Standard&Poor's Ratings Services raised its long-term rating and underlying rating (SPUR) to 'BBB+' from 'BBB' on Garfield County, Colo.'s, series 2003 hospital revenue bonds and the Colorado Health Facilities Authority, Colo.'s series 2006, 2007, and 2008 hospital revenue bonds issued for the Valley View Hospital Assn. (VVHA). The outlook on all ratings is stable. The rating action reflects our view of VVHA's robust operational performance, with improved liquidity providing stronger flexibility for the hospital. The 'BBB+' ratings further reflect our view of VVHA's: Dominant market position in Garfield County as the only provider in the area, Favorable payer mix and commercial contracts, History of robust operational performance generating strong coverage, Trend of strong EBIDA margins, and Increase in
