Fitch Ratings has affirmed the "BBB+" rating on Tyler, Texas-based CHRISTUS Trinity Mother Frances Health System's following bonds:
- $51.4 million of series 2011 bonds
- $65 million of series 2007A bonds
- $23 million of series 2007B bonds
The rating affirmation is based on a number of factors, including the system's adequate profitability and leading share in a challenging market.
The outlook is positive.