1. Baptist Health South Florida (Miami) — from Aa2 to Aa3 (Moody’s)
2. Broward Health (Fort Lauderdale, Fla.) — from A to A- (S&P); from A2 to Baa2 (Moody’s)
3. East Liverpool (Ohio) City Hospital — from BBB+ to BBB- (S&P)
4. Good Shepherd Health System (Longview, Texas) — from Ba3 to Caa1 (Moody’s)
5. Indiana Regional Medical Center (Borough, Pa.) — from Baa3 to Ba1 (Moody’s)
6. Knapp Medical Center (Weslaco, Texas) — from BBB to BB+ (S&P)
7. Lafayette (La.) General Medical Center — from A3 to Baa1 (Moody’s)
8. Mission (Texas) Regional Medical Center — from BBB- to BB+ (S&P); from Ba2 to Caa1 (Moody’s)
9. Oconee Regional Medical Center (Milledgeville, Ga.) — from CCC to CC (S&P)
10. Parrish Medical Center (Titusville, Fla.) — from BBB+ to BBB (Fitch)
11. Partners HealthCare (Boston) — from AA to AA- (S&P)
12. Presence Health (Chicago) — from BBB+ to BBB (Fitch); from BBB+ to BBB- (S&P)
13. South Shore Hospital (South Weymouth, Mass.) — from A3 to Baa1 (Moody’s)
14. WellStar Health System (Marietta, Ga.) — from AA- to A (S&P)
15. Westchester County Health Care Corp. (Valhalla, N.Y.) — from Baa1 to Baa2 (Moody’s)
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