Fitch assigns long-term ratings of 'A+' to the following Kaiser Permanente (Kaiser) multimodal bond issues:
California Statewide Communities Development Authority (CSCDA)
--$71,590,000 series 2007A refunding bonds';
--$97,280,000 series 2007B refunding bonds';
--$144,230,000 series 2007C refunding bonds';
--$144,345,000 series 2007D refunding bonds'.
Kaiser will make a determination on the debt instrument based on market conditions just prior to the sale of the bonds. Kaiser may select any of the modes specified in the bond documents. Fitch will assign a short-term rating to the bonds if Kaiser chooses a short-term instrument.
In addition, Fitch affirms the 'A+' rating on all outstanding parity debt and insurer financial strength ratings (listed below) on Kaiser Permanente and affiliates, and affirms the insurer financial strength (IFS) rating of 'A+' on Kaiser Permanente Insurance Company. The rating affirmation affects approximately $4.1 billion of debt outstanding. The Rating Outlook is Stable.