S&P Global Ratings raised its long-term rating to 'BB+' from 'BB' on the California Statewide Communities Development Authority 's series 2018, 2016A, 2014A, and 2014B fixed-rate revenue bonds issued for the Loma Linda University Medical Center (LLUMC) obligated group. The upgrade reflects our view of LLUMC?s strengthened financial profile, driven by the organization?s sustained positive operating performance, stabilizing unrestricted reserves, slowly improving debt metrics, and no net additional debt plans. The outlook is positive, reflecting our expectation that results will remain solidly positive over the two-year horizon. The obligated group's gross receivables, a mortgage, and a deed of trust secure the bonds. The deed of trust consists of LLUMC, Loma Linda University Children's Hospital, LLUMC's East Campus Hospital, Outpatient Rehabilitation