Fitch Ratings affirmed the "A-" rating on Jacksonville, Fla.-based Brooks Health System's series 2015 and series 2007 bonds, affecting $142.5 million of debt.
The affirmation is based on several factors, including the health system's strong market position with a dominant market share in inpatient services and sufficient liquidity measures mixed with an increased debt burden and weaker operating performance.
The outlook is stable.