S&P Global Ratings revised its outlook to stable from negative and affirmed its 'A+' long long-term rating on the Salem Hospital Facility Authority, Ore.'s series 2016A and 2019A revenue bonds, issued for Salem Health. The outlook revision reflects our view of Salem Health's improved operating performance in fiscal 2024 with expectations for good performance through the remainder of the year, supported by reserve growth and solid balance sheet metrics. Salem Health's revenue bonds are secured by a gross receivable pledge of the obligated group. The rating reflects our view of Salem's healthy enterprise profile, underlined by its long-standing position as market leader, as well as implementation of strategic investments that have resulted in greater patient access and a strong demand for services,
