S&P Global Ratings assigned an "A+" long-term rating to Girardeau, Mo.-based Saint Francis Medical Center's series 2016 revenue bonds.
"The 'A+' rating reflects our view of SFMC's dominant position in its overall service area, history of healthy operations that have generated robust maximum annual debt service coverage and excellent cash on hand," said S&P analyst Brian Williamson.
The outlook is stable, reflecting S&P's view of the medical center's healthy operating performance.