6 health systems with strong finances

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Here are six health systems with strong operational metrics and solid financial positions based on recent reports from Moody's Investors Service, Fitch Ratings and Standard & Poor's Ratings Services.

1. Sutter Health has an "AA-" rating and stable outlook with S&P. The Sacramento, Calif.-based system has a solid financial profile and a strong enterprise profile, which is highlighted by a sizable market presence, according to S&P.

2. Tacoma, Wash.-based MultiCare Health System has an "AA-" rating and stable outlook with Fitch and an "Aa3" rating and stable outlook with Moody's. The system has a strong presence in a competitive market area and solid financial performance, according to Fitch.

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

4. 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.

5. 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.

6. 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.

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