CHICAGO - The not-for-profit health-care sector continued to suffer from a variety of fiscal ills throughout 2008, with most credit measures declining across all rating categories and affecting even the largest and most highly rated systems, Moody's Investors Service said in a report on the sector's 2008 medians released Friday.

The problems are likely to persist and weaken operating performance throughout 2009, perhaps limiting access to capital funding, according to Moody's.

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