Standard&Poor's Ratings Services assigned its 'A+' rating to Maryland Health and Higher Education Facilities Authority's $152.5 million health revenue bonds, series 2005, issued for the University of Maryland Medical System (UMMS). Additionally, Standard&Poor's raised its rating to 'A+' from 'A' on UMMS' $410.655 million in outstanding debt, issued for UMMS. The outlook is stable. The series 2005 bonds are expected to be sold with 'AAA' rated bond insurance, in which case, the 'A' rating will convert to an underlying rating (SPUR) upon issuance of the bond insurance. The raised rating reflects several years of favorable financial performance and cash flow generation that has contributed to a continued growth in liquidity over time. UMMS' management team has