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 'A-1+' short-term component of the dual rating on Trinity Health's bonds reflects our view of the credit strengths inherent in the 'AA' long-term rating, as well as our view that Trinity Health's assets provide sufficient liquidity support for approximately $1 billion of variable-rate
