1. Adventist HealthCare (Gaithersburg, Md.) — from “BBB-” to “BB+” (Fitch)
2. Community Health System (Franklin, Tenn.) — from “CCC” to “C” (Fitch)
3. Covenant Health (Tewksbury, Mass.) — from “A-” to “BBB+” (Fitch)
4. Eisenhower Medical Center (Rancho Mirage, Calif.) — from “BBB” to “BBB-” (Fitch)
5. Greenville (S.C.) Health System — from “A+” to “A” (S&P)
6. Jefferson Regional Medical Center (Pine Bluff, Ark.) — from “A” to “A-” (S&P)
7. Kalispell (Mont.) Regional Medical Center — from “A-” to “BBB” (S&P)
8. Lake Health (Concord Township, Ohio) — from “A3” to “Baa1” (Moody’s)
9. Northwell Health (New Hyde Park, N.Y.)—from “A” to “A-” (Fitch)
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