volume growth leads to material enterprise growth. Improved and sustained operating performance leading to stronger debt and liquidity measures that are favorable to the Aa3 rating medians would also be required.

WHAT COULD MAKE THE RATING GO DOWN

A rating downgrade will be considered if a decline in operating performance is sustained leading to weaker debt service coverage levels and balance sheet metrics.

RATING METHODOLOGY

The principal methodology used in this rating was Not-for-Profit Healthcare Rating Methodology published in March 2012. Please see the Credit Policy page on www.moodys.com for a copy of this methodology.

REGULATORY DISCLOSURES

For ratings issued on a program, series or category/class of debt, this announcement provides certain regulatory disclosures in relation to each rating of a subsequently issued bond or note of the same series or category/class of debt or pursuant to a program for which the ratings are derived exclusively from existing ratings in accordance with Moody's rating practices. For ratings issued on a support provider, this announcement provides certain regulatory disclosures in relation to the rating action on the support provider and in relation to each particular rating action for securities that derive their credit ratings from the support provider's credit rating. For provisional ratings, this announcement provides certain regulatory disclosures in relation to the provisional rating assigned, and in relation to a definitive rating that may be assigned subsequent to the final issuance of the debt, in each case where the transaction structure and terms have not changed prior to the assignment of the definitive rating in a manner that would have affected the rating. For further information please see the ratings tab on the issuer/entity page for the respective issuer on www.moodys.com.

Regulatory disclosures contained in this press release apply to the credit rating and, if applicable, the related rating outlook or rating review.

Please see www.moodys.com for any updates on changes to the lead rating analyst and to the Moody's legal entity that has issued the rating.

Please see the ratings tab on the issuer/entity page on www.moodys.com for additional regulatory disclosures for each credit rating.

Jennifer Ewing
Analyst
Public Finance Group
Moody's Investors Service, Inc.
250 Greenwich Street
New York, NY 10007
U.S.A.
JOURNALISTS: 212-553-0376
SUBSCRIBERS: 212-553-1653

Beth I. Wexler
VP - Senior Credit Officer
Public Finance Group
JOURNALISTS: 212-553-0376
SUBSCRIBERS: 212-553-1653

Releasing Office:
Moody's Investors Service, Inc.
250 Greenwich Street
New York, NY 10007
U.S.A.
JOURNALISTS: 212-553-0376
SUBSCRIBERS: 212-553-1653

Moody's assigns A1 to MidMichigan Health's (MI) $174.0M Ser. 2014; outlook stable
No Related Data.
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