...April 2, 2024 SAN FRANCISCO (S&P Global Ratings) April 2, 2024--S&P Global Ratings lowered to '##+' from '###' its long-term rating on the California Municipal Finance Authority's revenue bonds and certificates outstanding issued for Palomar Health (Palomar) and its long-term rating and SPUR on Palomar's general obligation bonds. The outlook is negative. "The rating action reflects our view of Palomar's already vulnerable financial profile further depressed by a trend of deteriorating operating performance, a substantial and rapid decline in reserves and days' cash on hand, and an extremely high debt burden and leverage," said S&P Global Ratings credit analyst Aamna Shah. The negative outlook reflects our view of accelerated operating losses and diminishing balance sheet cushion....