...- In our view, GHD Verwaltung GesundHeits GmbH Deutschland's (GHD) homecare division will continue suffer from disruptions induced by the COVID-19 pandemic, in particular with respect to the patient base and treatment pathway, and from structural shortages of medical staff, ultimately affecting revenue and EBITDA. - We anticipate low single-digit revenue growth and EBITDA margins deteriorating to 4.5%-5.5%, pushing S&P Global Ratings-adjusted debt to EBITDA materially above 20x (or above 10x excluding the shareholder loan). - In light of the structural challenges GHD is facing, we view the current capital structure as unsustainable, as in our view the current debt structure was sized for a more stable operating environment. - We therefore lowered our long-term issuer credit rating on GHD to '###+' from 'B-'. - The stable outlook indicates our expectation of sufficient liquidity over the next 12 months, supported by the absence of refinancing risk, and anticipation of gradual margin improvement....