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Subjects who died or who disenrolled from KFHP during the 9-year period were assigned a follow-up time equal to the difference between the index date and the date of dropout.
In addition to data abstracted from the subjects charts, hospitalizations and nursing home admissions were available from the KFHP database.
Today's rating actions follow a periodic review of KFHP's ratings.
KFHP and associated company Kaiser Foundation Hospitals (collectively Kaiser) along with the Permanente Medical Group constitute a unique vertically integrated system that provides health plan and health care services under the trade name Kaiser Permanente.
Fitch notes that KFH has issued the majority of the debt in Kaiser's capital structure and that KFHP, and affiliates of KFHP and KFH, have guaranteed payment of KFH's various bond issues.
In addition to affirming the existing ratings on KFHP and its subsidiaries, Fitch has assigned 'A+' IFS ratings to Kaiser Foundation Health Plan of Washington and Kaiser Foundation Health Plan of Washington Options, Inc.
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