This report is being issued in response to further clarifications of the finance plan referenced in Standard&Poor's Ratings Services report, "Idaho Health Facilities Authority/Ascension Health, Missouri; System," published March 28, 2008, on Ratings Direct regarding Ascension Health, Mo.'s restructuring of approximately $1.4 billion of outstanding auction-rate bonds, some to serial-mode bonds and some to variable-rate obligations supported by self-liquidity. Standard&Poor's assigned its 'AA/A-1+' dual rating to Ascension Health, Mo's $525.4 million Michigan State Hospital Finance Authority's series 2008B1-B8 variable-rate demand obligations (VRDOs); $177.150 million Indiana Health Facilities Financing Authority's series 2008E1-E3 VRDOs; and to $24.7 million Idaho Health Facilities Authority's series 2003D VRDOs. The bonds were previously issued as auction-rate bonds and are being converted to
