Central Health

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Fiscal Year 2019 Budget & Tax Rate

The Travis County Commissioners Court voted unanimously to approve Central Health’s Fiscal Year (FY) 2019 budget and tax rate on Tuesday, Sept. 25.

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The vote came after Central Health requested a week’s delay to allow its Board of Managers an opportunity to reconsider the future of Sendero Health Plans, the health care district’s nonprofit Health Maintenance Organization (HMO).

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NOTICE OF PUBLIC HEARING ON TAX INCREASE

The Travis County Healthcare District d/b/a Central Health will hold two public hearings on a proposal to increase total tax revenues from properties on the tax roll in the preceding tax year by 6.0 percent (percentage by which proposed tax rate exceeds lower of rollback tax rate or effective tax rate calculated under Tax Code Chapter 26). Your individual taxes may increase at a greater or lesser rate, or even decrease, depending on the change in the taxable value of your property in relation to the change in taxable value of all other property and the tax rate that is adopted.

The first public hearing will be held on Wednesday, August 29, 2018, at 6:00 p.m. at Central Health Administrative Offices, 1111 East Cesar Chavez Street, Austin, Texas 78702.

The second public hearing will be held on Wednesday, September 5, 2018, at 5:30 p.m. at Central Health Administrative Offices, 1111 East Cesar Chavez Street, Austin, Texas 78702.

The members of the governing body voted on the proposal to consider the tax increase as follows:
FOR: Guadalupe Zamora, Chairperson; Sherri Greenberg, Vice-Chairperson; Charles Bell,Treasurer;Abigail Aiken, Secretary;Katrina Daniel, Board Member; Shannon Jones, Board Member; Maram Museitif, Board Member; and Cynthia Valadez, Board Member.
AGAINST:
PRESENT and not voting:
ABSENT: Julie Oliver, Board Member.

The average taxable value of a residence homestead in Travis County Healthcare District d/b/a Central Health last year was $305,719 (average taxable value of a residence homestead in the taxing unit for the preceding tax year, disregarding residence homestead exemptions available only to disabled persons or persons 65 years of age or older). Based on last year’s tax rate of $0.107385 (preceding year’s adopted tax rate) per $100 of taxable value, the amount of taxes imposed last year on the average home was $328.30 (tax on the average taxable value of a residence homestead in the taxing unit for the preceding tax year, disregarding residence homestead exemptions available only to disabled persons or persons 65 years of age or older).

The average taxable value of a residence homestead in Travis County Healthcare District d/b/a Central Health this year is $326,895 (average taxable value of a residence homestead in the taxing unit for the current tax year, disregarding residence homestead exemptions available only to disabled persons or persons 65 years of age or older). If the governing body adopts the effective tax rate for this year of $0.099322 (effective tax rate) per $100 of taxable value, the amount of taxes imposed this year on the average home would be $324.68 (tax on the average taxable value of a residence homestead in the taxing unit for the current tax year, disregarding residence homestead exemptions available only to disabled persons or persons 65 years of age or older).

If the governing body adopts the proposed tax rate of $0.105221 (proposed tax rate) per $100 of taxable value, the amount of taxes imposed this year on the average home would be $343.96 (tax on the average taxable value of a residence in the taxing unit for the current year disregarding residence homestead exemptions available only to disabled persons or persons 65 years of age or older).

Members of the public are encouraged to attend the hearings and express their views.

Download a PDF of this notice

Strategic Work Plan Objectives for FY 2019

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

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

Budget Book

Download our FY2019 Proposed Budget Book to read in detail about our proposed budget and the data we used to develop it, as well as our final financial audit for FY2017.

2019 Budget Book    Central Health Financial Statements

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

FY 2019 Proposed Tax Rate
(6.0% over effective rate)

Reserve Levels 6% over Effective Rate 2 Yrs, 4.5% thereafter

  • Emergency
  • Total

Return on Taxpayer Investment

Major Texas Hospital Districts: FY 2018 Tax Burden Comparisons

Budget Development Schedule

TopicDateDescription
Community Conversation: From Tax Dollars to Health CareMarch 2, 2018The public learned about the Central Health budget development process and the Central Health Strategic Work Plan.
Community Conversation: Third-Party Performance ReviewMarch 19, 2018
The public discussed recommendations from a third-party performance review of Central Health and provided feedback to help develop new strategies for the Central Health Strategic Work Plan.
Community Conversation: Setting the Course for 2019April 3, 2018
April 5, 2018
The public prioritized community-proposed strategies for inclusion in the Central Health Strategic Work Plan.
Board of Managers’ Budget and Finance Committee MeetingMay 16, 2018The committee discussed the new proposed strategies for inclusion in the 2019 budget.
Central Health 2019 Budget Engagement Survey July 25 – August 20, 2018Survey to gather public input on 2019 Central Health-funded activities.
Community Conversation: the 2019 BudgetJuly 31, 2018The public provides input on 2019 Central Health-funded activities.
Travis County Commissioners CourtAugust, 14, 2018Central Health presents 2019 budget to Travis County Commissioners.
Central Health Board of Managers MeetingAugust 15, 2018Staff present 2019 budget to Central Health Board.
Central Health’s Budget First Public HearingAugust 29, 2018Central Health Board receives public input on the 2019 budget.
Central Health’s 2019 Budget Engagement Report August 31, 2018Central Health’s 2019 Budget Engagement Report is published.
Central Health’s Budget Second Public HearingSeptember 5, 2018Central Health Board receives public input on the 2019 budget.
Central Health’s Board of Managers MeetingSeptember 12, 2018Central Health’s Board votes on 2019 budget.
Travis County Commissioners CourtSeptember 18, 2018Travis County Commissioners Court votes on Central Health 2019 budget.

Presentations to the Central Health Board of Managers

Board of Managers approve tax rate and budget on Sept. 12.

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Public Hearing 2 on September 5.

Watch the hearing

Public Hearing 1 on August 29.

Watch the hearing

The Board of Managers discussed the proposed budget and tax rate on August 15.

Watch the discussion

The Board of Managers Budget & Finance Committee discussed the proposed budget and tax rate on August 8.

Download the report

Watch the discussion

The Board of Managers discussed the proposed budget and tax rate on July 25.

Download the report

Watch the discussion

The Board of Managers Budget & Finance Committee received the budget timeline and a five-year financial forecast on June 13.

Download the report

Watch the discussion

The Board of Managers Budget & Finance Committee received the budget timeline and a five-year financial forecast on April 18.

Download the report

Watch the discussion