Standard&Poor's Ratings Services affirmed its 'A' long-term rating and 'A' underlying ratings (SPURs) on Greenwood County, S.C.'s $117.1 million series 2004A and 2004B, series 2001, and series 1998A bonds, issued for Self Regional Healthcare. The outlook is stable. The affirmed rating reflects Self Regional's dominant market share, robust and growing balance sheet, and still solid, although slightly weaker, unaudited financial results for the fiscal year ended Sept. 30. Management has positioned the hospital as a regional referral center over the past several years and successfully completed several major capital projects that have lowered its average age of plant. More specifically the affirmed ratings reflect Self Regional's: Strong cash flow coverage of maximum annual debt service (MADS) of 5.2x