S&P Global Ratings' long-term rating on the Colorado Health Facilities Authority's series 2022 refunding revenue bonds and series 2015 and 2017 hospital revenue bonds, issued for Valley View Hospital (VVH) is 'A'. The outlook is stable. Gross revenue of the hospital secures the bonds. For only the 2015 bonds, a mortgage on the main hospital facility also secures the bonds. The rating reflects our view of VVH's solidly positive operating performance and respectable operating cash flow supporting good maximum annual debt service (MADS) coverage, which we anticipate will continue through the outlook period based on sound budgeting practices, reasonable growth assumptions, and a stable overall business position. We also anticipate that key balance sheet metrics will also remain stable in