LHC Group (NASDAQ: LHCG) provides post-acute healthcare services, primarily to Medicare beneficiaries in rural southern U.S. markets. The firm's 150 home nursing agencies provide skilled nursing, physical therapy, speech therapy, occupational therapy and medically-oriented social services. Its ten hospices offer pain management, palliative medication, homemaker services and counseling. Its four acute care facilities provide services to patients who have transitioned out of a hospital intensive care unit with complex medical conditions. The company also provides rehabilitation services.

LHC pleased investors late last month, when it reported Q1 EPS of 31 cents and revenues of $83.5 million. Analysts had been expecting 29 cents and $78.7 million. Last week, the firm agreed to buy Home Care Solutions, a Nashville outfit with $11 million in annual Medicare revenues. That led LHC to revise its FY08 EPS guidance to $1.30-$1.40 ($1.30 consensus) and FY08 revenue guidance to $340-$360 million ($345.63M consensus).

MOST NOTEWORTHY: Smith & Nephew, British Sky Broadcasting and Electronic Data Systems were today's noteworthy downgrades:

• Smith & Nephew (NYSE: SNN) was cut to Underweight from Neutral at JP Morgan, citing deteriorating fundamentals in several of SNN's key business lines.
  
• Goldman removed British Sky Broadcasting (NYSE: BSY) from its Conviction Buy List and said shares continue to trade at all-time low multiples and that the timing with Sky-Virgin dispute remains unclear. Shares remain Buy rated.
  
• Friedman Billings downgraded Electronic Data Systems (NYSE: EDS) to Market Perform from Outperform based on valuation following the Hewlett-Packard (NYSE: HPQ) news.

OTHER DOWNGRADES:

• Goldman downgraded J Sainsbury (OTC: JSAIY) to Neutral from Buy and removed shares from the Conviction Buy List.
  
• Goldman also removed Hewlett-Packard from its Conviction Buy List.
  
• Citigroup cut BearingPoint (NYSE: BE) to Hold from Buy.
  
• Wachovia downgraded LHC Group (NASDAQ: LHCG) to Market Perform from Outperform.

MOST NOTEWORTHY: Melco PBL Entertainment, Helen of Troy, LHC Group and Oriental Financial were today's noteworthy initiations:

• Jefferies initiated shares of Melco PBL Entertainment (NASDAQ: MPEL) with a Buy rating and $21 target, as they believe the possibility of A-Max, a VIP junket consolidator, moving up to 10 junkets to the Crown Casino could lead to short-term gains and notes that MPEL is the only Macau pure play in the U.S. stock market.
  
• Jefferies also started shares of Helen of Troy (NASDAQ: HELE) with a Hold rating and $21 target, as they sees risks to near-term EPS from soft consumer demand and gross margin pressures.
  
• Credit Suisse expects LHC Group's (NASDAQ: LHCG) rural-focused strategy and joint venture partnerships to drive organic growth and started shares off with an Outperform rating and $26 target.
  
• Oriental Financial Group (NYSE: OFG) was initiated at B. Riley with a Neutral rating and $12.50 target. The firm does not expect significant multiple expansion from current levels given the slow Puerto Rican economy.

OTHER INITIATIONS:

• JP Morgan initiated Eagle Rock Energy (NASDAQ: EROC), Kinder Morgan Energy Partners (NYSE: KMP), MarkWest Energy Partners (NYSE: MWE) and Plains All American Pipeline (NYSE: PAA) with Neutral ratings.
  
• Bernstein initiated Sprint Nextel Corporation (NYSE: S), AT&T (NYSE: T) and Verizon Communications (NYSE: VZ) with Market Perform ratings and targets of $21, $47 and $44, respectively.