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Who's up and who's down

Up
Boulder Community Hospital, Boulder, CO
Rating:
A2
Outlook: Stable
Affected debt: $175 million
Agency: Moody's Investors Service
Remarks: Outlook revised from negative thanks to full recovery of the operational disruptions experienced due to the loss of a Kaiser contract in the 2005 fiscal year.

Up
Catholic Healthcare West, San Francisco
Rating:
A
Outlook: Positive
Affected debt: $3.6 billion
Agency: Standard & Poor's
Remarks: Positive outlook due to expectations of continuing solid operational profitability.

Down
Elmhurst Memorial Healthcare, Elmhurst, IL
Rating:
Baa1
Outlook: Stable
Affected debt: $247 million
Agency: Moody's Investors Service
Remarks: Downgraded from A2 because of a 151% increase in debt and a recent downtrend of inpatient volume.

Down
Sisters of Mercy Health System, Chesterfield, MO
Rating:
BBB+
Outlook: Negative
Affected debt: $72.3 million
Agency: Standard & Poor's
Remarks: Downgraded from A- and revision in outlook from stable thanks to an unexpectedly sharp drop in operating income, resulting in a sizable loss for the 2007 fiscal year.

Philip Betbeze

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