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Who's up and who's down

Up
Mount Sinai Hospital, New York, NY
Rating:
BBB+
Outlook: Stable
Affected debt: $433 million
Agency: Standard & Poor's
Remarks: Upgrade from BBB due in part to the third consecutive year of positive operating results and fourth straight year of operations improvement.

Down
Lewistown (PA) Hospital
Rating:
BBB
Outlook: Negative
Affected debt: $22.4 million
Agency: Standard & Poor's
Remarks: Downgraded from BBB+ due to weak operating performance and decreased liquidity.

Up
Dana Farber Cancer Institute, Boston
Rating:
A1
Outlook: Stable
Affected debt: $294 million
Agency: Moody's Investor's Service
Remarks: Upgraded from A2 in part because of a long history of attracting competitive federal research grants.

Up
Lake Forest Hospital, Chicago
Rating:
A-
Outlook: Positive
Affected debt: $73.7 million
Agency: Standard & Poor's
Remarks: Outlook revised from stable reflects more consistent financial performance and strong debt service coverage as well as a strengthened balance sheet.

Philip Betbeze

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