Fitch upgrades Gundersen Lutheran's debt to 'AA-'

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.

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