NEW YORK (S&P Global Ratings) Nov. 24, 2021--S&P Global Ratings affirmed its ratings on DB SPEARs/LIFERs Trust, N.Y.'s series DBE-8011 tender option bond trust puttable floating-rate receipts (floaters), inverse floating-rate receipts (residuals) and custodial receipts, related to the California Health Facilities Financing Authority's hospital revenue refunding bonds (Dignity Health) series 2012A and 2014B revenue bonds, at 'AA-/A-1', 'AA-', and 'AA-'. "This rating action follows our raising of the ratings on the underlying bonds," said S&P Global Ratings credit analyst James Ho. (For further information, please see the article, titled "CommonSpirit Health, IL Debt Rating Raised To 'A-' On Financial Performance," published Nov. 12, 2021, on RatingsDirect) The long-term rating on the custody receipts jointly reflects, assuming a low level of