1. Capital Region Medical Center (Jefferson City, Mo.) — from “Baa1” to “Baa2” (Moody’s)
2. East Jefferson General Health (Metairie, La.) — from “B3” to “Caa1” (Moody’s)
3. Erlanger Health System (Chattanooga, Tenn.) — from “BBB+” to “BBB” (Fitch)
4. Fairfield Medical Center (Lancaster, Ohio) — from “Baa2″ to Baa3” (Moody’s)
5. Gwinnett Hospital System (Lawrenceville, Ga.) — from “A3” to “Baa” (Moody’s)
6. King’s Daughters’ Medical Center (Ashland, Ky.) — from “Baa3” from “Baa2” (Moody’s)
7. Major Health Partners (Shelbyville, Ind.) — from “Baa2” to “Baa3” (Moody’s)
8. NorthShore University Health System (Evanston, Ill.) — from “AA” from “AA-” (S&P)
9. St. Charles (La.) Parish Hospital District No. 1 — from “A” to “B” (S&P)
10. UF Health Jacksonville (Fla.) — from “BBB” to “BBB-” (Fitch)
11. Wayne County Hospital Authority (Jesup, Ga.) — from “A+” to “A” (S&P)
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