S&P Global Ratings' long-term rating on the Salem Hospital Facility Authority, Ore.'s series 2016A and 2019A revenue bonds, issued for Salem Health, is 'A+'. The outlook is stable. 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, expanding primary care base, and a well-tenured leadership team with a keen focus on operating efficiencies. Salem's strategy to expand employed specialty lines reflects management's focus on increasing patient access and maintaining its leading market share. The rating further
