The following 10 hospital and health system credit rating downgrades occurred since April 1. They are listed below in alphabetical order.
1. Boone Hospital Center (Columbia, Mo.) — from "BBB" to "BBB-" (Fitch Ratings)
2. Boulder (Colo.) Community Health — from "A2" to "A3" (Moody's Investors Service)
3. Care New England (Providence, R.I.) — from "BB" to "BB-" (Fitch Ratings)
4. Catholic Health System (Buffalo, N.Y.) — from "Baa1" to "Baa2" (Moody's Investors Service); from "BBB+" to "BBB" (S&P Global Ratings)
5. Marshall Medical Center (Placerville, Calif.) — from "BBB-" to "BB+" (Fitch Ratings)
6. Oroville (Calif.) Hospital — from "BB+" to "BB" (S&P Global Ratings)
7. Sutter Health (Sacramento, Calif.) — from "Aa3" to "A1" (Moody's Investors Service); from "AA-" to "A+" (S&P Global Ratings)
8. Vidant Health (Greenville, N.C.) — from "A1" to "A2" (Moody's Investors Service)
9. Virginia Mason Medical Center (Seattle) — from "Baa2" to "Baa3" (Moody's Investors Service)
10. Washington County (Calif.) Health Care District — from "Baa1" to "Baa2" (Moody's Investors Service)
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