Standard&Poor's Ratings Services affirmed its 'BBB+' long-term rating on Missouri Health and Educational Facilities Authority's $3.6 million series 1996 bonds and $25.2 million series 2003 bonds, issued for Lake Regional Health System (LRHS), formerly known as Lake of the Ozarks General Hospital. Additionally, Standard&Poor's affirmed its 'BBB+' underlying rating (SPUR) and 'BBB+' long-term rating on the authority's $28.6 million series 1998 bonds, also issued for LRHS. The rating outlook is stable. The 'BBB+' rating reflects LRHS's: Good liquidity that improved to 183 days' cash on hand as of July 31, 2009, from 142 days at fiscal year-end April 30, 2009, due to enhanced revenue-cycle management; Solid market position, with little direct competition and designation as a
