This report does not constitute a rating action. S&P Global Ratings’ long-term rating on Douglas County Hospital Authority No. 2 , Nebraska's series 2014 hospital revenue bonds, issued for Madonna Rehabilitation Hospital , is'BBB+'. The outlook is stable. A pledge of gross revenues secures the bonds. The rating reflects MRH's solid enterprise profile, including the organization's leading market share, regional draw, and a large primary service area (PSA) with favorable demographics in the counties where its two campuses are located. The rating also incorporates MRH's strong debt profile, with low leverage, and the absence of contingent liabilities or a defined-benefit pension plan. MRH is considering issuing up to $15 million in new money debt over the outlook period, and
