7 hospitals with strong finances

Here are seven hospitals and health systems with strong operational metrics and solid financial positions, according to recent reports from Moody's Investors Service and Fitch Ratings.

Note: This is not an exhaustive list. Health system names were compiled from recent credit rating reports and are listed in alphabetical order.

1. Pittsfield, Mass.-based Berkshire Health Systems has an "AA-" rating and stable outlook with Fitch. The health system has a dominant market share and a favorable payer mix, according to Fitch.

2. Greenwich (Conn.) Hospital has an "AA-" rating and stable outlook with Fitch. The hospital has a favorable payer mix, strong operating profitability and a stable market share, according to Fitch.

3. Grand Blanc, Mich.-based McLaren Health Care has an "AA-" rating and stable outlook with Fitch. The health system has a leading market position, low leverage and a favorable payer mix, according to Fitch.

4. Cincinnati-based Mercy Health has an "AA-" rating and stable outlook with Fitch. The health system has a favorable payer mix and a leading market share in five of its seven regional markets, according to Fitch.

5. Rady Children's Hospital in San Diego has an "Aa3" rating and stable outlook with Moody's. The hospital has a strong balance sheet and a dominant market position, according to Moody's.

6. Arlington-based Texas Health Resources has an "Aa2" rating and stable outlook with Moody's. The health system has a strong cash position, good debt coverage, stable financial performance and a leading market position, according to Moody's.

7. Iowa City-based University of Iowa Hospitals & Clinics has an "Aa2" rating and stable outlook with Moody's. The health system has recently seen patient volume grow and its operating performance improve, according to Moody's.

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