Moody's Investors Service affirmed the "Baa1" rating on Johnson City, Tenn.-based Mountain States Health Alliance's $448 million of outstanding rated debt.
The ratings affirmation is based on a number of factors, including the health system's leading market share and strong cash flow margins and liquidity relative to daily operations.
The outlook is stable, reflecting Moody's Investors Service's expectation MSHA's favorable market position and focus on financial improvement will help the health system maintain its solid operating performance.