The rating on Iowa Finance Authority (Trinity Health) 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. 28, 2004. 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.