Moody’s Investors Service Wednesday revised the outlook on Renown Health to stable from negative, and affirmed its A3 revenue bond rating on $556 million of debt.

The revision reflects the northern Nevada hospital system’s “continued improvement” in operating performance and further strengthening of its balance sheet, according to a report by Moody’s analysts.

The city of Reno along with Washoe County will serve as conduit issuers of the bonds.

Renown Health is an integrated delivery system. It offers tertiary and quaternary services and enjoys a sizable regional footprint, with four hospitals plus a children’s hospital.

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