Fitch Ratings last week upgraded to BBB from BBB-minus its rating on The Methodist Hospitals, reflecting the northwest Indiana system's improving financial performance.

TMH has $84 million of outstanding long-term bonds. "The upgrade to BBB from BBB-minus is supported by TMH's healthy operating performance, demonstrating sustained improvements via expense controls and stabilized clinical volumes reflecting good physician recruitment and retention," Fitch analysts said in the ratings report.

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