Fitch Ratings has affirmed the "BBB-" rating on Astoria, Ore.-based Columbia Memorial Hospital's $29.1 million of series 2012 bonds.
The rating affirmation is based on a number of factors, including CMH's designation as a critical access hospital and its strong operating profitability.
Rating sensitivities include changes to the critical access hospital program and failure to generate additional incremental balance sheet growth within the next 12 months.
The hospital's outlook is stable.