S&P Global Ratings long-term rating on MidMichigan Health's (d.b.a. MyMichigan Health) existing outstanding taxable and tax-exempt debt is 'A+'. The outlook is stable. A gross receivables pledge of the obligated group secures the bonds. The obligated group includes MyMichigan Health (the parent) and MyMichigan Medical Center Midland (the flagship). The 'A+' rating reflects our view of MyMichigan Health's (MyMichigan) strong enterprise profile with an overall market position we view as respectable characterized by sufficient service line diversity and continued progress toward fully integrating the newest acquisition of Medical Center Sault, which broadened the system's reach into the upper peninsula of Michigan. Amid a broadly stable senior management team, the transition to a new CEO and chief operating officer has been