S&P Global Ratings assigned its 'AA' long-term rating to Mayo Clinic, Minn.'s series 2021 fixed-rate taxable revenue bonds. In addition, S&P Global Ratings affirmed its 'AA' long-term rating on debt outstanding issued for Mayo Clinic directly and through various issuers. At the same time, we affirmed our 'AA/A-1+' and 'AA/A-1' dual ratings on various debt issued for, or guaranteed by, Mayo Clinic, as well as our 'A-1+' short-term rating on Mayo Clinic's commercial paper (CP) program and various bonds that are in CP mode. The outlook, where applicable, is stable. The 'A-1+' and 'A-1' short-term components of the affirmed ratings reflect the short-term ratings on the various standby bond purchase agreement (SBPA) providers, as well as our assessment of Mayo