S&P Global Ratings lowered the short-term component of its dual rating on Murray City, Utah's series 2005C variable-rate demand hospital revenue bonds (IHC Health Services Inc.), issued for Intermountain Health Care Inc., to 'AA+/A-1' from 'AA+/A-1+'. The outlook is stable. This rating action reflects our assessment of the replacement of the standby-bond-purchase agreement (SBPA) provided by Northern Trust with a new SPBA provided by Barclays Bank PLC, effective Nov. 7, 2017. We understand there will be a mandatory tender on the substitution date, Nov. 7, 2017. The long-term component of the rating continues to reflect the long-term rating on Intermountain Health Care Inc. The short-term component of the rating reflects our assessment of the new SBPA provided by Barclays Bank
