S&P Global Ratings affirmed its 'A' long-term rating on Franciscan Missionaries of Our Lady Health System (FMOLHS), La.'s outstanding debt. The outlook is stable. While we initially assigned our 'A' rating last year to the series 2019B issuance, FMOLHS may, depending on market conditions, reopen the CUSIP to add an additional $182 million to the series 2019B issuance for refunding purposes (the "additional bonds").. If issued, the proceeds from the additional bonds will be used to refinance the system's $46.5 million series 2005D and $27.1 million series 2008A direct-purchase debt and the $100 million series 2012B fixed-rate debt, and also pay for the termination of the Goldman Sachs and BAML interest rate and CMS swaps estimated to be approximately $9.3