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Sunnycrest administrators present FY27 budget; finance staff say county would need to provide $2.58 million to break even

Dubuque County Board of Supervisors · February 3, 2026
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Summary

Sunnycrest administrators reported a nursing facility average census of 74 (77 beds) and presented FY27 revenue/expenditure estimates; finance staff said the county would need about $2,582,870 to break even in the coming fiscal year.

Sunnycrest leaders briefed the Board of Supervisors on facility census, operations and the FY27 financial plan during the Feb. 3 budget session.

Danny, the facility administrator, said the nursing facility’s average census is 74 of 77 beds and the ICF‑ID unit (28 beds) remains nearly full; he reported 26,875 nursing facility resident days and 10,187 ICF‑ID days for 2025. “We have 77 beds, so that has increased over the last year,” he said, summarizing utilization and program activity.

Emily, who presented the financial re‑estimate and FY27 budget breakdown, walked supervisors through revenue and expense line items, staffing openings and reimbursement differences across service types. She said total billed revenue projections and other sources bring the facility’s budgeted revenue to about $14,662,004. Emily said the department currently has roughly 15 full‑time direct‑care positions open that affect staffing costs and contracted care needs.

On the overall county ask, Emily said, “So, we would need $2,582,870 to get us to breakeven,” and noted that the current request is modestly lower than a prior ask (about $2.66 million). Her presentation included wage, benefits and contracted‑services line items that drive the expenditure total and the county contribution request.

Why it matters: public funding for long‑term care has fiscal and service‑level implications for county budgets and for residents who rely on nursing and ICF‑ID care. Supervisors heard both utilization data and the detailed revenue/expenditure assumptions that underpin the county ask.

Supervisors offered thanks for the presentation and had no substantive follow‑ups during the session; presenters will provide additional detail on staffing and reimbursement assumptions as requested.