Fitch Ratings affirmed the "BBB+" rating on New Lenox, Ill.-based Silver Cross Health System's $282 million of series 2015C revenue refunding bonds and $81 million of series 2008A revenue refunding bonds.
The ratings affirmation is based on a number of factors, including the health system's steadily improving operating performance, favorable business growth and high but moderated debt position.
The outlook is stable.