The rating on Iowa Finance Authority's variable-rate revenue refunding bonds series 2000D, issued on behalf of Trinity Health, has been affirmed subsequent to the bank facility being extended to Jan. 26, 2005. The long-term component of the rating on the bonds reflects the credit quality of the obligor (Trinity Health). The short-term component of the rating is based on the credit quality of Landesbank Hessen-Thueringen Girozentrale and Northern Trust Co., Chicago, Ill. 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 Find a
