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Travis County Hospital District

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Home > About Central Health > Finance > FISCAL YEAR 2024 BUDGET & TAX RATE

Fiscal Year 2024 Budget & Tax Rate

Every summer, Central Health develops its annual budget for the next fiscal year. A fiscal year is the twelve-month period that an organization uses for budgeting, forecasting and reporting. Central Health’s fiscal year (FY) starts on Oct. 1 and ends on Sept. 30 of the following calendar year.

The Central Health Board of Managers will vote to approve the Fiscal year 2024 Budget & Tax Rate at the scheduled Board of Managers meeting Wednesday September 6 at 3:00 p.m. or immediately following the Central Health Executive Committee Meeting at the Central Health Administrative Offices, 1111 E. Cesar Chavez St., Austin, Texas 78702.

STAY INFORMED AND INVOLVED

Central Health believes the community must be at the center of addressing healthcare inequities. Therefore, involving the voice of the community in this work is ongoing. We encourage all partners, stakeholders and community members to get involved.

Ways to get involved:

 

  1. Subscribe for updates and stay involved:
    • Click the “Subscribe” button at the bottom of this page or
    • Text “budget” to (512) 855-6227.
  2. If your community advocacy or neighborhood group would like to learn more about this initiative, please contact Yesenia Ramos for more information. We are bringing this information to community advocacy and neighborhood group meetings to get more people involved.
  3. Watch the Aug. 30 Public Hearing
QUICK LINKS
  • MESSAGE BOARD DISCUSSION
  • DOWNLOAD THE AUG. 8 PRESENTATION FILE (PDF)
  • WATCH THE AUG. 8 BUDGET & FINANCE COMMITTEE DISCUSSION
  • FORM 50-856: TAX RATE CALCULATION WORKSHEET
  • FORM 50-212: NOTICE ABOUT 2023 TAX RATES
  • PREVIOUS BUDGETS

FY 2023 APPROVED BUDGET AND FY 2024 PROPOSED BUDGET SOURCES AND USES SUMMARY

Sources Summary – Attachment AUses Summary – Attachment B


DESCRIPTIONFY 2024 PROPOSED BUDGET – 9/6/2023FY 2024 PROPOSED BUDGET – 9/25/2023
1 TAX RATE 0.100692 0.100692
2 FTEs 530.5 530.5
3 Beginning Balance 407,730,068 407,730,068
4 REVENUE
5 Property Taxes 312,456,814 312,456,814
6 Lease Revenue 12,022,497 12,022,497
7 Tobacco Litigation Settlement 4,500,000 4,500,000
8 Other 7,500,000 7,500,000
9 Total Revenue 336,479,311 336,479,311
10 Available Budgeted Resources 744,209,379 744,209,379
11 EXPENSES
12 Healthcare Delivery 292,746,806 295,246,806
13 Administration 28,647,030 28,647,030
14 UT Affiliation Agreement 35,000,000 35,000,000
15 Transfers Out 8,019,240 8,019,240
16 Contingency Reserves 379,796,303 377,296,303
17 Total Expenses 744,209,379 744,209,379
18 Increase/Decrease in Fund Balance – –
19 Ending Fund Balance – –
20 RESERVES
21 Emergency Reserves 46,739,076 46,739,076

(1) Healthcare Delivery Contingency Reserves to be appropriated for FY2024


DESCRIPTIONFY 2024 PROPOSED BUDGET 9/6/2023FY 2024 PROPOSED BUDGET – REVISEDBudget Additions
1 HEALTHCARE DELIVERY
2 Purchased Healthcare Services
3 Primary Care: Medical, Dental, & Behavioral Health 71,282,200 71,782,200 500,000
4 Specialty Care: including Specialty Dental 30,188,000 30,188,000
5 Specialty Care: Behavioral Health 20,675,000 20,675,000
6 Post Acute Care 7,250,000 7,250,000
7 Pharmacy 18,000,000 18,000,000
8 Community Health Care Initiatives Fund 875,000 875,000
9 Inmate Health 2,000,000 2,000,000
11 Purchased Healthcare Services 148,270,200 150,770,200 2,500,000
12 Direct Healthcare Services
13 Podiatry 1,877,022 1,877,022
14 Cardiology 2,079,895 2,079,895
15 Neurology 1,264,294 1,264,294
16 Gastroenterology 2,039,621 2,039,621
17 Nephrology 1,129,700 1,129,700
18 Pulmonology 1,370,648 1,370,648
19 Transitions of Care 4,074,868 4,074,868
20 Medical Respite 906,886 906,886
21 Diagnostics and Ancillary 3,511,294 3,511,294
22 Clinical Support 11,022,146 11,022,146
23 Direct Healthcare Services Total 29,276,374 29,276,374 0
24 MAP Eligibility – Increase in eligibility period 1,000,000 1,000,000
25 Total Healthcare Services 178,546,574 181,046,574 2,500,000
26 Healthcare Operations & Support
27 Salary and Benefits 33,878,558 33,878,558
28 ACA Healthcare Premium Assistance Programs 18,587,364 18,587,364
29 Enrollment Assistance 575,000 575,000
30 Real Estate and Campus Redevelopment 1,920,360 1,920,360
31 UT land lease for teaching hospital 1,037,550 1,037,550
32 Legal 766,000 766,000
33 Consulting 2,315,000 2,315,000
34 Other professional goods & services 10,198,035 10,198,035
35 Outreach and Education 1,352,211 1,352,211
36 Leased Facilities, Security and Maintenance 5,699,000 5,699,000
37 Insurance and Risk Management 400,000 400,000
38 Information Technology 13,855,455 13,855,455
39 Printing, Copying, Postage and Signage 724,105 724,105
40 Travel, training and professional development 1,186,250 1,186,250
41 Other operating expenses 738,883 738,883
42 Health Care Capital Line of Credit 500,000 500,000
43 Debt service – principal retirement 7,440,000 7,440,000
44 Debt service – interest 7,026,462 7,026,462
45 Transfer to Sendero Risk-Based Capital 6,000,000 6,000,000
46 Total Healthcare Operations 114,200,233 114,200,233 0
47 Total Healthcare Delivery 292,746,806 295,246,806 2,500,000
48 ADMINISTRATION
49 Salary and Benefits 14,673,415 14,673,415
50 Legal 2,745,136 2,745,136
51 Consulting 2,419,750 2,419,750
52 Investment Services (Travis County) 126,000 126,000
53 Benefits and Payroll Administration Services 635,483 635,483
54 Other professional goods & services 2,040,350 2,040,350
55 Marketing and Communications 249,061 249,061
56 Leases, Security and Maintenance 1,253,250 1,253,250
57 Insurance and Risk Management 412,500 412,500
58 Phones, Computer Equipment and Utilities 1,149,186 1,149,186
59 Printing, Copying, Postage and Signage 53,425 53,425
60 Travel, training and professional development 386,695 386,695
61 Other operating expenses 205,365 205,365
62 Appraisal District Svcs 1,213,118 1,213,118
63 Tax Collection Expense 1,084,297 1,084,297
65 Total Administration 28,647,030 28,647,030 0
66 UT Affiliation Agreement 35,000,000 35,000,000
67 TRANSFERS OUT
68 Transfer to capital reserve
69 Transfer to emergency reserve 8,019,240 8,019,240
70 RESERVES
72 TOTAL EXPENSES 364,413,076 366,913,076 2,500,000
73

Budget Calendar

  • July 12 – Central Health Strategic Planning Committee Meeting (FY 2024 Strategic Priorities)​
  • July 26 – Central Health Board of Managers (FY 2024 Central Health Long Term Forecast)​
  • Aug 2 – Central Health Strategic Planning Committee Meeting (Central Health – Health Equity Action Plan)​
  • Aug 9 – Central Health Board of Managers Meeting (FY2024 Central Health Proposed Budget)​
  • Aug 17, 22, 28 – Community Conversations (FY2024 Proposed Budget)
  • Aug 23 – Central Health Board of Managers Meeting (FY2024 Central Health Proposed Budget and vote on maximum tax rate)
  • Aug 24 – Travis County Commissioners Court – Work Session (FY2024 Key budget drivers and health equity action plans)
  • Aug 30 – Central Health Public Hearing (FY2024 Central Health Proposed Budget and tax rate)
  • Sept 6 – Central Health Board of Managers Meeting (FY2024 Central Health Budget and Tax Rate Adopted)
  • Sept 7* – Travis County Commissioners Court- Work Session (FY2024 Central Health Proposed Budget and tax rate)
  • Sept 19* – Travis County Commissioners Court (FY2024 Central Health Budget and Tax Rate Adopted)
  • Sept 25 – Special Called Board of Managers Meeting
  • Sept 26 – Travis County Commissioners Court

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Notice: The Travis County Healthcare District d/b/a Central Health adopted a tax rate that will raise more taxes for maintenance and operations than last year’s tax rate. The tax rate will effectively be raised by 6.5 percent and will raise taxes for maintenance and operations on a $100,000 home by approximately $6.32 (six dollars and thirty-two cents).

Questions about MAP or MAP Basic:

512.978.8130

CommUnityCare:

512.978.9015

Sendero Health Plans:

844.800.4693

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1111 East Cesar Chavez St.
Austin, TX 78702
512.978.8000

Copyright © 2025 Central Health. All rights reserved.

Notice: The Travis County Healthcare District d/b/a Central Health adopted a tax rate that will raise more taxes for maintenance and operations than last year’s tax rate. The tax rate will effectively be raised by 6.5 percent and will raise taxes for maintenance and operations on a $100,000 home by approximately $6.32 (six dollars and thirty-two cents).

Copyright © 2025 Central Health. All Rights Reserved.

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