Moody's Investors Service affirmed its "A1" rating on Madera, Calif.-based Valley Children's Healthcare's bonds, affecting approximately $118 million of debt.
The affirmation is a result of several factors, including VCH's wide array of services, solid physician alignment, favorable liquidity metrics, healthy debt coverage and strong market position. Moody's also acknowledged VCH's unfavorable payer mix, heightened competition and a material decline in profitability in recent years.
The outlook is stable, reflecting Moody's expectation that the hospital will achieve stable operating results going forward.