S&P Global Ratings' affirmed its 'A+' long-term rating and underlying rating (SPUR) on Greenwood County, S.C.'s series 2012B, 2009, and 2004B bonds issued for Self Regional Healthcare. The outlook is stable. We assessed Self Regional's enterprise profile as strong and its financial profile as very strong, characterized by the organization's dominant inpatient market share, overall balance sheet strength, and consistent financial results for the fiscal year ended Sept. 30, 2016 (unaudited). These combined credit factors lead to an indicative rating of 'a+' and a final rating of 'A+'. We expect Self Regional will continue to post profitable operating results with some tightening of its margins in the coming years. While this is not ideal at the current rating level, we