Moody's Investors Service affirmed its "A1" rating on Sioux Falls, S.D.-based Sanford Health's rated revenue bonds, affecting approximately $717 million of debt.
The affirmation is a result of several factors, including the health system's large regional presence, strong strategic position and diversified revenue stream. Moody's also acknowledged Sanford Health's somewhat suppressed operating margin, modest debt risks and weak liquidity.
The outlook is stable, reflecting Moody's expectation that Sanford Health will have a stable operating performance moving forward due in part to its successful business model.