Standard&Poor's Ratings Services confirmed its 'AA-/A-1+' rating on North Carolina Medical Care Commission's (Hugh Chatham Memorial Hospital) series 2008 health care facility revenue bonds, due to the bank facility being extended to April 30, 2014. The long-term and short-term components of the rating are based on the rating on the letter of credit provider, Wells Fargo Bank N.A. Criteria: Methodology And Assumptions: Approach To Evaluating Letter Of Credit-Supported Debt, July 6, 2009