The Vermont Veterans Home presented its FY27 funding request to the House Appropriations Committee on Jan. 28, saying its general fund ask is $10,033,214 and that the overall budget is up $337,439 from last year. "Our general fund ask for this year is $10,033,214," the Home’s presenter told the committee.
Why it matters: The Home is managing a mix of fixed costs and revenue streams — including VA per diem, Medicaid, Medicare and private pay — while trying to reduce use of costly agency nursing staff. The committee pressed staff on a contingency they listed in the presentation: a possible budget adjustment request of as much as $2.2 million if recruiting goals are not met.
What presenters said: The Home said it is licensed for 130 beds but currently operates at a 99-bed maximum because one wing (A Wing) is offline for life-safety improvements. The presenters estimated design work is complete and the A Wing renovation would cost "close to $50,000,000," and noted the VA typically funds 65% of eligible capital grant projects with the state covering 35%.
On staffing, the Home credited its new director of nursing, Sarah Sidsbury, with improving recruitment and reducing reliance on agency staff. Sidsbury and other managers reported hiring 16 nurses since July, several recent LNA-class hires and another graduating class due to start that should lower agency usage. The presenters also said they are renegotiating agency contracts and considering scheduling software to prioritize in-house staff over more expensive temporary workers.
Budget risks and contingency: Committee members asked for clarification about a $2.2 million contingency noted in presentation slides. Home staff said that figure represents a hedge: they removed certain expenses from the baseline to meet submission guidelines but included a possible BAA (budget adjustment) value in case hiring does not sufficiently reduce agency staffing. "We may be back asking for this budget adjustment" if hiring efforts fail, a presenter said.
Funding and operations detail: The Home reported approximately 72.9% of its budget is fixed costs and that general funds are roughly 32% of total revenues. The Home expects $8.6 million from the VA in FY27 and cited an interim Medicaid reimbursement rate of $475 per day. Average resident age was listed at 81, with a range from 55 to 98 and growing clinical acuity among residents.
What’s next: Committee members thanked the delegation and indicated they may follow up with additional questions. The Home said it will monitor hiring and may return with a formal BAA if necessary.
Sources: Presentation to the House Appropriations Committee and questions from committee members during the Jan. 28 hearing.