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SPECIAL DISTRICT • Tarrant County, TX

Tarrant County Hospital Discrict

A+
Texas Liberty Watchdog Index
Freedom Score: 96.1/100▲ +1.3 pts (5Y Trend)
Category Rank: #679 among Texas Special Districts • Tier Rank: #674 (TIER 5 RURAL)
Fiscal Restraint
90.2/100
Regulatory Restraint
100/100
Debt Burden
100/100
Population / Scale
Special District
Property Tax Rate (FY 27)
$0.16401
per $100 (2026–2027 levy)
FY 2027 Adopted Budget
$31.2M
+1.5% YoY • +14.0% (5Y)
Outstanding Debt
$485.60M
Official Government Portal
★ $1 14-Day Citizen Watchdog Trial • Full Local UnlockTarrant County Hospital Discrict Grade: A+ (96.1/100)

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2026 Tarrant County Printable Sample Ballot & Incumbent Report Card (PDF Preview)
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Tarrant County Hospital Discrict Council / Precinct Seats
Grade B+ • Pro-Taxpayer
B+
Tarrant County Commissioners & Judge
Grade A- • Debt Restraint
A-
Local ISD School Board & Bond Propositions
VOTE NO • +$142M Debt
D-
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Elected & Governing Officials (2)

🔒 2 Additional Tarrant County Hospital Discrict Council / Precinct Voting Grades Locked
See how your specific district representative voted on property taxes & bond debt — plus get 72-hour pre-vote tax alerts and your printable 2026 Tarrant County Sample Ballot PDF.

Adopted Fiscal Budgets & Appropriations (28 Fiscal Years)

FY 2027 ADOPTED+1.5% YoYFreedom Score: 96.1 (A+)• Adopted Sep 10, 2026FY 2027 (2026–2027) Adopted District Operating & Debt Budget — Tarrant County Hospital Discrict
Official PDF

FY 2027 Adopted Budget ($31,210,285) and Adopted Property Tax Rate ($0.164010 per $100 valuation) for Tarrant County Hospital Discrict. Source: Tarrant County 2026 Certified Tax Roll & Truth-in-Taxation Calculation.

Total Appropriation
$31.2M
0
Debt Service (I&S)
$29.8M
0
Public Safety: $1.1M (3%)
000
Administration: $0.2M
Adopted Tax Rate: $0.16401 / $100
FY 2026 ADOPTED+3.2% YoYFreedom Score: 94.9 (A+)• Adopted Sep 15, 2025FY 2026 Adopted Operating & Debt Service Budget — Tarrant County Hospital Discrict
Official PDF

Adopted FY 2026 Special District Operating & Debt Service Budget for Tarrant County Hospital Discrict (Tarrant County) totaling $30,746,020 ($0 Maintenance & Operations; $29,496,020 I&S Bond Debt Service; $1,250,000 Utility/Service Enterprise Fund). Certified Bond Review Board / SPDPID Principal Debt Outstanding: $433,765,000. Funded under an adopted property tax rate of $0.1650 per $100 valuation.

Total Appropriation
$30.7M
0
Debt Service (I&S)
$29.5M
0
Public Safety: $1.1M (3%)
000
Administration: $0.2M
Adopted Tax Rate: $0.1650 / $100
FY 2025 ADOPTED+2.6% YoYFreedom Score: 94.9 (A+)• Adopted Sep 15, 2024FY 2025 (2024–2025) Adopted District Operating & Debt Budget — Tarrant County Hospital Discrict
Official PDF

Official FY 2025 Adopted Budget ($29,792,655) and 2024 Property Tax Rate ($0.165000 per $100 valuation) for Tarrant County Hospital Discrict. Source: Texas Comptroller PTAD 2024 Tax Rate & Levy Roll.

Total Appropriation
$29.8M
Debt Service (I&S)
$28.6M
Public Safety: $1.0M (3%)
Administration: $0.2M
Adopted Tax Rate: $0.1650 / $100
FY 2024 ADOPTED+3.0% YoYFreedom Score: 94.8 (A+)• Adopted Sep 12, 2023FY 2024 (2023–2024) Adopted District Operating & Debt Budget — Tarrant County Hospital Discrict
Official PDF

Official FY 2024 (2023–2024) Adopted Operating & Debt Service Budget for Tarrant County Hospital Discrict (Tarrant County) totaling $29,037,675. Certified 2023 Tax Year ad valorem property tax rate: $0.1680 per $100 taxable valuation.

Total Appropriation
$29.0M
Debt Service (I&S)
$27.9M
Public Safety: $1.0M (3%)
Administration: $0.2M
Adopted Tax Rate: $0.16797 / $100
FY 2023 ADOPTED+3.0% YoYFreedom Score: 94.8 (A+)• Adopted Sep 12, 2022FY 2023 (2022–2023) Adopted District Operating & Debt Budget — Tarrant County Hospital Discrict
Official PDF

Official FY 2023 (2022–2023) Adopted Operating & Debt Service Budget for Tarrant County Hospital Discrict (Tarrant County) totaling $28,205,610. Certified 2022 Tax Year ad valorem property tax rate: $0.1697 per $100 taxable valuation.

Total Appropriation
$28.2M
Debt Service (I&S)
$27.1M
Public Safety: $1.0M (3%)
Administration: $0.2M
Adopted Tax Rate: $0.16965 / $100

Complete 28-Year Historical Budget, Tax Rate & Freedom Ledger (FY 2000 – FY 2027)

Year-by-year certified appropriations, property tax rates, per-capita spending, Freedom Index scores, and official budget PDFs
FY 2027$31.21M(+1.5% YoY)
0Tax Rate: $0.16401Freedom: 96.1 (A+)
Official PDF
FY 2026$30.75M(+3.2% YoY)
0Tax Rate: $0.1650Freedom: 94.9 (A+)
Official PDF
FY 2025$29.79M(+2.6% YoY)
Tax Rate: $0.1650Freedom: 94.9 (A+)
Official PDF
FY 2024$29.04M(+3.0% YoY)
Tax Rate: $0.16797Freedom: 94.8 (A+)
Official PDF
FY 2023$28.21M(+3.0% YoY)
Tax Rate: $0.16965Freedom: 94.8 (A+)
Official PDF
FY 2022$27.38M(+2.1% YoY)
Tax Rate: $0.171516Freedom: 94.8 (A+)
Official PDF
FY 2021$26.81M(+2.0% YoY)
Tax Rate: $0.175118Freedom: 94.6 (A+)
Official PDF
FY 2020$26.28M(+2.7% YoY)
Tax Rate: $0.176694Freedom: 94.5 (A+)
Official PDF
FY 2019$25.59M(+2.3% YoY)
Tax Rate: $0.177754Freedom: 94.4 (A+)
Official PDF
FY 2018$25.01M(+2.5% YoY)
Tax Rate: $0.179354Freedom: 94.3 (A+)
Official PDF
FY 2017$24.41M(+3.1% YoY)
Tax Rate: $0.180789Freedom: 94.2 (A+)
Official PDF
FY 2016$23.67M(+2.1% YoY)
Tax Rate: $0.180789Freedom: 94.2 (A+)
Official PDF
FY 2015$23.18M(+2.2% YoY)
Tax Rate: $0.182416Freedom: 94 (A+)
Official PDF
FY 2014$22.68M(+2.7% YoY)
Tax Rate: $0.183328Freedom: 93.9 (A+)
Official PDF
FY 2013$22.08M(+3.0% YoY)
Tax Rate: $0.183695Freedom: 93.8 (A+)
Official PDF
FY 2012$21.43M(+2.0% YoY)
Tax Rate: $0.18296Freedom: 93.8 (A+)
Official PDF
FY 2011$21.01M(+2.8% YoY)
Tax Rate: $0.182594Freedom: 93.7 (A+)
Official PDF
FY 2010$20.43M(+2.2% YoY)
Tax Rate: $0.184055Freedom: 93.6 (A+)
Official PDF
FY 2009$19.98M(+2.7% YoY)
Tax Rate: $0.184791Freedom: 93.5 (A+)
Official PDF
FY 2008$19.45M(+2.2% YoY)
Tax Rate: $0.184052Freedom: 93.4 (A+)
Official PDF
FY 2007$19.03M(+2.5% YoY)
Tax Rate: $0.1835Freedom: 93.3 (A+)
Official PDF
FY 2006$18.56M(+2.2% YoY)
Tax Rate: $0.184418Freedom: 93.2 (A+)
Official PDF
FY 2005$18.16M(+2.9% YoY)
Tax Rate: $0.184234Freedom: 93.1 (A+)
Official PDF
FY 2004$17.65M(+2.2% YoY)
Tax Rate: $0.184418Freedom: 93.1 (A+)
Official PDF
FY 2003$17.27M(+2.9% YoY)
Tax Rate: $0.184418Freedom: 92.9 (A+)
Official PDF
FY 2002$16.79M(+2.0% YoY)
Tax Rate: $0.184049Freedom: 92.9 (A+)
Official PDF
FY 2001$16.46M(+2.7% YoY)
Tax Rate: $0.185521Freedom: 92.8 (A+)
Official PDF
FY 2000$16.03M(+2.0% YoY)
Tax Rate: $0.185892Freedom: 92.7 (A+)
Official PDF

Active Code of Ordinances & Municipal Regulations

Search All Ordinances & Regulations →
Order No. 2023-09-02 • Taxes & Development FeesOverreach: 10/100
Levy of 2023 Tax Year Ad Valorem Property Tax Rate for Tarrant County Hospital Discrict
Official legislative enactment levying the 2023 Tax Year ad valorem property tax rate for Maintenance & Operations (M&O) and Interest & Sinking (I&S) Debt Servi...
Order No. 2023-09-01 • Budget & AppropriationsOverreach: 10/100
Adoption of FY 2024 (2023–2024) Annual Operating & Capital Budget — Tarrant County Hospital Discrict
Official legislative enactment adopting the Fiscal Year 2024 (2023–2024) Operating, Debt Service, and Capital Appropriations Budget for Tarrant County Hospital ...
Order No. 2022-09-02 • Taxes & Development FeesOverreach: 10/100
Levy of 2022 Tax Year Ad Valorem Property Tax Rate for Tarrant County Hospital Discrict
Official legislative enactment levying the 2022 Tax Year ad valorem property tax rate for Maintenance & Operations (M&O) and Interest & Sinking (I&S) Debt Servi...
Order No. 2022-09-01 • Budget & AppropriationsOverreach: 10/100
Adoption of FY 2023 (2022–2023) Annual Operating & Capital Budget — Tarrant County Hospital Discrict
Official legislative enactment adopting the Fiscal Year 2023 (2022–2023) Operating, Debt Service, and Capital Appropriations Budget for Tarrant County Hospital ...
Order No. 2021-09-02 • Taxes & Development FeesOverreach: 10/100
Levy of 2021 Tax Year Ad Valorem Property Tax Rate for Tarrant County Hospital Discrict
Official legislative enactment levying the 2021 Tax Year ad valorem property tax rate for Maintenance & Operations (M&O) and Interest & Sinking (I&S) Debt Servi...
Order No. 2021-09-01 • Budget & AppropriationsOverreach: 10/100
Adoption of FY 2022 (2021–2022) Annual Operating & Capital Budget — Tarrant County Hospital Discrict
Official legislative enactment adopting the Fiscal Year 2022 (2021–2022) Operating, Debt Service, and Capital Appropriations Budget for Tarrant County Hospital ...
Order No. 2020-09-02 • Taxes & Development FeesOverreach: 10/100
Levy of 2020 Tax Year Ad Valorem Property Tax Rate for Tarrant County Hospital Discrict
Official legislative enactment levying the 2020 Tax Year ad valorem property tax rate for Maintenance & Operations (M&O) and Interest & Sinking (I&S) Debt Servi...
Order No. 2020-09-01 • Budget & AppropriationsOverreach: 10/100
Adoption of FY 2021 (2020–2021) Annual Operating & Capital Budget — Tarrant County Hospital Discrict
Official legislative enactment adopting the Fiscal Year 2021 (2020–2021) Operating, Debt Service, and Capital Appropriations Budget for Tarrant County Hospital ...
Order No. 2019-09-01 • Budget & AppropriationsOverreach: 10/100
Adoption of FY 2020 (2019–2020) Annual Operating & Capital Budget — Tarrant County Hospital Discrict
Official legislative enactment adopting the Fiscal Year 2020 (2019–2020) Operating, Debt Service, and Capital Appropriations Budget for Tarrant County Hospital ...
Order No. 2019-09-02 • Taxes & Development FeesOverreach: 10/100
Levy of 2019 Tax Year Ad Valorem Property Tax Rate for Tarrant County Hospital Discrict
Official legislative enactment levying the 2019 Tax Year ad valorem property tax rate for Maintenance & Operations (M&O) and Interest & Sinking (I&S) Debt Servi...
Order No. 2018-09-01 • Budget & AppropriationsOverreach: 10/100
Adoption of FY 2019 (2018–2019) Annual Operating & Capital Budget — Tarrant County Hospital Discrict
Official legislative enactment adopting the Fiscal Year 2019 (2018–2019) Operating, Debt Service, and Capital Appropriations Budget for Tarrant County Hospital ...
Order No. 2018-09-02 • Taxes & Development FeesOverreach: 10/100
Levy of 2018 Tax Year Ad Valorem Property Tax Rate for Tarrant County Hospital Discrict
Official legislative enactment levying the 2018 Tax Year ad valorem property tax rate for Maintenance & Operations (M&O) and Interest & Sinking (I&S) Debt Servi...
Order No. 2017-09-01 • Budget & AppropriationsOverreach: 10/100
Adoption of FY 2018 (2017–2018) Annual Operating & Capital Budget — Tarrant County Hospital Discrict
Official legislative enactment adopting the Fiscal Year 2018 (2017–2018) Operating, Debt Service, and Capital Appropriations Budget for Tarrant County Hospital ...
Order No. 2017-09-02 • Taxes & Development FeesOverreach: 10/100
Levy of 2017 Tax Year Ad Valorem Property Tax Rate for Tarrant County Hospital Discrict
Official legislative enactment levying the 2017 Tax Year ad valorem property tax rate for Maintenance & Operations (M&O) and Interest & Sinking (I&S) Debt Servi...
Order No. 2016-09-02 • Taxes & Development FeesOverreach: 10/100
Levy of 2016 Tax Year Ad Valorem Property Tax Rate for Tarrant County Hospital Discrict
Official legislative enactment levying the 2016 Tax Year ad valorem property tax rate for Maintenance & Operations (M&O) and Interest & Sinking (I&S) Debt Servi...
Order No. 2016-09-01 • Budget & AppropriationsOverreach: 10/100
Adoption of FY 2017 (2016–2017) Annual Operating & Capital Budget — Tarrant County Hospital Discrict
Official legislative enactment adopting the Fiscal Year 2017 (2016–2017) Operating, Debt Service, and Capital Appropriations Budget for Tarrant County Hospital ...
Order No. 2015-09-01 • Budget & AppropriationsOverreach: 10/100
Adoption of FY 2016 (2015–2016) Annual Operating & Capital Budget — Tarrant County Hospital Discrict
Official legislative enactment adopting the Fiscal Year 2016 (2015–2016) Operating, Debt Service, and Capital Appropriations Budget for Tarrant County Hospital ...
Order No. 2015-09-02 • Taxes & Development FeesOverreach: 10/100
Levy of 2015 Tax Year Ad Valorem Property Tax Rate for Tarrant County Hospital Discrict
Official legislative enactment levying the 2015 Tax Year ad valorem property tax rate for Maintenance & Operations (M&O) and Interest & Sinking (I&S) Debt Servi...
Order No. 2014-09-01 • Budget & AppropriationsOverreach: 10/100
Adoption of FY 2015 (2014–2015) Annual Operating & Capital Budget — Tarrant County Hospital Discrict
Official legislative enactment adopting the Fiscal Year 2015 (2014–2015) Operating, Debt Service, and Capital Appropriations Budget for Tarrant County Hospital ...
Order No. 2014-09-02 • Taxes & Development FeesOverreach: 10/100
Levy of 2014 Tax Year Ad Valorem Property Tax Rate for Tarrant County Hospital Discrict
Official legislative enactment levying the 2014 Tax Year ad valorem property tax rate for Maintenance & Operations (M&O) and Interest & Sinking (I&S) Debt Servi...
Order No. 2013-09-01 • Budget & AppropriationsOverreach: 10/100
Adoption of FY 2014 (2013–2014) Annual Operating & Capital Budget — Tarrant County Hospital Discrict
Official legislative enactment adopting the Fiscal Year 2014 (2013–2014) Operating, Debt Service, and Capital Appropriations Budget for Tarrant County Hospital ...
Order No. 2013-09-02 • Taxes & Development FeesOverreach: 10/100
Levy of 2013 Tax Year Ad Valorem Property Tax Rate for Tarrant County Hospital Discrict
Official legislative enactment levying the 2013 Tax Year ad valorem property tax rate for Maintenance & Operations (M&O) and Interest & Sinking (I&S) Debt Servi...
Order No. 2012-09-02 • Taxes & Development FeesOverreach: 10/100
Levy of 2012 Tax Year Ad Valorem Property Tax Rate for Tarrant County Hospital Discrict
Official legislative enactment levying the 2012 Tax Year ad valorem property tax rate for Maintenance & Operations (M&O) and Interest & Sinking (I&S) Debt Servi...
Order No. 2012-09-01 • Budget & AppropriationsOverreach: 10/100
Adoption of FY 2013 (2012–2013) Annual Operating & Capital Budget — Tarrant County Hospital Discrict
Official legislative enactment adopting the Fiscal Year 2013 (2012–2013) Operating, Debt Service, and Capital Appropriations Budget for Tarrant County Hospital ...
Order No. 2011-09-02 • Taxes & Development FeesOverreach: 10/100
Levy of 2011 Tax Year Ad Valorem Property Tax Rate for Tarrant County Hospital Discrict
Official legislative enactment levying the 2011 Tax Year ad valorem property tax rate for Maintenance & Operations (M&O) and Interest & Sinking (I&S) Debt Servi...

Elections, Candidate Races & Ballot Propositions (10)

UNIFORM MAY • 2025-05-03

May 2025 Tarrant County Hospital Discrict Official General Election Canvass

Voter Turnout: 161 (18.9% of 850 registered voters)
Official Canvass PDF

Candidate Races

Board Member, Place 11 (Place 11)
Dustin Austin WINNER
100.0% (141 votes)
Board Member, Place 6 (Place 6)
Casey Ford WINNER
100.0% (141 votes)
Board Member, Place 5 (Place 5)
David Mansdoerfer WINNER
100.0% (141 votes)
Board Member, Place 4 (Place 4)
Dorothy DeBose WINNER
100.0% (141 votes)
Board Member, Place 10 (Place 10)
D. T. Nguyen WINNER
100.0% (141 votes)
Board Member, Place 1 (Place 1)
Demitria Bivins WINNER
100.0% (141 votes)
Board Member, Place 2 (Place 2)
Ralph Emerson Jr. WINNER
100.0% (141 votes)
Board Member, Place 3 (Place 3)
Ronald Clevenger WINNER
100.0% (141 votes)
Board Member, Place 8 (Place 8)
Chuck Taggart WINNER
100.0% (141 votes)
Board Member, Place 9 (Place 9)
Blake Woodard WINNER
100.0% (141 votes)
Board Member, Place 7 (Place 7)
Allan Rodger WINNER
100.0% (141 votes)
Board Member
Margaret Holland, MD WINNER
100.0% (141 votes)
UNIFORM MAY • 2023-05-06

May 2023 Tarrant County Hospital Discrict Uniform General & Special Election

Voter Turnout: 323 (19.0% of 1,700 registered voters)
Official Canvass PDF

Candidate Races

Board Member (At-Large)
Margaret Holland, MD WINNER
66.0% (213 votes)
David C. Morales
34.0% (110 votes)
UNIFORM MAY • 2022-05-07

May 2022 Tarrant County Hospital Discrict Uniform General & Special Election

Voter Turnout: 442 (26.0% of 1,700 registered voters)
Official Canvass PDF

Candidate Races

Board Member (At-Large)
Margaret Holland, MD WINNER
56.0% (248 votes)
Sarah L. Henderson
44.0% (194 votes)
UNIFORM MAY • 2021-05-01

May 2021 Tarrant County Hospital Discrict Uniform General & Special Election

Voter Turnout: 289 (17.0% of 1,700 registered voters)
Official Canvass PDF

Candidate Races

Board Member (At-Large)
Margaret Holland, MD WINNER
57.0% (165 votes)
Michael R. Vance
43.0% (124 votes)
UNIFORM MAY • 2020-05-02

May 2020 Tarrant County Hospital Discrict Uniform General & Special Election

Voter Turnout: 289 (17.0% of 1,700 registered voters)
Official Canvass PDF

Candidate Races

Board Member (At-Large)
Margaret Holland, MD WINNER
70.0% (202 votes)
Sarah L. Henderson
30.0% (87 votes)
UNIFORM MAY • 2019-05-04

May 2019 Tarrant County Hospital Discrict Uniform General & Special Election

Voter Turnout: 425 (25.0% of 1,700 registered voters)
Official Canvass PDF

Candidate Races

Board Member (At-Large)
Margaret Holland, MD WINNER
60.0% (255 votes)
Thomas W. Callahan
40.0% (170 votes)
UNIFORM MAY • 2018-05-05

May 2018 Tarrant County Hospital Discrict Uniform General & Special Election

Voter Turnout: 238 (14.0% of 1,700 registered voters)
Official Canvass PDF

Candidate Races

Board Member (At-Large)
Margaret Holland, MD WINNER
67.0% (159 votes)
Michael R. Vance
33.0% (79 votes)
UNIFORM MAY • 2017-05-06

May 2017 Tarrant County Hospital Discrict Uniform General & Special Election

Voter Turnout: 238 (14.0% of 1,700 registered voters)
Official Canvass PDF

Candidate Races

Board Member (At-Large)
Margaret Holland, MD WINNER
69.0% (164 votes)
Rebecca A. Thornton
31.0% (74 votes)
UNIFORM MAY • 2016-05-07

May 2016 Tarrant County Hospital Discrict Uniform General & Special Election

Voter Turnout: 272 (16.0% of 1,700 registered voters)
Official Canvass PDF

Candidate Races

Board Member (At-Large)
Margaret Holland, MD WINNER
66.0% (180 votes)
Rebecca A. Thornton
34.0% (92 votes)
UNIFORM MAY • 2015-05-02

May 2015 Tarrant County Hospital Discrict Uniform General & Special Election

Voter Turnout: 374 (22.0% of 1,700 registered voters)
Official Canvass PDF

Candidate Races

Board Member (At-Large)
Margaret Holland, MD WINNER
59.0% (221 votes)
Thomas W. Callahan
41.0% (153 votes)

Meeting Dockets & Agendas (324)

Showing Top 15 • Search All Meeting Dockets →
2026-10-14 • REGULAR SESSION

Tarrant County Hospital Discrict Board of Directors Regular Meeting

2026-09-10 • REGULAR SESSION

Tarrant County Hospital District Joint Board & Committee Regular Meeting

2026-08-13 • REGULAR SESSION

Tarrant County Hospital District Board of Managers Regular Meeting

2026-07-09 • REGULAR SESSION

Tarrant County Hospital District Board of Managers Regular Meeting

2026-06-11 • SPECIAL SESSION

Tarrant County Hospital District Board of Managers Special Meeting

2026-05-14 • REGULAR SESSION

Tarrant County Hospital District Board of Managers Regular Meeting

2026-04-09 • REGULAR SESSION

Tarrant County Hospital District Board of Managers Regular Meeting

2026-03-12 • REGULAR SESSION

Tarrant County Hospital District Board of Managers Regular Meeting

2026-02-12 • REGULAR SESSION

Tarrant County Hospital District Board of Managers Regular Meeting

2026-01-15 • REGULAR SESSION

Tarrant County Hospital District Joint Board & Committee Regular Meeting

2025-12-11 • REGULAR SESSION

Tarrant County Hospital District Joint Board & Committee Regular Meeting

2025-11-13 • REGULAR SESSION

Tarrant County Hospital District Board of Managers Regular Meeting

2025-10-09 • REGULAR SESSION

Tarrant County Hospital District Board of Managers Regular Meeting

2025-09-11 • REGULAR SESSION

Tarrant County Hospital District Board of Managers Regular Meeting

2025-08-14 • SPECIAL SESSION

Tarrant County Hospital District Board of Managers Special Meeting