Moody's Investors Service has affirmed the "Baa3" rating on Paterson, N.J.-based St. Joseph's Healthcare System's outstanding debt, affecting approximately $227.2 million.
The rating affirmation is based on several factors, including SJHS' improved operating performance over the past four years and a lower reliance on state charity care subsidies for profitability.
SJHS also faces several challenges, including its location in a competitive service area and a payer mix heavy in government reliance.
The outlook is stable, reflecting Moody's belief that SJHS will sustain operating performance at a level equal to a "Baa3" rating despite reductions in state subsidies.