The rating on Michigan State Hospital Finance Authority's refunding hospital variable-rate demand obligations series 2000E, issued for Trinity Health, has been affirmed subsequent to the bank facility being extended to Jan. 20, 2005. The long-term component of the rating on the bonds reflects the credit quality of Ambac Assurance Corp. The short-term component of the rating is based on the credit quality of Bank One N.A., 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 Rating, then Credit Ratings
