Fitch affirms East Texas Medical Center's 'BBB-' rating

Fitch Ratings has affirmed the "BBB-" rating on Tyler-based East Texas Medical Center's following bonds:

  • $35.8 million of series 2011 bonds
  • $250 million of series 2007A bonds

The outlook remains negative.

The rating affirmation and maintenance of the negative outlook are based on a number of factors, including ETMC's elevated debt load, weak financial profile and declining market share.

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