Standard&Poor's Ratings Services has assigned its 'AA' rating to Michigan State Hospital Finance Authority's $319.53 million series 2008 hospital revenue and refunding bonds and Idaho Health Facility Authority's $177.18 million series 2008B hospital revenue and refunding bonds (the preceding par amounts are approximations and amounts at issuance could be less), both series issued for Trinity Health, headquartered in Novi, Mich. In addition, Standard&Poor's has affirmed its 'AA' rating on Michigan State Hospital Finance Authority's $458.27 million of various series of bonds issued for Trinity Health. In December 2007 Trinity Health's rating was raised to 'AA' from 'AA-', and where applicable to 'AA/A-1+' from 'AA-/A-1+', affecting $2.1 billion of rated debt (as of the fiscal year ended