Fitch Ratings affirmed the "BBB+" rating on Carson City, Nev.-based Carson Tahoe Health System's following bonds:
- $43,960,000 of series 2012 bonds
- $11,540,000 of series 2005 bonds
- $36,870,000 of series 2003B bonds
The rating affirmation is based on a number of factors, including the health system's leading market position, moderate debt burden and revenue concentration.
The outlook is stable.