Moody's Investors Service has affirmed the "Baa1" rating on Johnson City, Tenn.-based Mountain States Health Alliance's $630 million of outstanding rated debt.
The rating affirmation is based on several factors, including MSHA's strong cash flow margins and leading market share in eastern Tennessee and southwestern Virginia.
The outlook is stable, reflecting Moody's expectation that MSHA's market position and financial improvement will allow it to execute its de-leveraging strategy.
More hospital outlook and credit rating actions:
Fitch assigns 'AA-' rating to Sutter Health's bonds
Fitch assigns 'AA' rating to Indiana University Health's bonds
Moody's upgrades UMass Memorial Health Care's rating to 'Baa3'