1. Alliance (Ohio) Community Hospital — from BBB- to BB+ (S&P)
2. Baptist Healthcare System (Louisville, Ky.) — from A2 to A3 (Moody’s)
3. Care New England Health System (Providence, R.I.) — from BBB- to BB (S&P)
4. East Texas Medical Center Regional Healthcare System (Tyler) — from BBB to BBB- (Fitch)
5. East Liverpool (Ohio) City Hospital — from CCC to CC (S&P)
6. Fremont-Rideout Health Group (Marysville, Calif.) — from A3 to Baa2 (Moody’s)
7. Fremont-Rideout Health Group (Marysville, Calif.) — from A to BBB (S&P)
8. Good Samaritan Hospital (Vincennes, Ind.) — from Baa1 to Baa2 (Moody’s)
9. Mercy Hospital (Iowa City, Iowa) — from A3 to Baa2 (Moody’s)
10. Mission (Texas) Hospital — from Baa3 to Ba2 (Moody’s)
11. Reading (Pa.) Hospital and Medical Center — from A1 to A2 (Moody’s)
12. St. Anthony’s Medical Center (St. Louis) — from A+ to A- (S&P)
13. UF Health-Jacksonville (Fla.) — from BBB+ to BBB (Fitch)
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