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 on 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 outlook, where applicable, is stable. A security interest in the pledged property of the Trinity Health Obligated Group and certain designated affiliates secures the bonds. Pledged property includes all receipts, revenue, income, and other money received, including rights to receive accounts and health care insurance receivables. The 'A-1+' short-term component of the dual ratings and our 'A-1+' rating on Trinity Health's commercial paper (CP) reflects our view of the credit strengths