CHICAGO - Standard & Poor's Corp. has expanded its definition of a multihospital system to accommodate anticipated changes in the health-care industry under national reforms, according to a comment in this week's CreditWeek Municipal.

Cynthia Keller, a director in the health-care ratings group at Standard & Poor's, said the definition will now include systems with one or more hospitals that aim to provide a broad spectrum of care, including inpatient, outpatient, and long-term services. The systems, which are typically regional in focus, may also offer insurance products and may own physician group practices, Keller said.

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