Fitch Ratings affirmed its "A+" rating on Midland (Texas) County Hospital District's bonds, affecting $95.5 million of rated debt.
Concurrently, Fitch affirmed its "A+" issuer default rating on the hospital district.
The affirmations are a result of several positive and negative factors, including the district's significant tax margin to support operations, solid market share and weak liquidity metrics.
Midland County Hospital District owns and operates Midland Memorial Healthcare System, which is licensed to operate 474 beds.
The outlook is stable.