Standard&Poor's Ratings Services affirmed its 'AA+' long-term ratings and dual ratings of 'AA+/A-1+' and 'AA+/A-1' on various issuers' revenue bonds, issued for IHC Health Services, the obligated group of Intermountain Health Care Inc. (Intermountain). The outlook is stable. The short-term ratings reflect our view of various standby bond purchase agreements or, in the case of the series 2003A-D bonds, Intermountain's self-liquidity. Standard&Poor's monitors liquidity monthly to ensure it remains adequate to support these obligations, if needed. The 'AA+' ratings reflect our opinion of Intermountain's strong business position in economically robust Utah, consistently strong financial performance, considerable financial flexibility, and a strong balance sheet featuring high reserves and low leverage. Intermountain continued to perform extraordinarily well on