In late 2017, AHN also refinanced its debt with the issuance of $1 billion in long-term bonds, purchased by a bank consortium led by PNC Financial Services. The debt issuance allowed AHN to extinguish three existing loan structures, including preexisting bond issues at Saint Vincent Hospital and Jefferson Hospital. Its debt was reduced from $1.4 billion to just above $1 billion. In July 2018, AHN announced that it would refinance its existing debt by issuing $1 billion in new long-term revenue bonds through the Allegheny County Hospital Development Authority; according to S&P Global Ratings, those revenue bonds have been assigned an "'A' long-term rating" with a stable outlook."