1. Care New England Health System (Providence, R.I.) — from “BB” to “BB-” (S&P)
2. Community Health Systems (Franklin, Tenn.) — from “B” to “CCC” (Fitch)
3. East Jefferson General Hospital (Metairie, La.) — from “BB” to “B+” (S&P)
4. Jennie Stuart Medical Center (Hopkinsville, Ky.) — from “BBB-” to “BB+” (Fitch)
5. Premier Health Partners (Dayton, Ohio) — from “A2” to “A3” (Moody’s)
6. Southcoast Health System (New Bedford, Mass.) — from “A3” to “Baa1” (Moody’s)
7. Southeast Georgia Health System (Brunswick) — from “A2” to “A3” (Moody’s)
8. Summa Health (Akron, Ohio) — from “Baa1” to “Baa2” (Moody’s)
9. University of Maryland Medical System (Baltimore) — from “A” to “A-” (Fitch)
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