The following nine hospital and health system credit rating downgrades occurred in October. They are listed below in alphabetical order:
1. Augusta (Ga.) University Health System from "Baa1" to "Baa3" (Moody's)
2. Covenant Health (Tewksbury, Mass.) — from "BBB+" to "BBB" (Fitch)
3. Delta (Colo.) County Memorial Hospital from "BB+" to "BB" (S&P)
4. Mercy Medical Center (Cedar Rapids, Iowa) from "A" to "A-" (S&P)
5. OSF HealthCare (Peoria, Ill.) — from "A2" to "A3" (Moody's)
6. ProMedica Health System (Toledo, Ohio) from "Baa1" to "Baa3" (Moody's)
7. Tower Health (West Reading, Pa.) from "A3" to "Baa2" (Moody's)
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