Money Talk

Who's up and who's down

Down
Touro Infirmary, New Orleans, LA
Rating: BBB-
Outlook: Negative
Affected debt: $97.7 million
Agency: Standard & Poor's
Remarks: Bond rating lowered because of weakened financial profile due in part to Hurricane Katrina. Losses have moderated somewhat since the storm but are still sizable at $24.5 million through the first 11 months of the fiscal year.

Up
Holy Spirit Hospital, Camp Hill, PA
Rating: BBB
Outlook: Stable
Affected debt: $52.9 million
Agency: Standard & Poor's
Remarks: Outlook revised from negative because of reduced operating losses.

Up
Princeton Community Hospital, Princeton, WV
Rating: B1
Outlook: Stable
Affected debt: $40.9 million
Agency: Moody's Investors Service
Remarks: Upgraded from B2 because of three-year track record of stabilization of operations and material improvement in liquidity measures.

Down
Alexian Brothers Health System, Arlington Heights, IL
Rating: A3
Outlook: Negative
Affected debt: $45 million
Agency: Moody's Investors Service
Remarks: Outlook revised to negative because of two years of declining operating performance, including a negative 4.5% margin in the 2007 fiscal year.

—Philip Betbeze