Moody's Investors Service has affirmed the "Aa2" rating assigned to Durham, N.C.-based Duke University Health System's bonds issued through the North Carolina Medical Care Commission.
The rating affirmation was supported by a number of factors, including DUHS' nationally and internationally renowned clinical reputation and the system's strong balance sheet ratios. At fiscal year end 2014, DUHS had 408 days cash on hand.
The system also faces some challenges, which were considered for the rating affirmation, such as the DUHS' adjusted debt coverage ratios remaining leveraged.
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