Central Health

Health care for all.

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Finance

The budget supports Central Health’s Strategic Work Plan, which outlines three overarching objectives along with specific strategies and activities to achieve each objective.

Strategic Work Plan Objectives for FY 2019

Objective 1: Develop and execute health care delivery strategy based on place and people

  • Eastern Travis County convening, collaboration and development of health care infrastructure
  • Investment in health promotion, for collaborative workgroups and for new initiatives
  • Updated community engagement strategies and enterprise communications

Objective 2: Implement coordinated and patient focused health care system

  • Investment in CCC coordinated health care system
  • Eastern Travis County convening, collaboration and development of health care infrastructure

Objective 3: Implement sustainable financial model for health care delivery and system strategies through 2024

  • Central Health reserve levels, leveraged financing and partnership strategies
  • Investment in Central Health workforce
  • Enhancement of value based contracting strategies
  • Maximize use of Brackenridge Campus

Fiscal Year 2019 Tax Rate

2018 Calendar Year (tax year) / Central Health Fiscal Year 2019 -10.5221 cents per $100 of valuation.

Central Health is here to ensure that all Travis County residents have access to high-quality, cost-effective health care. With taxpayer support, Central Health and our network of partners are reinventing the health care delivery system to best serve residents with low income who are uninsured or underinsured.

Return on Taxpayer Investment

Major Texas Hospital Districts: FY 2018 Tax Burden Comparisons

FY2019 Travis County Tax Entity Percentages

  • Central Health
  • City of Austin
  • Travis County
  • Austin ISD
  • Austin Community College

Central Health FY 2019 APPROVED Budget

DESCRIPTION
FY 2018 APPROVED BUDGET
FY 2019 APPROVED BUDGET
TAX RATE
0.107385
0.105221
SOURCES
Property Taxes

181,839,054

196,861,527

Lease Revenue

10,303,467

18,067,937

Interest

400,000

400,000

Tobacco Litigation Settlement

1,800,000

2,000,000

Subtotal Revenue

194,342,521

217,329,464

Contingency Reserve

43,482,960

41,039,184

Total Sources

237,825,481

258,368,648

USES
Healthcare Delivery

227,029,205

247,343,600

Administration

9,143,516

9,321,838

Tax Collection

1,652,760

1,703,210

Total Uses

237,825,481

258,368,648

RESERVES (ending balance)
Emergency Reserve

31,313,546

32,313,546

Total Reserves

31,313,546

32,313,546

FY 2018 & FY 2019 Approved Budget Uses Summary

DESCRIPTION

FY 2018 APPROVED BUDGET

FY 2019 APPROVED BUDGET

HEALTH CARE DELIVERY

Intergovernmental transfers:
IGT - Private UC

24,000,000

24,000,000

IGT - Public UC

25,000,000

24,500,000

IGT - Disproportionate Share

35,000,000

35,000,000

IGT - CCC DSRIP

29,300,000

27,500,000

IGT - Seton DSRIP

29,000,000

27,500,000

IGT - St. David's DSRIP

620,000

630,000

Total Intergovernmental Transfers

142,920,000

139,130,000

Healthcare Services
Member Payment to CCC

29,245,166

34,000,000

Charity Care - Seton

4,251,733

-

Primary Care - Planned Parenthood

731,800

790,344

Womens Health Services

1,000,000

1,080,000

Integrated Care Collaboration (ICC)

666,657

719,990

Mobile Health Clinics

-

768,500

Healthcare Services Expansion

2,000,000

2,000,000

Total Healthcare Services

37,895,356

39,358,834

Healthcare Initiatives:
UMCB Campus Redevelopment

4,360,644

-

New Initiatives - Cancer, Womens Health, Healthcare Workforce Development

500,000

1,400,000

Total Healthcare Initiatives

4,860,644

1,400,000

Total Healthcare Services & Initiatives

42,756,000

40,758,834

Healthcare Operations
Salary and Benefits

3,773,584

3,689,436

ACA Education and Enrollment

2,700,000

8,916,000

Legal

26,200

46,200

Consulting

289,000

459,590

Other professional services

401,085

365,000

Marketing & Community Relations

307,326

414,868

Community Engagement

-

350,000

Leases, security & maintenance

739,876

599,320

UT land lease for teaching hospital

903,467

912,502

Phones, computer equipment & utilities

932,021

1,091,890

Printing, copying, postage & signage

198,694

133,750

Travel, training and professional development

47,044

40,285

Health Promotions

358,713

315,455

Downtown Campus Operations and Redevelopment

-

11,125,542

Other operating expenses

234,892

407,480

Total Healthcare Operations

10,911,902

28,867,318

Reserves, appropriated uses & transfers:
Transfer to capital reserve

-

2,840,000

Transfer to emergency reserve

1,417,922

1,000,000

Sendero risk-based capital

4,000,000

20,000,000

Contingency reserve appropriation

23,650,587

13,374,631

Total Reserves, appropriated uses & transfers

29,068,508

37,214,631

Debt service:
Debt service - principal retirement

1,000,000

1,030,000

Debt service - interest

372,795

342,818

Total Debt Service

1,372,795

1,372,818

Total Healthcare Delivery

227,029,205

247,343,600

ADMINISTRATION

Personnel Expenses
Salary and Benefits

4,413,183

4,690,997

Legal

926,200

1,198,320

Consulting

1,208,800

1,026,500

Investment Services (Travis County)

105,000

110,000

Benefits & Payroll administrative services

249,920

165,150

Other professional services

483,200

495,000

Marketing & Community Relations

192,400

194,800

Leases, security & maintenance

273,348

308,096

Insurance & Risk Management

157,500

150,030

Phones, computer equipment & utilities

204,930

147,000

Printing, copying, postage & signage

136,560

117,820

Travel, training and professional development

259,625

176,495

Other operating expenses

532,850

541,630

Total Administration

9,143,516

9,321,838

TAX COLLECTION

Appraisal District Svcs

970,200

1,018,710

Tax Collection Expense

682,560

684,500

Total Tax Collection

1,652,760

1,703,210

TOTAL USES

237,825,481

258,368,648

The Fiscal Year 2019 Budget for the Community Care Collaborative is available to review at www.ccc-ids.org.

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Purchasing

Travis County Healthcare District d/b/a Central Health (“Central Health”) contracts and purchases goods and services that are necessary to provide for the healthcare needs of those we serve.

To become a vendor to Central Health visit our Purchasing page then register with BidSync at no charge to be electronically notified of potential procurements and to submit proposals in response to requests.

Become a Vendor

How Central Health Maximizes Your Tax Dollar

Funding a Healthy Community

How We Use Your Tax Dollars

When Central Health was created in 2004, Travis County and the City of Austin transferred most of their respective tax bases dedicated to health care. After this transfer, Central Health assumed responsibility for levying taxes to finance health care services for eligible Travis County residents. State law currently provides that this levy may not exceed 25 cents on each $100 of the taxable value of property taxable by Central Health.

View our Taxpayer Impact Statement

Meet Our CFO

Jeff Knodel

Jeff Knodel serves as Central Health’s Vice-President and Chief Financial Officer.

Jeff originally came to Central Health as the Regional Healthcare Partnership Director, directing Central Health’s role as the anchor entity for Regional Healthcare Partnership 7 of the 1115 Medicaid Waiver in Texas.

Learn More About Jeff

Debt Reporting

From Comptroller.Texas.Gov to increase the transparency of local government debt. Under Local Government Code § 140.008, political subdivisions and other subdivisions of state government must annually compile their debt obligation data from the preceding fiscal year.

Download the 2017 Report

Download the 2016 Report

Annual Financial Audit Reports

At the conclusion of every fiscal year, an independent third-party of all Central Health finances is conducted and submitted to the Board of Managers. A report for each year of Central Health’s operation is available below.

Audited financial reports for the Community Care Collaborative are found at www.ccc-ids.org.

FY2017

Annual Budgets

Annual Reports

Learn more about our accomplishments since our first operational year in 2005.

Monthly Financial Reports

Each Month, Central and the Community Care Collaborative (CCC) prepare financial summary reports for the Central Health Board of Managers and the Travis County Commissioners Court.

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