S&P Global Ratings raised its long-term rating to'BBB-'from'BB+'on the California Statewide Communities Development Authority's series 2018, 2016A, 2014A fixed-rate revenue bonds issued for the Loma Linda University Medical Center (LLUMC) obligated group. The outlook is positive. The rating action reflects our view of LLUMC’s sustained positive operating performance with debt service coverage above 2x that we expect will remain sound despite H.R. 1 initiatives and given a track record of year-over-year performance improvement results, stabilizing unrestricted reserves, slowly improving debt metrics that we expect will also continue to trend favorably given lack of net additional debt/leases. The obligated group's gross receivables and a deed of trust secure the bonds. The deed of trust consists of
