Fitch Ratings affirmed its "BBB-" rating on Cullman (Ala.) Regional Medical Center's series 2009A revenue bonds, affecting $59.1 million of debt.
The affirmation is a result of several factors, including the medical center's 9.5 percent operating margin in fiscal year 2017, solid liquidity metrics and dominant market position. Fitch also acknowledged the health system may soon need a new EMR of additional employees to support the community's growing health needs.
The outlook is revised to positive from stable, reflecting the medical center's strong operating profitability.