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107 - Washington State Health Care Authority

Last Updated: 07/07/2025

Summary Financial Report for 2023-25 Biennium to Date

Dollars in thousands

All Funds Variance to Date
1,225,072 Underexpenditure
4.0% Underexpenditure

Planned vs. Actual Cumulative Expenditures - All Funds

Monthly Planned vs. Actual Expenditures - All Funds

Monthly Planned vs. Actual Expenditures - GFS

Expenditure by Program

Program Estimate Actual Variance % Variance
Administration 1,551,306 622,788 928,518 59.9%
Information Technology 158,810 162,630 (3,819) (2.4%)
Public Employee Benefits Administration 176,176 164,145 12,030 6.8%
School Employees Benefit Board 65,510 72,366 (6,857) (10.5%)
Mental Health 4,215,543 3,490,605 724,938 17.2%
Alcohol And Substance Abuse 1,136,193 1,763,260 (627,067) (55.2%)
Medical Assistance 22,982,379 22,805,795 176,584 0.80%
Health Benefit Exchange 274,445 253,699 20,746 7.6%
P1 Adsa Managed Care Clearing Program
Totals 30,560,362 29,335,288 1,225,073 4.0%

FTE

Program Estimate Actual Variance % Variance
Administration 1,257 1,230 27 2.1%
Information Technology 169 167 2 1.1%
Public Employee Benefits Administration 108 66 42 39.3%
School Employees Benefit Board 6 38 (32) (540.0%)
Mental Health 195 161 34 17.3%
Alcohol And Substance Abuse 65 64 0.90 1.4%
Totals 1,800 1,726 73 4.1%

Expenditure by Fund Group

Program Estimate Actual Variance % Variance
General Fund Federal Stimulus 54,414 52,280 2,133 3.9%
General Fund Federal 18,889,926 18,201,545 688,382 3.6%
General Fund Private/Local 1,145,957 707,168 438,789 38.3%
General Fund State 7,769,865 7,940,574 (170,709) (2.2%)
Other Funds Private/Local 100 15 85 85.0%
Other Funds Non-Appropriated 689,031 670,428 18,603 2.7%
Other Funds State 2,011,068 1,763,279 247,789 12.3%
Totals 30,560,361 29,335,289 1,225,072 4.0%

Revenue by Fund Group

Program Estimate Actual Variance % Variance
General Fund Federal 19,060,829 18,248,811 (812,018) (4.3%)
General Fund Private/Local 1,208,282 754,208 (454,074) (37.6%)
General Fund State 361,955 361,955
Other Funds Private/Local 100 15 (85) (85.0%)
Other Funds State 1,839,851 1,833,684 (6,167) (0.3%)
Totals 22,109,062 21,198,673 (910,389) (4.1%)

Revenue by Fund

Program Estimate Actual Variance % Variance
General Fund 20,269,111 19,364,974 (904,137) (4.5%)
Criminal Justice Treatment Account
Flexible Spending Administrative Account 1,975 1,974
Prescription Drug Consortium Account 59 27 (33) (55.0%)
Problem Gambling Account 3,245 73 (3,173) (97.8%)
Hospital Safety Net Assessment Account 1,442,815 1,507,295 64,481 4.5%
Basic Health Plan Trust Account
Home Visiting Services Account 4,868 4,868
Health Benefit Exchange Account 77,975 18,843 (59,132) (75.8%)
Indian Health Improvement Reinvest Acct 1,357 489 (868) (64.0%)
Ambulance Transport Fund 13,712 13,016 (697) (5.1%)
Telebehavioral Health Access Account 7,971 6,418 (1,553) (19.5%)
Fern Lodge Maintenance Account 20 20
St Health Care Authority Admin Acct 42,976 41,382 (1,594) (3.7%)
Uniform Dental Plan Benefits Administration Account 15,096 15,188 92 0.60%
Uniform Medical Plan Benefits Administration Account 134,473 131,212 (3,261) (2.4%)
School Employees' Benefits Board Flexible Spending and Dependent Care Admin Acct 1,198 722 (476) (39.7%)
School Employees' Benefits Board Dental Benefits Administration Account 11,508 10,765 (743) (6.5%)
School Employees' Insurance Admin Acct 32,919 29,858 (3,062) (9.3%)
School Employees' Benefits Board Medical Benefits Administrative Account 52,672 51,480 (1,191) (2.3%)
Coronavirus State Fiscal Recovery Fund 69 69
Totals 22,109,062 21,198,673 (910,390) (4.1%)

Deficit Fund Balance

Program BTD Balance Proj. Balance
Basic Health Plan Trust Account (228,837) 261,039
Health Benefit Exchange Account (585) 29,220
Telebehavioral Health Access Account (201) (201)
Family Medicine Workforce Development Account (13)
St Health Care Authority Admin Acct (70) (186)
Uniform Medical Plan Benefits Administration Account (224) (225)
School Employees' Benefits Board Flexible Spending and Dependent Care Admin Acct (10) (11)
School Employees' Insurance Admin Acct (47) (157)
School Employees' Benefits Board Medical Benefits Administrative Account (81) (81)