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107 - Washington State Health Care Authority

Last Updated: 08/26/2025

Summary Financial Report for 2023-25 Biennium to Date

Dollars in thousands

All Funds Variance to Date
2,154,941 Underexpenditure
6.5% 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 1,674,074 659,507 1,014,567 60.6%
Information Technology 166,817 171,638 (4,820) (2.9%)
Public Employee Benefits Administration 185,599 171,891 13,708 7.4%
School Employees Benefit Board 68,955 75,791 (6,836) (9.9%)
Mental Health 4,244,463 3,671,445 573,019 13.5%
Alcohol And Substance Abuse 1,325,441 1,915,911 (590,471) (44.5%)
Medical Assistance 25,421,282 24,292,740 1,128,542 4.4%
Health Benefit Exchange 291,929 264,697 27,232 9.3%
P1 Adsa Managed Care Clearing Program
Totals 33,378,560 31,223,620 2,154,941 6.5%

FTE

Program Estimate Actual Variance % Variance
Administration 1,262 1,228 34 2.7%
Information Technology 173 167 6 3.5%
Public Employee Benefits Administration 108 66 42 39.3%
School Employees Benefit Board 6 38 (32) (538.3%)
Mental Health 198 162 35 17.9%
Alcohol And Substance Abuse 65 64 0.90 1.4%
Totals 1,811 1,725 86 4.8%

Expenditure by Fund Group

Program Estimate Actual Variance % Variance
General Fund Federal Stimulus 56,669 48,268 8,401 14.8%
General Fund Federal 20,810,025 19,514,164 1,295,860 6.2%
General Fund Private/Local 1,285,101 715,251 569,850 44.3%
General Fund State 8,453,145 8,480,361 (27,216) (0.3%)
Other Funds Private/Local 100 156 (56) (56.2%)
Other Funds Non-Appropriated 696,536 669,662 26,874 3.9%
Other Funds State 2,076,985 1,795,756 281,229 13.5%
Totals 33,378,561 31,223,618 2,154,942 6.5%

Revenue by Fund Group

Program Estimate Actual Variance % Variance
General Fund Federal 20,865,819 19,448,092 (1,417,727) (6.8%)
General Fund Private/Local 1,285,101 726,976 (558,125) (43.4%)
General Fund State 304,875 304,875
Other Funds Private/Local 100 156 56 56.2%
Other Funds State 1,919,699 1,859,526 (60,173) (3.1%)
Totals 24,070,719 22,339,625 (1,731,094) (7.2%)

Revenue by Fund

Program Estimate Actual Variance % Variance
General Fund 22,150,920 20,479,943 (1,670,977) (7.5%)
Criminal Justice Treatment Account
Flexible Spending Administrative Account 2,063 2,064 1
Prescription Drug Consortium Account 62 27 (35) (56.9%)
Problem Gambling Account 3,838 216 (3,622) (94.4%)
Hospital Safety Net Assessment Account 1,505,043 1,507,295 2,252 0.10%
Basic Health Plan Trust Account
Home Visiting Services Account 4,868 4,868
Health Benefit Exchange Account 79,347 25,212 (54,135) (68.2%)
Indian Health Improvement Reinvest Acct 1,416 520 (896) (63.2%)
Ambulance Transport Fund 13,256 13,656 400 3.0%
Telebehavioral Health Access Account 8,318 6,953 (1,365) (16.4%)
Fern Lodge Maintenance Account
St Health Care Authority Admin Acct 45,334 44,442 (892) (2.0%)
Uniform Dental Plan Benefits Administration Account 15,794 15,887 93 0.60%
Uniform Medical Plan Benefits Administration Account 141,940 140,136 (1,804) (1.3%)
School Employees' Benefits Board Flexible Spending and Dependent Care Admin Acct 1,250 757 (493) (39.5%)
School Employees' Benefits Board Dental Benefits Administration Account 12,039 11,712 (327) (2.7%)
School Employees' Insurance Admin Acct 34,544 31,144 (3,400) (9.8%)
School Employees' Benefits Board Medical Benefits Administrative Account 55,555 54,721 (834) (1.5%)
Medical Aid Account 2 2
Coronavirus State Fiscal Recovery Fund 69 69
Totals 24,070,719 22,339,624 (1,731,095) (7.2%)

Deficit Fund Balance

Program BTD Balance Proj. Balance
Basic Health Plan Trust Account (5,723) (5,723)