Standard&Poor's Ratings Services affirmed its 'A+' long-term rating and underlying rating (SPUR) on Greenwood County, S.C.'s series 2012B, 2009, and 2004B bonds issued for Self Regional Healthcare. The outlook is stable. We assessed Self Regional's enterprise profile as "strong" and its financial profile as "very strong," characterized by the organization's dominant inpatient market share, overall balance sheet strength, and solid financial results for the fiscal year ended Sept. 30, 2014 and through the nine months ended June 30, 2015. These combined credit factors lead to an indicative rating of 'a+' and a final rating of 'A+'. More specifically, the ratings reflect our opinion of Self Regional's: Solid maximum annual debt service (MADS) coverage of 3.8x based on fiscal
