Press Release|Public Finance
KBRA Assigns AA+ Rating to Travis County Hospital District’s (TX) Series 2025 (Limited Tax) Certificates of Obligation (“COs”) and Affirms Outstanding Parity COs at AA+; Stable Outlook
31 Oct 2025 | New York
KBRA assigns a long-term rating of AA+ to Travis County Hospital District's (the "District's") Series 2025 (Limited Tax) Certificates of Obligation ("COs") and affirms outstanding parity COs at AA+, all with a Stable Outlook. The Certificates are payable from receipts of a separate, distinct and continuing ad valorem tax levied, within the limits prescribed by law, on all taxable property within the District.
Key Credit Considerations
The rating was assigned and affirmed because of the following key credit considerations:
Credit Positives
- Strength and diversity of the District’s large and growing tax base.
 - Solid legal framework supporting the Certificates’ repayment.
 - District’s ad valorem tax rate remains considerably below the voter-approved tax levy limit, although narrowing.
 
Credit Challenges
- Capital needs associated with expanding healthcare services and facilities, including the provision of direct care in select specialties.
 - Challenges inherent to servicing an indigent population that is largely uninsured and underinsured.
 
Rating Sensitivities
For Upgrade
- Material growth in the property tax base, which supports the District’s revenues and bolsters the taxing capacity within the voter-approved tax limit.
 - Consistent maintenance of costs below expectations which mitigates the overall tax levy, as the District continues to expand its network of healthcare providers and provision of specialty care services.
 
For Downgrade
- Sharp secular deceleration in tax base growth pressuring organic growth of ad valorem tax support.
 - Material decline in headroom under the existing ad valorem tax limit.
 
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