Moody's Investors Service has affirmed the "Baa1" rating on Akron, Ohio-based Summa Health's $184 million of outstanding debt.
The rating affirmation is based on Summa's leading market position and adequate debt measures relative to manageable debt level.
Offsetting the rating are challenges relating to volume declines and increasing competition from Cleveland area providers.
The outlook is stable, reflecting Summa's current balance sheet strength.
More hospital outlook and credit rating actions:
Moody's affirms Johnston Memorial Hospital's 'A3' rating
Moody's revises The Washington Hospital's outlook to positive
Fitch affirms Martin County Hospital District's 'BBB' rating