Ratio analysis. Compare the capital structure ratios for Avon Hospital against industry benchmarks (Exhibit 4.18). Note that during this time period, Avon has refinanced its fixed rate debt with lower variable rate debt.

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EXHIBIT 4.18 SELECTED RATIOS FOR AVON HOSPITAL AND THE INDUSTRY BENCHMARKS Industry Avon Hospital Avon Hospital Capital Ratios Benchmark (20X1) (20X0) Debt service coverage 3.00 3.20 2.40 Times interest earned 4.00 4.90 3.00 Net assets to total assets 0.50 0.45 0.40 Long-term debt to net assets 0.50 0.55 0.60