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2025 annual report · Table 5.5

Table 5.5 — Texas Health/Hospital Districts and Authorities with Certificates of Obligation Outstanding as of August 31, 2025

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 revenue sources. Excludes conduit debt. FY 2025 debt outstanding amounts do not include cash defeasance data. BRB has not yet approved these report definitions.

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Texas Health/Hospital Districts and Authorities with Certificates of Obligation Outstanding as of August 31, 2025 ($ millions; percentages)

Texas Health/Hospital Districts and Authorities with Certificates of Obligation Outstanding as of August 31, 2025
IssuerCertificates of obligationCertificates of obligation as % of tax-supported debt outstanding, %
Bexar County Hospital District (University Health System)$831.466.6%
Travis County Healthcare District$156.499.2%
Harris County Hospital District$59.36.8%
Total$1,047.224.8%

Share of all Health/Hospital tax-supported debt, $4,221.3 million (Table 1.3).

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 and difference in dollars; %. Printed in $ millions; %.
Fiscal year / measureComputed (dollars; %)Printed ($ millions; %)Difference (dollars; %)Result
2025 — Certificates of obligation$1,047,160,000$1,047.2-$40,000Ties
2025 — Share of all Health/Hospital tax-supported debt24.8%24.8%0.0%Ties
How this comparison works

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