The Money

Where the Money Goes

Roughly $120–150 million a year is already in play. No one is in charge of all of it — and that is the actual problem.

≈$120–150M
flows through Spokane’s homelessness/behavioral-health response every year — federal, state, local, and private.
≈$87–107M
of that is federal — quantified annual, dominated by ≈$75–95M in Housing Authority vouchers.
≈$20–25M
is the county’s entire freely-steerable behavioral-health lever — the only local money anyone can actually redirect.

Four money rivers feed this system: federal, state, local, and private/faith. Most programs sit on a stack of several sources — pull one layer and the stack wobbles. Figures are best-available as of mid-2026; ⚠ marks items to verify.

Who leads what — today

The City — HUD Continuum of Care applicant, shelter contracts, coordinated entry, street outreach.

The County — the crisis system (SCRBH), involuntary-treatment gatekeeping, the jail, therapeutic courts, the 0.1% behavioral-health tax, opioid settlement dollars.

State & Federal — Medicaid (the biggest payer in the system), Eastern State Hospital, corrections, housing vouchers.

Private & Faith — UGM (donor-funded), the meal circuit, the hospitals, and most treatment and supportive-housing operators.

Shared / blended — the seams between all four. This is where the crisis actually lives.

Four governments and dozens of providers each control a slice; nobody controls the outcome. Every dollar is defensible inside its own silo — and the silos add up to $90–100M a year spent maintaining the problem.

Federal

StreamHow muchWhat it pays for here
HUD Continuum of Care (WA-502)$6,333,005/yrPSH, RRH, transitional housing, coordinated entry, HMIS. Today 87–90% flows to permanent housing; the FY2026 NOFO would cap permanent housing near 30% and grow transitional housing, services, outreach and treatment. Est. local exposure ≈$3M starting Aug 2027 contracts.
HUD CDBG (City entitlement)$3,017,244/yrCapital projects, affordable housing, public services. SNAP among largest subrecipients. Not affected by CoC NOFO.
HUD HOME (City)$1,138,478/yrAffordable rental development, tenant-based rental assistance; part of LIHTC capital stacks.
HUD ESG (City)$267,764/yrShelter operations, street outreach, RRH, HMIS.
Section 8 / HCV via Spokane Housing Authority≈$75–95M/yr5,749 vouchers incl. HUD-VASH, project-based vouchers layered on nearly every PSH building. Waitlists closed since Aug 2024. Separate statutory authority from CoC.
Medicaid / Apple Health (incl. FCS)Largest single payerAll treatment (detox, MAT, inpatient, outpatient, crisis) plus Foundational Community Supports — first-in-nation Medicaid benefit paying for supportive housing & employment services. The invisible backbone of the whole map.
VA programs (SSVF, GPD, HUD-VASH)⚠ amounts TBDVeteran RRH/prevention (Goodwill, VOA), veterans transitional housing (VOA 20 units), VASH vouchers via SHA.
HHS Runaway & Homeless Youth (RHY)⚠ amounts TBDCrosswalk teen shelter (only licensed RHY shelter in Eastern WA), transitional living, maternity group home.
Congressionally directed / earmarks$3M (2026 example)Sen. Murray secured $3M (Feb 2026) for the PATH crisis expansion.
Social Security (SSI/SSDI)Income floorDisability income via SOAR enrollment is what makes PSH tenant rents work.
FEDERAL SUBTOTAL — quantified annual≈$87–107M/yrOf which ≈$12.1M is city-administered entitlements + CoC; ≈$75–95M is SHA vouchers. Medicaid (largest single payer), VA, RHY, and SSI are NOT quantified here — true federal flow is substantially higher.

State of Washington

StreamHow muchWhat it pays for here
Commerce — Consolidated Homeless Grant (CHG)City ≈$3.85M/yr; County program ≈$6.9M/yrCore state homelessness operating money: shelter, RRH, outreach, prevention. County figure UPDATED per 2025 county RFP: $13.73M awarded over two years (blends CHG + county document-recording fees + HESG; counted once here). [Audited Jul 2026]
Document Recording Fees (HHAA)Valley ≈$640K/yr; city/county ⚠ TBDReal-estate recording surcharges earmarked for homeless housing; each jurisdiction manages its share — a structural reason city/county/Valley capabilities differ.
Right of Way Safety Initiative>$25M (one-time, 2022–23)Closed Camp Hope; funded 376 beds incl. Catalyst. Legacy money — now expired, leaving an operating cliff.
Housing Trust Fund (HTF)Per-project capitalCapital for affordable/PSH construction (Haven buildings, Marilee, etc.).
HCA / SCRBH (BH-ASO)⚠ TBDCrisis system: 988 hub & regional crisis line (Frontier), DCRs, E&T placements, stabilization; non-Medicaid crisis services.
988 telecom taxStatewideFunds 988 hub operations and mobile crisis build-out.
AOC therapeutic court grants$738K→$430K (city, since FY24)Shrinking 40%+ — city has warned it may shutter most therapeutic courts; DV court closed Sept 2025.
Office of Homeless Youth⚠ TBDCrosswalk, YAS, Alexandria's House, Aston-Bleck, youth RRH.
DOC⚠ TBDBrownstone & Eleanor Chase reentry centers, community supervision, Revive contracts.
STATE SUBTOTAL — quantified annual≈$11–12M/yrCHG city $3.85M + county blended program $6.9M + Valley HHAA $0.64M + AOC $0.43M. NOT quantified: HCA/BH-ASO crisis system, HTF capital, OHY, DOC, 988 — each material. Right-of-Way $25M+ was one-time (expired).

Local (City / County / Valley)

StreamHow muchWhat it pays for here
County 0.1% Behavioral Health Sales Tax (RCW 82.14.460)≈$15.6M/yr allocated (2024); gross proceeds est. $15–22MMental Health Court, therapeutic courts, PATH expansion, co-responders, student wellness, transitional housing. VERIFIED from 2025 county budget reporting — substantially larger than earlier estimates.
Opioid settlement fundsCounty ≈$29.2M total (thru 2038); City $1.5M planFirst $7.2M: $5.2M PATH/SRSC expansion, $1.2M direct treatment ($400K/yr walk-in MAT), $600K NAS family housing, $200K/yr gap evaluation. Plus $2.39M to Maddie's Place; ~$4.7M more (Purdue, 2025) split among jurisdictions.
City of Spokane general fund + HEARTHEART ≈$7.5M/yr collected; shelter ≈$1M/quarterScattered-site shelter network (209 beds), House of Charity ($478,686 FY25–26), Cannon St. navigation ($1.7M/3yr), police-embedded outreach, mobile MAT, affordable housing (70 units latest round). Contract caps: $500K GF / $1M HEART.
City inclement weather$1M/yr (quadrupled)Surge shelter during extreme weather.
Spokane County general fund2025: $15M MH initiatives lineJail ($470+130 beds), Detention Services, jail medical (Mediko), co-responder partnership, Homeless Services Program (~$2.0M 2026 RFP w/ CHG).
Spokane ValleyHHAA ≈$640K/yr + ~$8M allocated grantsOwn Homeless Action Plan (2023); grants to Family Promise, VOA, Habitat, SNAP; contracts SCSO (1 outreach deputy); no shelter of its own.
EMS / Fire leviesBase fundingSFD overdose response (1,795 patients 2025), CARES team (4 social workers).
Failed / pending measuresMeasure 1 failed 20230.2% jail/justice sales tax ($1.7B/30yr) failed; Safe & Healthy roadmap (June 2026) frames a possible 2026 compromise proposal.
LOCAL SUBTOTAL — quantified annual≈$36–40M/yrCity shelter ≈$4M + HoC $0.48M + Bridge $0.57M + inclement $1M + HEART ≈$7.5M + 0.1% BH tax ≈$15.6M + settlement ≈$2.5M/yr + SRSC net county support. County homeless program ($6.9M/yr) counted once under the state CHG row to avoid double-counting.

Private, Philanthropic & Faith

StreamHow muchWhat it pays for here
Union Gospel MissionFully donor-fundedMen's shelter (~300) + women & children's crisis shelter (~134) + recovery programs + work therapy. Takes no government money by design — the largest invisible capacity in the system.
Congregations & ministries⚠ inventory neededDaily meal programs, parish shelter rotation (Mother Teresa's Haven), Truth Ministries (~$50K/yr donations + city $2/night bed fees), volunteer labor.
Diocese of Spokane / faith capitalLand & buildingsDonated land under CCEW Haven buildings; parish infrastructure.
Philanthropy & foundations⚠ TBDEmpire Health Foundation (Cannon St. contract holder), Waters Meet Foundation (Safe & Healthy funder), Avista, capital campaigns (Crosswalk 2.0 $14.5M).
Hospital community benefit⚠ TBDPotential funder for medical respite & discharge planning — currently a gap.
PRIVATE/FAITH SUBTOTALNot quantified ⚠Likely $15–30M+/yr region-wide (UGM alone is fully donor-funded at significant scale; plus congregations, foundations, capital campaigns). Quantifying this is a named project goal — the faith inventory.

The grand total

ORDER-OF-MAGNITUDE GRAND TOTAL: roughly $120–150M per year flows through Spokane's homelessness/behavioral-health response when vouchers and all quantified lines are combined — BEFORE counting Medicaid treatment spending, VA programs, state crisis-system funds, and private giving, each of which is material. No complete all-funds accounting for this region has ever been published — that missing ledger is itself one of the most important findings on this map. Figures are best-available July 2026; ⚠ marks items to verify.

How does $120–150M of resources square with a $90–100M status-quo bill? The two exhibits measure different questions — the ledger counts what flows through the system; the Bill counts what the failing status quo consumes in damage control. The benchmark comparison against same-size Wichita and Boise is on The Bill.

Who can actually move this money? — the control question

The tables above answer "how much and from where." A different question decides whether regionalization is even possible: who has the authority to redirect a dollar? A June 2026 SBA analysis of the county’s behavioral-health money sorts every stream into three tiers of control — and the answer is sobering:

TierApprox. annual $What it means
Controls (discretionary)≈$20–25MThe 0.1% behavioral-health sales tax (≈$15–22M gross; commissioners direct it year to year) plus opioid-settlement funds (restricted to abatement, but locally aimed). This is the county’s entire freely-steerable behavioral-health lever.
Administers (restricted, state-directed)Larger — contract total unpublishedAs the six-county BH-ASO (SCRBH), the county runs the crisis line, mobile crisis, ITA, and stabilization contracts — for everyone, insured or not. Real system-shaping power, but administrative, not budgetary: the state sets the terms.
Does not controlThe largest potMedicaid behavioral-health treatment — the biggest payer on this whole map — moved to the five Apple Health managed-care insurers in the 2019 integration. The county’s leverage is indirect: MCOs are legally required to buy into the county’s crisis system, and county dollars placed first can set the design others plug into ("braiding").

Why it matters here: headline figures like the county’s ">$80M community support" budget line mostly describe money passing through, not money anyone local can redirect. When this map argues that integration follows money, this is the fine print — the region’s genuinely movable local dollars are a ~$20–25M county lever plus the city’s HEART/shelter budget, and nothing forces them to point the same direction today. That is what a unified regional structure would change. Full analysis: How much behavioral-health money Spokane County actually controls (SBA memo, June 2026).

The Money — what we spend, and what it will take

Seven slides from the atlas: the paradox, the architecture, the instrument, and the ask.

The paradox: we already spend a fortuneTHE MONEY · 1 OF 7

Roughly $120–150 million a year already flows through this system — federal, state, local, and private (see the Funding Map). The failing status quo itself costs $90–100M a year in damage control (see The Bill). And SBA research found Spokane governments spending roughly $56 per resident on homelessness operations — against $12–13 in same-size Wichita and Boise.

Hold those three numbers together and the money story stops being “we need more” and becomes something harder: the problem is not the absence of money; it is the architecture of it. A community spending four times its peers per resident, while holding America’s #2 overdose death rate, is not underfunded — it is under-organized.

Sources: this map’s Funding Map (all streams); The Bill (status-quo cost, benchmarked against 5 communities); SBA Spokane–Boise–Wichita comparative spending research.

Why “spend more” isn’t the first answerTHE MONEY · 2 OF 7

Fragmentation is expensive everywhere it appears, and Spokane pays the fragmentation tax daily: every seam gets billed at emergency prices — police, ER, and jail running as the de facto front line at the highest cost per contact the system owns.

Dozens of funding streams, four governments, and no shared ledger means dollars cannot follow people across the seams where they actually fall. And the deeper law this map keeps documenting: the funding structure IS the governance structure. Whoever levies separately, drifts separately — new money poured into the current architecture buys more silos, not more outcomes.

See: “Spokane didn’t invent this” (Why this map?) — fragmentation inflates cost in American healthcare and homelessness response alike.

And yet — the roadmap needs real moneyTHE MONEY · 3 OF 7

Honesty cuts both ways. The Safe & Healthy Task Force’s integrated facilities-plus-treatment ecosystem cannot be reprioritized into existence: the capital package is being priced now (county facilities study, due fall 2026), and the operating costs recur every year after.

The report’s only explicit funding language: “Enact a funding mechanism, such as a public safety sales tax, that adequately supports this integrated facilities plan.” No rate, no structure, no ballot date. That missing sentence is exactly the conversation this lens exists to have — in public, with the arithmetic on the table.

Sources: SHTF Recommendations (June 2026); county facilities evaluation commenced June 10, 2026.

The instrument: a finite stack of tenthsTHE MONEY · 4 OF 7

Washington law gives this region a limited stack of voter-approved public-safety sales-tax capacity — a best reading of roughly 0.50% maximum inside the cities. The county retains about 0.2% under RCW 82.14.450 — roughly $30M a year at current yields. These tenths are the realistic instrument the Task Force’s language points at.

Two clocks are running. The councilmanic (non-voted) window under RCW 82.14.345 closes June 30, 2028. And every tenth claimed unilaterally — by any single jurisdiction — permanently shrinks and complicates what remains for a unified regional measure. The stack is finite: it can be assembled once, together, or nibbled to nothing separately.

Source: SBA Public Safety Tax Capacity memo (June 2026) — full analysis in Sources & Library.

The cautionary tales are recent and localTHE MONEY · 5 OF 7

November 2023: a 0.2% jail-centered measure went to voters without a unified regional plan behind it — and won barely more than a third of the vote. August 2026: STA asks voters to approve what it labels a renewal — in substance a new twenty-year, roughly billion-dollar tax — while SBA analysis of state filings shows its expiring tax was not needed to deliver the promised projects.

The pattern in both: silos racing to the till — single-purpose measures competing for the same finite capacity and the same taxpayer patience, while the community’s stated #1 priority waits. GSI’s own surveys say the public that ranks this crisis first is also acutely sensitive to total tax burden. The region will fund one integrated answer; it will not fund five fragments.

Sources: Spokane County elections (Measure 1, Nov 2023); SBA STA analysis from State Auditor filings; GSI Pulse surveys.

The math of together: 66, 41, and the other 25THE MONEY · 6 OF 7

The Sequential Intercept scorecard names 66 gaps. The Task Force’s recommendations directly advance 41. The remaining 25 are mostly seam-work — handoffs, data, warm connections — the kind of gap that closes not with a new building but with a system that acts as one.

That is why recommendation A1 — cross-sector accountability, coordination, and integration — is the holy grail of the whole exercise: it is where the whole becomes more than the sum of the parts. Houston and Boise did not outspend their crises; they out-organized them, and their existing dollars started buying outcomes. Integration is the multiplier that makes $120–150M of current spending — plus one regional measure — enough. Jurisdiction-by-jurisdiction, no amount is ever enough.

See: the Gap Scorecard (Intercept view); Priority recommendations — THE PUNCH LIST; the A1 assessment in the Safe & Healthy lens.

The ask: one region, one measure, one scorecardTHE MONEY · 7 OF 7

Aggregate the remaining tenths into one unified regional public-safety measure behind the Safe & Healthy roadmap — governance first (A1), money second, so every dollar lands on a single public scorecard: overdose deaths falling, the unsheltered count falling, downtown refilling, by dates this community sets out loud.

Said plainly: money follows structure. Build the structure — the council, the shared ledger, the by-name data — and one measure funds one system that citizens can hold accountable. Skip the structure, and the same dollars scatter into the same silos that produced this decade. The money is not the hard part. Together is the hard part — and it is the only part that works.

See: Priority recommendations, step 7 (“Fund it once, regionally”) and the Collaboration · Integration · Regionalization overlay.

Every funding stream above is explained in plain English — what it is, who runs it, what it pays for, and the fine print — in the Funding Glossary.
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