Fitch Places Enhanced Variable Rate Muni Bonds on Rating Watch Negative (6/16/09)

NEW YORK--(Business Wire)--
In connection with the long-term 'AA-' rating of the Branch Banking & Trust
Company being placed on Rating Watch Negative on May 15, 2009, Fitch Ratings
places the long-term ratings of the municipal bonds listed below that are
supported by letters of credit provided by the Branch Banking & Trust Company on
Rating Watch Negative.

Fitch places the 'AA+' rating on the following bonds on Rating Watch Negative.
The long-term rating on the municipal bonds is higher than the rating of the
enhancement provider because of consideration given to Fitch's joint support
methodology:

-- Kentucky Economic Development Finance Authority (KY) (Ashland Hospital Corp
dba King's Daughters' Medical Center Project) adjustable-rate medical center
revenue refunding & improvement bonds series 2008A

-- Kentucky Economic Development Finance Authority (KY) (Ashland Hospital Corp
dba King's Daughters' Medical Center Project) adjustable-rate medical center
revenue refunding & improvement bonds series 2008B

Fitch places the 'AA-' rating on the following bonds on Rating Watch Negative:

-- Butler County Hospital Authority (PA) (Butler Health System Project) variable
rate hospital revenue bonds series 2009A

-- Indiana Finance Authority (IN) (Clarian Health Partners, Inc.) hospital
revenue refunding bonds series 2008A

-- Indiana Finance Authority (IN) (Marquette Project) revenue bonds (non-AMT)
series 2009A

-- Indiana Finance Authority (IN) (Marquette Project) revenue bonds (non-AMT)
series 2009B

-- Indiana Health and Educational Facility Financing Authority (IN) (Clarian
Health Obligated Group) revenue bonds series 2005C

-- Indiana Health and Educational Facility Financing Authority (IN) (Clarian
Health Obligated Group) revenue bonds series 2005D

-- Maryland Health & Higher Educational Facilities Authority (MD) (Frederick
Memorial Hospital Issue) revenue bonds series 2008

-- Maryland Health & Higher Educational Facilities Authority (MD) (Upper
Chesapeake Health System Issue) revenue bonds series 2008B

-- North Carolina Medical Care Commission (NC) (Deerfield Episcopal Retirement
Community) 1st mortgage revenue refunding health care facilities series 2008B

-- Orange County Health Facilities Authority (FL) (Presbyterian Retirement
Communities, Inc. Project) variable-rate revenue bonds series 2006B

-- Orange County Health Facilities Authority (FL) (Presbyterian Retirement
Communities, Inc. Project) variable-rate revenue refunding bonds series 2006A

-- South Carolina Jobs-Economic Development Authority (SC) (AnMed Health) hosp
refunding revenue bonds series 2009A

-- South Carolina Jobs-Economic Development Authority (SC) (AnMed Health) hosp
refunding revenue bonds series 2009C

-- South Carolina Jobs-Economic Development Authority (SC) (AnMed Health) hosp
refunding revenue bonds series 2009D

-- St. Petersburg Health Facilities Authority (FL) (Presbyterian Retirement
Communities Project) variable rate demand revenue bonds series 2009

Fitch's rating definitions and the terms of use of such ratings are available on
the agency's public site, www.fitchratings.com. Published ratings, criteria and
methodologies are available from this site, at all times. Fitch's code of
conduct, confidentiality, conflicts of interest, affiliate firewall, compliance
and other relevant policies and procedures are also available from the 'Code of
Conduct' section of this site.

Fitch Ratings, New York
Eric V. Espino, +1-212-908-0574
Sarah Repucci, +1-212-908-0726
Cindy Stoller, +1-212-908-0526 (Media Relations)
cindy.stoller@fitchratings.com

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