Standard&Poor's Ratings Services assigned its 'A+' rating to Palomar Pomerado Health District (PPH), Calif.'s $110 million series 2008A general obligation (GO) bonds and affirmed its 'A+' underlying rating (SPUR) on all outstanding district GO bonds. Credit strengths in support of the rating include: The strength provided by the district's long-term contract with Kaiser; Continued very strong direct market share that approaches 60% when including the Kaiser contract benefits; Continued growth in the district's diverse tax base; and The district's location within an affluent region of the robust and diverse San Diego County ('AAA' issuer credit rating) economy, with additional employment access to nearby Orange and Riverside counties. Offsetting credit weaknesses include: Operating margins that before inclusion of the
