Standard&Poor's Ratings Services revised its outlook to positive from stable and affirmed its 'BBB-' rating on New Jersey Health Care Facilities Financing Authority's series 2008 bonds issued for St. Joseph's Healthcare System (SJHS). The outlook revision reflects recent improvement in operations and balance sheet metrics, and while we do not expect operating performance to be sustained at the current levels, we expect operations to normalize and balance sheet metrics to remain stable to improving. We assess the enterprise profile as strong with SJHS serving a large population and maintaining dominant market share. We assess the financial profile as adequate with improved operating margins and debt service coverage in the last two fiscal years, though results will likely return