Moody's Investors Service affirmed its "A1" rating on Greenville, N.C.-based Vidant Health's bonds, affecting $430 million of debt.
The affirmation is a result of several factors, including the health system's strong market share, large size, profitable margins and stable balance sheet. Moody's unfavorably viewed the health system's high debt burden, unfavorable payer mix and low population growth.
The outlook is stable, reflecting Moody's expectation that Vidant Health will maintain its profitable financial performance despite the headwinds.