AUSTIN, Texas--(BUSINESS WIRE)--Fitch Ratings has removed from Rating Watch Negative and affirmed the following bonds for the El Paso County Hospital District, TX (the district) at 'AA-': --$134.3 million combination tax and revenue certificates of obligation (CO) series 2013; --$110.4 million general obligation (GO) refunding bonds series 2013 --$7.2 million GO refunding bonds series 2009; --$116.3 million GO bonds series 2008A; --$1.5 million combination tax and revenue certificates of obliga