Fitch Ratings upgraded Placerville, Calif.-based Marshall Medical Center's series 2004B bonds to "BBB-" from "BB+."
Concurrently, Fitch assigned its "BBB-" issuer default rating to Marshall Medical Center.
The upgrade and assignment are a result of several factors, including the medical center's strong market position, adequate cost management strategies and consistent volume growth. Fitch also acknowledged MMC's weaker operating performance in fiscal year 2017 and its unfavorable payer mix.
The outlook is stable, reflecting Fitch's expectation that the medical center will return to more historical operating metrics in the upcoming year.