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Scotland County health department reports under‑collection, commissioners cut several FY26 requests
Summary
Financial report showed expenditures at 84.2% of expected and revenues at 74% as of May 31, 2025. Commissioners removed several requested items from the FY26 budget, including a part‑time HIV case manager and two animal‑control vehicles; the department also noted a six‑month TB nurse vacancy.
Tim (fiscal presenter) summarized the department's financial position at the June Scotland County Board of Health meeting and identified several requested FY26 items the county commissioners did not fund.
Tim opened the presentation by saying, "This is the financial report as of 05/31/2025." He told the board that, "As of 05/31/2025, we should be 92% expended. Currently, as a total, we are at 84.2%." He said revenue collections were at 74% of expected receipts and attributed some of the revenue shortfall to a vacancy: the department "was down a provider for 2 months" and has only a part‑time provider who began seeing patients about two weeks before the presentation.
Tim said county purchasing was cut off early in June to prevent a fiscal shortfall, and that department heads may request emergency purchases through Beth, the county finance officer, using the department head's request and approval process.
On the FY26 budget, Tim said the department requested funding for a part‑time HIV case manager and sought replacement funding for two animal‑control vehicles; he said none of those requests "were funded" and that the commissioners "have met, and they have taken them off the budget already." He also said a public‑health infrastructure grant of about $209,000 is rolling over into the next fiscal year, but that COVID‑related funding previously available is no longer available: about $96,000 of COVID funding could not be requested for reimbursement under recent restrictions.
Tim noted programmatic line‑item effects: the tuberculosis program shows lower expenditures because the department has not had a TB nurse for about six months, so salary dollars are not being expended from that line.
Board members asked whether the uptick in adult‑health revenue reflected marketing or referrals; staff attributed higher adult‑health collections to increased walk‑in services, school and work physicals and managed‑care referrals that direct clients to county services. Tim and the director said referral work by social‑work staff has increased reimbursement from managed‑care entities.
No formal budgetary actions or votes were recorded at the meeting; Tim presented the department's requests and the board heard that the county commissioners removed some items from the department's FY26 budget prior to adoption.
