AUSTIN, Texas--(BUSINESS WIRE)--Fitch Ratings has affirmed the following rating action on Midland County Hospital District, Texas' (the district) outstanding bonds: --$103.7 million limited tax bonds, series 2009A and 2009B at 'AA'. The Rating Outlook is Stable. SECURITY The bonds are direct obligations of the district payable from the levy and collection of an ad valorem tax levied on all taxable property within the district, within the $0.75 per $100 of taxable assessed valuation (TAV) allowa