...+ S&P Global Ratings lowered its long-term rating and underlying rating (SPUR) on all senior revenue bonds issued for Ascension Health Alliance (Ascension), Mo. to '##' from '##+'. + At the same time, S&P Global Ratings lowered its long-term rating on Ascension's series 2005A subordinated revenue bonds to '##-' from '##'. + S&P Global Ratings also lowered its dual ratings (by various issuers and various modes) to '##/A-1+' and '##-/A-1+' on Ascension's senior and subordinated revenue bonds, respectively. The '##' and '##-' long-term component of our dual ratings is based on our view of Ascension's senior and subordinated credit quality, while the 'A-1+ short-term component is based on our view of Ascension's self-liquidity. + The rating actions reflect several years of operating challenges that have resulted in a shift in Ascension's overall financial profile, including weaker-than-expected operations, cash flow, and consolidated system coverage as well as declining DCOH that is no longer...
