Standard&Poor's Ratings Services affirmed its 'AA/A-1+' rating on Iowa Finance Authority's (Trinity Health) hospital variable-rate demand bond series 2000D due to the bank facility being extended to Jan 15, 2009. The long-term component of the rating is based on Trinity Health. The short-term component of the rating is based on SunTrust Bank. The stable outlook is based on the outlook of Trinity Health.