Press Release|Public Finance
KBRA Affirms AA+ Rating, Stable Outlook for Midland County Hospital District, Limited Tax General Obligation Bonds
7 Aug 2025 | New York
KBRA affirms the long-term AA+ rating for the Midland County Hospital District, Limited Tax General Obligation Bonds. The Outlook is Stable.
Key Credit Considerations
The ratings reflect the following key credit considerations:
Credit Positives
- Midland is the only safety net healthcare provider in the County and plays a critical role within the community’s health mission.
- A growing tax base continues to generate strong property tax revenues for the District.
- The current tax rate of $0.0763 per $100 of AV provides ample flexibility for the District to increase the rate further to meet future debt service, if needed.
Credit Challenges
- Top 10 taxpayers are concentrated in the oil and gas industry.
Rating Sensitivities
For Upgrade
- Tax base diversification.
For Downgrade
- Significant economic downturn that results in a sharp reduction in pledged ad valorem tax revenues.
To access ratings and relevant documents, click here.