The latest S&P rating is somewhat improved over previous, though still negative - but S&P has had a negative outlook on IHS for, what, six months now? Call me unrealistic, but this seems like a "plus" to me:
(Press release provided by Standard & Poor's). NEW YORK, Aug 27 - Standard & Poor's today assigned its single-'B' rating to Integrated Health Services Inc.'s $250 million senior subordinated notes due 2008. A double-'B'-minus rating also has been assigned to the company's $1.0 billion revolving credit facility and $750 million term loan due 2004. The company's existing double-'B'-minus corporate credit and bank loan ratings, and single-'B' subordinated debt rating were affirmed. Owings Mill, Md.-based Integrated's speculative-grade ratings reflect the company's aggressive transition toward becoming a full-service alternate-site health care provider, and its limited cash flow relative to its heavy debt burden. Integrated has grown rapidly through acquisitions to diversify as a provider of post-acute and home care services, operating in over 1,000 locations in 45 states. Pending transactions include Rotech Medical Corp., a large home health care firm, Coram Healthcare Corp.'s lithotripsy division, and Community Care of America, an operator of rural nursing facilities. These highlight Integrated's active efforts to broaden its health care service offering and geographic presence in an attempt to become more attractive to managed care organizations and other payors seeking to provide health care in the lowest-cost setting. Still, the company will be greatly challenged to control, integrate, and further expand operations that were only a quarter of their current size just three years ago. Moreover, there is continuing uncertainty with regard to the adequacy of reimbursement from government-sponsored programs for the indigent and elderly. Financially, Integrated's heavy use of borrowing for expansion limits cash flow coverage of lease-adjusted debt to levels consistent with a relatively low rating. The bank facility is rated double-'B'-minus, the same as the corporate credit rating. Although the facility derives strength from its secured position, based on Standard & Poor's simulated default scenario, it is not clear that a distressed enterprise value will be sufficient to cover the entire loan facility. OUTLOOK: NEGATIVE While the company has used equity to balance its need for growth capital, there is the potential that a large debt-financed acquisition could lead to a ratings downgrade. |