CHICAGO - Michigan's William Beaumont Hospital is expected to enter the market this week with roughly $170 million of revenue bonds after it significantly scaled back its capital plan in the face of operational challenges and a volatile credit market.

In advance of the issue, Fitch Ratings downgraded the Royal Oak, Mich.-based provider to A from A-plus - its second downgrade of the year - and warned that further action could be coming by assigning a negative outlook.

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