The 'AA+/A-1+' rating assigned to Utah County, Utah's bonds, issued for IHC Health Services, Inc., is based on: The excellent, stable, and deep management team's proven ability to build upon the system's strengths and prudently shepherd the system's resources; An impressive market position with dominance of a large, economically robust area centered in Utah; A long-standing history of healthy and improving operating profitability that has always met or exceeded management projections, despite pressures that have depressed performance for many other health systems; Tremendous operating and pricing flexibility as a result of the system's dominant market position and low cost structure; A solid balance sheet that shows management's steady development of liquidity, measured use of debt, and flexibility in the long-range
