Fitch Ratings assigned its "BBB" issuer default rating to Boston-based Tufts Medical Center.
Concurrently, Fitch affirmed its "BBB" rating on the medical center's bonds, affecting about $177.9 million of debt.
The assignment and affirmation are based on several factors, including the medical center's stable market share, resilient liquidity metrics and solid growth in key service areas. Fitch also acknowledged the medical center's thin operating performance and midrange payer mix.
The outlook is stable.