The top 10 healthcare issuers accounted for $11.52 billion in 52 deals in the first half of 2024 as the sector deals with rising costs and staffing shortages.
The California Health Facilities Financing Authority ranked first, accounting for $2.17 billion in 11 issues for a 12.3% market share, followed by the Colorado Health Facilities Authority with $2.031 billion in eight deals and the South Carolina Jobs Economic Development Authority with $1.91 billion in one transaction for the Novant Health Obligated Group.
Source: LSEG
| Rank | Issuer | Par amount | Market share | Number of issues |
| 1 | California Health Facilities Financing Authority | $2.172B | 12.29% | 11 |
| 2 | Colorado Health Facilities Authority | $2.031B | 11.49% | 8 |
| 3 | South Carolina Jobs Economic Development Authority | $1.910B | 10.81% | 1 |
| 4 | Massachusetts Development Finance Agency | $1.037B | 5.87% | 4 |
| 5 | Connecticut Health & Educational Facilities Authority | $989M | 5.60% | 5 |
| 6 | Harris County Cultural Education Facilities Finance Corporation | $896M | 5.07% | 4 |
| 7 | New Jersey Health Care Facilities Financing Authority | $821M | 4.65% | 6 |
| 8 | Wisconsin Health & Educational Facilities Authority | $590M | 3.34% | 5 |
| 9 | California Public Finance Authority | $542M | 3.07% | 5 |
| 10 | Ohio | $532M | 3.01% | 3 |
