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Fitch Ratings

Fitch affirms Cleveland County HealthCare System, North Carolina, bonds at 'A+'

Published in Hospital and Nursing Home Week, August 10th, 2006

Fitch has affirmed its underlying 'A+' rating on the approximately $38.6 million North Carolina Medical Care Commission Health Care Facilities Revenue Bonds (Cleveland County HealthCare System), Series 2004A.

The bonds are insured by Ambac Assurance Corp., whose insurer financial strength is rated 'AAA' by Fitch. Fitch has not provided an underlying rating on the $6.7 million Cleveland County, North Carolina, General Obligation Bonds, Series 2003 or the $29.5 million North Carolina Medical Care Commission Variable Rate Health Care Facilities Revenue Bonds, Series 2001. There are no outstanding swaps. The Rating Outlook is Stable.

Key credit strengths...

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