Moody's Investors Service has affirmed Sacramento, Calif.-based Sutter Health's "Aa3" revenue bond rating, and revised its outlook to negative from stable.
The affirmation of Sutter Health's bond rating was based on a number of factors, such as its history of strong cashflow production and its conservative asset-liability structure.
The negative outlook reflects challenges Sutter Health is currently facing, including its poor performance in fiscal year 2013 and a capital plan of $5 billion over the next five years.
Sutter Health posted a $22 million loss from operations in fiscal year 2013, compared with an operating profit of $549 million in 2012.
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