NEW YORK (S&P Global Ratings) Feb. 10, 2021--Ensemble RCM LLC (B/Stable/--) announced today that it plans to upsize its proposed incremental term loan by $100 million to $785 million. We consider the increase in its debt, which the company will use to expand the size of its shareholder dividend, to be incrementally credit negative. However, our 'B' issue-level rating and '3' recovery rating on its senior secured term loan and revolver, along with all of our other existing ratings on Ensemble, remain unchanged. The '3' recovery rating continues to indicate our expectation for meaningful (50%-70%; rounded estimate: 50%) recovery in a default. Our rating on the company reflects its financial-sponsor ownership structure, which we believe entails an aggressive financial policy
