Standard&Poor's Ratings Services confirmed its 'AAA/A-1+' rating on California Health Facilities Financing Authority's (Adventist Health System/West) series 2009B hospital variable-rate demand obligation bonds, due to the bank facility being extended to Jan. 10, 2019. The long-term component of the rating is based jointly (assuming low correlation) on the ratings on the obligor, Adventist Health System/West, and the letter of credit provider, U.S. Bank National Assn. The short-term component of the rating is based solely on the rating on U.S. Bank National Assn. USPF Criteria: Municipal Applications For Joint Support Criteria, June 25, 2007 Criteria: Joint Support Criteria Update, April 22, 2009 Criteria: Methodology And Assumptions: Approach To Evaluating Letter Of Credit-Supported Debt, July 6, 2009