Standard&Poor's Ratings Services raised its underlying rating (SPUR) to 'AA' from 'AA-' on the $132.0 million Franklin County, Ohio series 2007 hospital revenue variable-rate demand obligations (VRDO) issued for Trinity Health, Mich. to be consistent with Standard&Poor's rating action in December 2007 when Trinity Health's long-term rating was raised to 'AA' from 'AA-' and to 'AA/A-1+' from 'AA-/A-1+', where applicable, affecting $2.1 billion of rated debt (as of fiscal year ended June 30, 2008, total net debt outstanding was $2.2 billion). Trinity Health's 'AA' long-term rating reflects its credit strength as one of the largest health systems in the U.S., owning and operating hospitals and related health facilities from coast to coast. In 2008, Trinity Health had