Moody's Investors Service has affirmed Evanston, Ill.-based NorthShore University HealthSystem's "Aa2" and "Aa2/VMIG 1" ratings, affecting $280 million of outstanding debt.
The "Aa2" rating affirmation is based on a number of factors, including NorthShore's strong geographic coverage, solid investment position and sound margins.
The health system also faces several challenges, including competition, increased consolidation and moderate revenue growth.
The outlook is stable, reflecting Moody's Investor Service's expectation that NorthShore will sustain operating cash flow margins and maintain balance sheet strength.