NEW YORK (Standard&Poor's) Nov. 8, 2004--Standard&Poor's Ratings Services today assigned its 'AA-' rating to Trinity Health, Mich.'s $138.65 million variable-rate health system revenue and refunding bonds, series 2004A-B and D-F, based on strong and improving financial performance and solid management, tempered by substantial capital plans and underfunded employee pension and postretirement health plans. The outlook is stable. Additionally, Standard&Poor's affirmed its 'AA-' and 'AA-/A-1+' ratings on approximately $1.6 billion of outstanding bonds issued for Trinity Health and affiliated Mercy Health Services Obligated Group, and Mercy Mt. Clemens Corp. Further, the 'A-1+' rating previously assigned to Trinity Health's $150 million ($20 million currently outstanding) commercial paper notes also was affirmed. "We expect Trinity Health's financial