CENTENNIAL (S&P Global Ratings) Sept. 24, 2021--S&P Global Ratings revised its outlook to negative from stable and affirmed its 'A-' rating on the DuBois Hospital Authority, Pa.'s existing series 2020 and series 2018 bonds, issued for Penn Highlands Healthcare (PHH). At the same time, S&P Global Ratings assigned its 'A-' long-term rating, with negative outlook, to the authority's $37.7 million series 2021 hospital revenue bonds, issued for PHH. The bond proceeds will repay a line of credit draw which was used to retire the outstanding debt of Monongahela Valley Hospital (MVH). In June 2021, PHH entered a definitive agreement to acquire MVH through a member substitution, with an expected closing date of Oct. 1, 2021. Following closing of this acquisition,
