The hospitals and health systems receiving credit downgrades included the following:
- Boone Hospital Center (Columbia, Mo.) — from A3 to Baa1 (Moody’s)
- Catholic Health Initiatives (Englewood, Colo.) — from A+ to BBB+ (Fitch)
- Middlesex Hospital (Middletown, Conn.) — from A2 to A3 (Moody’s)
- Trinity Health System (Steubenville, Ohio) — from A3 to Baa1 (Moody’s)
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