9 health systems with strong finances

Here are nine health systems with strong operational metrics and solid financial positions, according to recent reports from Moody's Investors Service, Fitch Ratings and S&P Global 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. St. Louis-based BJC HealthCare has an "Aa2" rating and stable outlook with Moody's. BJC has solid cash levels and a prominent reputation as a leading academic medical center, according to Moody's.

2. St. Cloud, Minn.-based CentraCare has an "AA-" rating and stable outlook with Fitch. The health system has a leading market position, strong operating profitability and resilient net adjusted leverage metrics, according to Fitch.

3. Edison, N.J.-based Hackensack Meridian Health has an "AA-" rating and stable outlook with S&P and an "AA-" rating and stable outlook with Fitch. The health system has a solid financial profile and a strong presence in a large and demographically favorable market, according to Fitch.

4. Beaver, Pa.-based Heritage Valley Health System has an "AA-" rating and stable outlook with Fitch. The health system has solid operating performance, favorable liquidity metrics and a good market position, according to Fitch.

5. Indianapolis-based Indiana University Health has an "Aa2" rating and stable outlook with Moody's. The health system has strong operating performance, a healthy regional market position and liquidity growth, according to Moody's.

6. Scripps Health has an "Aa3" rating and stable outlook with Moody's. The San Diego-based health system has a healthy market position, strong brand recognition and a solid management team, according to Moody's.

7. Summit Health has an "AA-" rating and stable outlook with Fitch. The Chambersburg, Pa.-based health system has a leading market position, strong operating profitability and a favorable leverage position, according to Fitch.

8. Sacramento, Calif.-based Sutter Health has an "AA-" rating and stable outlook with S&P. The health system has a strong market share and conservative debt structure, and has successfully managed several capital projects over the past few years, according to S&P.

9. Yale New Haven (Conn.) Health System has an "AA-" rating and stable outlook with Fitch. The health system has solid liquidity growth and a healthy market share, according to Fitch.

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