The following seven hospital and health system bond credit rating downgrades occurred in the past two months. They are listed below in alphabetical order.
- Catholic Health Initiatives (Englewood, Colo.) — from "A3" to "Baa1" (Moody's)
- Covenant Health (Tewksbury, Mass.) — from "A-" to "BBB+" (S&P)
- MetroHealth System (Cleveland) — from "A-" to "BBB-" (S&P)
- Owensboro (Ky.) Health — from "BBB+" to "BBB" (Fitch)
- Peninsula Regional Medical Center (Salisbury, Md.) — from "A2" to "A3" (Moody's)
- ProMedica Health System (Toledo, Ohio) — from "Aa3" to "A1" (Moody's)
- St. John Health System (Tulsa, Okla.) — from "AA" to "AA-" (S&P)