Fitch Ratings assigned its "BBB+" rating on Carson City, Nev.-based Carson Tahoe Health System's proposed $57.7 million series 2017A.
At the same time Fitch affirmed its "BBB+" rating on CTHS' series 2012, 2005 and 2003B hospital revenue bonds, affecting a total of $96.1 million of debt.
The affirmation and assignment are a result of several factors, including the health system's dominant market position, solid debt service coverage and strengthening financial profile.
The outlook was revised to positive from stable, reflecting Fitch's expectation that CTHS will maintain its profitability to absorb the additional debt.