- Catholic Health Initiatives (Englewood, Colo.) — from “A-” to “BBB+” (S&P)
- Dallas County Hospital District — from “AA+” to “AA” (Fitch)
- Greenville (S.C.) Health System — from “AA-” to “A+” (S&P)
- Monongahela (Pa.) Valley Hospital — from “Baa2” to “Ba1” (Moody’s)
- North Oaks Health System (Hammond, La.) — from “BBB-” to “BB+” (S&P)
- Ryder Memorial Hospital (Humacao, Puerto Rico) — from “BB-” to “B+” (S&P)
- St. Anthony’s Medical Center (St. Louis) — from “A-” to “BBB+” (S&P)
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