Standard&Poor's Ratings Services revised its rating outlook to negative from stable and affirmed its 'A+' long-term and underlying ratings on Salem Hospital Regional Health Services, Ore.'s debt issued by Salem Hospital Facility Authority, In addition, Standard&Poor's affirmed its 'AAA/A-1+' and 'AAA/A-2' ratings on Salem Hospital's series 2008B and 2008C variable-rate demand bonds, respectively. The long-term component of the rating is based jointly (assuming low correlation) on the rating of the obligor and the letter of credit (LOC) provider, U.S. Bank (series 2008B) and Allied Irish Banks (series 2008C). The short-term component of the rating is based solely on the short-term rating of the LOC provider. The negative outlook reflects increased pressure on profitability given a shift
