Standard&Poor's Ratings Services affirmed its 'BBB+' long-term rating on the Missouri Health and Educational Facilities Authority's $21.5 million series 2012 and $22.1 million series 2010 fixed-rate revenue bonds, issued for Lake Regional Health System (LRHS), formerly known as Lake of the Ozarks General Hospital. The outlook is stable. We assessed LRHS' enterprise profile as adequate, characterized by leading market share and stable payor mix in a small market. We assessed LRHS' financial profile as strong, with growing margins and healthy reserves. Also contributing to this rating decision was LRHS' management team, which has successfully controlled the hospital's costs while increasing profit margins in fiscal 2015 and fiscal 2016 to date. We think these combined credit factors lead to