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 and Standard & Poor's Ratings Services.

1. Adventist Health has an "Aa2" rating and stable outlook with Moody's. The Altamonte Springs, Fla.-based system has historically strong financial performance and ample liquidity position, which Moody's believes the system will maintain.

2. Iowa City-based University of Iowa Hospitals and Clinics has an "Aa2" rating and stable outlook with Moody's. The system has broad market reach for high-end services, strong local market share and a track record of profitability. Moody's expects the system to continue to have good debt coverage.

3. Inova Health System has an "Aa2" rating and stable outlook with Moody's, and an "AA+" rating and stable outlook with S&P. The Falls Church, Va.-based system has a leading market position, excellent liquidity and robust financial performance, according to Moody's.

4. Tacoma, Wash.-based MultiCare Health System has an "Aa3" rating and stable outlook with Moody's. The system has continually strong operating performance and liquidity measures. Moody's believes MultiCare will continue to produce robust financial results, improve debt measurers and maintain its stable market position.

5. Memorial Healthcare System has an "Aa3" rating and positive outlook with Moody's. The Hollywood, Fla.-based system has a dominant market position and strong balance sheet measures. Moody's expects the system's liquidity and margins to remain strong.

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