This report does not constitute a rating action. S&P Global Ratings’ long-term rating on MyMichigan Health's taxable and tax-exempt debt outstanding 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 a sound overall market position, sufficient service line diversity, and broadening presence across central and northeast Michigan. MyMichigan acquired three hospitals (in Saginaw, Tawas, and Standish) from Ascension Health Alliance in August 2024 (fiscal 2025). These acquisitions broadened the organization’s presence in these adjacent markets while materially increasing total system utilization and revenue.