Fitch Ratings affirmed the "BBB" rating on Stanton, Texas-based Martin County Hospital District's $19.5 million of series 2011A and series 2011B combination limited tax and revenue bonds.
The ratings agency also removed the hospital district from ratings watch evolving.
The ratings affirmation is based on a number of factors, including the hospital district's tax revenue base, which provides flexibility, and its critical access designation.
The outlook is stable.