Fitch Ratings upgraded La Crosse, Wis.-based Gundersen Lutheran Medical Center's series 2011A and series 2012 bonds to "AA-" from "A+," affecting $194 million of debt.
Concurrently, Fitch assigned the health system an issuer default rating of "AA-."
The upgrade and assignment are a result of several factors, including the health system's favorable payer mix, leading market position, strong operating performance and solid balance sheet metrics.
The outlook was revised to stable from positive.