Moody's Investors Service affirmed its "Aa2" rating on Falls Church, Va.-based Inova Health System, affecting $1.15 billion of debt.
The affirmation is based on several factors, including the health system's leading market position, consistently healthy cash-flow margins, good investment position and strong management team. Moody's also acknowledged the health system's elevated capital spending plans.
The outlook is stable, reflecting Moody's expectation that Inova will maintain strong margins and preserve its market position.