Moody's Investors Service has affirmed the "A1" rating assigned to Lexington (S.C.) County Health Services District's bonds, affecting $237 million of outstanding debt.
The rating affirmation is based on a number of factors, including Lexington's multiple years of strong financial performance and good balance sheet metrics.
Lexington also faces several challenges, including competition in the broader service area and a challenging payer mix.
The outlook remains stable, reflecting Moody's expectation that Lexington will continue to generate strong operating cash flow margins and leverage balance sheet strength.