S&P Global Ratings assigned its ?AA+/A-1? rating to the California Health Facilities Financing Authority revenue bonds ( El Camino Health ) series 2025B and 2025C. At the same time, we affirmed our 'AA' long-term rating and underlying rating (SPUR) on ECH's outstanding 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 outlook, where applicable, is stable. The series 2025A, 2017A, 2015A, and 2009A bonds are revenue bonds and are payable from gross operating revenue of El Camino Health and are not secured by ad valorem taxes. The series 2006 and 2017 GO bonds are