Fitch Ratings affirmed its "A+" rating on Chesterfield, Mo.-based St. Luke's Episcopal Presbyterian Hospitals' series 2011 and 2015B bonds, affecting $57.7 million of debt.
The affirmation is a result of several factors, including St. Luke's solid operating margin, favorable debt burden and healthy liquidity metrics. Fitch also acknowledged St. Luke's highly competitive market.
The outlook is stable.