National.

Financial trends in health care

look promising because of a

continuing focus on efficiency by health

care management teams, Moody's

Investors Service said in a report.

However, the rating agency said

that several factors will affect the

industry's ability to sustain profits,

such as fedoral health care reforms,

continued reductions in Medicare

and Medicaid reimbursement,

increased managed care contracting,

and the continuing debate over the

tax-exempt status of not-for-profit

institutions.

In its June 28 issue of Perspective

on Health Care Finance, Moody's

gave an analysis of health care

medians between 1991 and 1993 in the

areas of utilization, income

statements, balance sheets, and patient

revenue.

To identify trends since 1991,

Moody's examined audited financial

statements from 401 hospitals whose

unenhanced debt it rates.

Based on its review of medians,

Moody's concluded that profitability

declined slightly in 1993, but

remained adequate to cover debt

service. In addition, cash levels

continued to improve and outpatient visits

continued to increase compared to

generally stable inpatient

admissions, Moody's said.

Moody's said that the trend of

increased managed care contracting

between health care networks and

large companies or employee groups

will continue.

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