Fitch Ratings has affirmed the "AA+" rating on Dallas County Hospital District's following bonds:
- $9.5 million limited tax bonds tax-exempt series 2009A
- $222.5 million limited tax bonds taxable series 2009B
- $457.7 million limited tax bonds taxable series 2009C
- $38.3 million limited tax bonds series 2013
The rating affirmation is based on several factors, including the district's diverse tax base and key role in the region as a safety net hospital.
The outlook is stable.