S&P Global Ratings affirmed its "A-" rating on Yuma (Ariz.) Regional Medical Center's series 2014 revenue bonds, affecting $73 million of debt.
The outlook was revised to positive from stable.
"The outlook revision reflects our view of expected improvement in balance sheet and debt metrics, as YRMC has completed a period of heavy capital projects that both increased debt and required substantial cash outlay," said Ashley Henry, an S&P Global Ratings credit analyst.