Vanguard Health Systems works with more financially troubled hospitals than most of Moody's Investors Service's other rated health facility operators, said Russell Pomerantz, senior analyst. Vanguard's margins are below 10%, whereas most of its peers clear margins above 15%, he said, explaining the added risks of working with initially less profitable hospitals. This is a cause for concern, reflected in the Ba3 rating of the company's new $150 million "B" term loan add-on piece. "That's where the money's at," responded Trip Pilgrim, v.p. of investor relations for Vanguard, commenting on the added risk of working with these troubled hospitals.
December 08, 2002