Standard&Poor's Ratings Services assigned its 'A+' long-term rating to North Carolina Medical Care Commission's $96.1 million series 2010 hospital revenue bonds issued for New Hanover Regional Medical Center (NHRMC). The outlook is stable. At the same time, Standard&Poor's affirmed its 'A+' underlying ratings (SPURs) on NHRMC bonds by various issuers, and its 'AAA/A-2' dual rating on the medical center's series 2008A and 2008B bonds based on low-correlation joint support of NHRMC and the letter of credit provider, RBC Bank USA (A-/A-2). The outlook on the SPURs is stable. Proceeds from the series 2010 bonds will fully refund NHRMC's series 1999 bonds. Upon refunding, the ratings on the 1999 bonds will be withdrawn. In our last published