The hospitals and health systems receiving credit downgrades included the following:
- Allegiance Health (Jackson, Mich.) — from A- to BBB+ (S&P)
- Cheyenne (Wyo.) Regional Medical Center — from A+ to A (S&P)
- Crozer-Chester Medical Center (Upland, Pa.) — from Ba2 to Ba3 (Moody’s)
- Eastern Maine Healthcare System (Brewer) — from Baa1 to Baa2 (Moody’s)
- Hunt Memorial Hospital District (Greenville, Texas) — from A- to BBB+ (S&P)
- Kuakini Health System (Honolulu) — from BB+ to BB (S&P)
- Loma Linda (Calif.) University Medical Center — from BBB to BB+ (S&P)
- Presbyterian Intercommunity Hospital (Whittier, Calif.) — from A+ to A (S&P)
- Summit Healthcare Regional Medical Center (Show Low, Ariz.) — from BBB to BBB- (S&P)
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