1. Holy Redeemer Health System (Huntingdon Valley, Pa.) — from “BBB” to “BBB-” (Fitch)
2. Lafayette (La.) General Medical Center — from “Baa1” to “Baa2” (Moody’s)
3. Loma Linda (Calif.) University Health System — from “BB+” to “BB” (Fitch)
4. Nacogdoches (Texas) County Hospital District — from “A-” to “B-” (S&P)
5. Premier Health (Dayton, Ohio) — from “A+” to “A” (Fitch)
6. San Gorgonio Memorial Healthcare District (Banning, Calif.) — from “A3” to “Baa3” (Moody’s)
7. Westchester County Health Care (Valhalla, N.Y.) — from “BBB” to “BBB-” (S&P)
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