The following 16 hospital and health system credit rating downgrades occurred since April 1. They are listed in alphabetical order.
1. Boone Hospital Center (Columbia, Mo.) — from "BBB" to "BBB-" (Fitch Ratings)
2. Boulder (Colo.) Community Health — from "A2" to "A3" (Moody's Investors Service)
3. Care New England (Providence, R.I.) — from "BB" to "BB-" (Fitch Ratings); from "BB-" to "B+" (S&P Global Ratings)
4. Catholic Health System (Buffalo, N.Y.) — from "Baa1" to "Baa2" (Moody's Investors Service); from "BBB+" to "BBB" (S&P Global Ratings)
5. Holy Redeemer Health System (Meadowbrook, Pa.) — from "Ba1" to Ba2" (Moody's Investors Service); from "BBB-" to "BB+" (Fitch Ratings)
6. Indiana (Pa.) Regional Medical Center — from "Baa2" to "Baa3" (Moody's Investors Service)
7. Marshall Medical Center (Placerville, Calif.) — from "BBB-" to "BB+" (Fitch Ratings)
8. Medical Center Hospital (Odessa, Texas) — from "BBB" to "BBB-" (S&P Global Ratings)
9. Mon Health (Morgantown, W.Va.) — from "BBB+" to "BBB" (S&P Global Ratings)
10. Nuvance Health (Lagrangeville, N.Y.) — from "A3" to "Baa2" (Moody's Investors Service)
11. Oroville (Calif.) Hospital — from "BB+" to "BB" (S&P Global Ratings)
12. San Antonio Regional Hospital (Upland, Calif.) — from "BBB+" to "BBB" (S&P Global Ratings)
13. Sutter Health (Sacramento, Calif.) — from "Aa3" to "A1" (Moody's Investors Service); from "AA-" to "A+" (S&P Global Ratings)
14. Vidant Health (Greenville, N.C.) — from "A1" to "A2" (Moody's Investors Service)
15. Virginia Mason Medical Center (Seattle) — from "BBB" to "BBB-" (S&P Global Ratings); from "Baa2" to "Baa3" (Moody's Investors Service)
16. Washington County (Calif.) Health Care District — from "Baa1" to "Baa2" (Moody's Investors Service)