S&P Global Ratings assigned its 'AA-' long-term rating to the following bonds, all issued for the Trinity Health Credit Group (Trinity Health), Mich.: Michigan Finance Authority's $212.755 million series 2019MI-1 hospital revenue bonds; Michigan Finance Authority's $40.9 million series 2019MI-2 hospital revenue and refunding bonds; Idaho Health Facilities Authority's $44.035 million series 2019ID hospital revenue bonds; Saint Mary Hospital Authority, Pa.'s $21.695 million series 2019PA-1 revenue bonds; Saint Mary Hospital Authority, Pa.'s $30 million series 2019PA-2 revenue and refunding bonds; Michigan Finance Authority's $100 million series 2013MI-2; and Michigan Finance Authority's $75 million series 2016MI-2. In addition, we affirmed our 'AA-' long-term rating, 'AA-/A-1+' dual rating, and 'A-1+' short-term rating on various series of existing debt issued for Trinity Health.