16 hospitals with strong finances

Here are 16 hospitals and health health systems with strong operational metrics and solid financial positions, according to reports from Fitch Ratings, Moody's Investors Service and S&P Global Ratings.

Note: This is not an exhaustive list. Health system names were compiled from credit rating reports.

1. Morristown, N.J.-based Atlantic Health System has an "Aa3" rating and stable outlook with Moody's. The health system has strong operating performance and liquidity metrics, Moody's said. The credit rating agency expects Atlantic Health System to sustain strong performance to support capital spending. 

2. Children's Hospital of Akron (Ohio) has an "AA-" rating and stable outlook with Fitch. The hospital has strong operating performance and a leading market position as Akron's only standalone pediatric hospital, Fitch said. The credit rating agency expects the organization's strong profitability and limited capital needs to lead to liquidity growth. 

3. Milwaukee-based Children's Wisconsin has an "Aa3" rating and stable outlook with Moody's. The health system has a leading statewide market share for children's healthcare services, solid cash flow, strong revenue growth and a robust balance sheet, Moody's said. The credit rating agency expects Children's Wisconsin's balance sheet and debt metrics to remain strong. 

4. Greensboro, N.C.-based Cone Health has an "AA" rating and stable outlook with Fitch. The health system has a leading market share and a favorable payer mix, Fitch said. The health system's broad operating platform and strategic capital investments should enable it to return to stronger operating results, the credit rating agency said. 

5. El Camino Health has an "AA-" rating and stable outlook with Fitch. El Camino Health, which includes hospital campuses in Los Gatos, Calif., and Mountain View, Calif., has a solid market share in a competitive market and a stable payer mix, Fitch said. The credit rating agency said El Camino Health's balance sheet provides moderate financial flexibility. 

6. Falls Church, Va.-based Inova Health System has an "Aa2" rating and stable outlook with Moody's. The health system has a consistently strong operating cash flow margin and ample balance sheet resources, Moody's said. Inova's financial excellence will remain undergirded by its favorable regulatory and economic environment, the credit rating agency said. 

7. Mass General Brigham has an "Aa3" rating and stable outlook with Moody's and an "AA-" rating and stable outlook with S&P. The Boston-based health system has an excellent clinical reputation, good financial performance and strong balance sheet metrics, Moody's said. The credit rating agency said it expects Mass General Brigham to maintain a strong market position and stable financial performance. 

8. Rochester, Minn.-based Mayo Clinic has an "Aa2" rating and stable outlook with Moody's. The credit rating agency said Mayo Clinic's strong market position and patient demand will drive favorable financial results. The health system "will continue to leverage its excellent reputation and patient demand to continue generating favorable operating performance while maintaining strong balance sheet ratios," Moody's said. 

9. Memorial Sloan Kettering Cancer Center in New York City has an "AA" rating and stable outlook with Fitch and an "AA-" rating and stable outlook with S&P. Memorial Sloan Kettering Cancer Center's national and international reputation as a premier cancer hospital will continue to support the organization's growth, Fitch said. The hospital has a leading and growing market share for its specialty services, according to the credit rating agency. 

10. Methodist Health System has an "Aa3" rating and stable outlook with Moody's. The Dallas-based system has strong operating performance, and investments in facilities have allowed it to continue to capture more market share in the fast-growing Dallas-Fort Worth, Texas, area, Moody's said. The credit rating agency said it expects Methodist Health System's strong operating performance and favorable liquidity to continue. 

11. Albuquerque, N.M.-based Presbyterian Healthcare Services has an "Aa3" rating and stable outlook with Moody's and an "AA" rating and stable outlook with Fitch. The health system has a leading statewide market share, strong revenue growth and a healthy balance sheet, Moody's said. The credit rating agency said it expects Presbyterian Healthcare Services' operations to continue to improve and its balance sheet and debt metrics to remain strong. 

12. Chicago-based Rush Health has an "AA-" rating and stable outlook with Fitch. The health system has a strong financial profile and a broad reach for high-acuity services as a leading academic medical center, Fitch said. The credit rating agency expects Rush's services to remain profitable over time. 

13. Stanford (Calif.) Health Care has an "AA" rating and stable outlook with Fitch. The health system has extensive clinical reach in a competitive market and its financial profile is improving, Fitch said. The health system's EBITDA margins rebounded in fiscal year 2021 and are expected to remain strong going forward, the crediting rating agency said. 

14. St. Clair Hospital in Pittsburgh has an "AA-" rating and stable outlook with Fitch. The hospital has a strong financial profile and a solid market position in the competitive greater Pittsburgh-area healthcare market, Fitch said. The credit rating agency expects the hospital's margins to remain solid, driven by growth in key service lines. 

15. University of Chicago Medical Center has an "AA-" rating and stable outlook with Fitch. The credit rating agency said it expects University of Chicago Medical Center's capital-related ratios to remain strong, in part because of its broad reach of high-acuity services. 

16. University of Iowa Hospitals and Clinics has an "Aa2" rating and stable outlook with Moody's. The Iowa City-based health system, the only academic medical center in Iowa, has strong patient demand and excellent financial management, Moody's said. The credit rating agency said it expects the health system to continue to manage the pandemic with improved operating cash flow margins.

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