Moody's Investors Service has affirmed the "Aa2" rating on Tulsa, Okla.-based Saint Francis Health System's series 2006 bonds, affecting $200.5 million of outstanding debt.
The rating affirmation is based on a number of factors, including Saint Francis' continued strong operating performance and strong balance sheet.
Saint Francis also faces numerous challenges, including the competitive Tulsa marketplace and the system's Medicaid exposure in a state that hasn't expanded Medicaid.
The outlook is stable, reflecting Moody's expectation that Saint Francis will continue to generate strong operating performance.