S&P Global Ratings assigned its ?AA? long-term rating on El Camino Hospital District (also known as El Camino Health or ECH), Calif.'s $157.1 million series 2025A revenue bonds. In addition, S&P Global Ratings affirmed its 'AA' long-term rating and underlying rating (SPUR) on El Camino Health's existing 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 joint criteria rating is based on a low correlation between El Camino Health and the letter of credit (LOC) provider, Wells Fargo Bank N.A. The outlook, where applicable, is stable. NEW YORK (S&P Global Ratings) May 19, 2025--S&P