S&P Global Ratings revised its outlook to negative from stable and affirmed its 'AA-' long-term rating on New Jersey Health Care Facilities Financing Authority's series 2013 bonds issued for Virtua Health Inc. (Virtua). At the same time, S&P Global Ratings revised its outlook to negative from stable and affirmed its 'AA-' underlying ratings (SPUR) on the series 2009B, 2009C, 2009D, and 2009E bonds issued by the authority for Virtua Health. S&P Global Ratings also affirmed its 'AA+/A-1' rating on the series 2009B and 2009C variable-rate demand bonds and its 'AAA/A-1+' rating on the series 2009D and 2009E variable-rate demand bonds issued by the authority for Virtua Health. We based these ratings on the application of joint criteria, whereby the bonds