The following five hospital credit rating downgrades occurred in the last month. They are listed below in alphabetical order.
1. EvergreenHealth (Kirkland, Wash.) — from "A+" to "A" (S&P)
2. Integris Health (Oklahoma City) — from "Aa3" to "A1" (Moody's)
3. Palomar Health (Escondido, Calif.) — from "A" to "BBB" (S&P)
4. ProMedica (Toledo, Ohio) — from "A+" to "BBB" (S&P)
5. Southeastern Medical Center (Lumberton, N.C.) — from "A" to "A-" (Fitch)