COLUMBIA (S&P Global Ratings) March 6, 2020--S&P Global Ratings revised its outlook to positive from stable and affirmed its 'B' long-term rating on St. Charles Parish Hospital District No. 1, (St. Charles) La.'s previously-issued general obligation (GO) parity debt. "The outlook revision reflects sustained improvement in the organization's financial performance, which is largely a result of a relatively new management agreement with a subsidiary of the Ochsner Health System, a multihospital system that covers a large part of Louisiana and is headquarter in New Orleans," said S&P Global Ratings credit analyst Luke Gildner. The improved financial performance has translated to good growth in unrestricted reserves over the past two years. We believe there is the potential for a higher rating