The Charleston Area Medical Center, West Virginia’s largest medical provider, was put on watch for a possible downgrade last week by Moody’s Investors Service. The A2-rated hospital has $307 million of debt outstanding.

The negative watch reflects the hospital’s weaker-than-expected operating performance for fiscal 2010 through Sept. 30, accoridng to Moody’s. The rating agency said CAMC’s key performance indicators all compare “unfavorably to similarly rated ­organizations.”

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