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Who's up and who's down

Up
Adventist Health System, Winter Park, FL
Rating:
A+
Outlook: Positive
Affected debt: $333 million
Agency: Standard & Poor's
Remarks: Outlook revised from stable due to a solid operating performance and cash flow, as well as conservative investments.

Down
Provena Health System, Mokena, IL
Rating:
BBB+
Outlook: Negative
Affected debt: $175 million
Agency: Standard & Poor's
Remarks: Downgraded from A- because of operating challenges resulting in negative operating margins in 2008 and for the first four months of fiscal 2009.

Down
The Reading Hospital and Medical Center, West Reading, PA
Rating:
Aa3
Outlook: Negative
Affected debt: $137.4 million
Agency: Moody's Investors Service
Remarks: Outlook revised from stable due to poor financial results in the first nine months of fiscal 2009 and the expectation that the hospital will come in short of break even for the entire year.

Down
Baystate Medical Center, Springfield, MA
Rating:
A2
Outlook: Stable
Affected debt: $327 million
Agency: Moody's Investors Service
Remarks: Rating downgraded from A1 due to increased debt from new bonds.

Michelle Ponte

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