S&P Global Ratings affirmed its 'AA-' long-term rating on bonds issued by various authorities for Trinity Health Credit Group (Trinity Health), Mich. and Trinity Health's taxable debt. We also affirmed our 'AA-/A-1+' dual rating, and 'A-1+' short-term rating on various series of debt issued for Trinity Health. The 'A-1+' short-term component of the dual ratings and our 'A-1+' rating on Trinity Health's commercial paper reflects our view of the credit strengths inherent in the 'AA-' long-term rating, as well as our view that Trinity Health's assets provide sufficient support for any liquidity demands associated with this debt. The outlook on all long-term ratings is stable. Securing the bonds is a security interest in the pledged property of the Trinity Health