The hospitals and health systems receiving credit downgrades included the following:
- St. Anthony’s Medical Center (St. Louis) — from A+ to A- (S&P)
- Good Samaritan Hospital (Vincennes, Ind.) — from Baa1 to Baa2 (Moody’s)
- Reading (Pa.) Hospital and Medical Center — from A1 to A2 (Moody’s)
- East Texas Medical Center Regional Healthcare System (Tyler) — from BBB to BBB- (Fitch)
- Fremont-Rideout Health Group (Marysville, Calif.) — from A to BBB (S&P)
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