Fitch Ratings affirmed its "A" rating on Gainesville-based Northeast Georgia Health System's revenue anticipation notes, affecting $448.8 million of debt.
In addition, Fitch assigned its "A" issuer default rating to the health system.
The affirmation and assignment is a result of several factors, including the health system's dominant market position, growing primary service area, robust operating margins and manageable capital needs.
The outlook is stable.