The rating on Cuyahoga County, Ohio's bonds, is issued on behalf of Cuyahoga-UHHS/CSAHS Inc. ("Cuyahoga Corp.") and Canton-CSAHS/UHHS Inc ("Canton Corp."). Each of the corporations was formed in May 1999, and has as its members University Hospitals Health Systems Inc. (UHHS: 'AA'/stable outlook) and The Sisters of Charity of St. Augustine Health System Inc. (CSAHS), with each member owning a 50% interest in each of the corporations. The bonds are secured by revenue and mortgage pledges of the two main hospitals owned by the Cuyahoga Corp.: the 248-bed St. John West Shore Hospital and the 480-bed St. Vincent Charity Hospital as well as the 523-bed Mercy Medical Center owned by the Canton Corp. The 'BBB' rating reflects the oversight role