Moody's Investors Service has affirmed the "Baa1" rating on New Lenox, Ill.-based Silver Cross Hospital and Medical Centers' series 2015C fixed rate revenue bonds, affecting $283 million.
The rating affirmation is based on a number of factors, including SCHS' leading market position, recent market share growth and track record of solid operating cash flow margins.
These strengths are offset by high leverage, which typically leads to modest debt service coverage ratios.
The outlook is stable, reflecting Moody's expectation that SCHS will sustain its strong cash flow margins and improve debt coverage.