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Home > About Central Health > Finance > Get Involved: Fiscal Year 2025 Budget

Health care is getting better, one voice at a time

Get Involved: Fiscal Year 2025 Budget

audience member with microphone

Central Health is on a mission to revolutionize health care access and equity for Travis County residents with low income. By the end of September, we will have launched 19 specialty care and diagnostic service lines, addressing urgent health care needs. This unprecedented move will help us fulfill our vision of building a system that treats every low-income Travis County resident with dignity and respect.

Our focus for FY 2025 includes expanding these essential services and continuing to bridge health care gaps in our community.

Your voice is critical in this transformative journey. Join us and be part of the change—because health care is getting better one voice at a time.

Our Budget Was Approved

The Travis County Commissioners Court approved our FY 2025 Budget unanimously on Sept. 24.
Read More Here

How to get involved

Sign up to speak to our Board during Public Communication at any Board meeting.
Here

Explore the fiscal year 2025 approved budget and tax rate

2025 Tax RateSources Summary – Attachment AUses Summary – Attachment B

Tax rate impact to average homestead values (tax rate 6.5% above NNR)


AVERAGE HOMESTEAD

FY24 Approved

FY25 Approved

Average Taxable Homestead Value

$475,286

$504,003

Tax Rate

10.0692

10.7969

Tax Bill

$478.57

$544.17

Homestead Exemption

65 & Older

Disability

20% (maximum allowable by state law)

$154,000

$154,000

Tax rate impact to average homestead is anticipated to increase by $66.

FY 2025 Approved Budget Sources and Uses Summary – Attachment A


DESCRIPTION

FY 2024 APPROVED BUDGET Final

FY 2025 APPROVED BUDGET Final

TAX RATE

.100692

.107969

FTEs

530.5

916.4

Beginning Balance (Contingency Reserve)

407,730,068

494,040,391

UNRESTRICTED REVENUE

Property Taxes

312,456,814

346,638,452

Lease Revenue

12,022,497

9,361,825

Tobacco Litigation Settlement

4,500,000

5,000,000

Patient Revenue

–

300,000

Other

7,500,000

28,741,200

TOTAL UNRESTRICTED REVENUE

336,479,311

390,041,477

RESTRICTED REVENUE

Opioid Litigation Settlement(1)

4,664,833

ALL REVENUE TOTAL

336,479,311

394,706,310

Available Budgeted Resources

744,209,379

888,746,701

EXPENSES

Healthcare Delivery

295,246,806

353,461,994

Administration

28,647,030

38,505,949

UT Affiliation Agreement

35,000,000

35,000,000

Other Financing Uses

8,019,240

61,381,015

Opioid Abatement Expenses (1)

–

4,664,833

Contingency Reserves

377,296,303

395,732,910

Total Expenses

744,209,379

888,746,701

Increase/Decrease in Fund Balance

Ending Contingency Reserve Balance

–

–

RESERVES

Emergency Reserves

46,739,076

58,120,090

1) In accordance with the settlement agreement and Senate Bill 1827, 87h Texas Legislature, uses are restricted to projects to remediate the opioid crisis.

Attachment B


DESCRIPTION

FY 2024 APPROVED BUDGET FINAL

FY 2025 APPROVED BUDGET FINAL

HEALTHCARE DELIVERY

Purchased Healthcare Services

Primary Care: Medical Dental, & Behavioral Health

71,782,200

73,957,000

Specialty Care: including Specialty Dental

30,188,000

31,153,000

Specialty Care: Behavioral Health

20,675,000

25,750,000

Post Acute Care

7,250,000

8,100,000

Pharmacy

18,000,000

19,000,000

Community Health Care Initiatives Fund

875,000

1,000,000

Purchased Healthcare Services

150,770,200

158,960,000

Direct Healthcare Services

Therapy and Counseling

–

1,227,110

Psychiatry

–

1,674,311

Cardiology

2,079,895

2,437,279

Endocrinology

–

762,556

Gastroenterology

2,039,621

2,953,976

Nephrology

1,129,700

1,859,200

Neurology

1,264,294

2,019,556

Podiatry

1,877,022

2,192,929

Pulmonology

1,370,648

1,497,711

Rheumatology

–

656,943

Palliative Care

–

958,984

Pharmacy

–

1,849,580

Transitions of Care

4,074,868

10,388,044

Medical Respite

906,886

5,239,210

Diagnostics and Other services

3,511,294

4,395,034

Patient Navigation

–

6,105,265

Clinical Support

11,022,146

13,826,160

Direct Healthcare Services Total

29,276,374

60,043,848

Map Eligibility – Increase in eligibility period

–

–

Total Healthcare Services

181,046,574

219,003,848

HEALTHCARE DELIVERY

Healthcare Operations & Support

Salary and Benefits

33,878,558

46,232,033

ACA Healthcare Premium Assistance Programs

18,587,363

19,300,000

Real Estate and Facilities

7,619,360

19,958,801

UT land lease for teaching hospital

1,037,550

1,165,441

Legal

766,000

58,000

Consulting

2,315,000

2,120,000

Other professional goods & services

10,922,140

4,721,700

Outreach and Education

1,927,211

3,190,250

Insurance and Risk Management

400,000

100,000

Information Technology

13,855,455

13,752,800

Travel, training, and professional development

1,186,250

1,188,100

Other operating expenses

738,883

211,600

Debt service – principal retirement

7,440,000

8,035,000

Debt service – interest

7,026,462

6,424,421

Transfer to Sendero Risk-Based Capital

6,000,000

8,000,000

Total Healthcare Operations & Support

114,200,232

134,458,146

Total Healthcare Delivery

295,246,806

353,461,994

ADMINISTRATION

Salary and Benefits

15,308,898

23,354,186

Legal

2,745,136

2,775,000

Consulting

2,419,750

2,593,623

Investment and Financial Services

126,000

200,000

Other professional goods & services

2,093,775

1,758,613

Marketing and Communications

249,061

779,080

Leases, Utilities, Security, and Maintenance

1,253,250

1,491,500

Insurance and Risk Management

412,500

500,000

Phones, Computer Equipment and supplies

1,149,186

1,643,359

Travel, training and professional development

386,695

979,567

Other operating expenses

205,365

38,950

Appraisal District Svcs

1,213,118

1,249,512

Tax Collection Expense

1,084,297

1,142,559

Total Administration

28,647,030

38,505,949

UT Affiliation Agreement

35,000,000

35,000,000

OTHER FINANCING USES

Transfer to capital projects

–

50,000,000

Transfer to emergency reserve

8,019,240

11,381,015

RESTRICTED USES

Opioid Abatement Expenses (1)

–

4,664,833

RESERVES

Contingency Reserves

377,296,303

395,732,910

TOTAL EXPENSES

744,209,379

888,746,701

1) In accordance with the settlement agreement and Senate Bill 1827, 87h Texas Legislature, uses are restricted to projects to remediate the opioid crisis.

Community Conversations on Central Health's 2025 budget priorities

First Community Conversation (May 21, 2024)

Watch our recording to catch up on our budget conversation.
In this event attendees heard from Central Health Board Chair Ann Kitchen, President & CEO Dr. Pat Lee, and other health leaders – as they shared the newest plans for Central Health’s specialty care services, including newly launched programs in gastroenterology, pulmonology, nephrology, palliative medicine, and more.

More than just a presentation, the Community Conversation gave members of the public the opportunity to ask questions and engage directly with Central Health’s leadership. Board Chairperson Ann Kitchen, along with Managers Shannon Jones, Amit Motwani, and Cynthia Valadez held a listening session for attendees following the official presentation.

Second Community Conversation (July 1, 2024)

Watch this recording to learn about Central Health’s 2025 budget priorities and how we are addressing health care gaps in Travis County. Be a part of the solution to health care inequities in Travis County – together, we can build a healthier, stronger community for all.

Get to know our priorities. Learn about the key focus areas for Central Health in the upcoming fiscal year, including expansions in specialty care, mental health services, and health care for the homeless.

Understand our impact. See how our budget plans are designed to meet the health care needs of our community, with specific initiatives aimed at improving access to high-quality care for underserved populations.

Board of managers discussions

Strategic Planning Committee Meeting, March 6, 2024

Receive and discuss an introduction of Fiscal Year 2025 Strategic Priorities and Budget Development process and calendar.

Budget & Finance, Executive Committee, & Board of Managers Meeting, March 27, 2024

Receive and discuss the Fiscal Year 2025 Strategic Priorities and Budget Development process and calendar.

Strategic Planning Committee Meeting, April 10, 2024

Receive and discuss the Fiscal Year 2025 Strategic Priorities and Budget Development process and calendar.

Strategic Planning Committee Meeting and Budget & Finance Committee Meeting, May 22, 2024

Present Financial Forecast

Budget & Finance Committee Meeting, June 12, 2024

Board of Managers Meeting, July 24, 2024

Budget & Finance Committee Meeting, August 7, 2024

Public Hearing of the 2025 Fiscal Year Budget and Board of Managers Meeting, August 14, 2024

Budget & Finance Committee Meeting, August 21, 2024

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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:

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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.