Fitch Ratings assigned its "A+" issuer default rating to Raleigh, N.C.-based UNC Rex Healthcare.
Concurrently, Fitch affirmed its "A+" rating on UNC Rex's outstanding rated debt.
The assignment and affirmation are a result of several factors, including UNC Rex's excellent payer mix in a demographically favorable service area, consistently healthy operating margins and improved unrestricted cash metrics. Fitch also acknowledged the health system's upcoming period of high capital spending.
The outlook is stable.