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. The 2015 bonds only are further secured by a mortgage on the main hospital facility. The rating reflects our view of VVH's very strong financial profile, as well as our expectation that operations will remain solidly positive, with respectable operating cash flow that supports good maximum annual debt service (MADS) coverage as management focuses on volume growth and follows sound budgeting practices with reasonable assumptions. Notably, interim financial results through April 2024 have turned positive with