The Bexar County Commissioners Court convened on August 5, 2025, to discuss significant developments in local healthcare, particularly focusing on the proposed tax rate for the upcoming year and updates on various construction projects by University Health.

The meeting began with remarks from University Health officials, including CEO Ed Banas, who emphasized the institution's commitment to becoming one of the nation's most trusted healthcare providers. Banas highlighted the collaboration with the Bexar County Board of Managers to implement property tax exemptions aimed at alleviating the financial burden on property owners due to rising property values.

Banas introduced key members of the University Health team and expressed gratitude for the support from the commissioners regarding the acquisition of the Santa Rosa facility in the medical center. He noted that while the purchase has not yet closed, progress is being made, and the facility is expected to be a transformative addition to local healthcare services.

The presentation included updates on several construction projects. Banas showcased renderings of the Palo Alto campus, which is nearing completion, and reported that local participation in construction efforts is at 78%. He also discussed the Rotomah Campus, which mirrors the Palo Alto project, and noted a 73% local participation rate there as well. The VIDA facility, set to open later this year, will provide a range of healthcare services, including primary care and behavioral health, with an impressive 86% local participation in its construction.

Banas reported a significant increase in hospital census over the past decade, with average daily patient counts rising from 458 to 793. This surge in demand has led to a corresponding increase in surgical procedures, with projections indicating over 34,000 surgeries in 2025. He also highlighted the growing need for specialized services, particularly in the neonatal intensive care unit, which has seen a rise in patient transfers from across South Texas.

The discussion turned to the acquisition of the Santa Rosa facility, which is strategically located on 45 acres in the medical center. Banas explained that this facility will help alleviate capacity issues at University Health, allowing for better management of patient care. He noted that the facility includes a solar farm that, once activated, is expected to save the institution approximately $150,000 annually in electricity costs.

Banas concluded his presentation by emphasizing the importance of expanding healthcare access across Bexar County, particularly in underserved precincts. He introduced Reid Hurley, the Chief Financial Officer of University Health, to discuss the financial implications of the proposed tax rate and the challenges posed by current legislation.

The meeting underscored the ongoing efforts of University Health to enhance healthcare delivery in Bexar County, with a focus on expanding facilities and services to meet the growing needs of the community. The court's support for these initiatives reflects a commitment to improving health outcomes for all residents.