1. Boone Hospital Center (Columbia, Mo.) — from “Baa2” to “Ba1” (Moody’s Investors Service)
2. Mon Health (Morgantown, W.Va.) — from “A-” to “BBB+ (Fitch Ratings)
3. Murray (Ky.) Calloway County Hospital — from “Baa3” to “Ba2” (Moody’s Investors Service)
4. St. Luke’s Hospital (Chesterfield, Mo.) — from “A+” to “A” (S&P Global Ratings)
5. UPMC (Pittsburgh) — from “AA-” to “A+” (Fitch Ratings)
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