This report does not constitute a rating action. S&P Global Ratings? long-term rating on the series 2017A, 2020A, 2020B, and 2020C bonds issued by Chester County Health and Education Facility Authority , Pa. on behalf of Main Line Health System (MLH; parent of Main Line Health) is 'AA-'. The outlook is stable. 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 MLH's strengthened debt service coverage (DSC) in fiscal 2025 on continued improvements in operating performance, although losses also persisted, and our expectation for profitability in fiscal 2026 given first-quarter results and outlined strategic
