S&P Global Ratings affirmed its 'AA-' long-term rating on New Jersey Health Care Facilities Financing Authority's series 2013 bonds issued for Virtua Health Inc. (Virtua or the system). In addition, S&P Global Ratings affirmed its 'AA-' underlying rating (SPUR) on the authority's series 2009B, 2009C, 2009D, and 2009E bonds, issued for Virtua. S&P Global Ratings also affirmed its 'AA+/A-1' dual rating on the series 2009B and 2009C variable-rate demand bonds and its 'AAA/A-1+' dual rating on the series 2009D and 2009E variable-rate demand bonds issued by the authority for Virtua. We base these ratings on the application of joint criteria, whereby the bonds are secured by both Virtua and JPMorgan Chase Bank N.A. (series 2009B and 2009C) or Toronto-Dominion (TD)