Fitch Ratings upgraded Evansville, Ind.-based Deaconess Health System's bond ratings to "AA" from "AA-," affecting about $233 million of debt.
Concurrently, Fitch assigned its "AA" issuer default rating to the health system.
The upgrade and assignment are based on several factors, including the health system's dominant market position, historically strong operating profitability and healthy cash to adjusted debt ratios.
The outlook is stable based on the health system's strong financial profile.