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County approves MOE transfer after medical care facility reports budget strain and Medicaid rate boost

November 11, 2025 | Jackson County, Michigan


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County approves MOE transfer after medical care facility reports budget strain and Medicaid rate boost
Destiny, speaking for the Jackson County Medical Care Facility, presented August and September financials to the committee, saying September revenue was $279,976 better than budget while expenses were $117,935 over budget. Year‑to‑date figures showed revenue about $50,114 behind budget and expenses about $995,973 over budget, she said.

Destiny noted operational losses on monthly reports reflect accounting practices and actuarial adjustments; audited year‑end numbers often show a stronger position after nonoperational items such as pension and OPEB are accounted for. She told commissioners that the facility began a higher Medicaid reimbursement rate Oct. 1 and that the rate increase is expected to add about $2,000,000 in revenue next fiscal year.

Commissioners asked whether the facility could present projected audit adjustments during the year; one commissioner recommended using historical audit adjustments to create an interim projection to better reflect year‑end expectations. Destiny said staff would discuss projection options with accounting.

After the financial presentation, Cecilia introduced a staff resolution requesting the county draw from the maintenance‑of‑effort (MOE) funds to cover the facility’s November interest payment. Commissioners questioned why the resolution arrived after the payment date; staff said the payment had been made and the resolution would authorize replacing those funds. The committee adopted the resolution by voice vote.

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Scribe from Workplace AI
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