Standard&Poor's Ratings Services assigned its 'AA+/A-1+' rating to Murray City, Utah's $262 million hospital revenue bonds series 2005A-D, issued for IHC Health Services. Additionally, Standard&Poor's affirmed its 'AA+' and 'AA+/A-1+' unenhanced and underlying (SPUR) ratings on roughly $900 million in outstanding debt. IHC Health Services is the hospital and physician component of Intermountain Health Care, Inc. (IHC), which is a large, integrated delivery system. The long-term 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: A unique market position as the state's largest health system and only integrated delivery system, with 21 hospitals, employed and