Standard&Poor's Ratings Services affirmed its 'A-' long-term rating and underlying rating (SPUR) on the Colorado Health Facilities Authority's series 2006, 2007, and 2008 hospital revenue bonds issued for Valley View Hospital (VVH). The outlook is stable. We have assessed VVH's financial profile as very strong and its enterprise profile as adequate. The very strong financial profile is supported by our view of VVH's robust financial performance and its marked liquidity and financial flexibility. The enterprise profile exhibits a robust payor mix offset by meager economic fundamentals as a result of the size of the population in the primary service area. We think these combined credit factors lead to an indicative rating of 'a-'. In our opinion, the 'A-'