Get Involved: Fiscal Year 2027 Budget
For Central Health, Fiscal Year 2027 will continue to be centered around the theme of access. This theme reflects our top priority for the upcoming budget: closing the health care gap in Travis County and ensuring every resident can get the care they need—when and where they need it.
We plan to reach this goal by focusing on:
- Eliminating delays so people get the care they need—faster.
- Creating a connected system so care feels seamless, not scattered.
- Maximizing the value of every tax dollar to reach more people with better care.
Watch our Community Conversations below to learn how we’re making progress toward our goals—and how your voice helps shape the path forward.
If you’d like to get involved in our mission, you can:
- Subscribe to our newsletter below.
- Sign up to speak at a Board of Managers meeting.
- Visit our Get Involved page to explore more ways to contribute.
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Fiscal Year 2026 approved and Fiscal Year 2027 proposed Budgets and Tax Rates
Tax RateSources Summary – Attachment AUses Summary – Attachment B
FY26 and FY27 Tax Info
FY 2026 Adopted |
FY 2027 Adopted |
|
|---|---|---|
Maintenance & Operations (M&O) Rate |
11.3569 |
12.3603 |
Debt Service Rate |
0.4454 |
0.926 |
Tax Rate |
11.8023 |
13.2863 |
Median Value |
$390,086 |
$372,638 |
Maintenance & Operations Amount |
$443 |
$461 |
Debt Service Amount |
$17 |
$35 |
Total Tax Amount |
$460 |
$496 |
Annual Increase to the Median Homestead Taxpayer |
$36 |
FY 2027 Approved Budget and Uses Summary – Attachment A
DESCRIPTION |
FY 2026 APPROVED BUDGET |
FY 2027 APPROVED BUDGET |
|---|---|---|
TAX RATE |
.118023 |
.132863 |
FTEs |
1049 |
1197 |
Beginning Balance (Contingency Reserve) |
451,192,875 |
437,446,142 |
UNRESTRICTED REVENUE |
||
Property Taxes |
378,061,940 |
420,020,251 |
Lease Revenue |
10,424,005 |
10,999,906 |
Tobacco Litigation Settlement |
5,000,000 |
7,000,000 |
Patient Revenue |
1,000,000 |
3,000,000 |
Other |
25,900,000 |
26,640,000 |
Other Financing Sources |
– |
91,000,000 |
TOTAL UNRESTRICTED REVENUE |
420,385,945 |
558,660,157 |
RESTRICTED REVENUE |
||
Available Restricted Funds |
3,540,167 |
734,581 |
Restricted Revenue from Eminent Domain Settlement in FY26 |
18,489,978 |
|
TOTAL ALL REVENUE |
423,926,112 |
577,884,716 |
Available Resources |
875,118,987 |
1,015,330,858 |
UNRESTRICTED EXPENSE |
||
Healthcare Delivery |
433,984,684 |
537,215,752 |
Administration |
46,369,507 |
44,266,352 |
UT Affiliation Agreement |
35,000,000 |
35,000,000 |
Other Financing Uses |
37,045,142 |
13,902,218 |
TOTAL UNRESTRICTED EXPENSES |
552,399,333 |
630,384,322 |
RESTRICTED EXPENSE |
||
All Restricted Expenses |
3,540,167 |
734,581 |
Transfer Restricted Revenue from Eminent Domain Settlement in FY26 |
18,489,978 |
|
TOTAL ALL EXPENSES |
555,939,500 |
649,608,881 |
Appropriated Reserve Budget |
319,179,488 |
365,721,977 |
TOTAL USES WITH ENDING BALANCE |
875,118,987 |
1,015,330,858 |
NEW MENTAL HEALTH DESIGNATED RESERVE |
||
Psychiatric Inpatient Beds & Emergency Department |
33,100,000 |
|
Mental Health Crisis Center |
16,000,000 |
|
New Mental Health Services |
4,500,000 |
|
Total Designated Reserve |
53,600,000 |
|
RESERVES Balances |
||
Public Health Center Reserve |
12,000,000 |
12,000,000 |
Emergency Reserves |
68,165,232 |
81,154,650 |
Contingency Reserves |
319,179,488 |
330,611,955 |
FY 2027 Approved Budget Sources and Uses Summary – Attachment B
DESCRIPTION |
FY 2026 APPROVED BUDGET |
FY 2027 APPROVED BUDGET |
|---|---|---|
HEALTH CARE DELIVERY |
||
Network Health Care Services |
||
Primary Care: Medical, Dental, & Behavioral Health |
103,446,258 |
125,128,410 |
Specialty Care: including Specialty Dental |
37,348,000 |
36,857,000 |
Behavioral Health |
40,274,000 |
42,671,750 |
Post Acute Care |
9,350,000 |
12,485,000 |
Pharmacy |
19,500,000 |
21,268,000 |
Community Health Care Initiatives Fund |
1,000,000 |
1,000,000 |
Purchased Health Care Services |
210,918,258 |
239,410,160 |
Direct Health Care Services |
||
Therapy and Counseling |
2,115,947 |
2,479,527 |
Psychiatry & Addiction Care |
3,221,828 |
4,112,166 |
Cardiology |
2,442,156 |
3,158,187 |
Endocrinology |
883,764 |
1,228,845 |
Gastroenterology |
4,266,275 |
5,245,100 |
Nephrology |
1,449,087 |
1,917,511 |
Neurology |
354,559 |
1,235,174 |
Podiatry |
2,364,183 |
3,296,207 |
Pulmonology |
1,915,923 |
1,123,647 |
Rheumatology |
2,041,389 |
1,451,215 |
Palliative Care |
1,027,374 |
899,732 |
Pharmacy |
2,980,011 |
1,783,337 |
Physical Medicine & Rehab |
270,771 |
1,375,320 |
Transitions of Care |
11,598,960 |
15,155,152 |
Medical Respite |
10,659,536 |
13,397,921 |
Diagnostics and Other services |
8,545,939 |
13,621,843 |
Patient Navigation |
7,563,164 |
9,006,055 |
Clinical Support |
17,898,272 |
15,624,926 |
Direct Health Care Services Total |
81,599,137 |
96,111,865 |
Total Health Care Services |
292,517,395 |
335,522,025 |
Health Care Operations & Support |
||
Salary and Benefits |
52,476,460 |
47,986,591 |
ACA Healthcare Premium Assistance Programs |
19,671,820 |
19,702,516 |
Consulting |
970,000 |
1,218,000 |
Purchased Services |
10,305,800 |
6,286,328 |
Outreach and Education |
5,348,420 |
4,288,992 |
Health & Wellness Services |
713,000 |
|
Information Technology & Services |
13,764,300 |
18,895,580 |
Leases, Utilities, Security, and Maintenance |
14,181,693 |
15,815,131 |
Travel, training, and professional development |
1,422,100 |
1,096,204 |
Other operating expenses |
864,370 |
970,829 |
Debt service – principal retirement |
8,320,000 |
11,240,000 |
Debt service – interest |
6,142,326 |
18,480,556 |
Transfer to Sendero Risk-Based Capital |
8,000,000 |
55,000,000 |
Total Healthcare Operations & Support |
141,467,289 |
201,693,727 |
Total Healthcare Delivery |
433,984,684 |
537,215,752 |
ADMINISTRATION |
||
Salary and Benefits |
28,252,193 |
27,255,999 |
Legal |
5,505,000 |
4,899,500 |
Consulting |
3,246,250 |
3,005,075 |
Purchased Services |
1,532,666 |
961,824 |
Outreach and Education |
539,580 |
199,815 |
Information Technology & Services |
2,009,155 |
1,955,913 |
Leases, Utilities, Security, and Maintenance |
195,000 |
390,531 |
Travel, training and professional development |
1,370,085 |
1,193,163 |
Other operating expenses |
663,875 |
1,001,363 |
Appraisal District Svcs |
1,841,217 |
2,130,984 |
Tax Collection Expense |
1,214,486 |
1,272,185 |
Total Administration |
46,369,507 |
44,266,352 |
UT Affiliation Agreement |
35,000,000 |
35,000,000 |
OTHER FINANCING USES |
||
Transfer to capital projects |
15,000,000 |
– |
Transfer to Public Health Center Reserve |
12,000,000 |
– |
Transfer to emergency reserve |
10,045,142 |
12,989,418 |
Transfer to Foundation |
912,800 |
|
TOTAL UNRESTRICTED EXPENSES |
552,399,332 |
630,384,322 |
RESTRICTED USES |
||
All Restricted Expenses |
3,540,167 |
734,581 |
Transfer Restricted Revenue from Eminent Domain Settlement in FY26 |
18,489,978 |
|
TOTAL ALL EXPENSES |
555,939,500 |
649,608,881 |
RESERVES |
||
Contingency Reserves |
319,179,487 |
365,721,977 |
TOTAL EXPENSES |
875,118,987 |
1,015,330,858 |
In accordance with the settlement agreement and Senate Bill 1827, 87h Texas Legislature, uses are restricted to projects to remediate the opioid crisis.
