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2025 annual report · Figure 5.5

Figure 5.5 — Texas Health/Hospital Districts and Authorities — Total Tax-Supported Debt Outstanding

As of .

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Certificates of obligation identified from the issue's name as BRB's open data records it. This name-based selection applies only to this health/hospital district exhibit. Includes debt secured by a combination of ad valorem taxes and other revenues. Amounts may not sum due to rounding. Excludes conduit debt. FY 2025 debt outstanding amounts do not include cash defeasance data. BRB has not yet approved these report definitions.

Texas Health/Hospital Districts and Authorities — Total Tax-Supported Debt Outstanding$ billions0123452016: Certificates of obligation — $897,215,0002016: Other general obligation debt — $1,501,748,987$2.40 billion20162017: Certificates of obligation — $652,265,0002017: Other general obligation debt — $1,650,253,342$2.30 billion20172018: Certificates of obligation — $895,735,0002018: Other general obligation debt — $1,621,433,970$2.52 billion20182019: Certificates of obligation — $642,735,0002019: Other general obligation debt — $1,785,042,890$2.43 billion20192020: Certificates of obligation — $628,115,0002020: Other general obligation debt — $1,834,316,517$2.46 billion20202021: Certificates of obligation — $607,975,0002021: Other general obligation debt — $1,800,649,842$2.41 billion20212022: Certificates of obligation — $667,645,0002022: Other general obligation debt — $1,786,410,537$2.45 billion20222023: Certificates of obligation — $1,224,885,0002023: Other general obligation debt — $2,139,637,880$3.36 billion20232024: Certificates of obligation — $1,078,670,0002024: Other general obligation debt — $2,189,043,653$3.27 billion20242025: Certificates of obligation — $1,047,160,0002025: Other general obligation debt — $3,174,164,772$4.22 billion2025Texas Health/Hospital Districts and Authorities — Total Tax-Supported Debt Outstanding$ billions0123452016$2.40 billion2016: Certificates of obligation — $897,215,0002016: Other general obligation debt — $1,501,748,9872017$2.30 billion2017: Certificates of obligation — $652,265,0002017: Other general obligation debt — $1,650,253,3422018$2.52 billion2018: Certificates of obligation — $895,735,0002018: Other general obligation debt — $1,621,433,9702019$2.43 billion2019: Certificates of obligation — $642,735,0002019: Other general obligation debt — $1,785,042,8902020$2.46 billion2020: Certificates of obligation — $628,115,0002020: Other general obligation debt — $1,834,316,5172021$2.41 billion2021: Certificates of obligation — $607,975,0002021: Other general obligation debt — $1,800,649,8422022$2.45 billion2022: Certificates of obligation — $667,645,0002022: Other general obligation debt — $1,786,410,5372023$3.36 billion2023: Certificates of obligation — $1,224,885,0002023: Other general obligation debt — $2,139,637,8802024$3.27 billion2024: Certificates of obligation — $1,078,670,0002024: Other general obligation debt — $2,189,043,6532025$4.22 billion2025: Certificates of obligation — $1,047,160,0002025: Other general obligation debt — $3,174,164,772
Fiscal years 2016–2025. Fiscal year 2025, certificates of obligation: about $1.05 billion. Values and categories are in the table below.
  • Certificates of obligation
  • Other general obligation debt

Download CSV — exact dollars

Texas Health/Hospital Districts and Authorities — Total Tax-Supported Debt Outstanding ($ billions)

Fiscal yearCertificates of obligationOther general obligation debt
2016$0.90$1.50
2017$0.65$1.65
2018$0.90$1.62
2019$0.64$1.79
2020$0.63$1.83
2021$0.61$1.80
2022$0.67$1.79
2023$1.22$2.14
2024$1.08$2.19
2025$1.05$3.17

Source: Texas Bond Review Board - Bond Finance Office.

Debt Outstanding By Issuance Local By YearSource updated: 9/10/2026. Loaded 10/8/2026, 12:57 PM Central Time.

Data dictionary: local issues and their columns

Ties

These totals tie to the printed report at its stated rounding.

Computed totals compared with the printed report ($ millions). Exact dollars are in the CSV and comparison details.
Fiscal year / measureComputed ($ millions)Printed ($ millions)Difference ($ millions)Result
2016 — Certificates of obligation$897.2$900.0-$2.8Ties
2016 — Other general obligation debt$1,501.7$1,500.0$1.7Ties
2017 — Certificates of obligation$652.3$650.0$2.3Ties
2017 — Other general obligation debt$1,650.3$1,650.0$0.3Ties
2018 — Certificates of obligation$895.7$900.0-$4.3Ties
2018 — Other general obligation debt$1,621.4$1,620.0$1.4Ties
2019 — Certificates of obligation$642.7$640.0$2.7Ties
2019 — Other general obligation debt$1,785.0$1,790.0-$5.0Ties
2020 — Certificates of obligation$628.1$630.0-$1.9Ties
2020 — Other general obligation debt$1,834.3$1,830.0$4.3Ties
2021 — Certificates of obligation$608.0$610.0-$2.0Ties
2021 — Other general obligation debt$1,800.6$1,800.0$0.6Ties
2022 — Certificates of obligation$667.6$670.0-$2.4Ties
2022 — Other general obligation debt$1,786.4$1,790.0-$3.6Ties
2023 — Certificates of obligation$1,224.9$1,220.0$4.9Ties
2023 — Other general obligation debt$2,139.6$2,140.0-$0.4Ties
2024 — Certificates of obligation$1,078.7$1,080.0-$1.3Ties
2024 — Other general obligation debt$2,189.0$2,190.0-$1.0Ties
2025 — Certificates of obligation$1,047.2$1,050.0-$2.8Ties
2025 — Other general obligation debt$3,174.2$3,170.0$4.2Ties
How this comparison works

Every difference is computed minus printed. The comparison uses the printed report’s stated precision.