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Pawnee Mental Health asks Cloud County for $91,654 to cover uncompensated care
Summary
Pawnee Mental Health requested a $91,654 2026 appropriation from Cloud County to offset uncompensated care after reporting 498 county clients served in 2024 and presenting per-resident funding comparisons.
Mike Rezkalla, chief executive officer of Pawnee Mental Health, told the Cloud County Board of Commissioners on June 16 that the organization is seeking a $91,654 appropriation for 2026 to help cover uncompensated care.
Rezkalla said Pawnee provided treatment to 498 Cloud County clients in 2024, an increase of 47 clients from 2023. He presented per-resident spending figures showing Cloud County’s current annual spend of $175.28 per resident-served compared with a service-area average of $282.99, and noted that matching that average would imply a county allotment of about $140,929.
The presentation was a formal funding request; the transcript records the request but does not show the Board voting to approve the appropriation during the June 16 meeting. Rezkalla described the increase as intended to help with uncompensated costs incurred by services to Cloud County residents.
The Board’s minutes record the presentation and appropriation request but do not list any specific follow-up action or a formal commitment to the requested amount. The request will remain in the record for budget deliberations as the county prepares its 2026 appropriations.
