Finance
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.
Strategic Work Plan Objectives for FY 2023
Access & Capacity
Care Coordination
Member Enrollment & Engagement
System of Care Infrastructure
FY 2023 Approved Budget
DESCRIPTION |
FY 2022 APPROVED BUDGET |
FY 2023 PROPOSED BUDGET 08/24/2022 |
7/27 to 8/24 Variance |
|---|---|---|---|
TAX RATE |
0.111814 |
0.098684 |
(0.0000371) |
SOURCES |
|||
Property Taxes |
260,933,097 |
281,605,053 |
(105,845) |
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 |
(105,845) |
USES |
|||
Healthcare Delivery |
192,705,261 |
280,168,877 |
2,349,110 |
Administration & Tax Collection |
15,391,099 |
22,149,360 |
469,593 |
Total Uses |
208,096,360 |
302,318,237 |
2,818,703 |
RESERVES |
|||
Healthcare Delivery Contingency Reserve(1)(2) |
226,521,399 |
330,823,722 |
(2,924,548) |
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
DESCRIPTION |
FY 2022 APPROVED BUDGET |
FY 2023 PROPOSED BUDGET 8/24/2022 |
|---|---|---|
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 |
66,111,822 |
Specialty Care: including Specialty Dental |
17,175,000 |
24,388,000 |
Specialty Care: Behavioral Health |
1,383,856 |
12,000,000 |
Post Acute Care |
2,125,000 |
5,550,000 |
Pharmacy |
14,250,000 |
17,000,000 |
Community Health Care Initiatives Fund |
875,000 |
1,750,000 |
Purchased Healthcare Services |
98,898,856 |
126,799,822 |
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 |
134,473,083 |
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 |
280,168,877 |
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 |
302,318,237 |
FY 2023 Tax Rate
Departmental Information
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.
Meet Our Chief Financial Officer 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.
