DALLAS (Standard&Poor's) May 31, 2013--Standard&Poor's Ratings Services revised its outlook to negative from stable and affirmed its 'AA' long-term rating and underlying rating (SPUR) and 'AA/A-1+' dual rating on various series of debt issued by various parties for Trinity Health, Mich. At the same time, Standard&Poor's raised its long-term rating and SPUR to 'A+' from 'A' on bonds issued by various issuers for Catholic Health East (CHE). We have revised the outlook to positive from stable. "The rating action and outlook revisions reflect our view of the now final (as of May 1) closing on the consolidation between Trinity Health and CHE," said Standard&Poor's credit analyst Kevin Holloran. "They also reflect our