Standard&Poor's Ratings Services assigned its 'AA/A-1+' dual rating to Michigan State Hospital Finance Authority's $392.7 million series 2008C hospital revenue and refunding bonds and Indiana Health Facility Financing Authority's $394.6 million series 2008D hospital revenue and refunding bonds for Trinity Health, headquartered in Novi, Mich. (par amounts are approximations and amounts at issuance could be slightly different). In addition, Standard&Poor's affirmed its 'AA' long-term ratings, and 'AA/A-1+' dual ratings on the authorities' other debt, issued for Trinity Health. The 'AA' long-term ratings, and 'AA/A-1+' dual ratings on debt issued by Franklin County, Ohio and Iowa Finance Authority for Trinity Health were also affirmed. The series 2008C and 2008D bonds are being issued as multimodal bonds, the