Standard&Poor's Ratings Services affirmed its 'AA' long-term rating and 'AA/A-1+' dual rating on various series of debt issued by various parties for Trinity Health, headquartered in Novi, Mich. The 'AA' long-term rating on Trinity Health reflects its credit strength as one of the largest health systems in the U.S.; it owns and operates hospitals and related health facilities coast to coast. In 2009 (audited financials through June 30, 2009), Trinity Health had 6,007 staffed beds in related acute-care facilities, generating operating revenue of $6.7 billion, with a total asset base of $8.6 billion. The 'A-1+' short-term rating reflects the credit strengths inherent in the 'AA' long-term rating, as well as the sufficiency of Trinity Health's assets in providing