The rating on North Carolina Medical Care Commission's bonds, issued for Adventist Health System/Sunbelt Obligated Group, has been affirmed based on the long-term rating of Adventist ('A') and the rating of the LOC provider, SunTrust Bank ('AA-/A-1+'). Complete ratings information is available to subscribers of RatingsDirect, Standard&Poor's Web-based credit analysis system, at www.ratingsdirect.com. All ratings affected by this rating action can be found on Standard&Poor's public Web site at www.standardandpoors.com; under Credit Ratings in the left navigation bar, select Find a Rating, then Credit Ratings Search.