Fitch Ratings assigned its "AA-" rating to West Des Moines, Iowa-based UnityPoint Health's proposed $82 million series 2018A bonds. Fitch also assigned the health system an issuer default rating of "AA-."
Concurrently, Fitch affirmed the "AA-" rating on UnityPoint Health's outstanding bonds, affecting $632 million of debt.
The assignment and affirmation are a result of several factors, including the health system's leading market share, favorable payer mix and stable leverage metrics. Fitch also acknowledged UnityHealth's compressed profitability in fiscal year 2017.
The outlook is stable.