The following 17 hospital and health system credit rating downgrades occurred between June 1 and Nov. 15. They are listed below in alphabetical order:
1. Altru Health System (Grand Forks, N.D) — from "Baa1" to "Baa2" (Moody's Investors Service)
2. Augusta (Ga.) University Health System — from "Baa1" to "Baa3" (Moody's Investors Service)
3. Boone Hospital Center (Columbia, Mo.) — from "Baa2" to "Ba1" (Moody's Investors Service)
4. Covenant Health (Tewksbury, Mass.) — from "BBB+" to "BBB" (Fitch Ratings)
5. Delta (Colo.) County Memorial Hospital — from "BB+" to "BB" (S&P Global Ratings)
6. Fairfield Medical Center (Lancaster, Ohio) — from "Baa3" to "Ba2" (Moody's Investors Service)
7. Indiana (Pa.) Regional Medical Center — from "Ba1" to "Ba2" (Moody's Investors Service)
8. Mercy Medical Center (Des Moines, Iowa) — from "A" to "A-" (S&P Global Ratings)
9. Murray (Ky.) Calloway County Hospital — from "Baa3" to "Ba2" (Moody's Investors Service)
10. Nicklaus Children's Hospital — from "A+" to "A" (S&P Global Ratings)
11. OSF HealthCare (Peoria, Ill.) — from "A2" to "A3" (Moody's Investors Service)
12. ProMedica Health System (Toledo, Ohio) — from "Baa1" to "Baa3" (Moody's Investors Service); from "BBB+" to "BBB" (Fitch Ratings)
13. Regional West Medical Center (Scottsbluff, Neb.) — from "BBB+" to "BBB" (Fitch Ratings)
14. Sanford Health (Sioux Falls, S.D.) — from "A1" to "A2" (Moody's Investors Service)
15. South Nassau Communities Hospital (Oceanside, N.Y.) — from "Baa1" to "Baa2" (Moody's Investors Service)
16. St. Luke's Hospital (Chesterfield, Mo.) — from "A+" to "A" (S&P Global Ratings)
17. Tower Health (West Reading, Pa.) — from "A3" to "Baa2" (Moody's Investors Service)
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