The hospitals and health systems receiving rating and/or outlook downgrades included the following:
- Loma Linda (Calif.) University Medical Center — from BBB-/negative to BB+/negative (Fitch)
- ProMedica Healthcare (Toledo, Ohio) — from AA/stable to AA/negative (S&P)
- West Jefferson Medical Center (Marrero, La.) — from Baa2/stable to Ba2/review (Moody’s)
The hospitals and health systems receiving rating and/or outlook upgrades included the following:
- AtlantiCare Regional Medical Center (Atlantic City, N.J.) — from A+/stable to A+/positive (S&P)
- Bayhealth Medical Center (Dover, Del.) — from A+/stable to A+/positive (S&P)
- Boca Raton (Fla.) Regional Hospital Corp. — from BBB/stable to BBB+/stable (Fitch)
- Boca Raton (Fla.) Regional Hospital Corp. — from BBB/stable to BBB+/stable (S&P)
- Bowling Green (Ky.)-Warren County Hospital Corp. — from A/positive to A+/stable (S&P)
- Central DuPage Hospital Association (Winfield, Ill.) — from AA/stable to AA+/stable (S&P)
- Citrus Valley Health Partners (Covina, Calif.) — from Ba2/positive to Baa3/stable (Moody’s)
- Decatur (Texas) Hospital Authority — from BB+/stable to BB+/positive (S&P)
- Delnor Community Hospital (Geneva, Ill.) — from AA/stable to AA+/stable (S&P)
- Elliot Hospital (Manchester, N.H.) — from BBB/negative to BBB/stable (S&P)
- Mercy Health Services (Baltimore) — from BBB/negative to BBB/stable (S&P)
- OSF Healthcare System (Peoria, Ill.) — from A/stable to A/positive (S&P)
- OSF Healthcare System (Peoria, Ill.) — from A3/stable to A2/stable (Moody’s)
- Pinnacle Health System (Harrisburg, Pa.) — from A/stable to A/positive (S&P)
- Saginaw (Mich.) Hospital Finance Authority — from A/stable to A/positive (S&P)
- Trinity Mother Frances Health System (Tyler, Texas) — from BBB+/stable to BBB+/positive (Fitch)
- UMass Memorial Health Care (Worcester, Mass.) — from BBB+/negative to BBB+/stable (S&P)
- University of Wisconsin Hospital & Clinics (Madison) — from A+/stable to A+/positive (S&P)
- Winchester (Mass.) Hospital — from A-/stable to A/stable (S&P)
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