Fitch Ratings upgraded Kerrville, Texas-based Peterson Regional Medical Center's revenue bonds to "A" from "BBB+," affecting $51.2 million of debt.
Concurrently, Fitch assigned its "A" issuer default rating to PRMC.
The upgrade and assignment are based on several factors, including PRMC's dominant market position, favorable payer mix, low leverage metrics and high liquidity.
The outlook has been revised to stable from positive.