Relatively small hospital portfolio in a small number of markets; Exposure to reimbursement risk as government and private payors seek to slow the growth in healthcare spending over time; Below average profitability relative to some other healthcare services providers, in part reflecting the company's smaller size in an industry where fixed costs can be leveraged, and also because the company's business mix is more heavily tilted towards lower-margin primary care. Leverage expected to be above 6x for 2016, pro forma the recent ownership change (and including the company's new holdco PIK debt); FFO to debt projected to be in the low- to mid-single digits for 2016. Our stable rating outlook on RegionalCare Hospital Partners reflects our view that the company's
