S&P Global Ratings affirmed its 'A+' long-term rating on MidMichigan Health's existing outstanding taxable and tax-exempt debt. The outlook is stable. Effective Dec. 1, 2021, MidMichigan Health changed its name to MyMichigan Health (MyMichigan) as part of a broad rebranding effort to better reflect its system's expanding footprint. The 'A+' rating reflects our view of MyMichigan's financial profile, which is highlighted by marked balance sheet growth (in part due to the series 2020 taxable issuance and investment gains) since 2019 and healthy maximum annual debt service (MADS) coverage. The rating is further supported by consistently solid operating surpluses that have improved in fiscal 2021 and interim fiscal 2022 from historic results (in part due to COVID-19 relief funds coupled with
