Astria Health in the Yakima Valley has finalized a $75 million loan from MultiCare Health System, a major step in exiting bankruptcy. The deal with the Tacoma-based health care system came together in weeks last month and puts Astria in a better financial position. The U.S. Bankruptcy Court approved Astria's reorganization plan last month, which was amended to factor in the loan. With the loan finalized, the reorganization plan is now in effect.