S&P Global Ratings' long-term rating on the North Carolina Medical Care Commission's series 2021 tax-exempt revenue bonds, issued for CaroMont Health, is 'AA-'. S&P Global Ratings' issuer credit rating (ICR) on CaroMont Health is 'AA-'. The outlook is stable. Gross revenue secures the bonds. The rating reflects our view of CaroMont Health's leading market position in a growing service area with solid demand and robust growth plans over the outlook period. The hospital also benefits from an experienced management team that has maintained financial stability through operational pressure from increased labor and other expenses. The rating also incorporates our favorable assessment of CaroMont Health's financial performance and healthy balance sheet, exemplified by consistently positive operations and robust days' cash on