Standard&Poor's Ratings Services raised its rating three notches to 'A+' from 'BBB+' on Palomar Pomerado Health District (PPH), Calif.'s series 2005A GO bonds, issued by the North San Diego County Health Facilities Financing Authority, and assigned its 'A+' rating to the district's $250 million series 2007A GO bonds. The raised rating reflects the increased credit comfort provided by management's commitment to scale back its growing capital plan as needed to stay within the $983 million level, and several strategies to control construction risk. Other credit strengths in support of the raised rating include: The strength provided by the district's long-term contract with Kaiser, in which PPH provides Kaiser with dedicated in-patient services and facility space through 2020 in