Standard&Poor's Ratings Services revised the outlook to negative from stable and affirmed its 'A' long-term rating on the Richmond Hospital Authority, Ind.'s $91.990 million series 2015A fixed-rate bonds, issued on behalf of Reid Hospital (d/b/a Reid Health, referred to in this report as Reid). We assessed Reid's enterprise profile as adequate, characterized by a dominant market share, although in a comparatively limited primary service area (PSA), and its financial profile as strong with very high reserves, low average age of plant, and still sufficient debt service coverage (DSC) despite weaker operations in fiscal 2015. It is our opinion that these credit factors lead to an indicative rating of 'a-'. As our criteria indicate, the final rating can be