This report does not constitute a rating action. 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 of the obligated group secures the bonds. The rating reflects our view of CaroMont Health's consistent, leading market position in a growing service area, and although the primary service area (PSA) population is somewhat modest for the rating level, the counties served by the hospital have healthy growth indicators above the national average, which we view favorably. Furthermore, the hospital has been experiencing solid demand over the last few