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Murray County Medical Center reports staffing gains, grants and operating shortfall
Summary
MCMC told the county board it hired a full-time ER APP, secured a grant from the Office of Emergency Medical Services that requires board acceptance, applied for a capital grant for endoscopy equipment, and reported a monthly net loss and decreased cash position.
Luke Schryvers presented a report from Murray County Medical Center to the board on Jan. 6 outlining staffing, capital projects, grant activity and recent financial performance.
Schryvers said MCMC hired David Majewski for a full-time ER advanced practice provider position and reached agreement with Travis Erickson to fill a casual ER APP role when Majewski moves into the full-time post. MCMC will host University of Minnesota medical student Clara Lucero for rural preceptorship weeks in March, April and October 2026. The hospital also signed an agreement with Pipestone County Medical Center to increase speech therapy availability.
On capital projects and grants, Schryvers said the X-ray replacement project design specs were finalized and will be sent to the State of Minnesota for approval, a process he estimated at about 16 weeks. He reported submission of a Rural Hospital Capital Improvement Grant to replace endoscopy equipment (grant awards up to $125,000 with a 25% facility match) and said MCMC was notified in early December it had received a grant from the Office of Emergency Medical Services to offset EMS-related expenses; "the grant requires a board resolution to accept the funds as part of the program," Schryvers told the board.
On operations and finances, Schryvers shared utilization and revenue figures: eight acute admissions for 21 patient days in the month; ER visits down 13% year-to-date; clinic visits up 2% year-to-date; and surgery procedures up 8% year-to-date. He reported cash decreased by $331,627 to a total cash available of $9,561,862, net patient receivables expected at $2,972,230 (48.7% collection), AR days at 68.8 and EBIDA of -$174,542, resulting in a monthly net loss of -$89,589 and a YTD net loss of -$334,388.
Commissioner Roger Zins asked whether changes at larger regional systems — Sanford and Avera — not accepting some Medicare plans were affecting MCMC. Schryvers said MCMC has not discontinued any Medicare plans but is negotiating with Medicare providers and will continue to monitor the situation.
Why it matters: The report mixes operational improvements and staffing stability with financial headwinds; the OEMS grant requires a formal board resolution to accept funds and the capital grant decisions will affect equipment replacement and service capacity.
Next steps: Staff requested a board resolution to accept the OEMS grant when paperwork is finalized and will report back on state approval and bidding timelines for capital projects.
