Standard&Poor's Ratings Services affirmed its 'AA+/A-1+' rating on Murray City (Intermountain Health Care), Utah's health variable-rate demand bond series 2005C and 2005D due to the substitution of standby bond purchase agreements (SBPAs) with Northern Trust (AA/A-1+) and Wells Fargo Bank N.A. (AAA/A-1+), respectively, for the current SBPAs with Citibank N.A. The long-term component of the rating is based on Intermountain Health Care (IHC). The SBPAs will be subject to immediate termination without notice upon the occurrence of certain events described in the SBPAs, including a downgrade of the long-term rating of Intermountain Health Care by Standard&Poor's to below 'BBB-'. These events have been reviewed and are in compliance with our published criteria. The anticipated expiration date