DALLAS (S&P Global Ratings) Oct. 17, 2016--S&P Global Ratings revised its outlook to stable from negative and affirmed its 'BBB-' long-term rating on Ward County, N.D.'s series 2006 revenue bonds issued for Trinity Health. "The revision to stable outlook reflects Trinity Health's improved operations and balance sheet through fiscal 2016, increasing Trinity Health's financial position in the expectation of a sizable debt issuance within the next year," said S&P Global Ratings analyst Kevin Holloran. We assessed Trinity Health's enterprise profile as adequate characterized by a dominant market share, albeit in a smaller, more rural primary service area, and its financial profile as adequate with improved reserves--bolstered by a legal settlement in 2014 and a stabilization of operating performance since fiscal
