Moody's Investors Service affirmed its "A1" rating on Greenwood, S.C.-based Self Regional Healthcare, affecting $100 million of outstanding revenue bonds.
The affirmation is supported by Self Regional Healthcare's ability to stabilize operating performance in fiscal year 2018 and Moody's expectation the system will maintain healthy operating cash flow margins.
The rating is balanced by the system's modest size compared to peers, increasing pressures to implement price transparency and access to qualified workers.
The rating outlook is stable.