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U.S. Not-For-Profit Health Care Outstanding Ratings And Outlooks As Of Sept. 1, 2019

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U.S. Public Finance Housing Rating Actions, Third-Quarter 2024

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Sustainability Insights: Rising Insurance Costs And Mounting Affordability Challenges Could Weigh On Some U.S. Governments' Creditworthiness

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U.S. Municipal Water And Sewer Utilities Rating Actions, Third Quarter 2024

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U.S. States' Fiscal 2023 Liabilities: Stable Debt, With Pension And OPEB Funding Trending Favorably


U.S. Not-For-Profit Health Care Outstanding Ratings And Outlooks As Of Sept. 1, 2019

U. S. Not-For-Profit Health Care Outstanding Ratings And Outlooks As Of Sept. 1, 2019
Obligor State Rating Outlook

Entity Type

Adena Health System OH A- Stable Stand-Alone Hospital
Adventist Health System/Sunbelt Obligated Group FL AA Stable System
Adventist Health System/West CA A Stable System
Advocate Aurora Health IL AA Stable System
AHS Hospital Corporation NJ AA- Stable System
Allegheny Health Network PA A Stable System
Allegheny InterMediate Unit #3 PA A- Stable Human Service Provider
Allina Health System MN AA- Negative System
Anderson Center for Autism NY BB+ Stable Human Service Provider
AnMed Health SC A+ Negative Stand-Alone Hospital
Ann & Robert H. Lurie Children's Hospital of Chicago IL AA- Stable Stand-Alone Hospital
Anne Arundel Health System MD A Stable Stand-Alone Hospital
Arkansas Children's Hospital AR AA- Stable Stand-Alone Hospital
Army Retirement Residence Foundation TX BBB Stable Long-Term Care
Asante Health System OR A+ Stable Stand-Alone Hospital
Ascension Health Alliance MO AA+ Stable System
Aspirus Inc. WI AA- Stable System
Atrium Health NC AA- Stable System
Atrius Health MA BBB Stable Physician Group Practice*
Augusta University Medical Center GA BBB Stable Stand-Alone Hospital
Auxilio Mutuo Hospital PR BBB+ Stable Stand-Alone Hospital
Avera Health SD AA- Stable System
Ballad Health TN A- Stable System
Banner Health AZ AA- Stable System
Baptist Health AR A Negative System
Baptist Health South Florida FL AA- Stable System
Baptist Health System Inc. FL AA Stable System
Baptist Memorial Health Care Corporation TN BBB+ Negative System
Barlow Respiratory Hospital CA BBB Stable Stand-Alone Hospital
Bayhealth Medical Center DE AA- Stable Stand-Alone Hospital
Baylor Scott & White Health TX AA- Stable System
Baystate Medical Center MA A+ Stable System
Beacon Health System IN AA- Stable Stand-Alone Hospital
Beaumont Health MI A+ Stable System
Beaver Dam Community Hospital WI BBB- Positive Stand-Alone Hospital
Beebe Medical Center DE BBB Stable Stand-Alone Hospital
Bellin Health WI A+ Stable Stand-Alone Hospital
Berkshire Health System MA A Stable Stand-Alone Hospital
Beth Israel Lahey Health MA A Stable System
Beverly Community Hospital Association CA BBB- Stable Stand-Alone Hospital
Bexar County Hospital District TX AA Stable Stand-Alone Hospital
Billings Clinic MT AA- Stable Stand-Alone Hospital
BJC HealthCare MO AA Stable System
Blessing Hospital IL A Stable Stand-Alone Hospital
Blue Ridge HealthCare System NC A Stable Stand-Alone Hospital
Boca Raton Regional Hospital FL A+ Stable Stand-Alone Hospital
Bon Secours Health System Inc. MD A+ Stable System
Boston Medical Center MA BBB Positive Stand-Alone Hospital
Boulder Community Health CO A- Stable Stand-Alone Hospital
Bowling Green-Warren County Community Hospital Corporation KY A+ Stable Stand-Alone Hospital
Bozeman Health MT A Stable Stand-Alone Hospital
Brethren Home Community dba Cross Keys Village PA A- Stable Long-Term Care
Brooks Health System FL A Stable Stand-Alone Hospital
Cabell Huntington Hospital WV BBB+ Positive Stand-Alone Hospital
Cape Cod Healthcare MA A+ Stable Stand-Alone Hospital
Cape Fear Valley Health System NC A- Stable Stand-Alone Hospital
Care New England Health System RI BB- Stable System
Carilion Clinic VA AA- Stable System
Carle Foundation IL AA- Stable System
Carleton Willard Village MA A- Stable Long-Term Care
Carol Woods Retirement Community NC A Positive Long-Term Care
CaroMont Health NC AA- Stable Stand-Alone Hospital
Carson Tahoe Regional Healthcare NV A- Stable Stand-Alone Hospital
Casa Colina Centers for Rehabilitation CA BBB+ Stable Stand-Alone Hospital
Catholic Health Initiatives CO BBB+ Stable System
Catholic Health Services of Long Island NY A- Stable System
Catholic Health System NY BBB+ Stable System
Catholic Medical Center NH A- Stable Stand-Alone Hospital
Centra Health Inc. VA A Stable System
Central Florida Health FL A- Negative Stand-Alone Hospital
Chesapeake Hospital Authority VA A Stable Stand-Alone Hospital
Cheyenne Regional Medical Center WY A Positive Stand-Alone Hospital
Children's Healthcare of Atlanta GA AA+ Stable Stand-Alone Hospital
Children's Hospital & Clinic of Minnesota MN AA- Stable Stand-Alone Hospital
Children's Hospital of Alabama AL AA- Stable Stand-Alone Hospital
Children's Hospital of Boston MA AA Stable Stand-Alone Hospital
Children's Hospital of Orange County CA AA- Stable Stand-Alone Hospital
Children's Hospital of Philadelphia PA AA Stable Stand-Alone Hospital
Children's Hospital of Wisconsin Inc. WI AA Stable Stand-Alone Hospital
Children's Hospital Colorado CO A+ Stable Stand-Alone Hospital
Children's Hospital Los Angeles CA BBB+ Stable Stand-Alone Hospital
Children's Mercy Hospital MO A+ Stable Stand-Alone Hospital
Christ Hospital OH A- Stable Stand-Alone Hospital
Christiana Care Health Services DE AA+ Stable Stand-Alone Hospital
CHRISTUS Health TX A+ Stable System
Cincinnati Children's Hospital Medical Center OH AA Stable Stand-Alone Hospital
City of Hope CA A+ Stable Stand-Alone Hospital
Citrus Valley Health Partners CA A Stable Stand-Alone Hospital
Cleveland Clinic Health System OH AA Stable System
Columbus Regional Healthcare System NC BBB Stable Stand-Alone Hospital
Columbus Regional Healthcare System Inc GA A+ Stable Stand-Alone Hospital
Comanche County Memorial Hospital OK BB+ Negative Stand-Alone Hospital
CommonSpirit Health IL BBB+ Stable System
Community Foundation of Northwest Indiana Obligated Group IN AA- Stable System
Community Health Network IN A Positive System
Community Hospital of the Monterey Peninsula CA AA- Stable Stand-Alone Hospital
Community Medical Centers CA A- Positive Stand-Alone Hospital
Community Memorial Health System CA BB Negative Stand-Alone Hospital
Concordia Lutheran Ministries PA AA- Stable Long-Term Care
Cone Health NC AA- Stable System
Conway Regional Medical Center AR BBB+ Stable Stand-Alone Hospital
Cook Children's Medical Center Inc. TX AA Stable Stand-Alone Hospital
Cooper Health System NJ BBB+ Stable Stand-Alone Hospital
Cottage Health CA A+ Stable Stand-Alone Hospital
Covenant Health TN A Stable System
Covenant Health System NH BBB- Negative Stand-Alone Hospital
Covenant HealthCare System MI A+ Stable Stand-Alone Hospital
Craig Hospital CO A+ Stable Stand-Alone Hospital
Crawford County Hospital District IL BBB Stable Stand-Alone Hospital
Dana-Farber Cancer Institute MA A Stable Stand-Alone Hospital
Dartmouth-Hitchcock NH A Stable System
Dawson County Hospital District TX CCC Stable Stand-Alone Hospital
DCH Health Care Authority AL A Stable Stand-Alone Hospital
Deaconess Health System Inc. IN A+ Stable Stand-Alone Hospital
Decatur Hospital Authority TX BBB- Negative Stand-Alone Hospital
Delano Regional Medical Center CA BBB Positive Stand-Alone Hospital
Delta County Mem Hospital District CO BB+ Negative Stand-Alone Hospital
Denver Health & Hospital Authority CO BBB Stable Stand-Alone Hospital
Devereux Foundation PA BBB+ Stable Human Service Provider
Dignity Health CA BBB+ Stable System
Doylestown Hospital PA BBB- Stable Stand-Alone Hospital
Duke University Health System NC AA Stable System
East Alabama Medical Center AL A Stable Stand-Alone Hospital
East Jefferson General Hospital LA B Negative Stand-Alone Hospital
East Tennessee Children's Hospital TN A Stable Stand-Alone Hospital
Eastern Maine Healthcare Systems ME BBB Stable System
Ector County Hospital District TX BBB Negative Stand-Alone Hospital
Edward-Elmhurst Healthcare IL A Stable Stand-Alone Hospital
El Camino Hospital CA AA Stable Stand-Alone Hospital
El Castillo Retirement Residences NM BBB- Negative Long-Term Care
El Paso County Hospital District TX BBB+ Negative Stand-Alone Hospital
Elliot Hospital NH A- Stable Stand-Alone Hospital
Elwyn Inc. PA BBB Stable Human Service Provider
Eskaton Properties Inc CA BBB Negative Long-Term Care
Essentia Health Obligated Grp MN A- Stable System
Evangelical Community Hospital PA A- Stable Stand-Alone Hospital
Evangelical Lutheran Good Samaritan Society SD BBB+ Stable Long-Term Care
Fairview Health Services MN A+ Stable System
Faith Regional Health Services NE BBB Negative Stand-Alone Hospital
Firelands Regional Medical Center OH A- Stable Stand-Alone Hospital
FirstHealth of the Carolinas NC AA- Stable Stand-Alone Hospital
Fisher-Titus Medical Hospital OH A- Stable Stand-Alone Hospital
Flagler Hospital FL BBB+ Stable Stand-Alone Hospital
Fort Healthcare Inc. WI BBB+ Stable Stand-Alone Hospital
Foulkeways at Gwynedd PA BBB Stable Long-Term Care
Franciscan Missionaries of Our Lady Health System LA A Stable System
Franciscan Sisters of Christian Charity Sponsored Ministries Inc. WI BBB- Negative Stand-Alone Hospital
Freeman Health System MO A Stable Stand-Alone Hospital
Froedtert Health WI AA Stable System
Front Porch Communities and Services CA A- Stable Long-Term Care
Garden Spot Village PA BBB Stable Long-Term Care
Geisinger Health PA AA Stable System
Genesis Healthcare System OH BB+ Stable Stand-Alone Hospital
Gerald Champion Regional Medical Center NM A- Stable Stand-Alone Hospital
Glencoe Regional Health Services MN BBB Negative Stand-Alone Hospital
Good Shepherd Group PA A Stable Stand-Alone Hospital
Goshen Health System IN A- Stable Stand-Alone Hospital
Grand River Hospital District CO BB+ Stable Stand-Alone Hospital
Grand View Hospital PA A- Negative Stand-Alone Hospital
Great Plains Health NE A- Positive Stand-Alone Hospital
Greater Baltimore Medical Center MD A Stable Stand-Alone Hospital
Greater Fairbanks Community Hospital Foundation AK A Stable Stand-Alone Hospital
Greenwich Hospital CT AA- Stable Stand-Alone Hospital
Guadalupe Regional Medical Center TX BB Stable Stand-Alone Hospital
Gundersen Lutheran WI AA- Stable System
Guthrie Clinic PA A+ Stable Stand-Alone Hospital
H. Lee Moffitt Cancer Center & Research Institute Inc FL A- Positive Stand-Alone Hospital
Hackensack Meridian Health NJ AA- Stable System
Halifax Hospital Medical Center FL A- Negative Stand-Alone Hospital
Hamilton Health Care System GA AA- Stable Stand-Alone Hospital
Hannibal Regional Hospital MO BBB+ Stable Stand-Alone Hospital
Hanover Hospital PA A+ Stable Stand-Alone Hospital
Hardin Memorial Hospital KY A- Stable Stand-Alone Hospital
Harris County Hospital District TX AA- Stable Stand-Alone Hospital
Hartford HealthCare CT A Stable System
Health First Inc FL A Stable System
Hendrick Health System TX A Positive Stand-Alone Hospital
Henry County Health Care Authority AL BB+ Stable Stand-Alone Hospital
Henry Ford Health System MI A Stable System
Henry Hospital District IL BBB- Stable Stand-Alone Hospital
Henry Mayo Newhall Hospital CA BBB- Stable Stand-Alone Hospital
Highland Hospital of Rochester NY A Stable Stand-Alone Hospital
Holland Community Hospital MI A+ Stable Stand-Alone Hospital
Holy Name Medical Center NJ BBB Stable Stand-Alone Hospital
Holy Redeemer Health System PA BBB- Negative Stand-Alone Hospital
Hospital For Special Surgery NY A+ Stable Stand-Alone Hospital
Hospital Sisters Services Inc. IL AA- Negative System
Houston County Health Care Authority AL BBB+ Stable Stand-Alone Hospital
Houston Methodist Hospital TX AA Stable System
Hunt Memorial Hospital District TX A- Stable Stand-Alone Hospital
Hunterdon Medical Center NJ A- Stable Stand-Alone Hospital
Huntington Memorial Hospital CA A- Negative Stand-Alone Hospital
Huron Regional Medical Center SD A- Stable Stand-Alone Hospital
Indiana University Health IN AA Stable System
Infirmary Health System Inc AL BBB+ Stable Stand-Alone Hospital
Inova Health System Foundation VA AA+ Stable System
INTEGRIS Baptist Medical Center OK A+ Stable System
Intermountain Health Care Inc. UT AA+ Stable System
Jackson County Schneck Memorial Hospital IN A Stable Stand-Alone Hospital
Jackson Hospital & Clinic AL BBB Negative Stand-Alone Hospital
Jefferson County Pub Hospital District #2 Jefferson Healthcare WA BB+ Negative Stand-Alone Hospital
Jefferson Regional Medical Center AR A- Negative Stand-Alone Hospital
Jennie Stuart Medical Center KY BB+ Stable Stand-Alone Hospital
John Muir Health CA A+ Stable Stand-Alone Hospital
Johns Hopkins Health System MD AA- Stable System
Kaiser Foundation Hospitals (Kaiser Permanente) CA AA- Stable System
Kalispell Regional Medical Center MT BBB Negative Stand-Alone Hospital
Kendal at Ithaca Inc. NY BBB Stable Long-Term Care
Kendal at Oberlin OH A Stable Long-Term Care
Kettering Health Network OH A+ Stable System
King County Pub Hospital District #1 (dba Valley Medical Center) WA A- Stable Stand-Alone Hospital
King County Pub Hospital District No. 2 (EvergreenHealth) WA A Stable Stand-Alone Hospital
King's Daughters Medical Center KY BBB- Stable Stand-Alone Hospital
Kootenai Health ID A Stable Stand-Alone Hospital
Kuakini Health System HI B Negative Stand-Alone Hospital
Lahey Health System MA A Stable System
Lake Regional Health System MO BBB+ Stable Stand-Alone Hospital
Lakeland Hospital at Niles & St. Joseph Inc. MI AA- Stable Stand-Alone Hospital
Lawrence General Hospital MA BB Stable Stand-Alone Hospital
Lawrence Memorial Hospital KS A Stable Stand-Alone Hospital
Lee Memorial Health System FL A+ Stable System
Legacy Health OR A+ Stable System
Lehigh Valley Health Network PA A+ Negative System
Lexington County Health Services District SC A Stable Stand-Alone Hospital
LifeBridge Health Inc. MD A+ Stable System
Lifescape SD A+ Stable Human Service Provider
Lifespan RI BBB+ Stable System
Little Company of Mary Hospital & Health Care Centers IL A+ Stable Stand-Alone Hospital
Loma Linda University Medical Center CA BB- Stable System
Loomis Communities MA BBB Stable Long-Term Care
Louisiana Children's Medical Center LA A+ Stable System
Lowell General Hospital MA BBB+ Stable System
Lucile Salter Packard Childrens Hospital CA A+ Stable Stand-Alone Hospital
Madison Memorial Hospital ID BB+ Stable Stand-Alone Hospital
Madonna Rehabilitation Hospital NE BBB+ Positive Stand-Alone Hospital
Main Line Health System PA AA Stable System
MaineHealth ME A+ Positive System
Marin General Hospital CA A- Stable Stand-Alone Hospital
Marion General Hospital IN A+ Stable Stand-Alone Hospital
Marshfield Clinic WI A- Stable Stand-Alone Hospital
Martin Memorial Medical Center FL A+ Stable Stand-Alone Hospital
Mary Rutan Hospital OH A- Stable Stand-Alone Hospital
Mason County Pub Hospital District #1 WA A- Stable Stand-Alone Hospital
Masonic Villages of the Grand Lodge of Pennsylvania PA A Stable Long-Term Care
Mayo Clinic MN AA Stable System
McLeod Regional Medical Center SC AA Stable Stand-Alone Hospital
MedStar Health Inc. MD A Stable System
Memorial Hospital of Sweetwater County WY BB+ Negative Stand-Alone Hospital
Memorial Health Services CA AA- Stable System
Memorial Health System IL AA- Stable System
Memorial Hermann Healthcare System TX A+ Stable System
Memorial Hospital & Health Center IN A- Stable Stand-Alone Hospital
Memorial Hospital NH A- Stable Stand-Alone Hospital
Memorial Sloan Kettering Cancer Center NY AA- Stable Stand-Alone Hospital
Mental Health Center of Denver CO BBB Stable Human Service Provider
Mercy Health MO AA- Negative System
Mercy Health OH A+ Stable System
Mercy Health Services MD BBB Positive Stand-Alone Hospital
Mercy Medical Center IA A Stable Stand-Alone Hospital
Mercy Regional Health Center Inc & Affiliates KS A+ Stable Stand-Alone Hospital
Mercy Ridge Inc. MD A Stable Long-Term Care
Meritus Health Inc MD BBB Stable Stand-Alone Hospital
Methodist Hospital Inc IN BBB Negative Stand-Alone Hospital
Methodist Hospital of Southern California CA BBB+ Stable Stand-Alone Hospital
Methodist Hospitals of Dallas TX AA- Stable System
Methodist Le Bonheur Healthcare & Affiliates TN AA- Stable System
MetroHealth System OH BBB- Stable Stand-Alone Hospital
MidMichigan Health MI A+ Stable System
Milford Regional Medical Center MA BB+ Stable Stand-Alone Hospital
Monongalia Health System WV BBB+ Negative Stand-Alone Hospital
Montefiore Health System NY BBB Stable System
Moorings Park Institute FL A+ Stable Long-Term Care
Morris Hospital IL BBB+ Stable Stand-Alone Hospital
Mount Nittany Medical Center PA A+ Stable Stand-Alone Hospital
Mount Sinai Hospital Obligated Group NY A- Stable System
Mountain States Health Alliance TN A- Stable System
MultiCare Health System WA AA- Stable System
Nanticoke Mem Hospital DE BBB Stable Stand-Alone Hospital
Nash Health Care Systems NC BBB Negative Stand-Alone Hospital
National Jewish Health CO BB+ Stable Stand-Alone Hospital
Nebraska Medicine NE AA- Stable Stand-Alone Hospital
Nebraska Methodist Health System NE A Stable System
New Hanover Regional Medical Center NC A+ Stable Stand-Alone Hospital
New Liberty Hospital District MO BBB Negative Stand-Alone Hospital
Nicholas H. Noyes Memorial Hospital NY BB Stable Stand-Alone Hospital
Nicklaus Childrens Hospital FL A Negative Stand-Alone Hospital
Noland Health Services AL A Stable Long-Term Care
Norman Regional Health System OK A- Stable Stand-Alone Hospital
North Broward Hospital District FL BBB+ Stable System
North Colorado Medical Center CO A Stable Stand-Alone Hospital
North Mississippi Health Services MS A+ Stable System
North Oaks Health System LA BB+ Stable Stand-Alone Hospital
Northbay Healthcare System Obligated Group CA BBB- Stable Stand-Alone Hospital
Northeast Georgia Health System GA A Stable System
Northern Arizona Healthcare System AZ AA- Stable Stand-Alone Hospital
Northern Hospital District of Surry County NC BBB Stable Stand-Alone Hospital
Northern Inyo County Local Hospital District CA BB- Negative Stand-Alone Hospital
NorthShore University Health System IL AA- Stable System
Northwell Health Inc. NY A- Stable System
Northwest Community Hospital IL A Stable Stand-Alone Hospital
Northwestern Memorial HealthCare IL AA+ Stable System
Norton Healthcare Inc. KY A Stable System
Novant Health Inc. NC AA- Stable System
Nuvance Health CT A- Stable System
NYU Hospitals Center NY A- Stable System
Oak Valley Hospital District CA BB Stable Stand-Alone Hospital
Ochsner Health System LA A Stable System
OhioHealth OH AA+ Stable System
Olathe Medical Center KS A+ Stable Stand-Alone Hospital
Opelousas General Hospital Authority LA BB+ Stable Stand-Alone Hospital
Orange Regional Medical Center NY BBB- Positive Stand-Alone Hospital
Orangeburg-Calhoun Counties Regional Medical Center SC BBB Stable Stand-Alone Hospital
Oregon Health & Science University OR AA- Stable Stand-Alone Hospital
Orlando Health FL A+ Stable System
Oroville Hospital CA BB+ Stable Stand-Alone Hospital
OSF Healthcare System IL A Stable System
Otterbein Homes OH A Stable Long-Term Care
OU Medicine Inc. OK BB+ Stable Stand-Alone Hospital
Overlake Hospital Medical Center WA A Stable Stand-Alone Hospital
Palomar Health CA BBB Stable Stand-Alone Hospital
Parkland Health and Hospital System TX AA- Stable Stand-Alone Hospital
Parkview Health System IN AA- Stable System
Partners Healthcare System MA AA- Stable System
PeaceHealth WA A Positive System
Peninsula Regional Medical Center MD A Stable Stand-Alone Hospital
Penn Highlands Healthcare PA A- Stable Stand-Alone Hospital
Peterson Regional Medical Center TX A- Stable Stand-Alone Hospital
Phoebe Putney Mem Hospital GA A+ Stable Stand-Alone Hospital
Phoenix Children's Hospital AZ A Positive Stand-Alone Hospital
Pickersgill Inc. MD A Stable Long-Term Care
Piedmont Healthcare Inc GA AA- Stable System
Pinnacle Health System PA A+ Stable System
Pomona Valley Hospital Medical Center CA BBB Stable Stand-Alone Hospital
Prairie Lakes Health Care System SD A+ Stable Stand-Alone Hospital
Presbyterian Healthcare Services NM AA Stable System
Presbyterian Homes IL BBB+ Stable Long-Term Care
Presbyterian Intercommunity Hospital CA A Stable Stand-Alone Hospital
Presence Health Network IL AA+ Stable System
Princeton Community Hospital WV BBB+ Negative Stand-Alone Hospital
Prisma Health SC A Stable System
Prohealth Care Inc WI A+ Stable Stand-Alone Hospital
ProMedica Healthcare OH BBB Stable System
Providence St. Joseph Health WA AA- Stable System
Queen's Health System HI AA- Stable Stand-Alone Hospital
Redlands Comnty Hospital CA A- Stable Stand-Alone Hospital
Reid Hospital IN A- Negative Stand-Alone Hospital
Renown Regional Medical Center NV A+ Stable Stand-Alone Hospital
Riverside Health System IL A+ Stable Stand-Alone Hospital
Rochester General Hospital NY A- Stable System
Rogers Memorial Hospital Incorporated WI A Stable Stand-Alone Hospital
Rush University Medical Center IL A+ Positive System
RWJ Barnabas Health NJ AA- Stable System
Ryder Mem Hospital PR CCC Stable Stand-Alone Hospital
Saint Luke's Health System Inc. MO A+ Stable System
Salem Health OR A+ Stable Stand-Alone Hospital
Samaritan Health Services OR BBB+ Negative System
Samaritan Medical Center NY BBB- Stable Stand-Alone Hospital
San Antonio Regional Hospital CA BBB+ Negative Stand-Alone Hospital
San Juan Regional Medical Center NM BBB+ Negative Stand-Alone Hospital
Sanford Health SD A+ Stable System
Sarah Bush Lincoln Health Center IL A+ Stable Stand-Alone Hospital
Saratoga Hospital NY A Stable Stand-Alone Hospital
Scotland Memorial Hospital NC A- Stable Stand-Alone Hospital
Scripps Health CA AA Stable System
Self Regional Healthcare SC A+ Stable Stand-Alone Hospital
Sentara Healthcare VA AA Stable System
Seven Hills Foundation MA BBB- Stable Human Service Provider
Shands Teaching Hospital & Clinics FL A Stable Stand-Alone Hospital
Sharp Healthcare CA AA Stable System
Shell Point FL BBB+ Stable Long-Term Care
Sisters of Charity of Leavenworth Health System CO AA- Stable System
Sky Lakes Medical Center OR A- Stable Stand-Alone Hospital
South Broward Hospital District FL AA Stable System
South Georgia Medical Center GA BBB+ Negative Stand-Alone Hospital
South Shore Hospital MA BBB+ Negative Stand-Alone Hospital
Southcoast Health System MA BBB+ Stable System
Southeast Georgia Health System GA A- Negative Stand-Alone Hospital
Southeastern Regional Medical Center NC A Negative Stand-Alone Hospital
SoutheastHEALTH MO BBB- Stable Stand-Alone Hospital
Southern Illinois Healthcare Enterprises IL A+ Stable Stand-Alone Hospital
Southern Mono Healthcare District CA A- Stable Stand-Alone Hospital
Southern New Hampshire Medical Center NH A- Stable Stand-Alone Hospital
Southwest Louisiana Hospital Association LA BB+ Stable Stand-Alone Hospital
Sparrow Obligated Group MI A+ Stable System
Spartanburg Regional Health Services District SC A Negative Stand-Alone Hospital
Spectrum Health System MI AA Stable System
SSM Health Care System MO A+ Stable System
St Charles Health System OR A+ Stable Stand-Alone Hospital
St Clair Mem Hospital of Pittsburgh PA AA- Stable Stand-Alone Hospital
St Elizabeth Medical Center KY AA Stable System
St Francis Health System OK AA+ Stable System
St Francis Medical Center MO A+ Stable Stand-Alone Hospital
St Johns Medical Center WY A- Stable Stand-Alone Hospital
St John's Riverside Hospital NY B- Negative Stand-Alone Hospital
St Joseph's Healthcare System NJ BBB- Stable Stand-Alone Hospital
St Leonard Healthcare Center OH BBB- Positive Long-Term Care
St Luke's Episcopal-Presbyterian Hospital MO A Stable Stand-Alone Hospital
St Luke's Health System ID A- Stable System
St Lukes University Health Network PA A- Stable System
St Peter's University Hospital NJ BB+ Positive Stand-Alone Hospital
St. Charles Parish Hospital District #1 LA B Stable Stand-Alone Hospital
St. Francis Regional Medical Center MN A- Stable Stand-Alone Hospital
St. Tammany Parish Hospital Service District #2 LA A+ Stable Stand-Alone Hospital
Stamford Hospital CT BBB+ Stable Stand-Alone Hospital
Stanford Health Care CA AA- Stable Stand-Alone Hospital
Susquehanna Health PA A+ Stable Stand-Alone Hospital
Sutter Health CA AA- Stable System
Swedish Covenant Hospital IL BBB Positive Stand-Alone Hospital
SwedishAmerican Hospital IL A+ Stable Stand-Alone Hospital
T.J. Samson Community Hospital KY BBB- Positive Stand-Alone Hospital
Tarrant County Hospital District TX AA Stable Stand-Alone Hospital
Temple University Health System PA BBB- Negative Stand-Alone Hospital
Terrebonne General Medical Center LA A Stable Stand-Alone Hospital
Texas Children's Hospital TX AA Stable System
Texas Health Resources TX AA Stable System
The Health Care Authority for Baptist Health AL BBB+ Stable Stand-Alone Hospital
Thomas Jefferson University PA A Stable System
Torrance Memorial Hospital Medical Center CA A Stable Stand-Alone Hospital
Touro Infirmary LA A Stable Stand-Alone Hospital
Tower Health PA A Stable System
TriHealth Inc. OH A+ Stable System
Trinitas Regional Medical Center NJ BBB Stable Stand-Alone Hospital
Trinity Health ND BBB- Stable Stand-Alone Hospital
Trinity Health Credit Group MI AA- Stable System
Tufts Medical Center MA BBB+ Stable System
UAB Health System AL AA- Stable Stand-Alone Hospital
UC Health OH A Stable Stand-Alone Hospital
UMass Memorial Health Care Inc MA BBB+ Stable System
University Health System Inc. TN BBB Stable Stand-Alone Hospital
University of Kansas Hospital Authority KS AA- Stable System
University of North Carolina Hospitals NC AA Stable System
University of North Carolina Rex Healthcare NC AA- Stable System
University of Pittsburgh Medical Center PA A+ Stable System
University of Vermont Medical Center VT A Stable System
University Health Inc. GA A+ Stable Stand-Alone Hospital
University Hospitals Health System Inc. OH A Positive System
University of Chicago Medical Center IL AA- Stable Stand-Alone Hospital
University of Colorado Hospital Authority CO AA- Stable System
University of Illinois Health Services Facility System IL A- Stable Stand-Alone Hospital
University of Iowa Hospitals & Clinics IA AA Stable Stand-Alone Hospital
University of Maryland Medical System MD A Stable System
University of Pennsylvania Health System PA AA Stable System
University of Wisconsin Hospital & Clinics Authority WI AA- Stable Stand-Alone Hospital
Vail Valley Medical Center CO A+ Stable Stand-Alone Hospital
Valley Children's Hospital CA AA- Stable Stand-Alone Hospital
Valley Health System Obligated Group VA A+ Stable System
Valley View Hospital CO A- Positive Stand-Alone Hospital
Verity Health System CA CC Negative System
Vermount Council of Developmental & Mental Health Services Acquisition VT B Positive Human Service Provider
Vernon Memorial Hospital WI BB Negative Stand-Alone Hospital
Vidant Health NC A+ Stable System
Virginia Commonwealth University Health System Authority VA AA- Stable Stand-Alone Hospital
Virginia Mason Medical Center WA BBB Negative Stand-Alone Hospital
Virtua Health Inc. NJ AA- Stable System
Wake Forest Baptist NC A Stable System
Wellforce Inc. MA BBB+ Stable System
Wellmont Health System TN A- Stable System
WellStar Health System GA A Stable System
West Park Hospital District WY BBB Stable Stand-Alone Hospital
West Tennessee Healthcare TN A Stable Stand-Alone Hospital
West Virginia University Health System WV A Stable System
Westchester County Health Care Corporation NY BBB- Stable System
Western Maryland Health System MD BBB Stable Stand-Alone Hospital
Westhills Village Retirement Community SD A+ Stable Long-Term Care
White River Health System Inc. AR BBB Stable Stand-Alone Hospital
Whitman County Pub Hospital District No. 1-A Pullman Regional Hospital WA BBB- Stable Stand-Alone Hospital
Willis-Knighton Health System LA A+ Stable System
Winchester Hospital MA A- Stable Stand-Alone Hospital
Winona Health Services MN BBB Stable Stand-Alone Hospital
Woman's Hospital Foundation LA A Stable Stand-Alone Hospital
Woods Services Inc. PA A- Stable Human Service Provider
Yale New Haven Health CT AA- Stable System
Yuma Regional Medical Center AZ A Positive Stand-Alone Hospital
*Atrius Health is rated using "Principles of Credit Ratings" as well as "U.S. And Canadian Not-For-Profit Acute Care Health Care Organizations" criteria.

This report does not constitute a rating action.

Primary Credit Analysts:Chloe A Pickett, Centennial (1) 303-721-4122;
Chloe.Pickett@spglobal.com
Cynthia S Keller, New York (1) 212-438-2035;
cynthia.keller@spglobal.com
Secondary Contacts:Patrick Zagar, Farmers Branch (1) 214-765-5883;
patrick.zagar@spglobal.com
Kenneth T Gacka, San Francisco (1) 415-371-5036;
kenneth.gacka@spglobal.com

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