Standard&Poor's Ratings Services affirmed its 'A-' long-term rating on South Dakota Health and Educational Facilities Authority's series 1994 bonds, issued for Huron Regional Medical Center (Huron). The outlook is stable. The rating reflects our view of Huron's excellent financial profile with significant unrestricted reserves and a limited debt load, which is even lighter since Huron repaid its series 2005 bonds in January leaving less than $1 million of debt outstanding. Huron is updating its master facility plan and absent any material changes in other credit factors, we believe Huron could accommodate some additional debt or increased capital spending under the new plan while retaining its current rating. We assessed the enterprise profile as adequate reflecting Huron's limited service