Moody's Investors Service affirmed its "A1" rating on Davenport, Iowa-based Genesis Health System, affecting $166 million of debt.
The affirmation is a result of several factors, including the health system's growing market share, manageable capital plans, solid investment position, on-budget operating performance and healthy leverage metrics. Moody's also acknowledged the health system's unfavorable payer mix, competitive service area and its modest size.
The outlook is stable, reflecting Moody's expectation that the health system will hit its fiscal 2018 budget and see growth in its cash reserves.