Health care is getting better, one voice at a time
Get Involved: Fiscal Year 2025 Budget
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.
The Travis County Commissioners Court approved our FY 2025 Budget unanimously on Sept. 24.
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Explore the fiscal year 2025 approved budget and tax rate
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.
FY 2025 Approved Budget and Uses Summary 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