Central Health

Health care for all.

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Finance

Download our budget

Central Health’s Fiscal Year 2020 Budget is available in an easy-to-read downloadable file.

The information in this document will allow people a greater understanding of how we plan to leverage those resources to improve the health of our community in the coming year.

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Strategic Work Plan Objectives for FY 2020

Develop and execute health care delivery based on people and place

  • Improve health care access and efficiencies via technology enhancements
  • Identify strategic locations and expand delivery model in Eastern Travis County and other priority areas

Implement patient-focused and coordinated health care

  • •Improve eligibility and enrollment•Coordinate and leverage of primary and specialty care resources
  • Sustainable health care financial models

Change funding models

  • Optimize financial returns through continued development of the Central Health Downtown Campus
  • Manage financial risk and maintain sufficient reserves

Fiscal Year 2020 Tax Rate

2019 Calendar Year (tax year) / Central Health Fiscal Year 2020 -10.5573 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.

7-Year Forecast

6.9% Over No New Revenue Property Tax Rate (in millions); Year-Over-Year

Central Health FY 2020 APPROVED Budget

DESCRIPTION
 
FY 2019 APPROVED BUDGET
 
FY 2020 APPROVED BUDGET
TAX RATE
0.105221
0.105573
SOURCES
Property Taxes
196,861,527
214,906,371
Lease Revenue
18,067,937
13,749,848
Interest
400,000
2,150,000
Tobacco Litigation Settlement
2,000,000
3,500,000
Subtotal Revenue
217,329,464
234,306,218
Contingency Reserve
41,039,184
56,499,497
Total Sources
258,368,648
290,805,715
USES
Healthcare Delivery
247,343,600
278,017,579
Administration
9,321,838
10,899,878
Tax Collection
1,703,210
1,888,258
Total Uses
258,368,648
290,805,715
RESERVES (ending balance)
Capital
HMO Risk-based Capital Reserve
Contingency Reserve
Emergency Reserve
32,313,546
38,719,836
Total Reserves
32,313,546
38,719,836

DESCRIPTION
 
FY 2019 APPROVED BUDGET
 
FY 2020 APPROVED BUDGET
HEALTH CARE DELIVERY
Intergovernmental transfers:
IGT - Private UC
24,000,000
-
IGT - Public UC
24,500,000
-
IGT - Disproportionate Share
35,000,000
36,120,000
IGT - CCC DSRIP
27,500,000
25,574,651
IGT - Seton DSRIP
27,500,000
-
IGT - St. David's DSRIP
630,000
-
Total Intergovernmental Transfers
139,130,000
61,694,651
Healthcare Services
Member Payment
34,000,000
-
Primary Care: Medical, Dental, Behavioral Health
-
50,270,000
Specialty Care, including Specialty Dental
-
8,940,000
Specialty Care: Behavioral Health
-
883,856
Post Acute Care
-
5,400,000
Pharmacy
-
11,600,000
Indigent Care Payment
50,225,000
Hospital Performance Incentive
2,700,000
Reproductive and Sexual Health
1,870,344
1,950,000
Healthcare Services - PSH/PFS Payment
-
600,000
Integrated Care Collaboration (ICC)
719,990
719,990
Primary Care - Mobile Health Clinic
768,500
-
Primary & Specialty Care Reserves
2,000,000
2,000,000
Total Healthcare Services
39,358,834
135,288,846
Healthcare Operations & Support
New Healthcare Initiatives and Strategic Work Plan Strategies
1,400,000
-
ACA Healthcare Premium Assistance Programs
8,085,000
9,251,800
ACA Education and Enrollment
831,000
604,320
Healthcare Facilities and Campus Redevelopment
11,125,542
10,074,543
UT land lease for teaching hospital
912,502
921,627
Salary and Benefits
3,689,436
15,367,494
Legal
46,200
184,500
Consulting
459,590
1,073,000
Other professional services
365,000
4,493,819
Marketing & Community Relations
414,868
446,166
Community Engagement
350,000
350,000
Leases, security & maintenance
599,320
803,220
Phones, computer equipment & utilities
1,091,890
2,532,760
Printing, copying, postage & signage
133,750
300,633
Travel, training and professional development
40,285
237,140
Other operating expenses
407,480
255,995
Health Promotions
315,455
Total Healthcare Operations
30,267,318
46,897,017
Reserves, appropriated uses & transfers:
Transfer to capital reserve
2,840,000
2,950,000
Transfer to emergency reserve
1,000,000
6,406,290
Sendero risk-based capital
20,000,000
-
Contingency reserve appropriation
13,374,631
23,407,493
Total Reserves, appropriated uses & transfers
37,214,631
32,763,783
Debt service:
Debt service - principal retirement
1,030,000
1,065,000
Debt service - interest
342,818
308,283
Total Debt Service
1,372,818
1,373,283
Total Healthcare Delivery
247,343,600
278,017,579
ADMINISTRATION
Salary and Benefits
4,690,997
5,903,601
Legal
1,198,320
1,390,820
Consulting
1,026,500
1,187,720
Investment Services (Travis County)
110,000
115,500
Benefits & Payroll administrative services
165,150
174,550
Other professional services
495,000
482,950
Marketing & Community Relations
194,800
212,700
Leases, security & maintenance
308,096
335,200
Insurance & Risk Management
150,030
150,030
Phones, computer equipment & utilities
147,000
135,900
Printing, copying, postage & signage
117,820
103,775
Travel, training and professional development
176,495
211,960
Other operating expenses
541,630
495,172
Total Administration
9,321,838
10,899,878
TAX COLLECTION
Appraisal District Svcs
1,018,710
1,069,646
Tax Collection Expense
684,500
818,612
Total Tax Collection
1,703,210
1,888,258
TOTAL USES
258,368,648
290,805,715

Review the Board of Managers’ FY20 Budget & Tax Rate development process.

Learn More

The Fiscal Year 2020 Budget for the Community Care Collaborative is available to review at www.ccc-ids.org.

Go Now

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 Fiscal Year 2018 Report

Download the Fiscal Year 2017 Report

Download the Fiscal Year 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.

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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