5 health systems with strong finances

Here are five health systems with strong operational metrics and solid financial positions based on recent reports from Moody's Investors Service, Fitch Ratings and S&P Global Ratings.

1. Duke University Health System has an "AA" rating and stable outlook with S&P Global Ratings and an "Aa2" rating and stable outlook with Moody's. The Durham, N.C.-based system has strong balance sheet ratios and a stable leadership team, according to S&P.

2. Children's Healthcare of Atlanta has an "Aa2" rating and stable outlook with Moody's. The system has a track record of strong margins and liquidity, according to Moody's.

3. Flint, Mich.-based McLaren Health Care has an "AA-" rating and stable outlook with Fitch. The system has a leading market share in its primary service area.

4. Nebraska Medicine has an "AA-" rating and stable outlook with Fitch an "AA-" rating and stable outlook with S&P. The Omaha-based system has a broad operating platform and low debt burden, according to Fitch.

5. Memphis, Tenn.-based Methodist Le Bonheur Healthcare has an "AA-" rating and stable outlook with S&P. The system has a strong enterprise profile and leading market share in its service area, according to S&P.

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