S&P Global Ratings assigned its ?AA+/A-1? rating to the California Health Facilities Financing Authority revenue bonds ( El Camino Health ) series 2025B and 2025C. At the same time, we affirmed our 'AA' long-term rating and underlying rating (SPUR) on ECH's outstanding revenue bonds and general obligation (GO) bonds. S&P Global Ratings also affirmed its 'AA+/A-1' joint criteria rating on Santa Clara County , Calif.'s series 2009A variable-rate demand bonds (VRDBs), issued on behalf of ECH. The outlook, where applicable, is stable. NEW YORK (S&P Global Ratings) May 30, 2025--S&P Global Ratings today took the rating actions listed above. Our rating on this issue is linked to our ratings on the support provider and obligor. Environmental, social, and governance (ESG)