S&P Global Ratings affirmed its ?A+? rating on Hamilton County , Ohio's series 2020A and 2017A bonds, issued for TriHealth Inc. , the obligated group of TriHealth. S&P Global Ratings also affirmed its 'A+/A-1' rating on the county's series 2021A and 2021B bonds, issued for TriHealth, where the long-term rating reflects the rating on TriHealth and the short-term rating reflects standby bond purchase agreements from JPMorgan Chase Bank N.A. The outlook is stable. Securing the bonds is a revenue pledge from the obligated group (TriHealth Inc., Bethesda Hospital Inc., TriHealth Hospital Inc., McCullough-Hyde Memorial Hospital, TriHealth Physician Enterprise Corp., TriHealth G LLC, and Bethesda Healthcare Inc.) and guarantees from Bethesda Inc. and Bethesda Foundation Inc. TriHealth governs health care delivery