Fitch Ratings has affirmed the "AA" rating assigned to Durham, N.C.-based Duke University Health System's bonds, which were issued by the North Carolina Medical Care Commission.
The rating affirmation affects $180 million of series 2009A revenue bonds, $120 million of series 2010A revenue bonds, and $287.6 million of series 2012A revenue bonds.
The rating affirmation was supported by a number of factors, including Duke University Health System's robust operating profitability, manageable debt burden, strong liquidity position and leading clinical reputation."
In the future, Fitch expects Duke University Health System to maintain its current credit profile and have sufficient cash flows to offset the planned fund transfer to Duke University in fiscal 2017 without materially impacting liquidity metrics.
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