NEW YORK (Standard&Poor's) Nov. 8, 2005--Standard&Poor's Ratings Services assigned its 'AA-/A-1+' rating to the Michigan State Hospital Finance Authority's variable-rate revenue bonds, series 2005E and 2005F, issued for Trinity Health, Mich. The outlook is stable. The sale date is schedule to occur on or about Nov. 14, 2005. "The stable outlook reflects Trinity Health's very strong financial position, coupled with the expectation of continued improvement in financial operating performance," said Standard&Poor's credit analyst Kenneth Rodgers. He added: "The outlook also reflects the assumption that Trinity Health will balance its capital spending and future debt issuance needs in a manner consistent with maintaining its present rating. If Trinity is able to demonstrate stronger liquidity and