1. Altru Health System (Grand Forks, N.D.) — from “A-” to “BBB” (Fitch Ratings); from “Baa1” to “Baa2” (Moody’s Investors Service)
2. Augusta (Ga.) University Health System — from “Baa1” to “Baa3” (Moody’s Investors Service); from “BBB” to “BBB-” (S&P Global Ratings)
3. Bibb County Medical Center (Centreville, Ala.) — from “BBB+” to “BB” (S&P Global Ratings)
4. Boone Hospital Center (Columbia, Mo.) — from “Baa2” to “Ba1” (Moody’s Investors Service); from “A-” to “BBB” (Fitch Ratings)
5. Covenant Health (Tewksbury, Mass.) — from “BBB+” to “BBB” (Fitch Ratings)
6. Delta (Colo.) County Memorial Hospital — from “BB+” to “BB” (S&P Global Ratings)
7. Erlanger Health System (Chattanooga, Tenn.) — from “Baa2” to “Baa3” (Moody’s Investors Service)
8. Excela Health (Greensburg, Pa.) — from “A3” to “Baa1” (Moody’s Investors Service)
9. Fairfield Medical Center (Lancaster, Ohio) — from “Baa3” to “Ba2” (Moody’s Investors Service)
10. Hospital Sisters Health System (Springfield, Ill.) — from “AA-” to “A+” (S&P Global Ratings)
11. Indiana (Pa.) Regional Medical Center — from “Ba1” to “Ba2” (Moody’s Investors Service)
12. Integris (Oklahoma City) — from “A1” to “A2” (Moody’s Investors Service)
13. Mercy Medical Center (Des Moines, Iowa) — from “A” to “A-” (S&P Global Ratings)
14. Methodist Hospitals (Gary, Ind.) — from “BBB” to “BBB-” (S&P Global Ratings)
15. Murray (Ky.) Calloway County Hospital — from “Baa3” to “Ba2” (Moody’s Investors Service)
16. Nicklaus Children’s Hospital (Miami) — from “A+” to “A” (S&P Global Ratings)
17. OSF HealthCare (Peoria, Ill.) — from “A2” to “A3” (Moody’s Investors Service)
18. Parmer County (Texas) Hospital District — from “Baa1” to “Baa2” (Moody’s Investors Service)
19. Princeton (W.Va.) Community Hospital — from “BBB+” to “BBB” (S&P Global Ratings)
20. ProMedica Health System (Toledo, Ohio) — from “Baa1” to “Baa3” (Moody’s Investors Service); from “BBB+” to “BBB” (Fitch Ratings)
21. Regional West Health Services (Scottsbluff, Neb.) — from “BBB” to “BB+” (Fitch Ratings)
22. Sanford Health (Sioux Fall, S.D.) — from “A1” to “A2” (Moody’s Investors Service)
23. South Nassau Communities Hospital (Oceanside, N.Y.) — from “Baa1” to “Baa2” (Moody’s Investors Service)
24. Southeastern Regional Medical Center (Lumberton, N.C.) — from “A-” to “BBB+” (Fitch Ratings)
25. Sparrow Health System (Lansing, Mich.) — from “A1” to “A2” (Moody’s Investors Service)
26. St. John’s Riverside Hospital (Yonkers, N.Y.) — from “B-” to “CCC+” (S&P Global Ratings)
27. St. Luke’s Hospital (Chesterfield, Mo.) — from “A+” to “A” (S&P Global Ratings)
28. Tower Health (West Reading, Pa.) — from “A” to “BBB” (Fitch Ratings); from “A3” to “Baa2” (Moody’s Investors Service)
29. University of Chicago Medical Center — from “A1” to “Aa3” (Moody’s Investors Service)
30. Winkler County Memorial Hospital (Kermit, Texas) — from “AA” to “BB+” (S&P Global Ratings)
More articles on healthcare finance:
8 health systems with strong finances
HCA wins bid to dismiss ER ‘cover charge’ suit
Nebraska hospital hit with credit downgrade over EMR problems
At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.