S&P Global Ratings affirmed its 'BBB+' long term rating on the Missouri Health&Education Facilities Authority's $51.2 million series 2021 fixed-rate revenue bonds, issued for Lake Regional Health System (LRHS). The outlook is stable. The bonds are secured by a pledge of the gross receivables of the obligated group. The rating reflects our view of LRHS' growing market position in a tourism-dependent service area of Lake of the Ozarks and increasing volumes from the nearby town of Lebanon, where LRHS recently opened a new outpatient center in May 2023. Further stability in market position is a result of a growing and improved physician network with increasing volumes in outpatient services, and, while broader staffing pressures remain heightened, they appear
