S&P Global Ratings affirmed the "BBB+" rating on Camden, N.J.-based Cooper Health System Obligated Group outstanding bonds issued by the Camden County Improvement Authority.
The affirmation is a result of several factors, including the health system's growing market position, strong business profile and substantial earnings that lead to growth in balance sheet metrics.
The outlook was revised to stable from positive.
"The outlook revision reflects potential additional debt plans to address capacity issues with its resulting pressure on the financial profile, which currently precludes a higher rating," said Cynthia Keller, an S&P Global Ratings credit analyst.