Becker's Healthcare August 12, 2024
Nonprofit hospital rating downgrades outpaced upgrades in the last year, a trend that is expected to continue although the pace of downgrades is slowing, according to an Aug. 7 S&P report focused on nonprofit acute healthcare medians in 2023.
“We continue to affirm the vast majority of our ratings; however, a negative bias on rating actions remains,” states the report. “Those actions are generally due to persistent strained cash flow with balance-sheet metrics that no longer provide adequate cushion, although there are other reasons and various nuances.”
In 2023, the ratio of downgrades to upgrades was 3.8 to 1, and halfway through this year the ratio has changed to 3.0 to 1. Last year, 88% of the downgrades were in...