8 health systems with strong finances

Here are eight health systems with strong operational metrics and solid financial positions, according to recent reports from Fitch Ratings, Moody's Investors Service 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. Advocate Aurora Health, a 27-hospital system with dual headquarters in Downers Grove, Ill., and Milwaukee, has an "Aa3" rating and positive outlook with Moody's. The health system has a favorable liquidity position, low leverage, and healthy margins, according to Moody's. The credit rating agency expects the health system to continue to benefit from its position as a market leader within two large service areas.

2. Morristown, N.J.-based Atlantic Health System has an "Aa3" rating and stable outlook with Moody's. The five-hospital system has healthy liquidity and solid operating margins, according to Moody's. The credit rating agency expects strong patient volume, low reliance on governmental funding and other factors to continue to support Atlantic Health System's financial metrics.

3. Fountain Valley, Calif.-based MemorialCare has an "AA-" rating and stable outlook with Fitch and S&P. The health system has a strong balance sheet and financial profile, according to Fitch. The credit rating agency expects MemorialCare's cash flow to improve due to its market strategy, which focuses on revenue diversification.

4. Portland-based Oregon Health & Science University has an "Aa3" rating and stable outlook with Moody's and an "AA-" rating and stable outlook with S&P. OHSU, which is the only academic medical center in Oregon, has favorable operating performance, strong philanthropy and its clinical offerings draw patients from across Oregon and neighboring states, according to Moody's. The credit rating agency expects OHSU's revenue to continue to grow.

5. Appleton, Wis.-based ThedaCare has an "AA-" rating and stable outlook with Fitch. The health system has solid cash flow and a leading market position in a stable service area, according to Fitch. The credit rating agency expects ThedaCare's operating performance to continue to improve.

6. Livonia, Mich.-based Trinity Health has an "AA-" rating and stable outlook with Fitch and S&P. The health system has a significant market presence in several states and a strong financial profile, according to Fitch. The credit rating agency expects the health system's operating margins to continue to improve.

7. Chapel Hill-based University of North Carolina Hospitals has an "Aa3" rating and stable outlook with Moody's. UNC Hospitals, part of UNC Health Care System, has an excellent market position and strong financial performance, according to Moody's. The credit rating agency expects UNC Hospitals to continue to grow patient volumes and maintain strong financial performance.

8. Philadelphia-based University of Pennsylvania Health System has an "Aa3" rating and stable outlook with Moody's. The health system has a strong market position, and substantial investments in facilities will allow the health system to capitalize on its prominent reputation and wide patient draw, according to Moody's.

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