S&P Global Ratings revised its outlook to stable from negative and affirmed its 'AA-' long-term rating on Chester County Health&Education Facility Authority, Pa.'s series 2017A, 2020A, 2020B, and 2020C debt issued for Main Line Health System (MLH). MLH is the parent company of Main Line Health. The outlook revision reflects our view of MLH's significant improvement in operating performance in fiscal 2024 along with our expectation for further improvement over the outlook period to strengthen debt service coverage and stabilize balance sheet metrics. Gross revenue from the obligated group, which consists of MLH, Main Line Health Inc., Main Line Hospitals Inc., Riddle Memorial Hospital, and Mirmont Treatment Center, secures the bonds. The 'AA-' rating reflects our view of
