FISCAL YEAR 2023 Budget & Tax Rate
FY23 STRATEGIC PRIORITIES
Access and capacity
-
- Continue eastern Travis County site expansions in Hornsby Bend, Del Valle and Colony Park
- Development of multispecialty clinic at Rosewood-Zaragosa
Care coordination
-
- Implementation of Epic electronic health record
Member enrollment and engagement
-
- Implementation of MyChart patient portal
System of care infrastructure
-
- Development of financial and operational implementation plans
- Focus on affiliations with healthcare and community partners
- Continue development of direct clinical practices infrastructure
- Identify and support critical on-demand operational and administrative capacities
FY 2022 Approved Budget and FY 2023 Approved Budget Sources and Uses Summary
DESCRIPTION |
FY 2022 APPROVED BUDGET |
FY 2023 FINAL APPROVED BUDGET (09/07/22) |
|---|---|---|
TAX RATE |
0.111814 |
0.098684 |
SOURCES |
||
Property Taxes |
260,933,097 |
281,605,053 |
Lease Revenue |
13,422,399 |
13,145,328 |
Tobacco Litigation Settlement |
3,000,000 |
4,500,000 |
Other |
3,000,000 |
1,500,000 |
Total Sources |
280,355,496 |
300,750,381 |
USES |
||
Healthcare Delivery |
192,705,261 |
283,208,877 |
Administration & Tax Collection |
15,391,099 |
22,149,360 |
Total Uses |
208,096,360 |
305,358,237 |
RESERVES |
||
Healthcare Delivery Contingency Reserve(1)(2) |
226,521,399 |
327,783,722 |
Emergency Reserve |
38,719,836 |
38,719,836 |
(1) previously reported as an appropriated use of funds in Healthcare Delivery
(2) Healthcare Delivery Contingency Reserves to be appropriated for FY2023
Uses Summary (Attachment B)
DESCRIPTION |
FY 2022 APPROVED BUDGET |
FY 2023 FINAL PROPOSED BUDGET 09/07/22 |
|---|---|---|
HEALTHCARE DELIVERY |
||
Intergovernmental transfers: |
||
IGT – CCC DSRIP |
15,509,298 |
– |
Total Intergovernmental Transfers |
15,509,298 |
– |
Purchased Healthcare Services |
||
Primary Care: Medical, Dental, & Behavioral Health |
63,090,000 |
66,236,822 |
Specialty Care: including Specialty Dental |
17,175,000 |
27,163,000 |
Specialty Care: Behavioral Health |
1,383,856 |
12,040,000 |
Post Acute Care |
2,125,000 |
5,650,000 |
Pharmacy |
14,250,000 |
17,000,000 |
Community Health Care Initiatives Fund |
875,000 |
1,750,000 |
Purchased Healthcare Services |
98,898,856 |
129,839,822 |
Direct Healthcare Services |
||
Podiatry |
751,726 |
|
Cardiology |
837,410 |
|
Neurology |
362,511 |
|
Gastroenterology |
465,026 |
|
Nephrology |
196,081 |
|
Pulmonology |
228,359 |
|
Diagnostics and Clinical Expenses |
2,832,148 |
|
Direct Healthcare Services Total |
– |
5,673,261 |
MAP Eligibility – Increase in eligibility period |
2,000,000 |
2,000,000 |
Total Healthcare Services |
100,898,856 |
137,513,083 |
Healthcare Operations & Support |
||
ACA Healthcare Premium Assistance Programs |
13,319,929 |
14,648,261 |
ACA Education and Enrollment |
583,000 |
588,000 |
Real Estate and Campus Redevelopment |
5,303,564 |
3,693,750 |
UT land lease for teaching hospital |
981,231 |
1,027,277 |
Salary and Benefits |
18,866,066 |
25,545,451 |
Legal |
339,000 |
433,000 |
Consulting |
840,000 |
1,740,000 |
Other professional goods & services |
9,244,346 |
8,138,035 |
Outreach and Education |
942,274 |
1,428,000 |
Leased Facilities, Security and Maintenance |
1,947,000 |
2,348,500 |
Insurance and Risk Management |
142,000 |
250,000 |
Phones, Computer Equipment and Utilities |
3,293,473 |
6,762,525 |
Printing, Copying, Postage and Signage |
384,056 |
620,305 |
Travel, training and professional development |
280,966 |
801,502 |
Other operating expenses |
39,741 |
174,445 |
Health Care Capital Line of Credit |
1,091,773 |
500,000 |
Debt service – principal retirement |
4,060,000 |
4,345,000 |
Debt service – interest |
2,092,676 |
1,651,744 |
Transfer to capital reserve |
12,546,013 |
49,000,000 |
Total Healthcare Operations |
76,297,107 |
123,695,794 |
UT Affiliation Agreement |
– |
22,000,000 |
Total Healthcare Delivery |
192,705,261 |
283,208,877 |
ADMINISTRATION |
||
Salary and Benefits |
7,134,758 |
9,131,752 |
Legal |
1,456,636 |
2,756,636 |
Consulting |
1,341,120 |
1,626,520 |
Investment Services (Travis County) |
115,000 |
115,000 |
Benefits and Payroll Administration Services |
168,243 |
356,266 |
Other professional goods & services |
819,787 |
1,156,850 |
Marketing and Communications |
209,958 |
184,098 |
Leases, Security and Maintenance |
274,250 |
929,200 |
Insurance and Risk Management |
375,000 |
455,000 |
Phones, Computer Equipment and Utilities |
401,716 |
629,573 |
Printing, Copying, Postage and Signage |
60,745 |
54,725 |
Travel, training and professional development |
370,789 |
449,605 |
Other operating expenses |
492,244 |
156,485 |
Appraisal District Svcs |
1,179,284 |
1,155,350 |
Tax Collection Expense |
991,569 |
992,300 |
Cash held for self insured employee health benefits |
– |
2,000,000 |
Total Administration & Tax Collection |
15,391,099 |
22,149,360 |
TOTAL USES |
208,096,360 |
305,358,237 |
FY2023 Capital Funds Planning
