Fitch Ratings assigned an "AA-" issuer default rating to York, Pa.-based WellSpan Health.
Concurrently, Fitch affirmed its WellSpan Health's series 2014A and series 2008A, affecting approximately $216 million of debt.
The assignment and affirmation are a result of several factors, including WellSpan Health's dominant market position, expanding regional presence, favorable leverage ratios and sufficient cash flow. Fitch also acknowledged the health system's softened operating performance in 2017 as a result of a recent EHR implementation and high reliance on governmental payers.
The outlook is stable.