S&P Global Ratings assigned its ?AA? long-term rating on El Camino Hospital District (also known as El Camino Health or ECH), Calif.'s $157.1 million series 2025A revenue bonds. In addition, S&P Global Ratings affirmed its 'AA' long-term rating and underlying rating (SPUR) on El Camino Health's existing revenue bonds and general obligation (GO) bonds. S&P Global Ratings also affirmed its 'AA+/A-1' joint criteria rating on Santa Clara County , Calif.'s series 2009A variable-rate demand bonds (VRDBs), issued on behalf of ECH. The joint criteria rating is based on a low correlation between El Camino Health and the letter of credit (LOC) provider, Wells Fargo Bank N.A. The outlook, where applicable, is stable. The series 2025A, 2017A, 2015A, and 2009A bonds