S&P Global Ratings affirmed its 'AA+' long-term rating on multiple series of tax-exempt and taxable bonds issued by various issuers for Intermountain Healthcare, Utah (Intermountain; now known as Intermountain Health) and legacy Sisters of Charity of Leavenworth Health System (SCL Health), Colorado. S&P Global Ratings affirmed its 'AA' long-term rating on the Colorado Health Facilities Authority's series 2019 revenue bonds, issued for the NJH-SJH Center for Outpatient Health. We also affirmed our 'AA+/A-1+' and 'AA+/A-1' ratings on various issuers' revenue bonds issued for Intermountain. These dual ratings reflect Intermountain's long-term rating and our view of various standby bond purchase agreements or, in the case of the series 2003A-C and 2022E-F bonds, Intermountain's self-liquidity. Finally, we affirmed our 'AA+/A-1+' rating on