S&P Global Ratings' long-term rating on the series' 2017, 2021, and 2022 tax-exempt revenue refunding bonds, issued by Greenwood County, S.C. for Self Regional Healthcare, is 'A+'. The outlook is stable. Gross receipts of the hospital secure the rated bonds. The rating reflects our view of Self's leading market position in western South Carolina, and its robust balance-sheet metrics. In fiscal years 2023 and 2024, operations were positive and contributed to solid debt service coverage (DSC). The positive performance was partially due to increased supplemental funding from South Carolina's Health Access Workforce and Quality (HAWQ) program. Self acquired and integrated Abbeville Area Medical Hospital, a 25-bed critical access hospital in Abbeville County in October 2023. The integration contributed approximately $2.6
