 Moodys Investors Service has affirmed Ballad Healths TN and Mountain State Health Alliances MSHA, TN Baa1 revenue bond ratings, affecting 535 million and 182 million, respectively. The affirmation of the Baa1 reflects Ballad Healths anticipated status as the dominant provider in a large service area, favorable operating performance and strong absolute and relative cash measures. Ballad Health will continue to realize synergies from the integration of two formerly competing systems as management has deftly demonstrated since the 2018 merger. 