Fitch Ratings assigned an "A+" rating to Rapid City, S.D.-based Regional Health's proposed $214.4 million series 2017 revenue bonds to be issued by the South Dakota Health & Educational Facilities Authority.
The assignment is based on several factors, including the health system's strong market position, healthy liquidity metrics, historical trend of positive operating margins and solid debt coverage. Fitch also acknowledged the risks of Regional Health's upcoming construction projects and EHR implementation.
The outlook is stable.