Advocate Health Care (AHC), based in Illinois, is the Midwest’s largest health system. Two of Chicago’s largest hospital methods on Thursday approved plans to mix, creating a sixteen-hospital, $6.eight billion system that guarantees to vary the competitive landscape of health care in the Chicago area. As of now, health officials are working to reassure residents of Illinois that there are no confirmed circumstances of Ebola in the state. Advocate can be making sure that its employees will be capable to recognize Ebola signs and symptoms, in addition to know what precautions to take and methods to deal with the disease. Advocate is an built-in well being care system serving the Chicago metropolitan space and central Illinois.
The sequence 2015 bonds are anticipated to be fixed rate, and finance, refinance, or reimburse Advocate for prior capital expenditures, as well as pay prices of issuance. Stable Market Place: Advocate maintains a number one position inside its six-county Chicago metropolitan service space that’s practically double its nearest opponents, and stays the most important supplier within the state.
NorthShore Merger: Advocate and NorthShore College Health System (not rated by Fitch) signed a definitive affiliation settlement in September 2014 to merge, which Fitch views positively. The system consists of eleven acute care hospitals and an integrated children’s hospital (totaling roughly three,600 licensed beds), two massive physician teams providing both main and specialty doctor services, residence well being, hospice care, and outpatient centers serving the Chicago metropolitan area and central Illinois. Fitch used $ninety seven million as pro forma MADS, which Advocate lined at 9x by EBITDA at June 30, 2015.
The obligated group consists of Advocate Well being Care Network Corp, Advocate Health and Hospitals, Advocate North Aspect Health Network, Advocate Condell Medical Middle, and Advocate Sherman Hospital. Advocate plans to problem $a hundred million in sequence 2015 mounted fee bonds, which will probably be used primarily to finance and/or reimburse prior capital expenditures. Advocate may also subject extra sequence 2015 debt to refund existing debt, relying upon market circumstances, which Fitch believes wouldn’t influence the rating.
Advocate offered Fitch with an internal procedures letter outlining the procedures to fulfill any unremarketed puts. As well as, Advocate offers month-to-month liquidity reports to Fitch to observe the sufficiency of Advocate’s money and funding place relative to its mandatory put exposure. Following the series 2015 issuance, Advocate can have roughly $1.6 billion in long-time period debt outstanding. Advocate is party to $326.3 million notional in swap agreements, which had an aggregate unfavorable $83.7 million mark-to-market as of June 30, 2015.