Construction and other major capital expenditures are financed through a number of mechanisms, including the issuance of municipal bonds, earnings from operations and investments, donations, and drawing from Intermountain's reserves. Because Intermountain maintains an excellent bond rating, we're able to borrow money in the bond market at favorable interest rates.
Intermountain has a AA+ bond rating from Standard & Poor's and a Aa1 rating from Moody's. As of 2011, Intermountain is one of only two healthcare systems in the country to earn those ratings. These excellent ratings allow Intermountain to borrow money (e.g., to construct new facilities) at lower interest rates. These lower rates permit Intermountain to offer lower charges to its communities.