The stock market’s September swoon continued Tuesday and stocks across the board plummeted, including most on our Birmingham and Alabama Stock Report.

Community Health Systems had the heftiest loss at -4.9%, but chunky declines were aplenty: Medical Properties Trust (-4.5%), Amazon (-4%), Encompass Health (-3.3%), Regions (-2.5%) and ProAssurance (-2.3%).

Warrior Met Coal had the only increase on our list at .4%.

Overall, Wall Street’s ugly September got even worse Tuesday, as a sharp drop for stocks brought them back to where they were in June.

The S&P 500 tumbled 1.5% for its fifth loss in the last six days. The Dow Jones Industrial Average dropped 388 points, or 1.1%, and the Nasdaq composite lost 1.6%.

September has brought a loss of 5.2% so far for the S&P 500, putting it on track to be the worst month of the year by far, as the realization sets in that the Federal Reserve will indeed keep interest rates high for a long time. That growing understanding has sent yields in the bond market to their highest levels in more than a decade, which in turn has undercut prices for stocks and other investments.