10 hospitals with strong finances

Here are 10 hospitals and health systems with strong operational metrics and solid financial positions based on recent reports from Moody's Investors Service and Fitch Ratings.

1. Salt Lake City-based University of Utah Hospitals and Clinics has an "Aa2" rating and stable outlook with Moody's. UUHC has a stable market position, and Moody's expects the system will keep generating favorable financial results.

2. Franciscan Alliance has an "AA" rating and stable outlook with Fitch and an "Aa3" rating and stable outlook with Moody's. The Mishawaka, Ind.-based health system has strong profitability and a moderate debt burden.

3. Indianapolis-based Indiana University Health has an "AA" rating and stable outlook with Fitch. IU Health has a leading market position and strong operating profitability.

4. Sutter Health has an "AA-" rating and stable outlook with Fitch. The Sacramento, Calif.-based health system has a strong operating platform.

5. Fountain Valley, Calif.-based MemorialCare Health System has an "AA-" rating and stable outlook with Fitch. The health system has strong liquidity and a low debt burden.

6. York, Pa.-based WellSpan Health has an "AA-" rating and stable outlook with Fitch, and an "Aa3" rating and stable outlook with Moody's. The health system has a strong market position and a track record of solid financial performance.

7. Portland-based Oregon Health and Science University has an "Aa3" rating and stable outlook with Moody's. The system has sustained strong operational performance and improved its balance sheet over time.

8. Cleveland Clinic has an "Aa2" rating and stable outlook with Moody's. The system has a leading market position in northeastern Ohio and a strong national and international clinical reputation.

9. Arlington-based Virginia Hospital Center has an "AA-" rating and stable outlook with Fitch. The hospital has maintained strong profitability and stable volumes. It also has strong liquidity.

10. Springfield, Ill.-based Hospital Sisters Health System has an "AA-" rating and stable outlook with Fitch. The system has strong debt service coverage and a healthy liquidity position.

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