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County medical care facility posts January deficit but outperforms budget; census below plan

2531453 · March 10, 2025
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Summary

The county medical care facility reported January revenue of $2,503,906 and expenses of $2,675,675, producing a net loss of $171,769 — better than budget expectations — with a census of 176 versus a budgeted 181 and cash-on-hand estimated at 21 days after earmarked Medicaid repayment.

The director of the Jackson County medical care facility reported January revenue of $2,503,906 and expenses of $2,675,675, leaving a net negative position of $171,769 for the month, but the net result was $113,682 better than budget projections.

The facility’s budgeted census for January was 181; actual census was 176, representing 5.1 bed days behind budget. The director said the lower census accompanied an increased number of short-term Medicare stays and that admissions and discharges in January and February were roughly double the monthly counts the facility saw in 2024 — evidence, she said, that changes to admission and discharge processes are having an effect.

Accounts-receivable days rose to 59 (the department’s stated goal is 54), and cash on hand was estimated at 21 days after accounting for a $3.6 million amount that the facility expects to repay to Medicaid. The director said the 21-day figure assumes no incoming revenue and all current expenditures continue; she described the level as on the low side but historically within range.

The facility reported 59 admissions and 54 discharges in January and 41 admissions and 37 discharges in February. Management noted an MOE projection showing $168,000 earmarked for a bond interest payment in November.

Commissioners received the financial report by motion.