1. Catholic Medical Center (Manchester, N.H.) — from “A-” to “BBB+” (S&P Global Ratings)
2. Erlanger Health System (Chattanooga, Tenn.) — from “Baa2” to “Baa3” (Moody’s Investors Service)
3. Fairview Health Services (Minneapolis) — from “A2” to “A3” (Moody’s Investors Service)
4. Integris (Oklahoma City) — from “A1” to “A2” (Moody’s Investors Service)
5. Monroe County Hospital (Monroeville, Ala.) — from “Ba1” to “Ba3” (Moody’s Investors Service)
6. Prisma Health (Greenville, S.C.) — from “A2” to “A3” (Moody’s Investors Service)
7. Southeastern Regional Medical Center (Lumberton, N.C.) — from “A-” to “BBB+” (Fitch Ratings)
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