Fitch downgrades Midland County Hospital District's bonds to 'A+'

Fitch Ratings downgraded the rating to "A+" from "AA" on Midland (Texas) County Hospital District's $102.1 million of series 2009A and series 2009B limited tax bonds.

Fitch also removed the hospital district from rating watch evolving.

The ratings downgrade is based on a number of factors, including the district's high debt burden and notable operating pressures.

The outlook is stable.

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