The following 12 hospital and health system credit rating downgrades occurred between Oct. 1 and Nov. 30. They are listed below in alphabetical order:
1. Augusta (Ga.) University Health System — from "BBB" to "BBB-" (S&P Global Ratings); from "Baa1" to "Baa3" (Moody's Investors Service)
2. Bibb County Medical Center (Centreville, Ala.) — from "BBB+" to "BB" (S&P Global Ratings)
3. Covenant Health (Tewksbury, Mass.) — from "BBB+" to "BBB" (Fitch Ratings)
4. Delta (Colo.) County Memorial Hospital — from "BB+" to "BB" (S&P Global Ratings)
5. Mercy Medical Center (Des Moines, Iowa) — from "A" to "A-" (S&P Global Ratings)
6. OSF HealthCare (Peoria, Ill.) — from "A2" to "A3" (Moody's Investors Service)
7. Parmer County (Texas) Hospital District — from "Baa1" to "Baa2" (Moody's Investors Service)
8. Princeton (W.Va.) Community Hospital — from "BBB+" to "BBB" (S&P Global Ratings)
9. ProMedica Health System (Toledo, Ohio) — from "Baa1" to "Baa3" (Moody's Investors Service); from "BBB+" to "BBB" (Fitch Ratings)
10. Sparrow Health System (Lansing, Mich.) — from "A1" to "A2" (Moody's Investors Service)
11. St. John's Riverside Hospital (Yonkers, N.Y.) — from "B-" to "CCC+" (S&P Global Ratings)
12. Tower Health (West Reading, Pa.) — from "A3" to "Baa2" (Moody's Investors Service)
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