It's not unusual for two audits of two organizations to be completed at different times. |
Management will need to carefully monitor operating results and capital spending over the next two years in order to maintain the rating. Failure to meet projections could result in a rating or outlook change. |
That's an operating expense, and we always treat it as an operating expense no matter how it is reported. |
Upward rating potential exists, but will need to be accompanied by some combination of a reduction in the debt load, continued growth in liquidity, and consistent growth in cash flow leading to higher coverage levels. |
We believe that Temple University Health System will emerge with a clear improvement plan in the next few months. The related operational turnaround, however, could take one to two years, given the size of the operating gap so far this year. |