This is a MuniPro demonstration of a redesigned Texas Bond Review Board website. It is not the official BRB site: nothing filed here reaches BRB, and the email addresses shown are BRB's own. The official site is brb.texas.gov.

Health & Hospital Districts

75 health & hospital districts reported $5,423,123,255 of principal outstanding at the end of fiscal year 2025.

Download CSV
Health & Hospital Districts, largest principal outstanding first
IssuerCountyPrincipal outstanding, FY 2025Debt service outstandingIssues
Bexar County Hospital District (University Health System)Bexar$1,247,585,000$1,965,092,3607
Harris County Hospital DistrictHarris$1,064,940,000$1,941,688,0985
El Paso County Hospital DistrictEl Paso$589,225,000$986,925,0584
Dallas County Hospital DistrictDallas$511,285,000$828,432,8742
Tarrant County Hospital DistrictTarrant$435,595,000$779,111,7773
Midland County Hospital District (Midland Memorial)Midland$217,750,000$350,340,1604
Travis County Healthcare DistrictTravis$157,670,000$222,510,4385
Decatur Hospital AuthorityWise$106,556,000$163,085,7734
Joint Guadalupe County-City of Seguin Hospital Board of ManagersGuadalupe$97,735,000$158,124,3061
Irving Hospital AuthorityDallas$92,645,000$146,574,8223
OakBend Medical CenterFort Bend$68,244,367$114,761,8864
Uvalde County Hospital AuthorityUvalde$57,930,000$66,974,8262
Nacogdoches County Hospital DistrictNacogdoches$45,845,249$67,956,4054
Hunt Memorial Hospital DistrictHunt$45,425,000$59,296,9984
Fredericksburg Hospital AuthorityGillespie$40,000,000$64,966,6671
Karnes County Hospital DistrictKarnes$35,293,000$56,640,4352
Moore County Hospital DistrictMoore-Hartley-Sherman$34,209,628$49,873,2145
Gainesville Hospital DistrictCooke$30,730,000$43,513,1041
Coryell County Memorial Hospital AuthorityCoryell$29,535,610$45,388,9515
Olney-Hamilton Hospital DistrictYoung$27,832,000$59,356,9973
Sweeny Hospital DistrictBrazoria$26,796,256$37,351,9641
Ector County Hospital DistrictEctor$26,640,000$34,010,9001
Seminole Hospital DistrictGaines$25,475,000$29,326,7412
Harris Center for MHIDDHarris$24,745,000$42,072,4941
Reagan Hospital DistrictReagan$22,275,000$31,118,5721
Hutchinson County Hospital DistrictHutchinson$20,350,000$30,749,4933
Deaf Smith County Hospital DistrictDeaf Smith$20,000,000$27,617,6751
Andrews County Hospital DistrictAndrews$19,575,000$23,071,4002
McCamey Hospital DistrictUpton$17,465,000$25,737,9851
Nolan County Hospital DistrictNolan$16,146,000$20,834,5253
Jack County Hospital DistrictJack$14,675,000$17,382,9582
Coleman County Medical Center DistrictColeman$14,222,000$20,450,8643
Gonzales Healthcare SystemsGonzales$13,531,230$19,002,8021
Comanche County Cons Hospital DistrictComanche$12,837,750$17,926,4712
Mitchell County Hospital DistrictMitchell$12,815,000$22,217,4441
Titus County Memorial Hospital DistrictTitus$12,751,667$15,874,4805
Hemphill County Hospital DistrictHemphill$12,215,000$18,929,3161
Martin County Hospital DistrictMartin$12,050,000$15,134,2001
Tri-County Behavioral HealthcareWalker, Montgomery, Liberty$11,920,000$20,756,1981
Schleicher County Hospital DistrictSchleicher$11,000,000$14,939,8081
Hondo Hospital AuthorityMedina$9,963,000$14,866,1294
Collin County MHMR CenterCollin$9,630,175$12,046,8631
Scurry County Hospital DistrictScurry$8,813,000$10,097,7053
Kimble County Hospital DistrictKimble$8,615,000$10,367,0751
Castro County Hospital DistrictCastro$8,539,665$12,563,0811
Metrocrest Hospital AuthorityDallas$8,101,772$9,067,0622
Heart of Texas Regional MHMR CenterMcLennan$7,360,000$10,254,2441
Iraan General Hospital DistrictPecos$6,555,000$8,099,1001
Dawson County Hospital DistrictDawson$6,200,000$7,014,0312
McCulloch County Hospital District (Heart of Texas Memorial)McCulloch$5,483,662$8,561,5621
North Wheeler County Hospital DistrictWheeler$5,450,000$6,750,8131
Rankin Hospital DistrictUpton$5,338,000$6,466,2531
Wilson County Memorial Hospital DistrictWilson$4,925,000$5,372,7382
Parmer County Hospital DistrictParmer$4,870,000$5,208,1421
Texana Center (MHMR)Fort Bend-Austin-Colorado-Matagorda-Waller-Wharton$3,995,000$5,765,6961
Angleton-Danbury Hospital DistrictBrazoria$3,905,000$4,133,5631
Collingsworth County Hospital DistrictCollingsworth$3,737,000$4,975,2481
Dallam-Hartley Counties Hospital DistrictDallam-Hartley$3,721,000$4,884,3622
West Wharton County Hospital DistrictWharton$3,404,000$5,167,9291
Hamilton Hospital DistrictHamilton$3,260,000$3,809,1262
Baylor County Hospital DistrictBaylor$2,825,000$3,216,8472
Stonewall County Hospital DistrictStonewall$2,392,000$2,742,1751
Bellville Hospital DistrictAustin$2,059,666$2,754,8031
Camino Real MHMRAtascosa$2,010,000$2,288,0531
Muenster Hospital DistrictCooke$1,789,996$2,892,4252
Culberson County Hospital DistrictCulberson$1,721,000$1,772,7101
Ochiltree County Hospital DistrictOchiltree$1,266,000$1,418,4921
Rice Hospital DistrictColorado$1,090,000$1,788,7431
Reeves County Hospital DistrictReeves$729,000$750,8291
Travis County Emergency SD 06Travis$705,000$738,2281
Behavioral Health Center of Nueces CountyNueces$490,000$547,2251
Eastland Memorial Hospital DistrictEastland$459,940$494,4371
West Hospital AuthorityMcLennan$102,931$107,1731
Travis County Emergency SD 03Travis$80,000$81,2001
Fannin County Hospital AuthorityFannin$20,691$25,1701
Austin/Travis County MHMR CenterNone reported0
Baylor Health Care SystemDallasNone reported0
Bexar County MHMRNone reported0
Bluebonnet Trails Community MHMR CenterWilliamsonNone reported0
Booker Hospital DistrictLipscombNone reported0
Bowie Hospital AuthorityMontagueNone reported0
Burleson County Hospital DistrictBurlesonNone reported0
Burnet County Hospital AuthorityBurnetNone reported0
Chambers County Public Hospital District 1ChambersNone reported0
Dallas Metrocare Services (MHMR)DallasNone reported0
Denton County MHMR CenterDentonNone reported0
El Paso County 911 DistrictEl PasoNone reported0
Gulf Bend MHMR CenterVictoriaNone reported0
Gulf Coast Center (MHMR) TheGalvestonNone reported0
Hansford County Hospital DistrictHansfordNone reported0
Hopkins County Hospital DistrictHopkinsNone reported0
Lynn County Hospital DistrictLynnNone reported0
Matagorda County Hospital DistrictMatagordaNone reported0
MHMR Services for the Concho ValleyTom GreenNone reported0
Muleshoe Area Hospital DistrictBailey-ParmerNone reported0
Palo Pinto Hospital DistrictPalo PintoNone reported0
Sabine Valley MHMR CenterNone reported0
South Limestone Hospital DistrictLimestoneNone reported0
Starr County Memorial Hospital DistrictStarrNone reported0
Texoma Regional MHMR CenterNone reported0

Source: Local Issuance Fee By Year (updated by the publisher Sep 9, 2026); Debt Outstanding By Issuance Local By Year (updated by the publisher Sep 9, 2026). Loaded here Oct 3, 2026.

Texas fiscal years run September 1 to August 31.

Figures are as reported to the agency and have not been independently verified.