Standard&Poor's Ratings Services affirmed its 'A+' long-term rating and underlying rating (SPUR) on Greenwood County, S.C.'s $160.1 million series 2009, 2004A, 2004B, 2001, and 1998A bonds, all issued for Self Regional Healthcare. The outlook is stable. The ratings reflect our view of Self Regional's dominant market share, overall balance sheet strength, and solid financial results for the fiscal year ended Sept. 30, 2011. Management has positioned the hospital as a regional referral center during the past several years and successfully completed several major capital projects that have lowered the hospital's average age of plant. More specifically, the ratings reflect our opinion of Self Regional's: Solid cash flow coverage of maximum annual debt service (MADS) of over 7.5x; Favorable
