S&P Global Ratings revised the 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 our view of St. Charles' solid performance, largely supported by Ochsner's management agreement, with slowly improving debt-related ratios. The outlook revision further reflects our view of reserves that, while fluctuating throughout the year, are being maintained at generally higher levels than they were several years ago. Revenue from an unlimited ad valorem tax on all taxable property within the district, which is coterminous with St. Charles Parish, secures the GO bonds. Ad valorem tax bills are mailed each November, become due on
