Moody's Investors Service has affirmed Spartanburg (S.C.) Regional Health Services District's "A1" rating, affecting $195.4 million of outstanding debt.
The rating affirmation is based on several factors, including SRHS' strong market share and continued revenue growth.
SRHS also faces challenges, including high reliance on governmental payers and future IT implementation risk.
The rating outlook is stable, reflecting Moody's expectation that SRHS will continue to achieve high operating cash flow margins and maintain adequate balance sheet ratios.