Moody's Investors Service has affirmed the "A3" rating on Cincinnati-based The Christ Hospital's bonds, affecting $324 million of rated debt.
The rating affirmation is based on several factors, including TCH's solid operating cash-flow margins and a solid market position in high acuity services.
TCH also faces several challenges, including a leveraged balance sheet, moderate investment position and operating in a competitive market.
The rating outlook is stable, reflecting Moody's expectation that TCH will maintain operating cash flow margins and begin to de-leverage as capital spending moderates and investments grow.
More hospital outlook and credit rating actions:
S&P assigns 'A+' rating to St. Luke's Episcopal-Presbyterian Hospital's bonds
Fitch affirms Dallas County Hospital District's 'AA+' rating
S&P revises outlook on Adena Health System's debt to stable