The hospitals and health systems receiving credit downgrades included the following:
- East Texas Regional Medical Center (Tyler) — from Baa2 to Baa3 (Moody’s)
- Guadalupe Regional Medical Center (Seguin, Texas) — from Baa3 to Ba1 (Moody’s)
- King’s Daughter Medical Center (Ashland, Ky.) — from A3 to Baa2 (Moody’s)
- Redlands (Calif.) Community Hospital — from BBB+ to BBB (S&P)
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