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Commissioners press hospital on shifting repayment figures as HaysMed reviews FY2027 budget

Pawnee County Board of Commissioners · July 6, 2026
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Summary

Pawnee Valley Community Hospital staff and HaysMed representatives reviewed the hospital's FY2027 budget and capital needs; commissioners expressed frustration at changing repayment targets and requested a capital project list before approving the budget.

Pawnee Valley Community Hospital Administrator Melanie Urban and HaysMed Chief Financial Officer Michelle Beckner presented the hospital's Fiscal Year 2027 financial review on July 6, including an estimated EBIDA as of June 30, 2026, several potential budgetary pressures and a NET capital budget request of $900,000 for FY2027. Michelle Beckner noted "the positive impact of an increase in Medicaid Provider Tax Impact from Fiscal Year 2026," per the minutes.

Commissioner Rein said the commission was concerned about a continually moving repayment target and emphasized that county-held hospital repayments must be placed back into the county's health 1% Fund, which "statutorily ... can only be used for Health," including EMS as the minutes state. County Attorney Doug McNett suggested revising the repayment formula, noting that before bonds were paid off the hospital made larger payments to the bond company. Commissioners asked the hospital to provide a capital-project list and scheduled a follow-up meeting for budget approval; no budget approval was recorded on July 6.