S&P Global Ratings lowered its long-term rating and underlying rating (SPUR) on City of Hope (COH), Calif.'s debt to 'A-' from 'A'. S&P Global Ratings also lowered its short-term rating on COH's commercial paper (CP) program to 'A-2' from 'A-1'. In addition, S&P Global Ratings assigned its 'A-' rating to California Health Facilities Financing Authority 's $189.1 million revenue bonds, series 2025, issued for COH. These bonds have been privately placed with Morgan Stanley. The outlook is stable. The downgrade reflects sizable andweaker-than-expected operating losses and slower operational improvement at the newer affiliates from legacy Cancer Treatment Centers of Americas. COH's debt issued under its master trust indenture (MTI) is secured by a receivables pledge of the obligated group, which