Fitch Ratings affirmed its "BBB" issuer default rating on Van Horn, Texas-based Culberson County Hospital District.
In addition, Fitch affirmed its "BBB" rating on CCHD's series 2009 revenue bonds, affecting $4.99 million of debt.
The affirmations are a result of CCHD's significant tax margin and strong operating performance as a result of this tax margin. Fitch also acknowledged the district's reliance on a small number of physicians and narrow population base as a critical access hospital.
The outlook is stable.