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Industry Report Card: Ratings Outlook Remains Stable For U.S. For-Profit Health Care Companies May 12

Standard & Poors, May 2012

Abstract
Standard & Poor's Ratings Services expects ratings for 2012 on the U.S. for-profit health care sector to be stable. Our view reflects adequate or better liquidity for a high majority of issuers, bolstering credit quality in the face of ongoing reimbursement pressures and sluggish demand for many products and services. Of 151 rated issuers, over 80% have stable outlooks and rating activity has been balanced between upgrades and downgrades since 2011. We are expecting, on aggregate, low- to mid-single-digit growth for our rated issuers. (Watch the related CreditMatters TV segment titled, "A Big Picture Look At The U.S. For-Profit Health Care Sector," dated May 8, 2012.) When analyzing the subsectors within U.S. for-profit health care, we focus largely on the...

Standard and Poors RatingsXpress Credit Research provides in-depth coverage of international corporates, financial institutions, insurance companies, utilities, sovereigns and structured finance programs. RatingsXpress Credit Research lets users determine the credit rating of holdings and identify key factors underlying an issuer's creditworthiness, distinguishes the different risk exposures for new and existing deals, and provides an understanding of how their analysts interpret key regulatory, political and environmental events and their economic impact.

Research Type: Commentary
Criteria articles describe the thought process and methodology Standard & Poor's analysts use in determining ratings. These commentary pieces discuss both the quantitative (economic and financial) and qualitative (business analysis and caliber of management) aspects of the analysis, as well as legal issues.

- Abbott Laboratories
- Bausch & Lomb Inc.
- Becton Dickinson & Co.
- Bristol-Myers Squibb Co.
- PerkinElmer Inc.
- Valeant Pharmaceuticals International Inc.
- Johnson & Johnson
- Eli Lilly & Co.
- HCR HealthCare LLC
- McKesson Corp.
- Merck & Co. Inc.
- Tenet Healthcare Corp.
- Pfizer Inc.
- Thermo Fisher Scientific Inc.
- Service Corp. International
- Universal Health Services Inc.
- Cardinal Health Inc.
- Health Management Associates Inc.
- Bard (C.R.) Inc.
- St. Jude Medical Inc.
- Cooper Cos. Inc.
- Alliance HealthCare Services
- Baxter International Inc.
- HealthSouth Corp.
- Allergan Inc.
- Community Health Systems Inc.
- Amgen Inc.
- Hill-Rom Holdings Inc.
- Elan Corp. plc
- Kindred Healthcare Inc.
- HCA Inc.
- Omnicare Inc.
- Apria Healthcare Group Inc.
- Stewart Enterprises Inc.
- DaVita HealthCare Partners Inc.
- Sun Healthcare Group Inc.
- Quintiles Transnational Corp.
- Owens & Minor Inc.
- Boston Scientific Corp.
- Quest Diagnostics Inc.
- Teva Pharmaceutical Industries Ltd.
- Laboratory Corp. of America Holdings
- PSS World Medical Inc.
- IMS Health Inc.
- Kinetic Concepts Inc.
- Actavis, Inc.
- Universal Hospital Services Inc.
- Rural/Metro Corp.
- Res-Care Inc.
- Skilled Healthcare Group Inc.
- Phibro Animal Health Corp.
- Stryker Corp.
- Team Health Inc.
- LifePoint Hospitals Inc.
- Express Scripts Inc.
- VCA Antech Inc.
- Hanger Inc.
- Medtronic Inc.
- DENTSPLY International Inc.
- Bio-Rad Laboratories Inc.
- Charles River Laboratories International Inc.
- IASIS Healthcare Corp.
- Warner Chilcott PLC
- Agilent Technologies Inc.
- Gentiva Health Services Inc.
- Vanguard Health Systems Inc.
- Endo Health Solutions Inc.
- Select Medical Corp.
- Zimmer Holdings Inc.
- AmerisourceBergen Corp.
- Accellent Inc.
- Managed Health Care Associates Inc.
- United Surgical Partners International Inc.
- Rotech Healthcare Inc.
- Biogen Idec Inc.
- Medco Health Solutions Inc.
- National Mentor Holdings Inc.
- Radiation Therapy Services Inc.
- AHS Medical Holdings LLC
- Celgene Corp.
- AMN Healthcare Inc.
- Alere Inc.
- Sheridan Healthcare Inc.
- RadNet Management Inc.
- VWR Funding Inc.
- Hospira Inc.
- DJO Global Inc.
- Carriage Services Inc.
- Emergency Medical Services Corp.
- Diagnostic Imaging Group LLC
- CRC Health Corp.
- Butler Animal Health Supply LLC
- Mylan Inc.
- OnCure Medical Corp.
- LifeCare Holdings Inc.
- Genoa Healthcare Group LLC
- inVentiv Health Inc.
- Capella Healthcare Inc.
- CCS Medical Inc.
- Harlan Laboratories Inc.
- Patheon Inc.
- BioMarin Pharmaceutical Inc. (Unsolicited Ratings)
- MedAssets Inc.
- AssuraMed Holding Inc.
- Fenwal Inc.
- Catalent Pharma Solutions Inc.
- Air Medical Group Holdings
- RPI Finance Trust dba Royalty Pharma
- Biomet Inc.
- Prospect Medical Holdings Inc.
- Surgical Care Affiliates
- Symbion Inc.
- Hologic Inc.
- Advanced Homecare Holdings Inc. d/b/a Encompass Home Health Inc.
- PRA International
- Hillenbrand Inc.
- Life Technologies Corp.
- CareFusion Corp.
- StoneMor Partners L.P.
- BioScrip Inc.
- The Harvard Drug Group LLC
- American Renal Holdings Inc.
- Lantheus Medical Imaging Inc.
- U.S. Renal Care Inc.
- Renal Advantage Holdings Inc.
- Covidien plc
- Aspen Dental Management Inc.
- ConvaTec Inc.
- Teleflex Inc.
- Smile Brands Group Inc.
- Aurora Diagnostics Holdings LLC
- National Surgical Hospitals, Inc.
- Vantage Oncology Holdings LLC
- Gilead Sciences Inc.
- STHI Holding Corp.
- Surgery Center Holdings Inc.
- Valitas Health Services Inc.
- Drumm Corp.
- Medpace Inc.
- Univita Health Inc.
- ExamWorks Group Inc.
- Capsugel Holdings S.A.
- Alkermes Inc.
- INC Research LLC
- Immucor Inc.
- Phillips Plastics Corp.
- RP Select Finance Trust
- Acadia Healthcare Co. Inc.
- RegionalCare Hospital Partners
- Healogics Inc
- Pharmaceutical Product Development LLC
- Physio-Control International, Inc.
- American Dental Partners, Inc.

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