...August 28, 2023 SAN FRANCISCO (S&P Global Ratings) Aug. 28, 2023--S&P Global Ratings revised its outlook to negative from stable and affirmed its '##-' long-term and underlying (SPUR) rating on Parkview Health System Obligated Group (Parkview), Ind.'s outstanding debt, issued by the Indiana Finance Authority. In addition, we affirmed our '##+/A-1' dual rating on Parkview's series 2009B, 2009C, and 2009D variable-rate demand bonds (VRDBs), issued by the authority. "The negative outlook reflects our view of Parkview's softer operating performance that is anticipated to continue during the outlook period," said S&P Global Ratings credit analyst Aamna Shah. "We anticipate that labor and inflationary expense pressure, coupled with a notable decline in unrestricted reserves, will continue to pressure the rating in the near term," Ms. Shah added. The '##+' component of the dual ratings reflect our opinion of the likelihood that debt service will be paid during the life of the issue and are based...