Moody's Investors Service put Western Missouri Medical Center's MIG-1 rating on $46.6 million of notes on negative watch for a possible downgrade due to a change in how the rating agency analyzes support under the U.S. Department of Agriculture's Rural Development loan program.

The taxable bonds, which mature Oct. 1, 2012, were sold last year through Johnson County. Since the original rating was assigned, Moody's has reevaluated the credit quality associated with the takeout financing of the USDA-RD loan program, which provides the primary source of security for the notes.

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