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NEW YORK, October 28 (Fitch) Fitch Ratings has downgraded the appraisement on

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approximately $38 actor alternation 2002 bonds issued by the Citrus County Hospital

Board (Citrus Memorial Health Foundation, Inc.) on account of Citrus Memorial

Hospital (CMH) to ‘B-‘ from ‘B’.

Additionally, Fitch has revised the Appraisement Watch to Evolving from Negative

reflecting the organization’s proposed auction or charter transaction with Hospital

Corporation of America (HCA), which is in its antecedent stages. Citrus County

Hospital Board (CCHB) and Citrus Memorial Health Foundation (CMHF) accept agreed

to a transaction, and a letter of absorbed (LOI) is accepted to be active by

November 2013.

Fitch expects to dness the Appraisement Watch aural the aing six months as the

transaction’s final agreement and likelihood of success become clearer.

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SECURITY

The alternation 2002 bonds are anchored by a agreement of gross revenues of the

foundation and a debt account assets fund.

KEY RATING DRIVERS

DOWNGRADE REFLECTS LOWER LIQUIDITY: The appraisement decline to ‘B-‘ reflects CMH’s

continued banking deterioration, which was accent by a cogent drop

in clamminess apprenticed by the aboriginal adjustment of its alternation 2006 bonds. As of Sept.

30, 2013 (year-end; unaudited), CMH’s complete banknote and investments

decreased by about 50% to an complete complete of $14.5 actor from $30 million

in budgetary 2012. Additionally, the organization’s operations connected to be

pressured by undependable tax revenue, advancing acknowledged costs, and added volume

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declines. In budgetary 2013, CMH recorded a $4.2 actor accident from operations,

which translated into a abrogating 2.9% operating margin.

RATING SENSITIVITIES

COMPLETION OF PENDING TRANSACTION: Resolution of the Appraisement Watch will acceptable be

tied to the achievement of the awaiting transaction, which administration has

indicated would dness all acknowledged disputes amid both hospital boards and

require the alternation 2002 bonds to be redeemed. Failure to complete the

transaction and added banking abasement could, conversely, aftereffect in

negative appraisement pressure.

CREDIT PROFILE

Citrus Memorial Hospital is a 198-bed association hospital amid in Inverness,

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FL, about 75 afar arctic of Tampa. In budgetary 2013 (Sept. 30 fiscal

year-end), CMH had $148.4 actor in complete operating revenue. CMH covenants to

provide anniversary acknowledgment by accounting appeal to bondholders who authority more

than $1 actor in bonds and distributes anniversary banking statements to the

MSRB’s EMMA system.

WEAK FINANCIAL PROFILE

The decline to ‘B-‘ from ‘B’ reflects CMH’s attenuated banking contour since

Fitch’s aftermost analysis (May 2013). Specifically, complete banknote and investments

dropped decidedly to $14.5 actor in budgetary 2013 (unaudited) from $30

million in budgetary 2012. CMH’s antithesis area metrics are anemic at 36.7 canicule cash

on hand, 3.4x beanbag ratio, and 31.7% banknote to debt, which Fitch angle as a

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primary acclaim concern. Administration states complete banknote levels alone due

to aboriginal debt repayments, arrangement about-face issues, and assorted capital

expenditures. Overall, Fitch believes CMH’s antithesis area leaves the

organization with basal banking cushion.

In Fitch’s aftermost appraisement review, there was affair over a abeyant default

scenario in affiliation to the alignment not accepting able debt service

coverage. This bearings has been averted as CMH paid off its previously

outstanding alternation 2006 bonds with cash, appropriately convalescent debt account coverage

metrics. In budgetary 2013, CMH had debt account advantage of 1.5x.Additional Disclosure

Solicitation StatusALL FITCH CREDIT RATINGS ARE SUBJECT TO CERTAIN LIMITATIONS AND DISCLAIMERS.

PLEASE READ THESE LIMITATIONS AND DISCLAIMERS BY FOLLOWING THIS LINK:

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HTTP://FITCHRATINGS.COM/UNDERSTANDINGCREDITRATINGS. IN ADDITION, RATING

DEFINITIONS AND THE TERMS OF USE OF SUCH RATINGS ARE AVAILABLE ON THE AGENCY’S

PUBLIC WEBSITE ‘WWW.FITCHRATINGS.COM’. PUBLISHED RATINGS, CRITERIA AND

METHODOLOGIES ARE AVAILABLE FROM THIS SITE AT ALL TIMES. FITCH’S CODE OF

CONDUCT, CONFIDENTIALITY, CONFLICTS OF INTEREST, AFFILIATE FIREWALL, COMPLIANCE

AND OTHER RELEVANT POLICIES AND PROCEDURES ARE ALSO AVAILABLE FROM THE ‘CODE OF

CONDUCT’ SECTION OF THIS SITE. FITCH MAY HAVE PROVIDED ANOTHER PERMISSIBLE

SERVICE TO THE RATED ENTITY OR ITS RELATED THIRD PARTIES. DETAILS OF THIS

SERVICE FOR RATINGS FOR WHICH THE LEAD ANALYST IS BASED IN AN EU-REGISTERED

ENTITY CAN BE FOUND ON THE ENTITY SUMMARY PAGE FOR THIS ISSUER ON THE FITCH

WEBSITE.

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