Fitch Ratings has affirmed the "BBB+" rating on Tyler, Texas-based Trinity Mother Frances Health System's following revenue bonds:
- $51.4 million of series 2011 revenue bonds
- $65 million of series 2007A hospital revenue bonds
- $23 million of series 2007B hospital revenue bonds
The rating affirmation is based on several factors, including strong liquidity growth and a manageable debt burden.
The rating outlook has been revised to positive from stable, reflecting TMFHS' better than expected operating performance through the first two quarters of fiscal year 2015.