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U.S. Not-For-Profit Health Care Outstanding Ratings And Outlooks As Of Dec. 31, 2023

Below is the list of outstanding ratings by S&P Global Ratings as of Dec. 31, 2023. These ratings have the following rating and outlook distributions.

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Table 1

U.S. not-for-profit health care outstanding ratings and outlooks as of Dec. 31, 2023
Obligor State Rating Outlook Entity type
Adena Health System OH A- Negative Stand-alone
AdventHealth FL AA Stable System
Adventist Health System/West CA A- Stable System
Adventist Healthcare MD BBB Stable System
Advocate Health NC AA Stable System
AHS Hospital Corporation NJ AA- Stable System
Allegheny Health Network PA A Stable System
Allina Health MN AA- Negative System
AnMed Health SC A+ Stable Stand-alone
Ann & Robert H. Lurie Children's Hospital of Chicago IL AA- Stable Stand-alone
Antelope Valley Hospital CA BBB Negative Stand-alone
Appalachian Regional Healthcare Inc. KY A Stable System
Arkansas Children's Hospital AR AA- Stable Stand-alone
Army Retirement Residence Foundation TX BB+ Negative Long-term care
Asante Health System OR A+ Negative Stand-alone
Ascension Health Alliance MO AA+ Negative System
Aspirus WI AA- Negative System
AtlantiCare Health System, Inc. NJ AA- Stable Stand-alone
Auxilio Mutuo Hospital PR BBB+ Positive Stand-alone
Avera Health SD AA- Stable System
Ballad Health TN A- Stable System
Banner Health AZ AA- Stable System
Baptist Health AR A Stable System
Baptist Health Care FL BBB Stable Stand-alone
Baptist Health South Florida FL AA- Stable System
Baptist Health System Jacksonville FL AA Stable System
Baptist Memorial Health Care Corporation TN BBB+ Negative System
Barlow Respiratory Hospital CA BBB Negative Stand-alone
Bayhealth Medical Center DE AA- Stable Stand-alone
Baylor Scott & White Health TX AA- Stable System
Baystate Medical Center MA A Stable System
Beacon Health System IN AA- Negative System
Beebe Medical Center DE BBB Stable Stand-alone
Bellin Health WI A+ Stable Stand-alone
Berkshire Health System MA A Stable Stand-alone
Beth Israel Lahey Health MA A Stable System
Bexar County Hospital District TX AA Stable Stand-alone
Bibb County Healthcare Authority AL BB Stable Stand-alone
Billings Clinic MT A Stable Stand-alone
BJC HealthCare MO AA Stable System
Blessing Hospital IL A Stable Stand-alone
Blue Ridge Healthcare System NC A Stable Stand-alone
Bon Secours Mercy Health MD A+ Stable System
Boston Medical Center MA BBB Positive Stand-alone
Boulder Community Health CO A- Stable Stand-alone
Bowling Green-Warren County Community Hospital Corporation KY AA- Stable Stand-alone
Bozeman Health MT A Negative Stand-alone
Brooks Health System FL A- Negative Stand-alone
Cape Cod Healthcare MA A Stable Stand-alone
Care New England Health System RI B+ Negative Stand-alone
Carilion Clinic VA AA- Stable System
Carle Foundation IL AA- Negative System
Carleton Willard Village MA A- Negative Long-term care
Carol Woods Retirement Community NC A+ Stable Long-term care
CaroMont Health NC AA- Stable Stand-alone
Carson Tahoe Regional Healthcare NV BBB+ Stable Stand-alone
Carson Valley Medical Center NV BB+ Stable Stand-alone
Catholic Health Services of Long Island NY A- Stable System
Catholic Health System NY B- Negative System
Catholic Medical Center NH BBB- Stable Stand-alone
Cedars-Sinai Health System CA AA- Stable System
Centra Health VA A- Positive System
Central Florida Health FL A- Stable Stand-alone
Chesapeake Hospital Authority VA A Stable Stand-alone
Cheyenne Regional Medical Center WY A+ Stable Stand-alone
Children's Health System of Texas TX AA Stable Stand-alone
Children's Healthcare of Atlanta GA AA+ Stable Stand-alone
Children's Hospital Los Angeles CA BBB Stable Stand-alone
Children's Hospital of Alabama AL AA- Stable Stand-alone
Children's Hospital of Boston MA AA Stable Stand-alone
Children's Hospital of Colorado CO A+ Stable System
Children's Hospital of Orange County CA AA- Stable Stand-alone
Children's Hospital of Philadelphia PA AA Stable Stand-alone
Children's Hospital of Wisconsin WI AA Stable Stand-alone
Children's Hospitals and Clinics of Minnesota MN AA- Stable Stand-alone
Children's Mercy Hospital MO AA- Stable Stand-alone
Christiana Care Health System DE AA+ Negative System
CHRISTUS Health TX A+ Negative System
Cincinnati Children's Hospital Medical Center OH AA Stable Stand-alone
City of Hope CA A Negative Stand-alone
Cleveland Clinic Health System OH AA Stable System
Columbus Regional Healthcare System NC BBB Stable Stand-alone
Comanche County Memorial Hospital OK BB+ Stable Stand-alone
CommonSpirit Health IL A- Stable System
Community Foundation of Northwest Indiana IN AA- Stable System
Community Health Network IN A+ Stable System
Community Hospital of the Monterey Peninsula CA AA- Stable Stand-alone
Community Medical Centers CA BBB+ Negative Stand-alone
Concordia Lutheran Ministries PA AA- Stable Long-term care
Cone Health NC AA- Stable System
Conway Regional Medical Center AR BBB+ Negative Stand-alone
Cook Children's Medical Center TX AA Stable Stand-alone
Cooper Health System NJ A- Stable Stand-alone
Corewell Health MI AA Stable System
Cottage Health CA AA- Stable Stand-alone
Covenant Health TN A Stable System
Covenant Health System MA BBB- Stable Stand-alone
Covenant HealthCare System MI A+ Stable Stand-alone
Craig Hospital CO A+ Stable Stand-alone
Crawford County Hospital District IL BBB Stable Stand-alone
Cross Keys Village PA A- Negative Long-term care
Dallas County Hospital District TX AA- Positive Stand-alone
Dana-Farber Cancer Institute MA A Positive Stand-alone
Dartmouth-Hitchcock NH A Stable System
DCH Health System AL A- Negative Stand-alone
Deaconess Health System IN A+ Stable System
Decatur Hospital Authority TX B- Negative Stand-alone
Denver Health & Hospital Authority CO BBB Stable Stand-alone
Doylestown Hospital PA CCC Developing Stand-alone
Duke University Health System NC AA- Stable System
East Alabama Medical Center AL A Stable Stand-alone
East Tennessee Children's Hospital TN A Stable Stand-alone
Ector County Hospital District TX BBB- Stable Stand-alone
El Camino Hospital CA AA Stable Stand-alone
El Paso County Hospital District TX BBB+ Stable Stand-alone
Elwyn PA BB+ Stable Human service provider
Emanate Health CA A Stable Stand-alone
Enloe Medical Center CA BBB- Stable Stand-alone
Eskaton Properties CA BBB- Negative Long-term care
Essentia Health MN A- Stable System
Evangelical Community Hospital PA A- Negative Stand-alone
Fairview Health Services MN BBB+ Stable System
Faith Regional Health Services NE BBB Stable Stand-alone
Firelands Regional Medical Center OH A- Stable Stand-alone
FirstHealth of the Carolinas NC AA- Stable Stand-alone
Fisher-Titus Medical Center OH BBB+ Negative Stand-alone
Flagler Health + FL A- Stable Stand-alone
Fort Healthcare WI A- Stable Stand-alone
Foulkeways at Gwynedd PA BBB Positive Long-term care
Franciscan Missionaries of Our Lady Health System LA A Negative System
Freeman Health System MO A+ Stable Stand-alone
Froedtert Health WI AA Stable System
Front Porch Communities and Services CA A- Stable Long-term care
Garnet Health Medical Center NY BB Negative Stand-alone
Geisinger Health PA AA- Stable System
Genesis Healthcare System OH BB+ Stable Stand-alone
Glencoe Regional Health Services MN BBB Negative Stand-alone
Good Shepherd Group PA BBB+ Negative Stand-alone
Goshen Health System IN BBB+ Stable Stand-alone
Grand River Hospital District CO BB+ Stable Stand-alone
Grand View Hospital PA BB- Negative Stand-alone
Grande Ronde Hospital OR BBB Stable Stand-alone
Great Plains Health NE A Stable Stand-alone
Greater Baltimore Medical Center MD A Negative Stand-alone
Greater Fairbanks Community Hospital Foundation AK A Stable Stand-alone
Griffin Health Services CT BB+ Stable Stand-alone
Guadalupe Regional Medical Center LA BB Stable Stand-alone
Gundersen Lutheran WI AA- Negative System
Guthrie Clinic PA A Negative System
H. Lee Moffitt Cancer Center & Research Institute FL A Stable Stand-alone
Hackensack Meridian Health NJ AA- Stable System
Halifax Hospital Medical Center FL A- Stable Stand-alone
Hamilton Health Care System GA AA- Stable Stand-alone
Hannibal Regional Hospital MO BBB+ Negative Stand-alone
Harris County Hospital District TX AA- Stable Stand-alone
Hartford HealthCare CT A Stable System
Health First FL A Stable System
Hendrick Health System TX A Stable Stand-alone
Henry County Health Care Authority AL BB+ Negative Stand-alone
Henry Ford Health System MI A Stable System
Henry Mayo Newhall Hospital CA BBB- Stable Stand-alone
Highland Hospital of Rochester NY A Stable Stand-alone
Hoag Memorial Hospital Presbyterian CA AA Stable Stand-alone
Holland Community Hospital MI A+ Stable Stand-alone
Holy Redeemer Health System PA BB Negative Stand-alone
Hospital for Special Surgery NY A+ Stable Stand-alone
Hospital Sisters Services IL A+ Negative System
Houston Methodist Hospital TX AA Stable System
Hunt Memorial Hospital District TX BBB+ CreditWatch Negative Stand-alone
Hunterdon Medical Center NJ A- Stable Stand-alone
Huntington Memorial Hospital CA AA- Stable Stand-alone
Huron Regional Medical Center SD A- Stable Stand-alone
Indiana University Health IN AA Stable System
Infirmary Health System AL A- Stable System
Inova Health System Foundation VA AA+ Stable System
INTEGRIS Health OK A Negative System
Intermountain Health Care UT AA+ Stable System
Jackson Hospital & Clinic AL BB- Negative Stand-alone
Jennie Stuart Medical Center KY BBB- Stable Stand-alone
John Muir Health CA A+ Negative Stand-alone
Johns Hopkins Health System MD AA- Stable System
Jupiter Health Inc. FL BBB- Stable Stand-alone
Kaiser Foundation Hospitals (Kaiser Permanente) CA AA- Stable System
Kendal at Ithaca NY BBB+ Stable Long-term care
Kettering Health Network OH A+ Stable System
King County Public Hospital District No.1 (dba Valley Medical Center) WA BBB Stable Stand-alone
King's Daughters Medical Center KY A- Stable Stand-alone
Kootenai Health ID A Negative Stand-alone
Kuakini Health System HI CCC- Negative Stand-alone
Lake Regional Health System MO BBB+ Stable Stand-alone
Lawrence General Hospital MA B- Stable Stand-alone
Lawrence Memorial Hospital KS A- Stable Stand-alone
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
LifeBridge Health MD A+ Stable System
Lifescape SD A+ Stable Human service provider
Lifespan RI BBB+ Stable System
Logan Health Medical Center MT A Stable Stand-alone
Loma Linda University Medical Center CA BB Stable System
Long Island Community Hospital NY A Stable Stand-alone
Loomis Communities MA BBB Stable Long-term care
Louisiana Children's Medical Center (LCMC) LA A Stable System
Lucile Salter Packard Childrens Hospital CA A+ Stable Stand-alone
Luminis Health, Inc. MD A- Stable Stand-alone
Madison Memorial Hospital ID BB+ Stable Stand-alone
Madonna Rehabilitation Hospital NE A- Stable Stand-alone
Magnolia Regional Health Center MS BB Stable Stand-alone
Main Line Health System PA AA- Negative System
MaineHealth ME A+ Stable System
Marin General Hospital CA BBB Stable Stand-alone
Marion General Hospital IN A Negative Stand-alone
Marshfield Clinic WI BBB+ Stable System
Mary Rutan Hospital OH A- Negative Stand-alone
Mason County Public Hospital District No. 1 WA A- Stable Stand-alone
Masonic Villages of the Grand Lodge of Pennsylvania PA A Stable Long-term care
Maury Regional Hospital TN BBB Stable Stand-alone
Mayo Clinic MN AA Stable System
McLeod Regional Medical Center SC AA Negative Stand-alone
MedStar Health MD A Stable System
Memorial Health Services CA AA- Negative System
Memorial Health System IL A+ Stable System
Memorial Hermann Healthcare System TX A+ Stable System
Memorial Hospital NH A Stable Stand-alone
Memorial Hospital & Health Care Center IN A- Positive Stand-alone
Memorial Sloan Kettering Cancer Center NY AA- Stable Stand-alone
Mental Health Center of Denver CO BBB Stable Human service provider
Mercy Health MO A+ Stable System
Mercy Health Services MD BBB+ Positive Stand-alone
Mercy Medical Center IA A- Negative Stand-alone
Meritus Health MD A- Stable Stand-alone
Methodist Hospitals IN BBB- Negative Stand-alone
Methodist Hospitals of Dallas TX AA- Stable System
Methodist Le Bonheur Healthcare and Affiliates TN A+ Negative System
MetroHealth System OH BBB Stable Stand-alone
MidMichigan Health MI A+ Stable System
Milford Regional Medical Center MA B+ Negative Stand-alone
Mohawk Valley Health System NY BB+ Stable Stand-alone
Montefiore Health System NY BBB- Negative System
Moorings Park Institute FL A+ Stable Long-term care
Morris Hospital IL BBB+ Stable Stand-alone
Mount Nittany Medical Center PA A+ Stable Stand-alone
Mount Sinai Hospital NY A- Stable System
Mountain Health Network WV BBB+ Negative System
MultiCare Health System WA A Stable System
Nash Health Care Systems NC BBB Positive Stand-alone
National Jewish Health CO BB+ Stable Stand-alone
Nebraska Medicine NE AA- Stable Stand-alone
Nebraska Methodist Health System NE A Stable System
Nicklaus Children's Hospital FL A Stable Stand-alone
Noland Health Services AL A Stable Long-term care
Norman Regional Hospital Authority OK BBB- Negative Stand-alone
North Broward Hospital District FL A- Positive System
North Mississippi Health Services MS A+ Stable System
North Oaks Health System LA BBB+ Positive Stand-alone
Northbay Healthcare System CA BBB- Negative Stand-alone
Northeast Georgia Health System GA A Stable System
Northern Hospital District of Surry County NC BB Negative Stand-alone
Northern Inyo County Local Hospital District CA B+ Negative Stand-alone
Northern Light Health ME BBB Negative System
NorthShore - Edward-Elmhurst Health IL AA- Stable System
Northwell Health NY A- Stable System
Northwestern Memorial HealthCare IL AA+ Stable System
Norton Healthcare KY A Stable System
Novant Health NC AA- CreditWatch Negative System
Nuvance Health CT BBB Negative System
NYU Langone Hospitals NY A+ Stable System
Oak Valley Hospital District CA BB Stable Stand-alone
Ochsner Health LA A Stable System
Ochsner LSU Health System of Northern Louisiana LA BBB- Negative Stand-alone
OhioHealth OH AA+ Stable System
Oregon Health & Science University OR AA- Negative Stand-alone
Orlando Health FL A+ Stable System
OSF Healthcare System IL A Stable System
Otterbein Homes OH A Stable Long-term care
OU Medicine OK BB- Stable Stand-alone
Overlake Hospital Medical Center WA BBB+ Stable Stand-alone
Palomar Health CA BBB Stable Stand-alone
Parkview Health System IN AA- Negative System
Partners Healthcare System MA AA- Stable System
PeaceHealth WA A- Negative System
Penn Highlands Healthcare PA A- Negative Stand-alone
Penn State Health PA A Stable System
Peterson Regional Medical Center TX A- Stable Stand-alone
Phoebe Putney Memorial Hospital GA A+ Stable Stand-alone
Phoenix Children's Hospital AZ A+ Stable Stand-alone
Piedmont Healthcare GA AA- Negative System
PIH Health CA A Negative System
Presbyterian Healthcare Services NM AA Negative System
Prisma Health SC A Negative System
ProHealth Care WI A+ Stable Stand-alone
ProMedica Health System OH BB Negative System
Providence St. Joseph Health WA A Negative System
Provident Group - UIC Surgery Center IL BBB+ Positive Stand-alone
Queen's Health Systems HI AA- Stable System
Redlands Community Hospital CA A- Stable Stand-alone
Reid Health IN BBB+ Stable Stand-alone
Renown Regional Medical Center NV A Stable Stand-alone
Riverside Health System IL A+ Stable Stand-alone
Riverside Health System VA A- Stable System
Rochester Regional Health NY BBB+ Stable System
Rogers Memorial Hospital WI A Stable Stand-alone
Rush University System for Health IL A+ Stable System
RWJ Barnabas Health NJ AA- Stable System
Saint Francis Medical Center MO A+ Stable Stand-alone
Saint Luke's Health System MO A+ Positive System
Salem Health OR A+ Negative Stand-alone
Samaritan Health Services OR BBB+ Stable System
Samaritan Medical Center NY BB Negative Stand-alone
San Antonio Regional Hospital CA BBB+ Stable Stand-alone
San Juan Regional Medical Center NM BBB+ Stable Stand-alone
Sanford Health SD A+ Stable System
Sarah Bush Lincoln Health Center IL A+ Stable Stand-alone
Saratoga Hospital NY A Stable Stand-alone
Scotland Memorial Hospital NC A- Positive Stand-alone
Scripps Health CA AA- Stable System
Self Regional Healthcare SC A+ Stable Stand-alone
Sentara Healthcare VA AA Stable System
Seven Hills Foundation MA BBB- Stable Human service provider
Shands Teaching Hospital & Clinics FL A Stable System
Sharp Healthcare CA AA Stable System
Shell Point FL BBB+ Stable Long-term care
Shodair Children's Hospital MT BB+ Negative Stand-alone
Sisters of Charity of Leavenworth Health System CO AA+ Stable System
Sky Lakes Medical Center OR A- Negative Stand-alone
SolutionHealth NH A- Stable Stand-alone
South Broward Hospital District FL AA Stable System
South Shore Hospital MA BBB Stable Stand-alone
Southcoast Health System MA BBB+ Negative System
SouthEast Alaska Regional Health Consortium AK A- Stable Stand-alone
Southeast Georgia Health System GA BBB Negative Stand-alone
Southeast Health AL BBB+ Stable Stand-alone
SoutheastHEALTH MO A+ Stable Stand-alone
Southern Illinois Healthcare Enterprises IL A- Stable System
Southern Mono Healthcare District CA A- Stable Stand-alone
Southwest Louisiana Hospital Association LA BB Stable Stand-alone
Spartanburg Regional Health Services District SC A Stable System
SSM Health Care System MO A+ Stable System
St. Charles Health System OR A Negative Stand-alone
St. Charles Parish Hospital District No. 1 LA B+ Positive Stand-alone
St. Clair Memorial Hospital of Pittsburgh PA AA- Negative Stand-alone
St. Elizabeth Medical Center KY AA Stable System
St. Francis Health System OK AA+ Stable System
St. Francis Regional Medical Center MN A- Stable Stand-alone
St. Joseph's Health NJ BBB- Stable Stand-alone
St. Luke's Episcopal-Presbyterian Hospital MO A Stable Stand-alone
St. Luke's Health System ID A Stable System
St. Lukes Hospital of Duluth MN BB+ Stable Stand-alone
St. Lukes University Health Network PA A- Stable System
St. Peter's University Hospital NJ BBB Stable Stand-alone
St. Tammany Parish Hospital Service District #2 LA A+ Stable Stand-alone
Stamford Hospital CT BBB+ Stable Stand-alone
Stanford Health Care CA AA- Stable Stand-alone
Summa Health System OH BBB+ Stable Stand-alone
Summit Pacific Medical Center WA BB+ Stable Stand-alone
Sutter Health CA A+ Stable System
Tampa General Hospital FL A- Stable System
Tarrant County Hospital District TX AA Stable Stand-alone
Temple University Health System PA BBB Stable System
Terrebonne General Medical Center LA A Stable Stand-alone
Texas Children's Hospital TX AA Negative System
Texas Health Resources TX AA Stable System
The Christ Hospital OH A- Stable Stand-alone
The Health Care Authority for Baptist Health AL BBB+ Stable Stand-alone
Thomas Jefferson University PA A Negative System
TidalHealth MD A Negative Stand-alone
Touro Infirmary LA A- Stable System
Tower Health PA CCC+ Negative System
TriHealth OH A+ Stable System
Trinity Health ND BB- Negative Stand-alone
Trinity Health Credit Group MI AA- Stable System
Tucson Medical Center AZ A Negative Stand-alone
Tufts Medicine MA BBB- Negative System
UAB Health System AL AA- Stable Stand-alone
UC Health OH BBB+ Negative Stand-alone
UMass Memorial Health Care MA BBB+ Positive System
UNC Health Appalachian NC BBB- Negative Stand-alone
UNC Health Southeastern NC BB Negative Stand-alone
United Health Services Hospitals NY BBB- Stable Stand-alone
University Health GA AA- Negative Stand-alone
University Health System TN BBB Negative Stand-alone
University Hospitals OH A Stable System
University of Chicago Medical Center IL AA- Stable Stand-alone
University of Colorado Health CO AA Stable System
University of Illinois Health Services Facilities System IL A- Positive Stand-alone
University of Iowa Hospitals & Clinics IA AA Stable Stand-alone
University of Kansas Health System KS AA- Stable System
University of Maryland Medical System MD A Stable System
University of North Carolina Hospitals NC AA Stable System
University of North Carolina Rex Healthcare NC AA- Stable System
University of Pennsylvania Health System PA AA Stable System
University of Pittsburgh Medical Center PA A Positive System
University of Vermont Medical Center VT A Stable System
University of Wisconsin Hospital & Clinics Authority WI AA- Stable System
UofL Health KY A- Negative System
USC Arcadia Hospital CA BBB- Negative Stand-alone
Vail Valley Medical Center CO A Stable Stand-alone
Valley Children's Hospital CA AA- Stable Stand-alone
Valley Health System VA A+ Stable System
Valley Health System NJ A Stable Stand-alone
Valley View Hospital CO A Stable Stand-alone
Vandalia Health WV BBB+ Positive System
Vanderbilt University Medical Center TN A Stable System
Vernon Memorial Hospital WI BBB- Stable Stand-alone
Vidant Health NC A Stable System
Virginia Commonwealth University Health System Authority VA AA- Negative System
Virginia Hospital Center VA A+ Stable Stand-alone
Virginia Mason Medical Center WA BBB+ Stable Stand-alone
Virtua Health NJ AA- Stable System
WellStar Health System GA A+ Stable System
Wellstar MCG Health GA A+ Stable Stand-alone
West Tennessee Healthcare TN A- Negative Stand-alone
West Virginia University Health System WV A Stable System
Westchester County Health Care Corporation NY BBB- Stable System
Westhills Village Retirement Community SD A+ Stable Long-term care
White River Health System AR BBB- Stable Stand-alone
Willis-Knighton Health System LA A Stable System
Winkler County Hospital District TX BB+ Stable Stand-alone
Woman's Hospital Foundation LA A Stable Stand-alone
Yale New Haven Health CT AA- Negative System
Yuma Regional Medical Center AZ A Stable Stand-alone

This report does not constitute a rating action.

Primary Credit Analyst:Blake C Fundingsland, Englewood + 1 (303) 721 4703;
blake.fundingsland@spglobal.com
Secondary Contacts:Chloe A Pickett, Englewood + 1 (303) 721 4122;
Chloe.Pickett@spglobal.com
Cynthia S Keller, Augusta + 1 (212) 438 2035;
cynthia.keller@spglobal.com
Suzie R Desai, Chicago + 1 (312) 233 7046;
suzie.desai@spglobal.com

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