NEW YORK (Standard&Poor's) Dec. 14, 2007--Standard&Poor's Ratings Services raised its standard long-term rating and underlying rating (SPUR) on Trinity Health, Mich.'s various series bonds, issued by various issuers, to 'AA' from 'AA-', and where applicable to 'AA/A-1+' from 'AA-/A-1+'. The rating upgrade reflects Trinity Health's sound governance and management, rising patient utilization trend, and very strong financial performance and debt service coverage. In addition, Standard&Poor's assigned its 'A-1+' rating to Trinity Health's $150 million taxable commercial paper program that is authorized in the amount of $400 million. The rating outlook is stable. "We expect that Trinity Health's patient utilization, financial performance, and balance sheet strength will remain strong and show continued improvement over the