1. Catholic Health System (Buffalo, N.Y.) — from “BBB+” to “BBB” (Fitch)
2. Ector Hospital District (Odessa, Texas) — from “BBB” to “BB+” (Fitch)
3. Lehigh Valley Health Network (Allentown, Pa.) — from “A1” to “A2” (Moody’s)
4. Magnolia Regional Health Center (Corinth, Miss) — from “Baa3” to “Ba3” (Moody’s)
5. Owensboro (Ky.) Health — from “BBB” to “BB+” (Fitch)
6. Valley Medical Center (Renton, Wash.) — from “BBB+” to “BBB” (Fitch)
7. Vernon Memorial Hospital (Viroqua, Wis.) — from “BBB” to “BBB-” (S&P)
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