It’s time for the Travis County Commissioners Court to order an independent performance audit of Central Health.
While Central Health, our countywide public health care district for the poor, recently celebrated breaking ground on replacing two clinics in Eastern Travis County, Austinites might want to hold their applause. Health Equity First, the collaboration of the local LULAC and NAACP, has released a troubling new report detailing eight Central Health major red flags that suggest serious financial and operational mismanagement.
This issue is coming to a head in the next few weeks as we are calling on the county commissioners to order an independent, comprehensive performance audit of Central Health. The county commissioners have financial supervisory authority over Central Health and the community needs independent, complete answers to these serious issues.
Central Health's budgets are misleading to the point of appearing false. For example, it stated recently that"ninety-seven percent of Central Health's fiscal year 2022 $506 million budget is dedicated to health care delivery for people with low incomes." In reality, only 20% of Central Health's budget constitutes actual health care services.
Its budget also shows that $298 million of its alleged $491 million in"health care delivery" is actually just sitting in a reserve account for unexplained future contingencies. These reserves have increased from $36 million to $298 million over the last five years and now make up 59% of its budget. Contingency funds sitting idle in a bank account and various administrative expenses shouldn't be portrayed to the public as health care for the poor.
In addition to its questionable budgets, a performance audit is critical to restore the community's trust in Central Health. When voters approved a tax increase for Central Health in 2012, its leaders repeatedly promised that"...
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