The following six hospital and health system credit rating downgrades occurred between June 1 and Aug. 22. They are listed below in alphabetical order:
1. Altru Health System (Grand Forks, N.D) — from "Baa1" to "Baa2" (Moody's Investors Service)
2. Boone Hospital Center (Columbia, Mo.) — from "Baa2" to "Ba1" (Moody's Investors Service)
3. Murray (Ky.) Calloway County Hospital — from "Baa3" to "Ba2" (Moody's Investors Service)
4. Nicklaus Children's Hospital — from "A+" to "A" (S&P Global Ratings)
5. Sanford Health (Sioux Falls, S.D.) — from "A1" to "A2" (Moody's Investors Service)
6. St. Luke's Hospital (Chesterfield, Mo.) — from "A+" to "A" (S&P Global Ratings)
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