1. Cape Cod Healthcare (Hyannis, Mass.) — from “A+” to “A” (S&P Global Ratings)
2. Care New England (Providence, R.I.) — from “BB” to “BB-” (Fitch Ratings); from “BB-” to “B+” (S&P Global Ratings)
3. Heritage Valley Health System (Beaver, Pa.) — from “A2” to “A3” (Moody’s Investors Service)
4. John Fitzgibbon Memorial Hospital (Marshall, Mo.) — from “B” to “B-” (Fitch Ratings)
5. Pioneers Memorial Healthcare (Brawley, Calif.) — from “BBB-” to “BB” (Fitch Ratings)
6. ProMedica (Toledo, Ohio) — from “BBB” to “BBB-” (Fitch Ratings)
7. South Shore Hospital (Weymouth, Mass.) — from “Baa1” to “Baa2” (Moody’s Investors Service)
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