The rating on Weber County, Utah' variable-rate demand hospital revenue bonds series 2000A (IHC Health Services Inc.) has been affirmed at 'AA+/A-1+', following the substitution of the SBPA provided by Dexia Credit Local with an SBPA provided by Landesbank Hessen-Thueringen Girozentrale on Feb. 19, 2004. Complete ratings information is available to subscribers of RatingsDirect, Standard&Poor's Web-based credit analysis system, at www.ratingsdirect.com. All ratings affected by this rating action can be found on Standard&Poor's public Web site at www.standardandpoors.com; under Credit Ratings in the left navigation bar, select Credit Ratings Lists. Standard&Poor's ratings appear alphabetically.