1. Altru Health System (Grand Forks, N.D.) — from “A-” to “BBB” (Fitch Ratings)
2. Bibb County Medical Center (Centreville, Ala.) — from “BBB+” to “BB” (S&P Global Ratings)
3. Excela Health (Greensburg, Pa.) — from “A3” to “Baa1” (Moody’s Investors Service)
4. Methodist Hospitals (Gary, Ind.) — from “BBB” to “BBB-” (S&P Global Ratings)
5. St. John’s Riverside Hospital (Yonkers, N.Y.) — from “B-” to “CCC+” (S&P Global Ratings)
6. Tower Health (West Reading, Pa.) — from “A” to “BBB” (Fitch Ratings)
7. University of Chicago Medical Center — from “A1” to “Aa3” (Moody’s Investors Service)
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