Fitch Ratings has affirmed the "A+" long-term rating assigned to approximately $7.5 billion of revenue bonds issued on behalf of Oakland, Calif.-based Kaiser Permanente.
The rating affirmation was supported by a number of factors, including the system's unique fully integrated delivery model, leading market position and strong financial profile.
Kaiser also faces some challenges, which were considered for the rating affirmation, such as having sizable pension liability. As of Dec. 31, 2014, the system's pension and post-retirement liabilities were $19.6 billion, up from $14.2 billion the year prior.
More articles on healthcare finance:
$210B Medicare deal faces opposition from all sides
House Republicans unveil 2016 budget: 10 things for healthcare leaders to know
750+ physician groups call on Congress to repeal SGR