Fitch Ratings affirmed its "BB" rating on Seguin, Texas-based Guadalupe Regional Medical Center's series 2015 hospital mortgage revenue, refunding and improvement bonds, affecting $115.4 million of debt.
The affirmation is a result of several positive and negative factors, including the medical center's strong reliance on government payers, competitive service area, heavy debt burden and improved liquidity metrics.
The outlook is stable.