Standard&Poor's Ratings Services confirmed its 'AAA/A-1' long-term ratings and 'A+' underlying ratings (SPURs) on Allegheny County Hospital Development Authority's (University of Pittsburgh Medical Center) series 2010 B-1 and 2010 B-2 hospital variable-rate demand obligation bonds. These issues, which receive a Deutsche Bank AG credit enhancement, are not affected by the March 26, 2013, placement of Deutsche Bank AG's 'A+' long-term rating on CreditWatch with negative implications. The CreditWatch is expected to resolve in the coming weeks, either by affirming the 'A+' long-term rating or lowering the rating by one notch (see, "Deutsche Bank 'A+' Long-Term Ratings Placed On CreditWatch Negative After Earnings Announcement," published March 26, 2013, on RatingsDirect). Criteria: Methodology And Assumptions: Approach To Evaluating Letter Of
