NEW YORK (Standard&Poor's) Oct. 20, 2006--Standard&Poor's Ratings Services revised its rating outlook on Trinity Health, Mich.'s bonds, issued by various issuers, to positive from stable, reflecting Trinity Health's recent stronger leadership, patient utilization, and financial performance. Standard&Poor's also assigned its 'AA-' rating to Michigan State Hospital Finance Authority's $117.72 million series 2006A revenue bonds and Indiana Health and Educational Facility Financing Authority's $10.82 million series 2006B revenue bonds, both issued for Trinity Health, a health care system headquartered in Novi, Mich. Additionally Standard&Poor's affirmed its 'AA-', 'AA-/A-1+', and 'A-1+' long-term, short-term, and underlying ratings (SPURs) on various existing debt and Trinity Health's commercial paper notes. "We believe that Trinity Health's continuing improvement
