Moody's Investors Service has affirmed the "A3" rating assigned to Cleveland-based MetroHealth System's $93 million of outstanding rated bonds issued by Cuyahoga County, Ohio.
The rating affirmation is supported by a number of factors, including MetroHealth's improved margins and liquidity, benefits of Medicaid expansion and a stable management team after a history of turnover.
The rating outlook is stable, reflecting Moody's expectation that MetroHealth will sustain its improved margins and liquidity.