6 recent hospital outlook and rating actions

The following hospital and health system rating and outlook changes and affirmations took place during the past week, starting with the most recent.

1. Fitch affirms Kaiser Permanente's bond rating
Fitch Ratings affirmed the "A+" long-term rating assigned to approximately $7.5 billion of revenue bonds issued on behalf of Oakland, Calif.-based Kaiser Permanente.

2. Moody's revises Indiana Regional Medical Center's outlook to negative
Moody's Investors Service affirmed the "Baa3" ratings on Indiana Borough, Pa.-based Indiana Regional Medical Center's bonds and revised the hospital's outlook to negative from stable.

3. Fitch upgrades rating on Children's Specialized Hospital's bonds
Fitch Ratings upgraded the rating on approximately $29.4 million of New Brunswick, N.J.-based Children's Specialized Hospital's series 2005A bonds to "BBB+" from "BBB."

4. Moody's downgrades North Texas Medical Center's bond rating
Moody's Investors Service downgraded the bond rating for Gainesville (Texas) Hospital District, which does business as North Texas Medical Center, to "A3" from "A2."

5. Fitch affirms Calvert Health System's rating
Fitch Ratings affirmed the "A" rating assigned to $31 million of series 2013 revenue bonds issued on behalf of Frederick, Md.-based Calvert Health System.

6. Moody's affirms FirstHealth of the Carolinas' bond ratings
Moody's Investors Service affirmed the "Aa3" and "Aa3/VMIG 1" ratings assigned to $225 million of Pinehurst, N.C.-based FirstHealth of the Carolinas' outstanding debt.

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