Moody's Investors Service has affirmed the "A1" rating to St. Joseph, Mo.-based Mosaic Life Care's $119 million of outstanding rated debt.
The rating affirmation is based on a number of factors, including Mosaic's growth in unrestricted liquidity and moderate debt position.
Mosaic Life Care also faces numerous challenges, including a high concentration of governmental payers, a large employed physician group and expansion into more competitive secondary service areas.
The outlook remains stable, reflecting Moody's belief that operating performance and balance sheet measures will remain steady.