NEW YORK--(BUSINESS WIRE)--Fitch Ratings has affirmed the 'BBB+' rating on the following bonds issued by North Carolina Medical Care Commission on behalf of Arbor Acres United Methodist Retirement Community (Arbor Acres): --$16.43 million, series 2007 first mortgage revenue bonds. The Rating Outlook is Stable. SECURITY The bonds are secured by gross revenues, security interest in the residency agreements, a first mortgage, and a debt service reserve fund. KEY RATING DRIVERS STABILIZED CASH POSI