Standard&Poor's Ratings Services raised its rating on South Dakota Health&Education Facilities Authority's bonds issued for Huron Regional Medical Center to 'BBB+' from 'BBB'. The outlook is stable. The upgrade reflects the center's: Dominant market position; Consistently solid operating results, which generate strong debt service coverage; and Strong and improving liquidity position. Offsetting factors include declining admissions, a shallow economic base, and a small medical staff. The bonds are secured by a gross revenue pledge and a mortgage on the facilities. In fiscal 2003, admissions fell 9% to 1,713 from 1,891 in fiscal 2002, due to the loss of a major employer and subsequent population decline in the primary service area. However, outpatient visits for fiscal 2003
