Standard&Poor's Ratings Services affirmed its 'AA+' and 'AA+/A-1+' unenhanced and underlying (SPUR) ratings on roughly $900 million in debt issued on behalf of IHC Health Services, Utah by various issuers. IHC Health Services is the hospital and physician component of Intermountain Health Care, Inc. (IHC), which is a large, integrated delivery system. The rating reflects IHC's strong business position in the economically robust state of Utah, excellent financial performance, and adequate balance sheet measures. Specifically, the long-term rating on IHC Health Services reflects: The system's unique market position as the state's largest health system and only integrated delivery system, with 21 hospitals, employed and affiliated physicians, and a large health plan, consistently positioned as the leading provider statewide;