Standard&Poor's Ratings Services affirmed its standard long-term 'BBB+' rating on Ward County, N.D.'s $20.915 million revenue bonds, issued for the Trinity Obligated Group (Trinity Health System). The rating affirmation is based upon Trinity Health's dominant market position and continued profitable operating results that have allowed for the maintenance of solid debt service coverage. Trinity Health's solid cash flow has boosted liquidity levels in terms of days' cash on hand and cash to debt. More specifically, the rating reflects: Strong market position serving as the main tertiary provider and only level 2 trauma center in northwest North Dakota; Sustained operating profitability that has generated maximum annual debt service (MADS) coverage in excess of 3x over the past three years;
