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Health department reports $777,853 YTD revenue shortfall; recommends revenue calendar

Berrien County Board of Health · April 1, 2026
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Summary

Finance presenter Ned Kulka told the board that year-to-date revenues are $1,016,022 versus a $1,793,875 budget (43.4% below budget) and recommended creating a revenue calendar and grants receivable report to address timing and billing issues.

Ned Kulka presented the Berrien County Health Department’s financial update on April 1, reporting Total Revenues year to date of $1,016,022 compared with a budgeted $1,793,875, a shortfall of $777,853 (43.4%). He said federal grant funding and state grants are below budget largely because of timing differences between grant and budget fiscal years, and that a Patagonia migration disrupted Medicaid Title XIX billing, affecting reimbursements.

Kulka highlighted expenditures that are under budget (salaries and wages, benefits, travel and training) and a few over‑budget categories (insurance; office equipment and furniture; memberships/subscriptions), noting timing and front‑loaded payments as explanations. He recommended creating a revenue calendar and working with IT to produce a grants receivable report to improve forecasting and reduce temporary shortfalls.