Nicholas Timothy Branscomb

The board approved the budget and 4-year projection, focusing on revenue, deductions, and expenses. Key assumptions included volume and rate increases for inpatient and outpatient hospital revenues, physician fee revenues, and other outpatient service revenue. Deductions from revenue included Medicare & Medicaid contractual adjustments, other contractual adjustments, discounts & adjustments, provision for uncollectible accounts, and indigent care. Discussions also covered DPP funds, LIP/DSPRO & special payments, supplemental funds, other operating revenue, salaries & wages, contract labor, benefits, fees, supplies, utilities, repairs and maintenance, rents and leases, insurance, other expenses, physician recruitment, and marketing & public relations. Capital expenses, interest expense, trustee or bond fees, depreciation & amortization were reviewed.

The budget meeting included a review of inpatient and outpatient hospital revenues, physician fee revenues, and clinic revenues. It also covered deductions from revenue, such as Medicare & Medicaid contractual adjustments, discounts & adjustments, and provisions for uncollectible accounts. The discussion included other operating revenue, such as pharmacy outreach and other miscellaneous income. Expenses such as salaries & wages, contract labor, benefits, physician fees, supplies, utilities, repairs and maintenance, rents and leases, and insurance were also reviewed.

The board approved the budget for 2025, including revenue projections for inpatient and outpatient hospital services, physician fees, and other outpatient services. Deductions from revenue were detailed, including Medicare & Medicaid contractual adjustments, discounts, and provisions for uncollectible accounts. Expenses such as salaries, wages, benefits, physician fees, supplies, utilities, and other operational costs were reviewed. The budget also included capital expenses like interest, trustee fees, and depreciation. Other income sources such as investment income, grants, and sales tax income were also discussed.