FISCAL YEAR 2023 Budget & Tax Rate
El personal de Central Health planea preparar el presupuesto propuesto para el año fiscal 23 con una tasa de impuesto a la propiedad del 6 % sobre M&O (mantenimiento y operaciones) sin una nueva tasa de ingresos para lograr las prioridades aprobadas por la Junta de Gerentes en el plan de trabajo estratégico de Central Health y el reciente Servicio Centrado en la Equidad Plan Estratégico de Entrega, también conocido como Plan de Equidad en la Atención Médica.
Calendario de reuniones propuesto para 2022
|
May 11, 2022 |
Strategic Planning Committee – Budget Strategic Objectives (BSO) |
|
May 25, 2022 |
Executive Committee Meeting |
|
May 25, 2022 |
Board of Managers Meeting – budget forecast |
|
June 8, 2022 |
Strategic Planning Committee – Budget Strategic Objectives (BSO) |
|
June 15, 2022 |
Executive Committee Meeting |
|
June 15, 2022 |
Board of Managers Meeting – homestead exemption |
|
July 27, 2022 |
Executive Committee Meeting |
|
July 27, 2022 |
Board of Managers Meeting – proposed budget |
|
Aug. 10, 2022 |
Strategic Planning Committee – Budget Strategic Objectives (BSO) |
|
Aug. 10, 2022 |
Budget & Finance Committee Meeting |
|
Aug. 24, 2022 |
Executive Committee Meeting |
|
Aug. 24, 2022 |
Board of Managers Meeting – vote on maximum tax rate |
|
Aug. 31, 2022 |
Public Hearing |
|
Sept. 7, 2022 |
Strategic Planning Committee – Budget Strategic Objectives (BSO) |
|
Sept. 7, 2022 |
Executive Committee Meeting |
|
Sept. 7, 2022 |
Board of Managers Meeting – budget & tax rate vote |
PRIORIDADES ESTRATÉGICAS PROPUESTAS PARA EL AF 2023
Acceso y capacidad
- Continuar las expansiones del sitio del este del condado de Travis en Hornsby Bend, Del Valle y Colony Park
- Desarrollo de clínica multiespecialidades en Rosewood-Zaragosa
Coordinación de cuidados
- Implementación de la historia clínica electrónica Epic
Inscripción y participación de miembros
- Implementación del portal para pacientes MyChart
Infraestructura del sistema de atención
- Desarrollo de planes de implementación financiera y operativa.
- Concéntrese en las afiliaciones con socios comunitarios y de atención médica
- Continuar el desarrollo de la infraestructura de prácticas clínicas directas
- Identificar y apoyar las capacidades operativas y administrativas críticas bajo demanda.
Tasa de impuestos propuesta para el año fiscal 2023 6.0% sobre M&O Sin nueva tasa de ingresos
FY 2022 Approved |
FY 2023 Proposed |
|
|---|---|---|
Average Taxable Homestead Value |
$381,238 |
$427,918 |
Average Taxable Homestead Value Appreciation |
8.7% |
12.2% |
Tax Rate |
11.1814 |
9.8684 |
–M&O |
10.9204 |
9.6604 |
–Debt Service |
0.2610 |
0.2080 |
Tax Bill |
$426.28 |
$422.29 |
–M&O |
$416.33 |
$413.39 |
–Debt Service |
$9.95 |
$8.90 |
Declaración de impacto del impuesto a la propiedad de Central Health: FY2022-2023
Presupuesto aprobado para el año fiscal 2022 y presupuesto propuesto para el año fiscal 2023 Resumen de fuentes y usos
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) anteriormente informado como un uso apropiado de fondos en la prestación de atención médica
(2) Reservas de contingencia de prestación de atención médica que se asignarán para el año fiscal 2023
Uses Summary (Attachment B)
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 |
Mayores Inversiones en Servicios de Salud
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Servicios de atención médica comprados
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Servicios directos de atención médica
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Operaciones y soporte de atención médica
Planificación de fondos de capital para el año fiscal 2023
PRONÓSTICO FINANCIERO
Significant Uses of Funds
- Completion of all planned facilities
- Completion of two additional clinical facilities and one Respite Care site
- All cash funding with exception of previously issued debt
- Implementation of Epic Electronic Medical Record system
- Significant increases to clinical staff providing direct Specialty Care and ancillary services
- Increased access to Primary Care services
- Transition to more direct payments for hospital services
Risk Areas
- Economic
- Economic downturn or recession
- Workforce competition
- Inflation
- Regulatory
- Uncertainty of future supplemental program funding
- Local Provider Participation Fund (LPPF) status
- Degradation of 340B pharmacy program
- Financial
- Significant changes to hospital reimbursement programs
- Insurance risk-based capital requirements
- Changes to FQHC PPS payment levels
Assumptions
- Property Tax Revenue
- Future new construction estimates anticipated to be less than current year ($6.145 Billion estimated)
- Taxable Assessed Values anticipated to grow at a slower rate than current year
- Steady, straight-line tax revenue to reduce revenue volatility
- Other Revenue
- Continued receipt of Tobacco Litigation payments
- Continued ground lease and Parking Garage lease payments
- CEC lease payments discontinued after 2024
- No additional Downtown Campus lease payments assumed
- Third-party clinical revenue not assumed
- Healthcare Services
- Estimate 8-10% increase for medical inflation
- Increases in healthcare service delivery levels and additional facility capacity as well as new services provided directly by Central Health
- Increase infrastructure support for new clinical services
- Anticipate transition to a more direct hospital funding model
- Transition of Community Care Collaborative (CCC) costs beginning in FY23
- Continued enrollment and funding for CHAP and ACA High Risk Premium program
- Salary and benefits
- Accounted for salary increases and health insurance growth
- Accounted for rapidly changing market demands for staff
- Significant (>100) new staff to support direct Specialty Care services at future facilities
EXENCIONES
PRINCIPALES JURISDICCIONES TRIBUTARIAS: EXENCIONES PARA EL AÑO FISCAL 2022
| Jurisdiction | Homestead Exemption | Over 65 Homestead Exemption | Disability Homestead Exemption |
|---|---|---|---|
| Travis County | 20%/$5,000 Minimum | $100,000 | $100,000 |
| Central Health | 20%/$5,000 Minimum | $100,000 | $100,000 |
| City of Austin | 20%/$5,000 Minimum | $113,000 | $113,000 |
| Austin ISD | $25,000* | $35,000 | $25,000 |
| Austin Community College | 1%/$5,000 Minimum | $180,000 | $180,000 |
*Reciente legislación aumenta Homestead para Distritos Escolares a $40,000
Cambios propuestos a las exenciones para el año fiscal 2023
- Estableció una metodología para aumentar gradualmente las exenciones para personas mayores de 65 años y discapacitados en base a una mirada retrospectiva al aumento promedio de tres años en el valor promedio imponible de la vivienda para crear aumentos incrementales mínimos cada año.
- Para el año fiscal 2023, el aumento en el valor de vivienda gravable promedio de tres años es del 7%.
- El personal solicita que la Junta Central de Salud apruebe la recomendación al Tribunal de Comisionados del Condado de Travis para aumentar las Exenciones para Personas Mayores de 65 años y Discapacitados a $110,000 y mantener la Exención de Homestead al máximo permitido del 20%.