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 $170 million tax-exempt series MI 2019A hospital revenue bonds; Franklin County, Ohio's $130 million series OH 2019A revenue bonds; Michigan Finance Authority's $925 million taxable series 2019-T hospital revenue refunding bonds; Trinity Health's $375 million taxable series 2019; Michigan Finance Authority's $100 million series 2013MI-2 hospital revenue bonds; Michigan Finance Authority's $100 million series 2013MI-4 hospital revenue bonds; and Michigan Finance Authority's $50 million series 2013MI-5 hospital revenue bonds. 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.