S&P Global Ratings' affirmed its 'BBB+' long-term rating on the Missouri Health&Educational Facilities Authority's series 2012 and 2010 fixed-rate revenue bonds, issued for Lake Regional Health System (LRHS or Lake Regional; formerly Lake of the Ozarks General Hospital). The outlook is stable. The rating reflects our view of the hospital's adequate enterprise profile, highlighted by a weak market share in an average primary service area (PSA). We understand management redefined LRHS' PSA to include two additional counties, which reduces overall market share compared with what was previously reported to S&P Global Ratings. Therefore, our view of Lake Regional's overall business position is more tenuous than in previous years. The rating also reflects the hospital's strong financial profile, highlighted
