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) |
