Health & Human Services Board — Agenda Packet

1 Sawyer County Health & Human Services Board Meeting Thursday, October 1, 2026 @ 5:00 PM Sawyer County Board Room AGENDA 1. ZOOM LINK a. To view or participate in the virtual meeting from a computer, iPad, Android device, click on this link to join the webinar: https://zoom.us/j/92309461969. You can also use the dial in at: 1-312-626-6799 Webinar ID: 923 0946 1969. Use *9 to Raise/lower hand and *6 to Unmute/mute. If you are on a computer, click the "Raise Hand" button and wait to be recognized. If you are on a telephone, dial *9 and wait to be recognized. If additional assistance is needed please contact the County Clerk's Office at 715- 634-4866 prior to the meeting. This meeting will be recorded and will be available on our website at: https://sawyercountygov.org. 2. CALL TO ORDER 3. ROLL CALL 4. PLEDGE OF ALLEGIANCE 5. CERTIFICATION OF COMPLIANCE WITH THE OPEN MEETINGS LAW 6. MEETING AGENDA 7. PUBLIC COMMENTS At this time, members of the public will be given the opportunity to address the Board. Please adhere to the following when addressing the Board: • Comments will be limited to 3 minutes or less per individual. • Comments should be directed to the Board as a whole and not directed to individual Board members. • The Board cannot respond to your comments during this time. • Please sign in and fill out a public comment sheet if you wish to speak and hand it to the County Clerk (please respect the signs and do not approach Board members at the table). 8. CONSIDER APPROVAL OF MINUTES FROM PREVIOUS MEETING a. Draft HHS Minutes 9.3.26 9. EXTERNAL ENTITY REPORTS a. LCO Liaison Page 1 of 85 2 b. Senior Resource Center 10. ADMINISTRATION a. UPDATED Acronym/Terms Glossary b. HHS Organizational Chart c. HHS Admin Update d. Strategic Plan 11. AGING AND DISABILITY RESOURCE CENTER (ADRC) a. ALTC Report b. Chapter 55 Presentation 12. BEHAVIORAL HEALTH a. Behavioral Health Report b. Youth Resource Guide c. Sawyer County Assistance Guide d. Mobile Crisis & Chapter 51 Presentation e. Mental Health Expense Report 13. CHILD, YOUTH & FAMILY SERVICES a. CPS/YJ Diversion Report b. CPS Services Presentation c. Children's Supportive Services 14. ECONOMIC SUPPORT a. Economic Support Report b. WI Energy Assistance Program 15. PUBLIC HEALTH a. Public Health Report 16. FISCAL Page 2 of 85 3 a. Budget Performance Report Roll-Up b. Budget Performance by Unit c. Purchased Services & Revenue Recap 17. BOARD APPOINTED COMMITTEE UPDATES 18. CORRESPONDENCE, REPORTS FROM CONFERENCES AND MEETINGS 19. FUTURE AGENDA ITEMS 20. FINALIZATION OF BUSINESS 21. NEXT MEETING DATE /TIME: OCTOBER 29, 2026 AT 5:00 PM 22. ADJOURNMENT DISCLAIMER: A quorum of the County Board of Supervisors or of any of its committees may be present at this meeting to listen and observe. Neither the Board nor any of the committees have established attendance at this meeting as an official function of the Board or committee(s) or otherwise made a determination that attendance at the meeting is necessary to carry out the Board or committee’s function. The only purpose for other supervisors attending the meeting is to listen to the information presented. Neither the Board nor any committee (other than the committee providing this notice and agenda) will take any official action with respect to this noticed meeting. Copy sent via email to: Committee Members, Associated Staff and News Media. Note: Any person wishing to attend whom, because of a disability, requires accommodation should call the Sawyer County Clerk’s Office (715.634.4866) at least 24 hours before the scheduled meeting so appropriate arrangements can be made. Mission Statement: The Sawyer County Board of Supervisors will strive to provide excellent services and responsible leadership to protect and enhance Sawyer County citizens, businesses, and resources, while preserving our unique heritage. Page 3 of 85 Minutes of the September 3, 2026 Meeting of the Sawyer County Health and Human Services Committee of the Sawyer County Board of Supervisors Board Room, Sawyer County Voting Committee Members Present: Others Present: Kay Wilson Liz Klein Chuck Van Etten Mike Markgren Vacant Julia Lyons Jim Miller Hailey Sands- Virtual Jeff Hoehne Shawna White- Virtual Lorraine Gouge Julie McCallum Vacant Caitlan Myren Pam Mueller Dr. Sabrina Dunlap Call to Order – Chair Wilson called the meeting to order at 5:00 pm. Certification of Compliance with the open meeting law was confirmed. Roll Call was taken; a quorum was met. Meeting Agenda – Org Chart and Strategic Plan will not be individually addressed; combine items 13 a,b and c Public Comments – None Minutes from the previous meeting dated: August 6, 2026 Motion to approve amended minutes made by: Mr. Hoehne Second by: Mr. Van Etten Motion carried without negative vote. Outside Committee Reports- LCO Liaison— Ms. Gouge updated the committee on the LCO Food Shelf, which is open to all, the health center, recovery groups, mental health programs, and a weight room. Senior Resource Center— Ms. Klein updated the committee on fundraising efforts and a Chicken dinner on September 16. Administration— The HHS Acronym/Terms glossary has been included as a standing agenda item. Ms. Lyons gave a verbal Admin report, noting that the ADRC has moved to the Courthouse. Ms. Lyons reported on the public input hearing held August 19 for the 2027 HHS Budget. Aging and Disability Resource Center (ADRC)— Ms. Lyons updated the committee on staffing changes- the ADRC is now fully staffed, with 46 active clients and 17 new referrals in July. Behavioral Health— A written report was provided and reviewed; there has been a drastic increase in violent mental health cases requiring intervention and medication in the community and throughout the state; all age groups are represented. September 8 is 988 day, Suicide Prevention; the public can dial 988 for crisis support. Page 4 of 85 Jim Miller arrived at 5:23 pm. Mobile Crisis and Mental Health Expense reports were provided and discussed. Children, Youth & Family Services— Ms. Lyons gave an overview of Child Protective Services, Youth Justice, and Truancy & Diversion programs with updates on staffing changes. Children’s Support Services- There are 26 enrolled and 3 pending enrollments in Birth to 3, and CLTS has 65 enrolled with 2 pending enrollments. The CCOP (Children’s Community Options Plan) plan is due to DHS October 1. Economic Support— Ms. White presented the August Northern Income Maintenance Consortium data: there were 1408 FoodShare recipients, 17 Child Care families served and 1300 BadgerCare Plus clients served. The call center answered 6,619 calls with a 94.27% answer rate. Public Health-- Ms. McCallum reviewed a written report for August: measles cases are increasing in the state. Inspections of licensed facilities are ongoing. Two Walk for Tomorrow events are happening September 18 and 19 in Hayward and Winter, and Clean Sweep is September 23. Fiscal— Ms. Lyons reviewed the HHS fiscal reports. Board Appointed Committee Updates— There was an ADRC Consortium Board Meeting. Correspondence, Reports from Conferences and Meetings— Ms. Gouge noted that LCO Social Services have been moved to the old LCO health clinic. Future Agenda Items— October- update on Ch. 51, Ch. 55, and Crisis; update on CPS/YJ work. November- Bylaws and possible open house. Meeting Date/Time – The next meeting of the Health and Human Services Board will be Thursday, October 1, 2026, at 5:00pm in the Board Room. Meeting adjourned at 6:03pm Minutes recorded by Liz Klein, County Clerk Page 5 of 85 Acronym or Term Definition AaR Adults at Risk - as defined in Wis. Stat. § 55.043(1e), means any adult who has a physical or mental condition that substantially impairs his or her ability to care for his or her needs and who has experienced, is currently experiencing, or is at risk of experiencing abuse, neglect, self-neglect, or financial exploitation. ACA Affordable Care Act; health care reform law designed to make affordable health insurance available to more people, expand Medicaid, and support medical care at lower costs. CPS Access CPS access refers to the initial intake or screening stage in Child Protective Services (CPS), where a local or tribal agency receives a report of suspected child abuse or neglect and decides whether it meets the standards to open an official assessment or investigation ACCESS Online tool to determine eligibility for health and nutrition public assistance programs, to apply for benefits and for members to manage their accounts. ACEs Adverse Childhood Experiences (ACEs) are negative occurrences in childhood, including abuse, neglect, or household dysfunction, which are linked to compromised health and well-being in adulthood. ADL Activities of Daily Living ADRC Aging and Disability Resource Centers, or ADRCs, offer the general public a single source of objective information and assistance on issues affecting older people and people with disabilities. Also, ADRCs are the local entry-way to obtain publicly funded long term care. Aging Network A diverse group of organizations that work on behalf of older adults. AODA Alcohol and Other Drug Abuse. APHA American Public Health Association. Assisted Living Facility Popular name for a place where 5 or more adults reside which consists of independent apartments and which provides each tenant with up to 28 hours of supportive, personal and nursing services per week; 1997 Wisconsin Act 13 amended statutes to change official name to residential care apartment complex. BAA Business associate agreement BadgerCare Plus A health care program which helps low-income children, pregnant people, and adults in Wisconsin. BCA Base County Allocation (funding that passes from the state to the county for Human Service work) Benefit Specialist, Disability (DBS) A person in each county, usually in the county aging office, who helps elderly persons obtain and keep Medicare, Medical Assistance and other human services program benefits. Benefit Specialist, Elderly (EBS) A person in each county, usually in the county aging office, who helps elderly persons obtain and keep Medicare, Medical Assistance and other human services program benefits. Birth To 3 A program of early intervention services for children from birth through age 2 with disabilities, and for their families. Administered by DLTC and county administrative agencies in accordance with ch. HFS 90 Adm. Codes. Block Grants Federal grants to aid states. DHS regularly receives 6 different ones: Social Services, Community Services, Maternal and Child Health, Preventive Health and Health Services, Substance Abuse, and Mental Health. Departments make proposals to use these grants, and receive input from the public. The Wisconsin legislature reviews everything and final applications are submitted to the federal government for the next year's grants. Budget Mandate A directive from the Legislature to a state agency transmitted through a budget act, requiring the agency to do something by a certain date, e.g., carry out a study and submit a report with recommendations CAH critical access hospital CAP Community Action Program or Corrective Action Plan CARES Client Assistance for Re-employment and Economic Support System; Wisconsin's income maintenance eligibility system. CBRF Community-based residential facility; a place in which 5 or more unrelated adults live and where they receive care, treatment, or services, but not nursing care on any permanent basis, in addition to board and room. CBRFs are licensed by DHS under ch. HFS 83 rules. CCS Comprehensive Community Services is a program for people with mental health and substance use needs that, if ignored, could lead them to being hospitalized in times of crisis. CDC Centers for Disease Control and Prevention in Atlanta, a division of HHS. Certification A type of approval in the form of a written assurance or declaration that an individual, household, service provider or program meets specified conditions for receiving something or doing something as, for instance, a household to receive food stamps or a health care provider to receive reimbursement for providing services to Medicaid-covered patients. Page 6 of 85 Chapter 252 of the Wisconsin Statutes: prevention and control of communicable diseases. Chapter 254 of the Wisconsin Statutes: environmental health. Chapter 51 of the Wisconsin Statutes: commitment for treatment of mental illness; and services for persons who are mentally ill, developmentally disabled, alcohol-abusing or drug abusing. Chapter 971 This state law allows for the criminal commitment to a mental health facility for a competency evaluation, treatment to competency, and/or treatment after a finding of not guilty due to mental disease or defect. CHA Community Health Assessment CHIP Community Health Improvement Plan CHSD County human services department organized under s. 46.23, Wisconsin Statutes. CLIA Clinical Laboratory Improvement Amendments of 1988, PL 100-578, and implementing final federal regulations, 42 CFR 493. CLTS Children's Long-Term Support: a program that helps children with disabilities and their families through supports and services that help children grow and live their best lives in their home and community. CMS Centers for Medicare and Medicaid Services (formerly the Health Care Financing Administration), in the U.S. Department of Health and Human Services. COOP Continuity of Operations CPS Child Protective Services CSP Community support program; in communities, a program that coordinates care and treatment services provided to persons with severe and persistent mental illness. Regulated under ch. HFS 63 Adm. Code. CYSGCN Children and Youth with Special Health Care Needs Program within the Division of Public Health. DATCP Wisconsin Department of Agriculture, Trade and Consumer Protection DCF Department of Children and Families (DCF). Created on July 1, 2008. Delinquency Juvenile delinquency in Wisconsin is a crime committed by a person aged 10-16 that violates state or federal law. Common offenses are theft, vandalism, disorderly conduct, drug possession. DHS Department of Health Services DHSS Formerly Wisconsin State Department of Health and Social Services, to July 1, 1996. Is now Department of Health Services (DHS). Disability Rights Wisconsin Disability Rights Wisconsin; A Wisconsin-wide organization that advocates for people with disabilities and mental illnesses. Diversion Programming that steers young people away from formal court processing and incarceration by offering community-based services, counseling, and restorative accountability. DJC Division of Juvenile Corrections in DOC; formerly DYS in DHSS. DOC Wisconsin State Department of Corrections. DPA Deferred Prosecution Agreement (criminal charges are filed, but the case is put on hold. The defendant agrees to follow rules set by Youth Justice. If the defendant follows the rules, the charges are dropped.) DPH DHS Division of Public Health. DPI Department of Public Instruction DQA Division of Quality Assurance DSPS Department of Safety and Professional Services EBT Electronic Benefits Transfer; system to transfer food stamp benefits electronically instead of physical stamp coupons. E H R Electronic Health Records EMS Emergency Medical Services. EMT Emergency medical technician. Family-based Out of Home Care Child foster placements with relatives or licensed foster families. Family Support A DHS program under s. 46.985, Wis. Stats., and ch. HFS 65 Adm. Codes, that provides support to families with a severely handicapped child living at home by helping pay for the services and goods that a family needs to care for the family member at home. FAS Fetal alcohol syndrome; physical and/or mental anomalies in a newborn child resulting from the mother's drinking of alcoholic beverages during pregnancy. FDA U.S. Food and Drug Administration. Page 7 of 85 Federal Poverty Level Federal Poverty Level;poverty income thresholds based upon family size and income. Families below the threshold are considered in poverty, based upon guidelines which are updated yearly by the U.S. Department of Health and Human Services. Income excludes Medicare, Medicaid, food stamps and WIC drafts. FFY Federal fiscal year, October 1 to September 30. FNS Food and Nutrition Service, the part of the U.S. Department of Agriculture responsible for Food Stamps. Formal Petition A formal petition in Wisconsin's youth justice system is a legal document filed by a district attorney to start formal court proceedings under the Wisconsin Juvenile Justice Code (Chapter 938). FPOS Family Planning Only Services FSET FoodShare Employment and Training GLITC Great Lakes Inter-Tribal Council. A coalition of 12 Indian tribes of Wisconsin and Upper Michigan. GPR General Purpose Revenue: consists of state collected taxes and other revenue. This money goes to the state general fund where it can be distributed by the legislature. Group Home (GH) A small residential house in a regular neighborhood where a small group of unrelated people who need extra support live with professional staff. GWAAR Greater Wisconsin Agency on Aging Resources, Inc. HC Health Care HealthCHeck A Medicaid health care benefit especially created for young people. HHA Home Health Agency HHS U.S. Department of Health and Human Services. HIPAA Health Insurance Portability and Accountability Actof of 1996. HSD County human services department established under s. 46.23, Wisconsin Statutes, through a merger of the county social services department, the county department of community programs established under s. 51.42, Wisconsin Statutes, and other county human service agencies. I&A Information and assistance. I&R Information and referral. IDP Intoxicated Driver Program. IM Income Maintenance; federal program which helps provide supplemental income for households within a certain income threshold. IMD Institution for mental disease (i.e. Winnebago) Kinship/Like Kin Placements where children live with relatives or close family friends when they cannot safely live at home. LEP Limited English Proficiency. LHD Local Health Department LTC Long Term Care LTS Long Term Support MA Another term for Medicaid. Medicaid is a joint federal and state program that helps more than 1 million Wisconsin residents get high-quality health care coverage, long-term care, and other services that promote physical and mental health and well-being. MCH Maternal and Child Health (Title V) program of the Department. MCO Managed Care Organization (i.e. ICLUSA) Medicaid A joint federal and state program that helps more than 1 million Wisconsin residents get high-quality health care coverage, long-term care, and other services that promote physical and mental health and well-being. Medicaid Purchase Plan (MAPP) Health care coverage for people with a disability who are 18 or older and are working or interested in working. Medical Assistance Another term for Medicaid. Medicaid is a joint federal and state program that helps more than 1 million Wisconsin residents get high-quality health care coverage, long-term care, and other services that promote physical and mental health and well-being. MOU Memorandum of Understanding. MRC Medical Reserve Corps (MRC) volunteers donate their time and expertise to prepare for and respond to emergencies and promote healthy living throughout the year. MRC organizes and utilizes medical and public health professionals such as physicians, nurses, pharmacists, dentists, veterinarians, and epidemiologists. NACCHO The National Association of County and City Health Officials (NACCHO) is the Washington, DC- based organization representing local public health departments in the U.S. NH Nursing Home Page 8 of 85 NIH National Institutes of Health, a division of HHS; includes 17 research institutes and the National Library of Medicine. OCMH Office of Children's Mental Health OIG Office of Inspector General OSHA Occupational Safety and Health Administration in the U.S. Department of Labor. OWI Operating While Intoxicated PNCC Prenatal Care Coordination Protective Placement A court-ordered placement of people who have been found to be unable to manage their own affairs and need care and custody. Placement is within nursing homes or other non-psychiatric protective living areas. Protective Services Assistance to protect vulnerable persons from being abused, exploited, or treated in a degrading manner, and to help those who are adults live as independently as possible. PT Physical Therapy QA Quality assurance QRTP Qualified Residential Treatment Programs (QRTP) are designed for youth with serious mental health or behavioral needs. In Wisconsin, QRTP placements will be utilized only when children and youth cannot receive the appropriate services in their home of origin, or another home-like setting. RCAC Residetial Care Apartment Complex (assisted living) RCC Residential Care Center (RCC) is a licensed facility that provides 24-hour group housing, personal care, and supervision for individuals - mostly children, youth, or older adults - who require structured support outside of a traditional home environment. Respite Care Short term breaks for families or other members taking care of a disabled or elderly adult or children at risk. RFP Request for proposal; a document that solicits proposals from outside parties in a competitive bidding process. SAMHSA Substance Abuse and Mental Health Services Administration, part of PHS in HHS. SNAP Supplemental Nutrition and Assistance Program SNF Skilled Nursing Facility; a federal certification and state licensing term for long-term care facilities. These facilities provide care to residents who no longer need hospital care but still need medical care and skilled nursing help. SSBG Social Services Block Grant. A federal grant which provides funds to states for a variety of social services, and which in turn is distributed by the Department on a formula basis to counties which provide or purchase these services for people who need them. SSI Supplemental Security Income; a federal government income support program for aged, blind and disabled persons; checks are distributed by the federal government; monthly grant includes a state supplement amounting to over 20%. STD Sexually Transmitted Disease STI Sexually Transmitted Infection TANF Temporary Assistance for Needy Families. TIC Trauma Informed Care Title V-A of the Social Security Act of 1935, as amended: Maternal and Child Health. WAFCA Wisconsin Association of Family and Children's Agencies WALHDAB Wisconsin Association of Local Health Departments and Boards. WCA Wisconsin Counties Association. WCHSA Wisconsin Counties Human Services Association. WCMH Wisconsin Council on Mental Health WEAVR Wisconsin Emergency Assistance Volunteer Registry, or WEAVR, is a secure, password-protected, web-based volunteer registration system for health care and behavioral health professionals. WEDC Wisconsin Economic Development Corporation WEDSS Wisconsin Electronic Disease Surveillance System is a secure, web-based system designed to facilitate reporting, investigation, and surveillance of communicable diseases in Wisconsin. It is designed for public health staff, infection control practitioners, clinical laboratories, clinics, and other disease reporters. WEHA Wisconsin Environmental Health Association. Page 9 of 85 WEM Wisconsin Emergency Management (WEM) is the lead state agency charged with coordinating the state's planning, preparedness, mitigation, response and recovery efforts for natural and man-caused disasters. WHA Wisconsin Hospital Association. WIC Women, Infants and Children Supplemental Nutrition Program; seeks to improve the health of low- income, nutritionally at-risk pregnant and nursing women and infants and children under age five through improved nutrition made possible by nutrition education and vouchers for the purchase of certain foods. WIR The Wisconsin Immunization Registry is an online database that tracks vaccine records for Wisconsin children and adults. WiSACWIS Wisconsin Statewide Automated Child Welfare Information Systems Wisconsin Well Woman Medicaid Health care coverage for people under age 65 who have been diagnosed with and need treatment for breast or cervical cancer or certain precancerous conditions of the breast or cervix. WISHIN Wisconsin Statewide Health Information Network WMHI Winnebago Mental Health Institute near Oshkosh. WPHA Wisconsin Public Health Association WSLH Wisconsin State Laboratory of Hygiene provide Clinical, Water and Other Environmental, and Industrial Hygiene analytical services, specialized public health procedures, reference testing, training, technical assistance and consultation for private and public health agencies. WWWP Wisconsin Well Woman Program provides preventive health screening services to women with little or no health insurance coverage. Page 10 of 85 HEALTH & HUMAN SERVICES ORG CHART Director Julia Lyons ADRC/LTC Division Behavioral Health Division Business Services Division Children, Youth & Families Division Economic Support Division Public Health Division Deputy Director Carrie Mann Administrator Mike Markgren Sawyer County Board of Supervisors Revised: 09/25/2026 Children, Youth & Families Division Aging & Disability Resource Center (ADRC) / Long Term Care (LTC) Division Behavioral Health Division Public Health Division Economic Support Division Business Services Division Child Welfare, Youth Justice, Diversion & Truancy Department Season Westphal, Supervisor -Tysa Marlow, CPS Lead Worker -Amy Rocio, Ongoing Case Worker -Open Position, Family Facilitator -Melinda Hoyes, Lead YJ/Diversion Worker -Kim Lambert, YJ Case Worker -Jami Engebretson, YJ Case Worker -Michael Nugent, Youth Truancy & Diversion Worker -Amy Thompson, Foster Care Coordinator/Case Worker Children’s Support Services Hailey Sands, Supervisor Birth-to-3 -Jen Sarbeck, Service Coordinator Cheryl Churchill, SLP Sherry Maina, SLP Kori Kreyer, Teacher Donna Tveten, OT Marja Lietzan, PT Beth Hamus, OT Children Long Term Support (CLTS) -Ruth Anne Gillmor, Service Coordinator -Chelcy Nelson, Service Coordinator Lori Quam, Service Coordinator Aging & Disability Resource Center of the North (Sawyer County Branch) Ashley Miller, Supervisor -Linda Seeger, Information & Assistance -Erika Prince, Information & Assistance -Open Position, Dementia Care Specialist / Regional Information & Assistance -Shannon Ewert, Elder Benefit Specialist Regional Shared Staff Melody Jorgenson, Disability Benefits Specialist Senior Resource Center Contract Julia Lyons, Contract Lead Adult Protective Services Ashley Miller, Supervisor -Rebecca Erickson, Lead APS Specialist Ashley Miller, APS Specialist (50%) Contracted Services Amy Nigbor, WATTS/APS Economic Support (ES)/ WHEAP (Energy Assistance) Shawna White, Supervisor -Melanie Bemis, ES Specialist -Libby Fandry, ES Specialist -Tonya Richards, ES Specialist -Kim Christenson, QA Specialist / WHEAP Specialist Ramona Norton, ES Specialist -Emily Sumner, ES Specialist / WHEAP Specialist Northern Income Maintenance Consortium Shawna White, Resolution Coordinator Transitions Community- Based Residential Facility (CBRF) Amber Carter, House Manager Rhonda Hixson, Resident Assistant (RA) Jennifer Baumgart, RA James Simms, RA Katrina Grandadam, RA Christine Breault, RA Kendra Oldham, RA Behavioral Health Alicia Carlson, Supervisor -Joe Bodo, MH Clinician, OWI Assessor – LTE -Alison Carlson, CCS Facilitator, CST Coordinator / Information & Referral Assistant North Central CCS Consortium Alicia Carlson, CCS Service Director Mental Health Julia Lyons, Contract Lead Northland Community Services Caitlan Myren, Northland Community Services Director Mobile Crisis Services Community Support Program (CSP) Thomas J. Duffy Attorney at Law LLC Joe Bodo, Chapter 51 Consultant Chapter 51 Consultation Mental Health Commitment Management Public Health (PH) Julie McCallum, Health Officer & Supervisor -Jessica Bjork, PH Nurse -Mary Slisz-Chucka, PH Nurse -Mary Johansen, Communicable Disease Limited Term Employee (LTE) Open Position (AmeriCorps) Wild Rivers Women, Infant & Children (WIC) Julie McCallum, Contract Lead Cathy Becker, WIC Clerk Environmental Health (EH) Julie McCallum, Health Officer & Supervisor -Brian Becker, Sanitarian -Matt McKay, EH Technician -John Prohaska, EH Technician -Nathan Stafford, EH Technician (LTE) Chaz Olson, Ordinance Enforcement Officer Carrie Mann, Supervisor Admin Support Department -Kelly Olson, Admin Assistant -Open Position, Admin Assistant -Open Position, Admin Assistant Fiscal Services Department -Tanya Armsbury, Fiscal Lead -Jillian Kuczenski, Fiscal Clerk Health & Human Services Board Kay Wilson, Chair Chuck Van Etten, Supervisor Jeff Hoehne, Supervisor Jim Miller, Supervisor Ida Kinsley, Supervisor Lorraine Gouge, Tribal Liaison Pam Mueller, Community Member Vacant, Community Member Dr. Sabrina Dunlap, Medical Rep Member Legend Light Blue = services that are directly contracted or shared with a consortium or another department Retiring/or gave notice Updated since last month Page 11 of 85 715.634.4806 or 800.569.4162 Health Services Fax 715.634.3580 Human Services Fax 715.634.5387 HEALTH & HUMAN SERVICES Sawyer County Courthouse 10610 Main, Suite 224 Hayward, WI 54843 Adult Long-Term Care (ALTC) Unit Report- August 2026 Submitted by Ashley Miller, ALTC Unit Supervisor Benefit Specialists- Elder Benefit Specialist (EBS) • EBS Contacts: 28 new referrals for August, and 10 appointments with previously opened cases. • Open Enrollment season is quickly approaching. Shannon is working diligently to ensure Open Enrollment is going to go smoothly. ADRC-N Information & Assistance (I&A) • Referrals to Sawyer: 21 new referrals were assigned primarily to Linda. • Total of 29 Active Clients with open cases in August. Linda primarily handled all of these. • Disenrollments and LTC program switches are being handled by Linda until Erika is full trained up in the role. Adult Long-Term Care Unit Updates • Kim Hill resigned on 9/18/2026. She was our previous DCS/I&A Specialist. • ALTC is full time at the courthouse now, and it is going very well. We have our brochure racks up, and everyone is established in their offices. • Erika Prince is adjusting well to her new role as an Information and Assistance Specialist. She will be working alongside Linda. We are happy to have her on the team! Page 12 of 85 Chapter 55 Protective Placement Rebecca Erickson Adult Protective Services Specialist Sawyer County Health and Human Services Page 13 of 85 Chapter 55 Primary need for residential care Deemed incompetent by the court Incapable of providing for their own needs • Developmental disability • Degenerative brain disorder • Serious and persistent mental illness Disability that is permanent or likely to be permanent Page 14 of 85 EPP Emergency Protective Placements 72 Hours Establish Probable Cause Can be extended up to 60 days Court order to enter premise to investigate the need for Emergency Protective Placement Documented and sent to the court within 14 days Page 15 of 85 Number of Wards in Sawyer County 54 Protectively Placed Wards Page 16 of 85 Guardianships and Protective Placements 2025 9 Guardianships 7 Protective Placements By 2030, 1 in 5 residents of Sawyer County will have some form of dementia. Page 17 of 85 Guardianships and Protective Placements 2026 16 Guardianships 14 Protective Placements Guardians can be corporate or family. Family must be able to pass a background check!. Page 18 of 85 Why? An Aging Population The need for memory care Rise in APS Interventions We are getting 4-5 new reports a week. Tiered Response 24 Hours 72 Hours 5-7 Days Page 19 of 85 Chapter 51 into Chapter 55 Aggression in Dementia Medications Previous Mental Health Diagnosis Mental Health vs Dementia Page 20 of 85 Mental Health Median age of Sawyer County Residents is 53 Elevated Depression Rates Over 60 - 5% Depressed and Anxiety - 6% Symptom Overlap Behavioral and Psychological Symptoms of Dementia Increased Risk Factors Page 21 of 85 Issues Lack of resources Lack of providers Lack of Facilities Lack of Memory Care Units Lack of Mental Health Aging Units Page 22 of 85 Thank You Page 23 of 85 715.634.4806 or 800.569.4162 Health Services Fax 715.634.3580 Human Services Fax 715.634.5387 HEALTH & HUMAN SERVICES Sawyer County Courthouse 10610 Main, Suite 224 Hayward, WI 54843 Behavioral Health Programs Report for September 19, 2026 Behavioral Health Outpatient Clinic Supervisor Carlson and Joe Bodo participate in a weekly Central Intake Meeting, held every Tuesday and coordinated by Director Ly- ons, to review all referrals received by the agency. This meeting provides an opportunity for interdisciplinary collaboration, allowing staff to share information, determine the most appropriate level of care, and assign responsibility for outreach to the referred client or family. CCS Program (Comprehensive Community Services) Service Director Carlson continues to address ongoing barriers related to reinstating the CCS Program in Sawyer County. Service Director (SD) Carlson and Service Facilitator (SF) Carlson received five CCS referrals this month. SD Carlson and SF Carlson are currently working with two potential CCS candidates, both of whom are expected to screen eligible for the program. Their functional screens, which will determine final program eligibility, are scheduled to be completed next week. We are very excited about this progress. Previous referrals have not resulted in successful CCS enrollment despite the many hours in- vested in assisting potential participants through the process. We are hopeful that these two candidates will mark the turning point we have been waiting for and lead to successful placements in the CCS Program. Intoxicated Driver Program (IDP) Assessor Bodo has successfully completed one OWI assessment, had one no show and is scheduled to complete another assessment on 09.23.26. Supervisor Carlson has begun preparing the Behavioral Health Clinic for the upcoming recertification review of its mental health, sub- stance use disorder, and Intoxicated Driver Program services. Although the review date has not yet been determined, gathering and organizing the required documentation is a time-intensive process. The numerous staffing changes during the past year have added further complexity to the preparation process. CST Program (Coordinated Services Teams) Currently, there are five clients enrolled in the program. There were no new referrals or discharges during this reporting period. Supervisor Carlson has yet to hear if our grant proposal for 2027 has been approved. Supervisor Carlson and Coordinator Carlson completed both the Community Resource Brochure and the Adolescent Resource Brochure which were sent out this past week for printing. Our next Systems of Care Meeting is set for September 23, 2026, at 2:00pm via zoom. Respectfully, Alicia D. Carlson M.S., LPC, NCC, ICS, CSAC, CCTP, IDP-AT Behavioral Health Programs Clinic Supervisor/CCS Service Director/IDP Supervisor acarlson@sawyercounty.gov Page 24 of 85 SAWYER COUNTY YOUTH RESOURCES Boy Scouts of America www.bsa-cvc.org or www.beascout.org Boys & Girls Club of Lac Courte Oreilles 13394 W Trepania Rd, Hayward 715-634-4030 www.boysandgirlsclublco.org Girl Scouts of the Northwestern Great Lakes www.gsnwgl.org Horse Spirit W430 Rainbow Rd, Hayward / 715-558-1970 www.wisconsinhorsespirit.com Lumberjack Village Mini Golf 15642 W County Hwy B, Hayward 715-934-5301 www.scheerslumberjackvillage.com/mini-golf Mental Health Crisis Line Available 24 hours a day 1-866-317-9362 988 Suicide and Crisis Lifeline Call or Text 988 – https://988lifeline.org/ Northwoods Humane Society 10812 N O Brien Rd, Hayward 715-634-5394 www.northwoodshumanesociety.org Riverside Lanes 15278 W State Rd 77, Hayward 715-634-2695 www.riversidelaneshayward.com Sawyer County 4H – Extension Sawyer County 10610 Main St, Suite194, Hayward 715-634-4839 https://sawyer.extension.wisc.edu/4-h-youth- development Sawyer County Health and Human Services 10610 Main St, Suite 224, Hayward 715-634-4806 www.sawyercountygov.org Sawyer County Outdoor Projects and Edu- cation (SCOPE) – Hunter Education www.sawyercountyoutdoors.com Sawyer County Search and Rescue 10610 Main St, Suite 89, Hayward 715-634-2004 www.facebook.com/SawyerCountySAR Sherman and Ruth Weiss Community Li- brary 10788 State Hwy 27/77, Hayward 715-634-2161 www.weisscommunitylibrary.com Wilderness Walk Zoo 9503 WI-27, Hayward 715-634-2893 www.wildernesswalkhaywardwi.com Winter Public Library 5129 N Main St, Winter / 715-266-2144 www.winterwislib.org Project Northwoods Winter, WI 54896 Projectnorthwoodswi.weebly.com Northwest Connection Family Resources 15896 W 3rd St. Hayward, WI 54843 715-634-2299 The Challenge Academy 749 E 12th Ave. Fort McCoy, WI 54656 608-269-9000 www.challengeacademy.org Job Corp Info.joinjobcorps.com 877-889-5627 Jack Links Aquatic and Activity Center 714 W Hokah St. Minong, WI 54859 715-972-8320 Jack Link’s Aquatic and Activity Center Corrections/Additions: Contact Alison Carlson – alison.carlson@sawyercounty.gov Updated September 2026 Page 25 of 85 FAMILY RESOURCES & CHILD CARE Sawyer County Birth-3 Program 715-638-3451 Child Protective Services (CPS) 715-634-4806 Birchwood School 715-354-3471 300 S Wilson St. Birchwood, WI https://www.birchwood.k12.wi.us/ Hayward Community School District 715-634-2619 https://www.hayward.k12.wi.us/ Lac Courte Oreilles K-12 School 715-634-8924 8575 N Trepania Rd. Hayward, WI https://www.lcoosk12.org/ Winter School 715-266-3301 6585 W Grove St. Winter, WI https://www.winter.k12.wi.us/ Lac Courte Oreilles Ojibwe University 715-634-4790 13466 W Trepania Rd. Hayward, WI http://www.lco.edu LCO FACE (Family and Child Education) 8575 N Trepania Rd. Hayward, WI 715-634-8924 x 1299 University of Wisconsin-Madison Division of Extension 16096 US HWY 63 Hayward, WI 1-877-699-4110 https://sawyer.extension.wisc.edu 715-634-4839 Northwest Connection Family Resources 715-634-2299 15896 W 3rd St. Hayward, WI https://www.wisconsinchild.org/ Echo Health 715-634-2681 16018 Dyno Dr. Hayward, WI www.echohealthmw.com Boys & Girls Club of Lac Courte Oreilles 715-634-4030 13394 W Trepania Rd. Hayward, WI https://www.lcotribe.com/boys-girls-club ICAA Head Start 715-230-0737 10814 Beal Ave. Hayward, WI https://www.indianheadcaa.org/ MEDICAL Tamarack Health Hayward Medical Center 11040 N State Rd 77, Hayward, WI 715-934-4321 Marshfield Clinic Hayward Center 715-634-6520 10212 N Greenwood Ln. Hayward, WI Essentia Health-Hayward Clinic 715-634-5505 11134 WI-77, Hayward, WI LCO Community Health Center 715-638-5100 9940 County HWY K, Hayward, WI https://lcohc.com/ Sawyer County Public Health 715-634-4806 10610 Main, Suite 224, Hayward, WI https://sawyer-county-public-health- sawyergis.hub.arcgis.com/ BEHAVIORAL & MENTAL HEALTH CRISIS Mental Health Emergency Crisis Call 911 Prevent Suicide Wisconsin/Veteran's Crisis Line Available 24 hours a day Call 988/Press (1) Mental Health Crisis Line 1-866-317-9362 Available 24 hours a day Domestic & Sexual Abuse Crisis Hotline 1-800-799-7233 24 Hour Crisis Line Sawyer County Health & Human Services/ 715-638-3317 Information and Referral Center 10610 Main Street, Suite 224 Hayward, WI LCO Behavioral Health 715-699-1916 9940 County HWY K, Hayward, WI https://lcohc.com/behavioral-health Intoxalock Ignition Interlock 888-411-5569 https://www.intoxalock.com/ Northland Counseling Services 715-634-0222 10752 Beal Ave. Hayward, WI https://northlandcounselingsvcs.com/ Northlakes Community Clinic 715-634-2541 15954 Rivers Edge Drive, Hayward, WI *Also offers Alcohol & Other Drug Abuse (AODA) services NAMI: National Alliance on Mental Illness 715-736-0089 https://www.nami.org/ WI Family Ties 1-800-422-7145 www.wifamilyties.org EMPLOYMENT Northwest CEP: Concentrated Employment www.nwcep.org Northwood Technical College 715-634-5167 15618 Windrose Lane, Suite 106, Hayward, WI https://www.northwoodtech.edu Division of Vocational Rehabilitation (DVR) 715-634-0523 15614 Windrose Ln. Suite 310B Hayward, WI LCO Workforce Innovation Opportunity Act 715-634-8934 x7411 13394W Trepania Rd. Hayward, WI https://lco-nsn.gov/wioa/ Workforce Resource Inc.-W-2/FSET 1-855-792-5439 15612 Windrose Ln. Suite 200 Hayward, WI http://www.workforceresource.org/home.php FOR ECONOMIC SUPPORT ELIGIBILITY & BENEFIT DETERMINATION CONTACT: Northern Income Maintenance Consortium 1-888-794-5722 www.access.wi.gov -Apply for FoodShare, BadgerCare Plus, Medicaid, Child Care Assistance. SENIOR/DISABLED ADULTS Aging & Disability Resource Center of the North (ADRC-N) 10610 Main Street, Hayward, WI 866-663-3607 https://sawyercountygov.org/ADRC -Information & assistance related to elders & adults with disabilities Adult Protective Services (APS) 715-634-4806 https://sawyercountygov.org/APS -To report concerns for vulnerable adults or people age 60+ LCO Elder Tribal Center 715-865-3379 13878 N Agency Rd. Stone Lake, WI WALDO Community Center 715-651-6012 6635 W HWY 70, Winter, WI waldocomctr@gmail.com VIEW/DUPLICATE & DISTRIBUTE sawyercountygov.org Click on Toolbar: "How Do I..." Then "Find"; Select "Assistance - Basic Needs" Corrections/Additions: Contact Alison Carlson alison.carlson@sawyercounty.gov Updated September 2026 ASSISTANCE GUIDE FOR SAWYER COUNTY FIRST CALL FOR HELP WHEN YOU NEED HELP WITH BASIC NEEDS Website: sawyercountygov.org Need to refer yourself or someone else for services? Click on the following link: www.sawyercounty.gov/150/Health- Human-Services Sawyer County Health & Human Services Sawyer County Courthouse (4th Street entrance) 10610 Main, Suite 224, Hayward 715-634-4806 / 1-800-569-4162 After hour calls forward to Sheriff’s Dept. Lac Courte Oreilles (LCO) Tribal Services LCO Tribal Administration Building Page 26 of 85 FOOD ASSISTANCE Birchwood Area Food Pantry 612-247-4591 113-115 Main Street, Birchwood, WI 1st & 3rd Mondays 10:00am-1:00pm Cable Food Shelf 715-795-2760 13380 Spruce St. Cable, WI 4th Thurs. Jan-Oct, /3rd Thurs. Nov. & Dec. 11am-6pm Hayward Community Food Shelf (HCFS) 715-634-4237 16216 W US Hwy 63, Hayward, WI Every Mon. 9-12 & First Sat. 9-12 (except holidays) www.haywardfoodshelf.net HCFS Food 4 Kids 715-634-4237 16216 W US Hwy 63, Hayward, WI www.haywardfoodshelf.net Northwoods Community Food Shelf 715-699-4449 11255 N State Rd 77, Hayward, WI Tues, Wed & Fri—10:00am—3:00pm LCO Food Distribution Program 715-634-3677 9026 N Round Lake School Rd. Hayward, WI https://lco-nsn.gov/lco-food-distribution/ Wild Rivers WIC 715-204-4159 Sawyer County: 10610 Main St. Hayward, WI polkcountywic@polkcountywi.gov MEALS First Lutheran Church Community Supper 10680 N Main St. Hayward, WI FREE, Wed. 5:00-6:00 pm 715-634-2141 Senior Center Sites: Noon Meals, Meals On Wheels Exeland/Winter 715-943-2990 Hayward 715-634-4680 Spider Lake 715-634-4680 Stone Lake 715-634-4680 TENANT RENT ASSISTANCE Community Service Block Grant (CSBG) 715-532-1581 Emergency Services Program CCB Housing Management 715-394-2012 15869 Muriel St. Hayward, WI E. Fuller Inc. 715-634-2040 10654 Reinke St. Hayward , WI Northern Lights Apartments 715-634-3561 15865 W. Guard St. Hayward, WI Sawyer County Non Profit (Galaxie Apartments) 10695 N Reinke St. Hayward, WI 715-634-3861 LCO Housing Authority 715-634-2147 13416 W Trepania Rd. Hayward, WI Sawyer County Housing Authority (SCHA) 715-634-4280 16036 W US Hwy 63, Hayward, WI LOW TO MODERATE INCOME HOUSING PROGRAMS (Purchases, Repairs) NW Regional Planning Commission 715-635-2197 X 221 http://nwrpc.com - Homebuyer Assistance - Rent-Occupied Rehabilitation - Handicapped Accessibility USDA Rural Development 715-635-8228 X 113 504 Repair Loan Grant Habitat for Humanity of Sawyer County 715-634-1340 LATE RENT / SECURITY DEPOSITS Sawyer County Housing Authority 715-634-4280 16036 US-63, Hayward, WI https://www.sawyercountyhousing.com/ Salvation Army 715-634-1050 -Late Rent/Security Deposit 15693 Davis Ave. Hayward, WI https://satruck.org/ Coordinated Entry 715-263-2900 Assistance for people in danger of homelessness or eviction SHELTER / CRISIS HOUSING LCO Oakwood Haven Shelter (Domestic Violence) 715-598-8385 New Reflections Pathway to Hope (Women and children) 715-558-8558 New Day Advocacy Center 715-682-9566 Domestic & Sexual Abuse Agency LCO Men’s Shelter 715-257-5144 16096 UW HWY 63, Hayward, WI LCO Women’s Shelter 715-624-4012 12929 W Haskins Rd. Hayward, WI UTILITY ASSISTANCE Energy Assistance / Weatherization 715-634-4806 Sawyer County Health and Human Services LCO Energy Assistance/Weatherization 715-634-8934 Salvation Army / Utility Assistance 715-634-1050 15693 Davis Ave. Hayward, WI https://satruck.org/ Weatherization NCCAP 715-424-2581 https://northcentralcap.org/weatherization VETERANS SERVICES Sawyer County Veterans Service Office 715-634-2770 16092 US HWY 63, Hayward, WI Hayward VA Clinic 715-934-5454 10369 State HWY 27, Hayward, WI LEGAL Legal Action of Wisconsin 1-800-472-1638 Get Help - Legal Action Wisconsin WI Public Defender 514 Service Rd, Suite A, Spooner, WI 715-390-4560 Victim/Witness Coordinator 715-638-4097 Sawyer County District Attorney’s Office 10610 Main St. Hayward, WI Sawyer County Victim Advocate 715-638-3360 C/O Oakwood Haven 10610 Main St. Hayward, WI Civil Legal Aid Assistance Program (CLAAW) 414-274-3097 https://www.civil-laaw.org/ TRANSPORTATION MTM - Non - Emergency Medical Transportation https://www.mtm-inc.net/wisconsin/ 1-866-907-1493 For individuals on Medicaid or BadgerCare Plus Monday - Friday 7:00 a.m. to 6:00 p.m. Namekagon Transit “Public Bus for All of Us!” 715-634-6633 / 1-866-295-9599 https://www.namekagontransit.com Dispatch: Option 1 Scheduled regular routes 6:00 a.m. - 8:30 p.m. Monday - Friday 8:00 a.m. - 4:30 p.m. 14670 W County Rd. B, Hayward, WI NWT Express, LLC 715-638-0431 15366 W County Rd. KK Hayward, WI Indigo 715-392-9118 Ext. 124 https://indigowi.org/services/transportation/ Pathways Transport 715-373-2800 Non-Emergency Medical Transport M-F, 8:00am—4:30pm Senior Resource Center 715-634-3000 15856 E 5th St. Hayward, WI https://seniorresourcecenternorth.org/ Rusk County Transit Commission—DIAL A RIDE 1101 Barnett Road, Suite 108 715-532-1000 Ladysmith, WI 54848 For additional resources and community wellness events go to: sawyerhelp.com Page 27 of 85 MOBILE CRISIS & CH. 51 Program activity and outcomes 2026 year to date through September 20 Caitlan Myren, MSW, LCSW Northland Counseling Services Page 28 of 85 OVERVIEW 02 2026 activity at a glance Three measures show sustained demand across crisis response and continuing care 183 Mobile crisis assessments Already 88% of the full-year 2025 total of 209. 90 Law enforcement consult calls Two more calls than the full-year 2025 total. 12 CSP referrals Half were received during the most recent three months. At the current pace, 2026 would finish near 254 assessments, about 22% above 2025. Simple annualized run rate based on 183 assessments over 263 elapsed days. 2025 full-year comparison | 2026 YTD through September 20 Page 29 of 85 ASSESSMENT VOLUME 03 Assessment volume is tracking above 2025 The 2026 year-to-date count reached 183 by September 20 209 183 254 0 50 100 150 200 250 300 2025 actual 2026 YTD 2026 run rate 88% of 2025 annual volume Reached with more than three months remaining in the year. +45 projected assessments Run rate compared with the 2025 total of 209. 2026 YTD through September 20 | Run rate is directional, not a forecast Page 30 of 85 REFERRAL SOURCE 04 Both referral sources are nearing 2025 totals Law enforcement referrals are one assessment below the full-year 2025 count 140 69 115 68 0 20 40 60 80 100 120 140 160 Tamarack Health Law enforcement 2026 YTD 2025 full year 68 law enforcement 99% of the 2025 annual count of 69. 115 Tamarack Health 82% of the 2025 annual count of 140. 2026 YTD through September 20 | Referral counts reconcile to 183 total assessments Page 31 of 85 CONSULTATION CALLS 05 Consult calls have already exceeded the 2025 total Law enforcement placed 90 crisis consultation calls through September 20 88 90 0 20 40 60 80 100 2025 full year 2026 YTD 35 calls resolved without assessment Represents 39% of all 2026 consultation calls. 39% resolved without assessment 55 other consultation calls 2025 full year | 2026 YTD through September 20 Page 32 of 85 ASSESSMENT OUTCOMES 06 Emergency detentions increased in 2026 Outcome counts compare 2026 year to date with full-year 2025 90 74 21 6 7 9 2 72 61 31 8 5 5 1 0 10 20 30 40 50 60 70 80 90 100 Safety plan Voluntary BHU Emergency detention Out-of-county follow-up Refused Other Outcome not listed 2026 YTD 2025 full year 31 Ch. 51 detentions Up from 21 in all of 2025. +48% vs. 2025 Reconciliation The residual category accounts for 1 assessment in 2026 and 2 in 2025 that did not have a listed outcome. 2025 full year | 2026 YTD through September 20 | Outcome not listed is a calculated residual Page 33 of 85 PRESENTING PROBLEMS 07 Suicidal ideation was the leading presenting problem Presenting concerns documented across 2026 crisis assessments 9 11 24 25 27 39 68 0 10 20 30 40 50 60 70 80 Mania Homicidal ideation Anxiety / depression (without SI) Schizophrenia / hallucinations AODA Suicide attempts Suicidal ideation 68 suicidal ideation 37% of the 183 assessments. Categories overlap 203 entries across 183 assessments. One assessment may include more than one concern. AODA context AODA was documented in 27 assessments as a primary stressor, not the primary reason for the crisis assessment. 2026 YTD through September 20 | Categories may overlap; one assessment may include multiple presenting problems Page 34 of 85 AGE DISTRIBUTION 08 Adults remain the largest age group Youth ages 13 to 17 have already exceeded their full-year 2025 count 0 43 139 27 1 55 106 21 0 20 40 60 80 100 120 140 160 0–12 13–17 18–64 65+ 2025 full year 2026 YTD 55 assessments ages 13–17 Twelve more than the full- year 2025 count. 58% ages 18–64 106 of 183 assessments in 2026 YTD. 2026 YTD through September 20 | Age counts reconcile to annual and YTD totals Page 35 of 85 SPMI AND CSP 09 Crisis activity coincides with increased CSP referrals Severe and persistent mental illness creates sustained functional impairment SPMI Severe and persistent mental illness refers to psychiatric conditions that cause significant functional impairment and last at least one year. Examples may include schizophrenia, bipolar disorder, schizoaffective disorder, chronic PTSD, severe borderline personality disorder, and treatment-resistant major depressive disorder. 12 CSP referrals in 2026 Generated alongside increased crisis assessment activity. 6 recent referrals Received during the most recent three months. 7 new CSP admissions The highest annual admission count reported by the presenter. Crisis response is identifying substantial ongoing need for CSP services. In 2026, CSP received 12 referrals and admitted 7 new consumers, supporting the need for continued CSP capacity and funding. 2026 YTD through September 20 Page 36 of 85 January February March April May June July August September October November December TOTAL Annual Projection: Assurance, REDI, Talon (MH Transports) - -$ 1,200.00$ -$ 336.07$ -$ 371.39$ 3,600.00$ 5,507.46$ 8,261.19$ Bayfield County for 2024 Regional MH Crisis Line 3,333.00$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ 3,333.00$ 3,333.00$ Helping Hands Family Services (guardian) $ 250.00 no invoice no invoice 500.00$ 250.00$ 250.00$ 250.00$ 500.00$ 2,000.00$ 2,700.00$ In-patient MH - $ - -$ $ 11,400.00 4,275.00$ -$ -$ $ - 15,675.00$ 23,512.50$ New Beginnings of Barron County (CBRF) $150/day no invoice no invoice $ 1,350.00 $ - -$ -$ -$ -$ 1,350.00$ 2,025.00$ Northland Community Support Program no invoice 133,515.47$ 90,941.60$ 57,535.23$ 140,262.75$ 100,915.84$ 104,216.14$ 107,406.43$ 734,793.46$ 1,102,190.19$ Northland Crisis Bed no invoice 29,070.30$ $ 43,072.05 $ 47,250.35 $ 34,848.80 $ 18,424.53 14,846.30$ $ 8,823.33 196,335.66$ 294,503.49$ Northland Mobile Crisis & Crisis On Call no invoice 8,238.06$ $ 8,953.87 $ 7,241.04 $ 8,252.42 $ 7,189.92 6,141.77$ $ 8,252.42 54,269.50$ 81,404.25$ TJ Duffy/Joe Bodo (Chapter 51 Coordination & Consultation Services) 3,120.00$ 3,120.00$ 3,120.00$ no invoice 6,240.00$ 3,120.00$ no invoice 3,120.00$ 21,840.00$ 32,760.00$ Tradewinds Residence Inc (CBRF) $184.25/day -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ Transitions-MH (CBRF) Net cost reported fluctuates with census and revenue received. 11,576.44$ 24,242.84$ 19,256.17$ 28,363.16$ 42,296.30$ 28,472.71$ 35,093.17$ 42,271.02$ 231,571.81$ 347,357.72$ Trempealeau County Health Care Center Net cost reported fluctuates with census and revenue received. $ 12,855.92 12,239.90$ 12,956.66$ no invoice $ 12,343.36 $ 12,947.54 $ 12,170.17 $ 12,555.00 88,068.55$ 132,102.83$ Winnebago MHI Net cost reported fluctuates with census and revenue received. 140,509.00$ 93,857.00$ 83,370.33$ 44,995.11$ 74,957.20$ 129,808.71$ 43,506.06$ 95,139.72$ 706,143.13$ 332,946.00$ TOTAL by Month 171,644.36$ 304,283.57$ 264,220.68$ 197,284.89$ 324,061.90$ 301,129.25$ 216,595.00$ 281,667.92$ -$ -$ -$ -$ 2,060,887.57$ 2,363,096.16$ check figure: $2,060,887.57 Total Annual Projection: $2,363,096.16 MENTAL HEALTH MONTHLY EXPENSE REPORT FOR HHS BOARD 2025 *Net Cost reported (Expense minus revenue collected from client, insurance, or Medical Assistance) *Number based on contract or daily rate *Based on average of past two years Page 37 of 85 Child Protective Services (CPS) Youth Justice (YJ) Diversion 1 October 2026 Health & Human Services Board Report Page 38 of 85 CPS Access Reports | August 2026 Health & Human Services Board Screening decisions 6 Screened In 33% 12 Screened Out 67% 0 4 8 12 18 total CPS reports received Screened-in maltreatment 6 reports | full August Neglect 3 Physical abuse 2 Sexual abuse 1 Screened-out maltreatment Available detail: Aug. 15–31 Neglect 4 Physical abuse 1 Emotional abuse 1 Source: eWiSACWIS SM02X100 Access Report | August 2026 Page 39 of 85 Youth Justice Referrals Health & Human Services Board | August 15–September 15, 2026 Referral decisions 0 1 2 3 1 DPA 2 Decision pending 0 Formal petition 0 Case closed 3 referrals received • all were delinquency referrals Offense profile Location of offenses Community 2 School 1 Offenses represented Disorderly conduct 1 Battery 1 Drug paraphernalia 1 Criminal damage 1 BOARD NOTE One referral resulted in a Deferred Prosecution Agreement (DPA); two remained pending as of September 15. Source: eWiSACWIS YM01X100 Youth Justice Referral Report Page 40 of 85 Diversion Program | 2026–2027 Reporting Year Health & Human Services Board | September 16, 2026 Diversion participation 0 5 1 0 1 5 2 0 4 New referrals 14 Currently served 17 Projected after current intakes 3 of the 4 new referrals have intake appointments scheduled for the week of September 21st . Reporting-year context 17 youth and families expected to be served after current intakes are completed 14 currently receiving Diversion services 1 youth transferred into the new reporting year from 2025–2026 Diversion BOARD NOTE Diversion provides youth and families an opportunity to address identified needs and access supports before a matter progresses to formal delinquency court involvement. Program expectation: continued emphasis on early intervention through Diversion may reduce the number of matters proceeding t o formal Youth Justice referral and court involvement. Page 41 of 85 Race of Youth Served Sawyer County Board of Directors | Youth Justice, Diversion & CPS/Child Welfare Race distribution by program 0 5 1 0 1 5 2 0 2 5 23 11 12 Native American 4 6 5 White 2 1 Black Current YJ (29) Diversion (17) CPS / Child Welfare (18) Program totals Current YJ 2 9 Diversion 1 7 CPS / Child Welfare 1 8 CPS / Child Welfare Native American: 12 | 67% White: 5 | 28% Black: 1 | 6% TOTAL 64 youth across the three program groups Source: Program data provided for Sawyer County Board reporting Page 42 of 85 Children in Out-of-Home Placement Health & Human Services Board | August 15–September 15, 2026 Children by placement setting 0 4 8 12 16 15 Family-based 3 Group home / GH-QRTP 2 RCC-QRTP 2 Detention / Corrections Program area YJ 5 CPS 17 22 children in placement 2 children reunified during reporting period Bar outline: Family-based Group home Residential Secure Source: eWiSACWIS Placement Activity and Detail Report Page 43 of 85 Foster, Kinship & Other Provider Homes Health & Human Services Board | August 15–September 15, 2026 Provider homes by type 0 4 8 12 16 15 Licensed foster homes 7 Kinship / relative homes 3 Other providers What is included 15 Licensed foster homes Licensed providers at end of period 7 Kinship / relative 5 unlicensed-relative + 2 kinship-care records 3 Other providers Respite / unlicensed non-relative Source: eWiSACWIS PM02A103 Provider Detail Report Page 44 of 85 Program & Workforce Highlights Sawyer County Board of Directors | September 2026 PARTNERSHIP Youth Wellness Court WORKFORCE Staffing Update PROFESSIONAL DEVELOPMENT Upcoming Training Melinda is participating in the LCO Youth Wellness Court, supporting continued collaboration between Sawyer County Youth Justice and Lac Courte Oreilles. Cross-system collaboration Participation strengthens coordination around youth and families involved with community -based and justice -system services. Mike Nugent Start date: September 21, 2026 Recruitment underway Open position: Access / Family Facilitator Staffing efforts remain focused on maintaining capacity for timely access, family engagement, and service delivery. Youth Justice WJCIA Conference September 23–25, 2026 Child Welfare 2026 Public Child Welfare Conference October 21–23, 2026 Conference participation supports ongoing workforce development and current practice knowledge. Key focus areas: community partnership • workforce capacity • staff development Page 45 of 85 How the County Works With Families During CPS Involvement A case example: family preservation, safety intervention, foster care, relative placement, and permanency Case began July 2024 • Two young children • Services-first approach Page 46 of 85 What CPS Is Trying to Accomplish The work balances child safety, family preservation, due process, and permanency. 1. Assess safety Review reports, interview family members and collateral contacts, assess the home, and identify immediate and ongoing safety threats. 2. Preserve the family When it can be done safely, provide in-home and community services designed to prevent removal. 3. Build parental capacity Use coaching, therapy, evaluations, and structured visitation to address the conditions affecting safe parenting. 4. Use placement when necessary If safety cannot be maintained in the home, seek a safe out-of-home placement and continue family contact. 5. Pursue permanency Reassess progress, explore relatives, coordinate across states when needed, and present a permanency plan to the court. Board presentation • CPS family preservation, placement, and permanency | 2 Page 47 of 85 Initial Safety Concerns Reports began in 2023; county involvement with the family began in 2024. Children, then ages 6 and 2, reportedly left the home without supervision and were found wandering outside; law enforcement was called. Reports alleged the older child was locked in a bedroom for extended periods without food or water. Reports described unequal treatment of the children and alleged physical punishment involving household objects. The home was reported to be heavily cluttered with garbage and unsafe living conditions. These concerns required the county to evaluate both immediate safety and whether services could safely stabilize the family. Board presentation • CPS family preservation, placement, and permanency | 3 Page 48 of 85 Family Preservation: Services Before Removal The department initially used intensive supports to keep the children safely at home. In-home supports NW Connections and Birth to 3 services were used to support the family in the home. Behavioral health Ongoing therapy was provided for the mother and older child. Child development The younger child received occupational therapy for motor and verbal skill development. Respite Weekend respite gave the mother time to address home conditions without simultaneously supervising the children. Home stabilization The county later arranged a professional deep clean to remove garbage and clean floors and walls. Board presentation • CPS family preservation, placement, and permanency | 4 Page 49 of 85 Assessment and Additional Parenting Support When the home could not be brought to a safe condition through the initial supports, the mother was referred for cognitive and parental-capacity evaluation. The evaluation concluded that her current cognitive, mental-health, and emotional/behavioral functioning considerably compromised parental fitness and increased the risk that she could not independently maintain a safe, healthy environment. The department continued services rather than immediately ending reunification efforts. New Life Resource Center services were added to teach and reinforce practical parenting skills. During this period, additional concerns were reported, including an allegation of physical abuse before a therapy appointment and unsanitary home conditions reported by the cleaning crew, including maggots. Board presentation • CPS family preservation, placement, and permanency | 5 Page 50 of 85 Why Removal Became Necessary Removal followed extended family-preservation efforts and continuing safety concerns. Persistent safety threats Concerns continued despite months of in- home services, therapy, respite, parenting support, evaluation, and professional cleaning. Conditions at entry to care After removal, the younger child was found to have a severe UTI associated with hygiene concerns. At entry to care, the older child weighed 28 lb at age 7 and the younger child 35 lb at age 3. Need for a safe placement The department determined that the children could no longer be kept safely in the home and placed them in foster care. CPS removal is not the first service. In this case, it occurred after substantial attempts to manage risk while preserving the family. Board presentation • CPS family preservation, placement, and permanency | 6 Page 51 of 85 Work Continues After Foster Care Placement Parents received weekly family interactions/visits. The ongoing worker transported the children from placement, school, or daycare to visits and back, and remained for the duration. The worker continued hands-on parenting coaching and arranged additional parenting classes and a referral for Parent- Child Interaction Therapy (PCIT). Weekly visit sheets identified concrete skills to practice: warm greetings, planned activities, calm redirection, healthy food, and appropriate bathing/hygiene. These structured supports continued for approximately a year without considerable progress toward safe independent parenting. Board presentation • CPS family preservation, placement, and permanency | 7 Page 52 of 85 Children’s Needs Are Reassessed in Care Older child The child entered care with prior ADHD and autism diagnoses. Further evaluation determined that she did not meet criteria for either diagnosis. Her health, functioning, and service needs continued to be reassessed in placement. Younger child A well-child examination identified a severe urinary tract infection associated with hygiene concerns. Developmental and health needs continued to be addressed. Out-of-home care does not end assessment—it creates an opportunity to clarify diagnoses, address unmet health needs, and match services to each child. Board presentation • CPS family preservation, placement, and permanency | 8 Page 53 of 85 Relative Placement and ICPC When reunification was not progressing, the department explored a long-term family placement. The mother identified an out-of-state cousin willing to care for both children. The ongoing worker contacted the relative and initiated the Interstate Compact on the Placement of Children (ICPC) process. The receiving state conducted a home study, including background checks and a home visit, to assess the relatives and home for safety. The process took approximately 60 days in this case. After approval, a notice of change in placement was filed. Parties had an opportunity to object; an objection was filed afterthe younger child’s father was adjudicated. The court ultimately authorized the move, and the ongoing worker personally transported both children to the relative home and ensured they were settled. Board presentation • CPS family preservation, placement, and permanency | 9 Page 54 of 85 County Responsibilities Continue Across State Lines Placement monitoring The ongoing worker maintains contact with the relative placement by phone, text, and video. The receiving state’s ICPC worker also monitors the home. Family connections The newly adjudicated father is to have weekly video family interactions. The worker also continues monitoring and working with the mother. Court and permanency work The worker prepares the permanency plan and proposed order for the parties and the judge while documenting placement stability and family progress. Current permanency direction: the goal is for both children to achieve permanency through guardianship, anticipated next year if the plan remains appropriate and is approved. Board presentation • CPS family preservation, placement, and permanency | 10 Page 55 of 85 Case Timeline: From Prevention to Permanency 2023 Multiple CPS reports begin Jul. 2024 County begins working with family 2024–25 In-home services, therapy, respite, evaluations, parenting support, home cleaning After continued concerns Children removed and placed in foster care ~1 year in care Weekly supervised visits, coaching, classes, PCIT referral; limited progress Relative identified ICPC home study and court placement process Current Children with out-of-state relative; dual-state monitoring Next step Permanency planning with guardianship as the anticipated goal Board presentation • CPS family preservation, placement, and permanency | 11 Page 56 of 85 What This Case Demonstrates to the Board CPS work is a continuum: assessment → prevention → intensive services → placement when required → reunification work → relative placement → permanency. The county invests substantial staff time and contracted services before and after removal. Removal does not end work with parents. Visitation, transportation, coaching, referrals, documentation, and court responsibilities continue. Relative placement can preserve family connections but requires additional legal, interstate, and monitoring work. Decisions are driven by child safety, demonstrated parental progress, placement stability, and the legal requirement to pursue a permanent home within a child-centered timeframe. Board presentation • CPS family preservation, placement, and permanency | 12 Page 57 of 85 Board Takeaway The county’s role is not simply to investigate or remove children. It is to make reasonable, sustained efforts to keep families safely together when possible, protect children when safety cannot be maintained, support parents and children throughout the case, and move toward a safe, stable, permanent family when reunification is not achievable. Questions / Discussion Page 58 of 85 In accordance with Federal law and U.S. Department of Agriculture policy, this institution is prohibited from discriminating on the basis of race, color, national origin, sex, age, religion, political beliefs, or disability. To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, Room 326-W, Whitten Building,1400 Independence Avenue, S.W., Washington, DC 20250-9410 or call (202) 720-5964 (voice and TDD). USDA is an equal opportunity provider and employer. Health and Human Services Public Health Fax 10610 Main Street, Suite 224 715-634-5019 Hayward, WI 54843 Human Services Fax 715-634-4806 or 800-569-4162 715-634-5387 Birth to 3 – August 2026 Jen Sarbeck: 24 enrolled 1 referral Hailey and Jen attended the B-3 Program Review Protocol Q3 2026 Preparation meeting held by MetaStar on 08/31/26. Children’s Long-Term Support – August 2026 Ruth Anne Gillmor: 30 enrolled 1 deferred enrollment 3 referrals Chelcy Nelson: 33 enrolled 1 referral Hailey Sands: 3 enrolled 1 suspended 2 referrals Total children enrolled: 66 Total children eligible but not yet enrolled: 1 Lori successfully met all training requirements for the Service and Support Coordinator role and has started providing case management services to families in collaboration with the CLTS team. Hailey and Ruth Anne participated in the CLTS Record Review Q4 2026 Preparation meeting held by MetaStar on 08/31/26. Hailey has been actively participating in the forums held by DHS regarding the 2027-2031 Children’s Long-Term (CLTS) waiver renewal. The updated waiver is scheduled to take effect on 01/01/27 . The submission deadline for the 2027 Children’s Community Options Program (CCOP) plan is 10/01/26. Page 59 of 85 In accordance with Federal law and U.S. Department of Agriculture policy, this institution is prohibited from discriminating on the basis of race, color, national origin, sex, age, religion, political beliefs, or disability. To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, Room 326-W, Whitten Building,1400 Independence Avenue, S.W., Washington, DC 20250-9410 or call (202) 720-5964 (voice and TDD). USDA is an equal opportunity provider and employer. Health and Human Services Public Health Fax 10610 Main Street, Suite 224 715-634-5019 Hayward, WI 54843 Human Services Fax 715-634-4806 or 800-569-4162 715-634-5387 Respectfully, Hailey Sands, BA, BS, IDP-AT Children’s Supportive Services Supervisor Page 60 of 85 Eligibility is based on household income, household size, and the home’s energy costs. Residents may be eligible if the gross household income is 60% of the state median income level or less. WHEAP pays benefits directly to utilities and fuel suppliers to offset home energy costs. Crisis energy assistance is also available year-round and, emergency furnace and water heater repair and replacement and home weatherization services for eligible homeowners may also be offered based on household need. Income Guidelines for 2026-27 Program Year Household Size One Month Income Annual Income 1 $ 3,322.00 $39,864 2 $ 4,344.08 $52,129 3 $ 5,366.25 $64,395 4 $ 6,388.42 $76,661 5 $ 7,410.58 $88,927 6 $ 8,432.75 $101,193 7 $ 8,624.33 $103,492 8 $ 8,816.00 $105,792 Residents can apply for energy assistance by phone or mail through their local energy assistance agency. Sawyer County Health and Human Services 715-634-4806. Page 61 of 85 SAWYER COUNTY HEALTH AND HUMAN SERVICES BOARD PUBLIC HEALTH UPDATE –SEPTEMBER 2026 09/23/2026 • Assessment & Surveillance • Community Partnership Development • Equity • Organizational Capabilities • Policy, Development & Support • Accountability & Performance Management • Communications • Emergency Preparedness & Response • • Communications PUBLIC HEALTH FOUNDATIONAL AREAS FOUNDATIONAL CAPABILITIES COMMUNICABLE DISEASE CONTROL: Assessment & Surveillance; Communications Measles As of September 22, 2026, the Wisconsin Department of Health Services (DHS) has confirmed 171 cases of measles in Wisconsin so far in 2026. The best protection against measles is a measles, mumps, and rubella (MMR or MMRV) vaccine. Two doses of the measles vaccine are about 97% effective at preventing measles. As of September 17, 2026, 3,471 confirmed measles cases have been reported in the United States in 2026. This is the highest number of cases in a year since 1991. In 2025, 71.5% of 24-month-olds in Sawyer County received one or more doses of the MMR vaccine, compared with 79.8% of 24-month-olds with one or more doses of MMR vaccine in Wisconsin. Pertussis Pertussis, also called whooping cough, is a serious illness. Whooping cough is caused by bacteria that attach to the lining of the lungs. It can infect people at any age, but it’s most serious in infants and young children. We have recently seen an increase in local cases reported in Sawyer County. Pertussis is known for uncontrollable, violent coughing that often makes it hard to breathe. After coughing, someone with pertussis may need to take deep breaths that result in a “whooping” sound. Pertussis can affect people of all ages. However, it can be very serious, even deadly, for babies less than 1 year old. The best way to protect against pertussis is by getting vaccinated. Page 62 of 85 SAWYER COUNTY HEALTH AND HUMAN SERVICES BOARD PUBLIC HEALTH UPDATE –SEPTEMBER 2026 09/23/2026 ENVIRONMENTAL PUBLIC HEALTH: Assessment & Surveillance; Community Partnership Development; Accountability & Performance Management; Communications Water Testing As of September 21, there are 168 active Transient Non-community (TN) public water systems monitored by Sawyer County Environmental Health (acting as an agent of the Wisconsin DNR). The TN monitoring period runs January 1st through December 31st (a full calendar year), and each system must be evaluated in-person during this time period. Of the 168 total facilities, 112 (67%) have been fully completed (required water samples taken and documentation submitted), 42 (25%) have been partially completed (required water samples taken, but documentation not submitted), and 14 (8%) have not yet been sampled. CleanSweep CleanSweep will take place at Sawyer County Fairgrounds on September 23 from 2 pm to 6 pm. Household hazardous waste, unwanted medications, sharps, and unwanted electronics will be accepted. CHRONIC DISEASE & INJURY PREVENTION: Community Partnership Development; Communications Walk for Tomorrow Walk for Mental Health Awareness and Suicide Prevention was held on September 18 from 4 pm to 5:30 pm at the Hayward High School track and September 19 at 5:00 pm at Winter School. There were 130 participants at the Hayward walk and 48 participants at the Winter walk. Weather impacted the Hayward walk and it was held inside on the indoor track. There was good community engagement at these events. FOUNDATIONAL CAPABILITIES: Emergency Preparedness & Response; Communication; Accountability & Performance Management; Organizational Capabilities Training In September, Sawyer County Public Health staff participated in the following trainings, meetings, and conferences: Risk-based assessment, measles update, AmeriCorps supervisor training, Officer Gomez school presentations, Building Resilient Systems and costing and capacity assessment. Page 63 of 85 Adopted Budget Amended Current Month YTD YTD Budget - YTD % Used/ Account Account Description Budget Amendments Budget Transactions Encumbrances Transactions Transactions Rec'd Prior Year Total Fund 225 - Human Services REVENUE 41110 General Property Taxes 2,550,000.00 .00 2,550,000.00 212,500.00 .00 1,700,000.00 850,000.00 67 2,525,000.00 43650 St. Aid 3,860,375.00 .00 3,860,375.00 178,567.49 .00 2,247,347.32 1,613,027.68 58 4,168,069.12 46600 Client Collections-Medicaid 1,621,260.00 .00 1,621,260.00 109,437.66 .00 752,944.22 868,315.78 46 1,808,577.60 48500 Donations from Org./HHS 950,000.00 .00 950,000.00 91,551.68 .00 732,413.44 217,586.56 77 950,467.44 48600 Misc. General Revenue .00 .00 .00 .00 .00 1,000.00 (1,000.00) +++ 4,077.50 49210 Transfer From General Fund 647,985.00 .00 647,985.00 53,998.75 .00 431,990.00 215,995.00 67 790,000.00 49300 Use of Fund Balance 300,000.00 .00 300,000.00 25,000.00 .00 200,000.00 100,000.00 67 1,812,663.00 REVENUE TOTALS $9,929,620.00 $0.00 $9,929,620.00 $671,055.58 $0.00 $6,065,694.98 $3,863,925.02 61% $12,058,854.66 EXPENSE 50111 Regular Salaries 2,249,806.00 .00 2,249,806.00 205,982.07 .00 1,590,483.23 659,322.77 71 2,272,930.15 50112 Salaries Overtime .00 .00 .00 3,992.15 .00 27,443.72 (27,443.72) +++ 7,186.75 50141 Committee Per Diems 1,200.00 .00 1,200.00 .00 .00 63.92 1,136.08 5 1,050.00 50144 Term Life Ins./Employer's Share 776.00 .00 776.00 67.27 .00 545.77 230.23 70 938.32 50147 Workers Comp 47,732.00 .00 47,732.00 2,702.20 .00 22,484.77 25,247.23 47 35,220.16 50151 FICA-Employer's Share 172,113.00 .00 172,113.00 15,305.76 .00 118,148.69 53,964.31 69 165,852.21 50152 Retirement-Employer's Share 157,100.00 .00 157,100.00 14,305.98 .00 113,954.58 43,145.42 73 153,654.05 50154 Hospital and Health Insurance 568,716.00 .00 568,716.00 46,029.07 .00 354,660.28 214,055.72 62 525,804.00 50155 Flex Administration Fees 2,041.00 .00 2,041.00 184.92 .00 1,424.62 616.38 70 2,157.89 50156 Health Reimb. Acct. 55,284.00 .00 55,284.00 .00 .00 54,535.10 748.90 99 54,870.79 50158 Unemployment Compensation .00 .00 .00 155.43 .00 314.82 (314.82) +++ 294.90 50218 Garbage 2,182.00 .00 2,182.00 .00 .00 580.33 1,601.67 27 195.19 50220 Contracted Expenses 1,561,340.00 .00 1,561,340.00 61,008.78 .00 339,341.06 1,221,998.94 22 4,595,401.23 50221 Water and Sewer 2,160.00 .00 2,160.00 248.25 .00 901.79 1,258.21 42 140.13 50222 Electric 5,075.00 .00 5,075.00 294.51 .00 2,981.20 2,093.80 59 441.36 50224 Heating Fuels 1,425.00 .00 1,425.00 14.38 .00 805.73 619.27 57 220.26 50225 Telephone 28,588.00 .00 28,588.00 1,125.57 .00 16,893.85 11,694.15 59 26,802.33 50242 Repair & Maint. 275.00 .00 275.00 .00 .00 .00 275.00 0 253.00 50275 OBLIGATION TO STATE 138,680.00 .00 138,680.00 .00 .00 87,960.70 50,719.30 63 .00 50311 Postage 5,275.00 .00 5,275.00 214.29 .00 3,075.26 2,199.74 58 4,168.44 50312 Office Supplies 7,610.00 .00 7,610.00 (487.83) .00 1,267.71 6,342.29 17 8,004.52 50313 Printing 17,311.00 .00 17,311.00 528.02 .00 3,933.51 13,377.49 23 9,807.86 50314 Small Items of Equipment 12,050.00 .00 12,050.00 764.43 .00 3,802.97 8,247.03 32 31,321.53 50321 Publications/Legal Notices 2,400.00 .00 2,400.00 .00 .00 .00 2,400.00 0 3,962.42 50324 Membership Dues 1,390.00 .00 1,390.00 .00 .00 1,942.00 (552.00) 140 5,735.00 50325 Registration Fees/Training 18,364.00 .00 18,364.00 7,099.21 .00 33,849.85 (15,485.85) 184 12,499.07 50329 Subscriptions 4,017.00 .00 4,017.00 176.78 .00 3,987.95 29.05 99 26,141.15 50331 Software, Licensing, Maint. Fees 48,623.00 .00 48,623.00 4,869.54 .00 32,281.75 16,341.25 66 34,902.36 50335 Meal Expenses 950.00 .00 950.00 129.07 .00 343.95 606.05 36 805.32 50339 Travel 19,230.00 .00 19,230.00 2,683.39 .00 18,635.19 594.81 97 24,230.92 Run by Tanya Armsbury on 09/22/2026 08:45:49 AM Page 1 of 3 Budget Performance Report Fiscal Year to Date 08/31/26 Only Show Rollup Account and Rollup to Account Page 64 of 85 Adopted Budget Amended Current Month YTD YTD Budget - YTD % Used/ Account Account Description Budget Amendments Budget Transactions Encumbrances Transactions Transactions Rec'd Prior Year Total Fund 225 - Human Services EXPENSE 50340 Operating Supplies 8,000.00 .00 8,000.00 1,617.80 .00 19,855.13 (11,855.13) 248 14,137.41 50344 Supplies .00 .00 .00 .00 .00 .00 .00 +++ 1,197.00 50373 Advertising/Marketing 2,850.00 .00 2,850.00 316.06 .00 3,088.54 (238.54) 108 12,553.04 50393 Client Expenses 3,988,678.00 .00 3,988,678.00 519,560.47 .00 3,583,639.80 405,038.20 90 2,330,292.46 50513 Public Liability Insurance 61,850.00 .00 61,850.00 4,864.08 .00 38,912.64 22,937.36 63 58,900.75 50945 Expenditure Transfer - Administration (84,630.00) .00 (84,630.00) (4,348.18) .00 (39,657.74) (44,972.26) 47 (68,862.38) 50946 Expenditure Transfer - Indirect Cost 821,159.00 .00 821,159.00 81,883.38 .00 660,666.38 160,492.62 80 845,347.11 59501 Refund Prior Year Revenue .00 .00 .00 .00 .00 .00 .00 +++ 2,304.69 EXPENSE TOTALS $9,929,620.00 $0.00 $9,929,620.00 $971,286.85 $0.00 $7,103,149.05 $2,826,470.95 72% $11,200,861.39 Fund 225 - Human Services Totals REVENUE TOTALS 9,929,620.00 .00 9,929,620.00 671,055.58 .00 6,065,694.98 3,863,925.02 61% 12,058,854.66 EXPENSE TOTALS 9,929,620.00 .00 9,929,620.00 971,286.85 .00 7,103,149.05 2,826,470.95 72% 11,200,861.39 Fund 225 - Human Services Totals $0.00 $0.00 $0.00 ($300,231.27) $0.00 ($1,037,454.07) $1,037,454.07 $857,993.27 Fund 258 - Agent of the State REVENUE 43650 St. Aid 45,000.00 .00 45,000.00 .00 .00 17,200.50 27,799.50 38 35,940.00 46600 Public Charges for Services 543,000.00 .00 543,000.00 40,427.00 .00 606,388.19 (63,388.19) 112 534,915.06 REVENUE TOTALS $588,000.00 $0.00 $588,000.00 $40,427.00 $0.00 $623,588.69 ($35,588.69) 106% $570,855.06 EXPENSE 50111 Regular Salaries 220,500.00 .00 220,500.00 18,962.42 .00 141,222.15 79,277.85 64 212,055.24 50112 Salaries Overtime .00 .00 .00 .00 .00 .00 .00 +++ 72.39 50144 Term Life Ins./Employer's Share 74.00 .00 74.00 8.89 .00 59.75 14.25 81 94.85 50147 Workers Comp 6,222.00 .00 6,222.00 359.13 .00 2,716.28 3,505.72 44 4,134.74 50151 FICA-Employer's Share 16,779.00 .00 16,779.00 1,407.38 .00 10,465.38 6,313.62 62 15,602.33 50152 Retirement-Employer's Share 15,708.00 .00 15,708.00 1,130.88 .00 9,095.37 6,612.63 58 14,012.95 50154 Hospital and Health Insurance 49,303.00 .00 49,303.00 3,098.56 .00 26,382.94 22,920.06 54 45,444.62 50155 Flex Administration Fees 269.00 .00 269.00 12.42 .00 102.63 166.37 38 214.29 50156 Health Reimb. Acct. 4,829.00 .00 4,829.00 .00 .00 3,410.38 1,418.62 71 3,330.96 50220 Contracted Expenses 28,715.00 .00 28,715.00 .00 .00 25,685.30 3,029.70 89 32,424.66 50225 Telephone 2,200.00 .00 2,200.00 177.69 .00 1,165.66 1,034.34 53 1,887.49 50275 OBLIGATION TO STATE 35,000.00 .00 35,000.00 .00 .00 .00 35,000.00 0 27,642.50 50311 Postage 3,200.00 .00 3,200.00 111.64 .00 2,856.51 343.49 89 4,253.09 50312 Office Supplies 400.00 .00 400.00 .00 .00 32.22 367.78 8 187.07 50313 Printing 400.00 .00 400.00 .00 .00 320.00 80.00 80 1,001.00 50314 Small Items of Equipment 4,200.00 .00 4,200.00 .00 .00 2,740.99 1,459.01 65 1,231.27 50324 Membership Dues 160.00 .00 160.00 .00 .00 90.00 70.00 56 .00 50325 Registration Fees/Training 2,600.00 .00 2,600.00 139.10 .00 987.63 1,612.37 38 1,224.74 50329 Subscriptions .00 .00 .00 .00 .00 .00 .00 +++ 120.00 Run by Tanya Armsbury on 09/22/2026 08:45:49 AM Page 2 of 3 Budget Performance Report Fiscal Year to Date 08/31/26 Only Show Rollup Account and Rollup to Account Page 65 of 85 Adopted Budget Amended Current Month YTD YTD Budget - YTD % Used/ Account Account Description Budget Amendments Budget Transactions Encumbrances Transactions Transactions Rec'd Prior Year Total Fund 258 - Agent of the State EXPENSE 50331 Software, Licensing, Maint. Fees 1,150.00 .00 1,150.00 302.81 .00 2,138.02 (988.02) 186 924.48 50335 Meal Expenses 350.00 .00 350.00 .00 .00 49.00 301.00 14 74.20 50339 Travel 13,500.00 .00 13,500.00 1,784.86 .00 8,958.68 4,541.32 66 12,724.56 50340 Operating Supplies 5,100.00 .00 5,100.00 .00 .00 4,283.42 816.58 84 7,916.81 50373 Advertising/Marketing .00 .00 .00 .00 .00 .00 .00 +++ 118.00 50945 Expenditure Transfer - Administration 64,301.00 .00 64,301.00 4,348.18 .00 39,657.74 24,643.26 62 68,862.38 50946 Expenditure Transfer - Indirect Cost 113,361.00 .00 113,361.00 9,668.30 .00 71,747.06 41,613.94 63 105,120.33 EXPENSE TOTALS $588,321.00 $0.00 $588,321.00 $41,512.26 $0.00 $354,167.11 $234,153.89 60% $560,674.95 Fund 258 - Agent of the State Totals REVENUE TOTALS 588,000.00 .00 588,000.00 40,427.00 .00 623,588.69 (35,588.69) 106% 570,855.06 EXPENSE TOTALS 588,321.00 .00 588,321.00 41,512.26 .00 354,167.11 234,153.89 60% 560,674.95 Fund 258 - Agent of the State Totals ($321.00) $0.00 ($321.00) ($1,085.26) $0.00 $269,421.58 ($269,742.58) $10,180.11 Grand Totals REVENUE TOTALS 10,517,620.00 .00 10,517,620.00 711,482.58 .00 6,689,283.67 3,828,336.33 64% 12,629,709.72 EXPENSE TOTALS 10,517,941.00 .00 10,517,941.00 1,012,799.11 .00 7,457,316.16 3,060,624.84 71% 11,761,536.34 Grand Totals ($321.00) $0.00 ($321.00) ($301,316.53) $0.00 ($768,032.49) $767,711.49 $868,173.38 Run by Tanya Armsbury on 09/22/2026 08:45:49 AM Page 3 of 3 Budget Performance Report Fiscal Year to Date 08/31/26 Only Show Rollup Account and Rollup to Account Page 66 of 85 Adopted Budget Amended Current Month YTD YTD Budget - YTD % Used/ Account Account Description Budget Amendments Budget Transactions Encumbrances Transactions Transactions Rec'd Prior Year Total Fund 225 - Human Services REVENUE 43650 St. Aid 550,499.00 .00 550,499.00 486.00 .00 168,622.00 381,877.00 31 571,565.00 46600 Client Collections 27,500.00 .00 27,500.00 4,560.29 .00 29,306.64 (1,806.64) 107 41,814.58 REVENUE TOTALS $577,999.00 $0.00 $577,999.00 $5,046.29 $0.00 $197,928.64 $380,070.36 34% $613,379.58 EXPENSE 50111 Regular Salaries 377,787.00 .00 377,787.00 31,756.31 .00 242,357.32 135,429.68 64 367,048.31 50144 Term Life Ins./Employer's Share 239.00 .00 239.00 6.26 .00 112.22 126.78 47 285.70 50147 Workers Comp 11,413.00 .00 11,413.00 449.90 .00 4,296.20 7,116.80 38 8,349.86 50151 FICA-Employer's Share 28,899.00 .00 28,899.00 2,317.43 .00 17,589.78 11,309.22 61 26,481.68 50152 Retirement-Employer's Share 26,520.00 .00 26,520.00 1,938.35 .00 16,660.61 9,859.39 63 25,521.88 50154 Hospital and Health Insurance 82,684.00 .00 82,684.00 6,194.74 .00 47,653.76 35,030.24 58 71,901.12 50155 Flex Administration Fees 373.00 .00 373.00 25.87 .00 285.52 87.48 77 406.49 50156 Health Reimb. Acct. 7,700.00 .00 7,700.00 .00 .00 7,787.43 (87.43) 101 7,683.76 50218 Garbage 382.00 .00 382.00 .00 .00 239.99 142.01 63 195.19 50220 Contracted Expenses 141,800.00 .00 141,800.00 12,220.40 .00 43,162.27 98,637.73 30 117,476.34 50221 Water and Sewer 560.00 .00 560.00 34.00 .00 242.13 317.87 43 140.13 50222 Electric 1,475.00 .00 1,475.00 .00 .00 1,011.43 463.57 69 441.36 50224 Heating Fuels 775.00 .00 775.00 5.14 .00 348.00 427.00 45 220.26 50225 Telephone 5,030.00 .00 5,030.00 264.73 .00 2,780.21 2,249.79 55 4,731.49 50275 OBLIGATION TO STATE 87,960.00 .00 87,960.00 .00 .00 87,960.70 (.70) 100 .00 50311 Postage 100.00 .00 100.00 .00 .00 .00 100.00 0 .00 50312 Office Supplies 1,350.00 .00 1,350.00 .00 .00 115.46 1,234.54 9 3,863.26 50313 Printing 550.00 .00 550.00 .00 .00 368.10 181.90 67 239.30 50314 Small Items of Equipment 2,150.00 .00 2,150.00 .00 .00 .00 2,150.00 0 4,741.54 50321 Publications/Legal Notices 1,100.00 .00 1,100.00 .00 .00 .00 1,100.00 0 500.00 50324 Membership Dues 140.00 .00 140.00 .00 .00 .00 140.00 0 .00 50325 Registration Fees/Training 1,750.00 .00 1,750.00 186.48 .00 2,341.41 (591.41) 134 498.32 50329 Subscriptions 1,025.00 .00 1,025.00 .00 .00 271.08 753.92 26 1,323.49 50331 Software, Licensing, Maint. Fees .00 .00 .00 696.72 .00 2,397.09 (2,397.09) +++ 1,823.34 50335 Meal Expenses 200.00 .00 200.00 .00 .00 22.66 177.34 11 55.74 50339 Travel 3,750.00 .00 3,750.00 211.44 .00 2,409.45 1,340.55 64 2,645.95 50340 Operating Supplies 700.00 .00 700.00 .00 .00 41.75 658.25 6 289.32 50373 Advertising/Marketing 1,350.00 .00 1,350.00 .00 .00 .00 1,350.00 0 276.54 50393 Client Expenses 300.00 .00 300.00 27,153.00 .00 194,457.78 (194,157.78) 64819 174,544.17 50945 Expenditure Transfer - Administration 100,110.00 .00 100,110.00 4,974.70 .00 56,821.88 43,288.12 57 106,393.33 50946 Expenditure Transfer - Indirect Cost 152,420.00 .00 152,420.00 11,061.35 .00 105,611.19 46,808.81 69 163,764.47 EXPENSE TOTALS $1,040,592.00 $0.00 $1,040,592.00 $99,496.82 $0.00 $837,345.42 $203,246.58 80% $1,091,842.34 Fund 225 - Human Services Totals REVENUE TOTALS 577,999.00 .00 577,999.00 5,046.29 .00 197,928.64 380,070.36 34% 613,379.58 Run by Tanya Armsbury on 09/22/2026 08:50:00 AM Page 1 of 2 ADRC/LTC Fiscal Year to Date 08/31/26 Only Show Rollup Account and Rollup to Account Page 67 of 85 Adopted Budget Amended Current Month YTD YTD Budget - YTD % Used/ Account Account Description Budget Amendments Budget Transactions Encumbrances Transactions Transactions Rec'd Prior Year Total EXPENSE TOTALS 1,040,592.00 .00 1,040,592.00 99,496.82 .00 837,345.42 203,246.58 80% 1,091,842.34 Fund 225 - Human Services Totals ($462,593.00) $0.00 ($462,593.00) ($94,450.53) $0.00 ($639,416.78) $176,823.78 ($478,462.76) Grand Totals REVENUE TOTALS 577,999.00 .00 577,999.00 5,046.29 .00 197,928.64 380,070.36 34% 613,379.58 EXPENSE TOTALS 1,040,592.00 .00 1,040,592.00 99,496.82 .00 837,345.42 203,246.58 80% 1,091,842.34 Grand Totals ($462,593.00) $0.00 ($462,593.00) ($94,450.53) $0.00 ($639,416.78) $176,823.78 ($478,462.76) Run by Tanya Armsbury on 09/22/2026 08:50:00 AM Page 2 of 2 ADRC/LTC Fiscal Year to Date 08/31/26 Only Show Rollup Account and Rollup to Account Page 68 of 85 Adopted Budget Amended Current Month YTD YTD Budget - YTD % Used/ Account Account Description Budget Amendments Budget Transactions Encumbrances Transactions Transactions Rec'd Prior Year Total Fund 225 - Human Services REVENUE 43650 St. Aid 223,218.00 .00 223,218.00 14,636.00 .00 155,659.00 67,559.00 70 412,438.00 46600 Client Collections-Medicaid 842,000.00 .00 842,000.00 34,737.14 .00 171,026.55 670,973.45 20 498,791.56 REVENUE TOTALS $1,065,218.00 $0.00 $1,065,218.00 $49,373.14 $0.00 $326,685.55 $738,532.45 31% $911,229.56 EXPENSE 50111 Regular Salaries 398,595.00 .00 398,595.00 29,241.21 .00 214,926.71 183,668.29 54 357,006.86 50112 Salaries Overtime .00 .00 .00 .00 .00 .00 .00 +++ 1,469.99 50144 Term Life Ins./Employer's Share 185.00 .00 185.00 17.62 .00 106.71 78.29 58 189.23 50147 Workers Comp 10,995.00 .00 10,995.00 571.34 .00 3,948.31 7,046.69 36 8,464.61 50151 FICA-Employer's Share 30,493.00 .00 30,493.00 2,148.24 .00 15,810.55 14,682.45 52 26,265.67 50152 Retirement-Employer's Share 27,702.00 .00 27,702.00 1,994.19 .00 14,987.81 12,714.19 54 22,906.93 50154 Hospital and Health Insurance 109,438.00 .00 109,438.00 5,054.48 .00 40,160.69 69,277.31 37 77,370.23 50155 Flex Administration Fees 364.00 .00 364.00 21.50 .00 150.50 213.50 41 341.07 50156 Health Reimb. Acct. 10,260.00 .00 10,260.00 .00 .00 5,169.44 5,090.56 50 7,812.27 50220 Contracted Expenses 612,516.00 .00 612,516.00 9,353.60 .00 38,171.60 574,344.40 6 1,952,443.69 50225 Telephone 5,186.00 .00 5,186.00 187.47 .00 1,678.50 3,507.50 32 3,617.36 50275 OBLIGATION TO STATE 35,720.00 .00 35,720.00 .00 .00 .00 35,720.00 0 .00 50312 Office Supplies 1,240.00 .00 1,240.00 (228.37) .00 49.16 1,190.84 4 2,092.68 50313 Printing 1,900.00 .00 1,900.00 .00 .00 .00 1,900.00 0 206.00 50314 Small Items of Equipment 2,000.00 .00 2,000.00 .00 .00 4.95 1,995.05 0 2,136.94 50321 Publications/Legal Notices .00 .00 .00 .00 .00 .00 .00 +++ 188.00 50324 Membership Dues .00 .00 .00 .00 .00 459.00 (459.00) +++ .00 50325 Registration Fees/Training 3,700.00 .00 3,700.00 978.00 .00 1,157.00 2,543.00 31 260.66 50329 Subscriptions 500.00 .00 500.00 .00 .00 .00 500.00 0 17,849.16 50331 Software, Licensing, Maint. Fees 1,100.00 .00 1,100.00 630.49 .00 4,334.96 (3,234.96) 394 2,770.03 50339 Travel 1,180.00 .00 1,180.00 130.36 .00 1,722.60 (542.60) 146 1,209.45 50340 Operating Supplies .00 .00 .00 148.29 .00 148.29 (148.29) +++ .00 50393 Client Expenses 2,235,123.00 .00 2,235,123.00 283,222.33 .00 1,871,319.03 363,803.97 84 1,162,620.17 50513 Public Liability Insurance 2,500.00 .00 2,500.00 .00 .00 .00 2,500.00 0 2,369.00 50945 Expenditure Transfer - Administration 104,960.00 .00 104,960.00 14,297.91 .00 111,331.72 (6,371.72) 106 91,227.31 50946 Expenditure Transfer - Indirect Cost 159,802.00 .00 159,802.00 31,791.83 .00 204,597.33 (44,795.33) 128 139,334.34 59501 Refund Prior Year Revenue .00 .00 .00 .00 .00 .00 .00 +++ 2,304.69 EXPENSE TOTALS $3,755,459.00 $0.00 $3,755,459.00 $379,560.49 $0.00 $2,530,234.86 $1,225,224.14 67% $3,882,456.34 Fund 225 - Human Services Totals REVENUE TOTALS 1,065,218.00 .00 1,065,218.00 49,373.14 .00 326,685.55 738,532.45 31% 911,229.56 EXPENSE TOTALS 3,755,459.00 .00 3,755,459.00 379,560.49 .00 2,530,234.86 1,225,224.14 67% 3,882,456.34 Fund 225 - Human Services Totals ($2,690,241.00) $0.00 ($2,690,241.00) ($330,187.35) $0.00 ($2,203,549.31) ($486,691.69) ($2,971,226.78) Grand Totals Run by Tanya Armsbury on 09/22/2026 08:51:58 AM Page 1 of 2 AODA/MH Fiscal Year to Date 08/31/26 Only Show Rollup Account and Rollup to Account Page 69 of 85 REVENUE TOTALS 1,065,218.00 .00 1,065,218.00 49,373.14 .00 326,685.55 738,532.45 31% 911,229.56 EXPENSE TOTALS 3,755,459.00 .00 3,755,459.00 379,560.49 .00 2,530,234.86 1,225,224.14 67% 3,882,456.34 Grand Totals ($2,690,241.00) $0.00 ($2,690,241.00) ($330,187.35) $0.00 ($2,203,549.31) ($486,691.69) ($2,971,226.78) Run by Tanya Armsbury on 09/22/2026 08:51:58 AM Page 2 of 2 AODA/MH Fiscal Year to Date 08/31/26 Only Show Rollup Account and Rollup to Account Page 70 of 85 Adopted Budget Amended Current Month YTD YTD Budget - YTD % Used/ Account Account Description Budget Amendments Budget Transactions Encumbrances Transactions Transactions Rec'd Prior Year Total Fund 225 - Human Services REVENUE 43650 St. Aid 823,536.00 .00 823,536.00 66,388.58 .00 363,294.04 460,241.96 44 904,087.92 46600 Client Collections-Medicaid 41,400.00 .00 41,400.00 4,283.31 .00 31,951.65 9,448.35 77 35,357.54 REVENUE TOTALS $864,936.00 $0.00 $864,936.00 $70,671.89 $0.00 $395,245.69 $469,690.31 46% $939,445.46 EXPENSE 50111 Regular Salaries 185,860.00 .00 185,860.00 20,120.63 .00 159,934.78 25,925.22 86 297,063.99 50112 Salaries Overtime .00 .00 .00 692.17 .00 4,641.49 (4,641.49) +++ 3,703.27 50144 Term Life Ins./Employer's Share 18.00 .00 18.00 4.59 .00 35.56 (17.56) 198 68.92 50147 Workers Comp 5,810.00 .00 5,810.00 478.29 .00 3,642.60 2,167.40 63 7,358.88 50151 FICA-Employer's Share 14,218.00 .00 14,218.00 1,506.75 .00 11,988.78 2,229.22 84 22,127.71 50152 Retirement-Employer's Share 12,981.00 .00 12,981.00 1,424.61 .00 11,776.27 1,204.73 91 19,656.81 50154 Hospital and Health Insurance 42,308.00 .00 42,308.00 5,420.90 .00 42,833.69 (525.69) 101 57,291.48 50155 Flex Administration Fees 114.00 .00 114.00 17.66 .00 122.64 (8.64) 108 162.46 50156 Health Reimb. Acct. 4,324.00 .00 4,324.00 .00 .00 7,337.07 (3,013.07) 170 8,202.64 50220 Contracted Expenses 28,150.00 .00 28,150.00 12,176.59 .00 65,685.75 (37,535.75) 233 959,184.49 50225 Telephone 2,640.00 .00 2,640.00 192.38 .00 1,482.68 1,157.32 56 3,176.24 50311 Postage 150.00 .00 150.00 .00 .00 .00 150.00 0 50.02 50312 Office Supplies 100.00 .00 100.00 .00 .00 .00 100.00 0 116.71 50313 Printing 200.00 .00 200.00 .00 .00 387.00 (187.00) 194 5.00 50314 Small Items of Equipment 500.00 .00 500.00 .00 .00 29.18 470.82 6 199.20 50321 Publications/Legal Notices 300.00 .00 300.00 .00 .00 .00 300.00 0 133.62 50325 Registration Fees/Training 2,500.00 .00 2,500.00 760.00 .00 2,768.25 (268.25) 111 3,333.99 50329 Subscriptions .00 .00 .00 .00 .00 .00 .00 +++ 50.00 50331 Software, Licensing, Maint. Fees 2,023.00 .00 2,023.00 2,082.08 .00 2,405.24 (382.24) 119 3,349.18 50335 Meal Expenses 100.00 .00 100.00 66.09 .00 171.25 (71.25) 171 68.50 50339 Travel 5,000.00 .00 5,000.00 1,220.88 .00 7,110.83 (2,110.83) 142 9,668.70 50340 Operating Supplies 1,300.00 .00 1,300.00 74.14 .00 1,573.83 (273.83) 121 1,528.03 50373 Advertising/Marketing .00 .00 .00 .00 .00 .00 .00 +++ 221.58 50393 Client Expenses 714,500.00 .00 714,500.00 68,990.84 .00 490,247.70 224,252.30 69 327,499.48 50513 Public Liability Insurance .00 .00 .00 .00 .00 .00 .00 +++ 30.00 50945 Expenditure Transfer - Administration 83,531.00 .00 83,531.00 4,085.18 .00 42,844.22 40,686.78 51 85,407.18 50946 Expenditure Transfer - Indirect Cost 127,175.00 .00 127,175.00 9,083.49 .00 77,574.72 49,600.28 61 132,523.56 EXPENSE TOTALS $1,233,802.00 $0.00 $1,233,802.00 $128,397.27 $0.00 $934,593.53 $299,208.47 76% $1,942,181.64 Fund 225 - Human Services Totals REVENUE TOTALS 864,936.00 .00 864,936.00 70,671.89 .00 395,245.69 469,690.31 46% 939,445.46 EXPENSE TOTALS 1,233,802.00 .00 1,233,802.00 128,397.27 .00 934,593.53 299,208.47 76% 1,942,181.64 Fund 225 - Human Services Totals ($368,866.00) $0.00 ($368,866.00) ($57,725.38) $0.00 ($539,347.84) $170,481.84 ($1,002,736.18) Grand Totals Run by Tanya Armsbury on 09/22/2026 08:53:00 AM Page 1 of 2 Child Welfare Fiscal Year to Date 08/31/26 Only Show Rollup Account and Rollup to Account Page 71 of 85 REVENUE TOTALS 864,936.00 .00 864,936.00 70,671.89 .00 395,245.69 469,690.31 46% 939,445.46 EXPENSE TOTALS 1,233,802.00 .00 1,233,802.00 128,397.27 .00 934,593.53 299,208.47 76% 1,942,181.64 Grand Totals ($368,866.00) $0.00 ($368,866.00) ($57,725.38) $0.00 ($539,347.84) $170,481.84 ($1,002,736.18) Run by Tanya Armsbury on 09/22/2026 08:53:00 AM Page 2 of 2 Child Welfare Fiscal Year to Date 08/31/26 Only Show Rollup Account and Rollup to Account Page 72 of 85 Adopted Budget Amended Current Month YTD YTD Budget - YTD % Used/ Account Account Description Budget Amendments Budget Transactions Encumbrances Transactions Transactions Rec'd Prior Year Total Fund 225 - Human Services REVENUE 43650 St. Aid 481,783.00 .00 481,783.00 53,108.11 .00 279,984.21 201,798.79 58 540,641.09 REVENUE TOTALS $481,783.00 $0.00 $481,783.00 $53,108.11 $0.00 $279,984.21 $201,798.79 58% $540,641.09 EXPENSE 50111 Regular Salaries 327,525.00 .00 327,525.00 23,292.26 .00 194,816.75 132,708.25 59 310,091.61 50112 Salaries Overtime .00 .00 .00 .00 .00 637.20 (637.20) +++ 927.44 50144 Term Life Ins./Employer's Share 109.00 .00 109.00 11.65 .00 91.10 17.90 84 126.03 50147 Workers Comp 665.00 .00 665.00 37.66 .00 319.69 345.31 48 509.47 50151 FICA-Employer's Share 25,055.00 .00 25,055.00 1,694.51 .00 14,324.78 10,730.22 57 22,591.00 50152 Retirement-Employer's Share 22,896.00 .00 22,896.00 1,677.06 .00 14,072.16 8,823.84 61 21,445.04 50154 Hospital and Health Insurance 69,472.00 .00 69,472.00 4,437.95 .00 34,165.63 35,306.37 49 59,860.00 50155 Flex Administration Fees 317.00 .00 317.00 21.28 .00 151.90 165.10 48 227.41 50156 Health Reimb. Acct. 7,104.00 .00 7,104.00 .00 .00 5,237.25 1,866.75 74 5,553.51 50220 Contracted Expenses 71,204.00 .00 71,204.00 2,882.46 .00 31,428.91 39,775.09 44 61,641.05 50225 Telephone 530.00 .00 530.00 38.34 .00 301.48 228.52 57 519.51 50312 Office Supplies 250.00 .00 250.00 .00 .00 15.30 234.70 6 80.18 50313 Printing .00 .00 .00 .00 .00 .21 (.21) +++ .00 50314 Small Items of Equipment 1,200.00 .00 1,200.00 764.43 .00 811.70 388.30 68 .00 50325 Registration Fees/Training 500.00 .00 500.00 .00 .00 854.14 (354.14) 171 1,545.23 50331 Software, Licensing, Maint. Fees .00 .00 .00 .00 .00 .00 .00 +++ 1,166.50 50335 Meal Expenses 50.00 .00 50.00 .00 .00 .00 50.00 0 69.97 50339 Travel 100.00 .00 100.00 .00 .00 .02 99.98 0 19.01 50340 Operating Supplies 100.00 .00 100.00 .00 .00 150.00 (50.00) 150 137.62 50945 Expenditure Transfer - Administration 95,575.00 .00 95,575.00 5,055.03 .00 52,359.47 43,215.53 55 97,998.94 50946 Expenditure Transfer - Indirect Cost 145,513.00 .00 145,513.00 11,240.00 .00 96,911.29 48,601.71 67 150,546.18 EXPENSE TOTALS $768,165.00 $0.00 $768,165.00 $51,152.63 $0.00 $446,648.98 $321,516.02 58% $735,055.70 Fund 225 - Human Services Totals REVENUE TOTALS 481,783.00 .00 481,783.00 53,108.11 .00 279,984.21 201,798.79 58% 540,641.09 EXPENSE TOTALS 768,165.00 .00 768,165.00 51,152.63 .00 446,648.98 321,516.02 58% 735,055.70 Fund 225 - Human Services Totals ($286,382.00) $0.00 ($286,382.00) $1,955.48 $0.00 ($166,664.77) ($119,717.23) ($194,414.61) Grand Totals REVENUE TOTALS 481,783.00 .00 481,783.00 53,108.11 .00 279,984.21 201,798.79 58% 540,641.09 EXPENSE TOTALS 768,165.00 .00 768,165.00 51,152.63 .00 446,648.98 321,516.02 58% 735,055.70 Grand Totals ($286,382.00) $0.00 ($286,382.00) $1,955.48 $0.00 ($166,664.77) ($119,717.23) ($194,414.61) Run by Tanya Armsbury on 09/22/2026 08:53:27 AM Page 1 of 1 Economic Support Fiscal Year to Date 08/31/26 Only Show Rollup Account and Rollup to Account Page 73 of 85 Adopted Budget Amended Current Month YTD YTD Budget - YTD % Used/ Account Account Description Budget Amendments Budget Transactions Encumbrances Transactions Transactions Rec'd Prior Year Total Fund 225 - Human Services REVENUE 43650 St. Aid 554,589.00 .00 554,589.00 25,353.05 .00 279,757.87 274,831.13 50 592,396.98 46600 Client Collections-Medicaid 18,500.00 .00 18,500.00 4,270.31 .00 40,119.09 (21,619.09) 217 19,224.17 REVENUE TOTALS $573,089.00 $0.00 $573,089.00 $29,623.36 $0.00 $319,876.96 $253,212.04 56% $611,621.15 EXPENSE 50111 Regular Salaries 246,829.00 .00 246,829.00 19,516.40 .00 161,981.19 84,847.81 66 201,002.13 50112 Salaries Overtime .00 .00 .00 1,051.88 .00 5,123.12 (5,123.12) +++ 1,074.05 50144 Term Life Ins./Employer's Share 79.00 .00 79.00 5.69 .00 52.25 26.75 66 86.75 50147 Workers Comp 7,822.00 .00 7,822.00 435.22 .00 3,754.68 4,067.32 48 5,171.08 50151 FICA-Employer's Share 18,883.00 .00 18,883.00 1,513.78 .00 12,264.84 6,618.16 65 14,950.70 50152 Retirement-Employer's Share 17,425.00 .00 17,425.00 1,259.23 .00 11,808.33 5,616.67 68 13,896.70 50154 Hospital and Health Insurance 43,872.00 .00 43,872.00 5,108.63 .00 44,602.85 (730.85) 102 35,025.26 50155 Flex Administration Fees 149.00 .00 149.00 11.94 .00 97.22 51.78 65 110.88 50156 Health Reimb. Acct. 4,484.00 .00 4,484.00 .00 .00 5,650.10 (1,166.10) 126 1,458.10 50220 Contracted Expenses 205,224.00 .00 205,224.00 .00 .00 9,587.50 195,636.50 5 1,432,042.26 50225 Telephone 2,150.00 .00 2,150.00 153.06 .00 1,218.42 931.58 57 1,853.96 50311 Postage .00 .00 .00 .00 .00 16.10 (16.10) +++ .00 50312 Office Supplies 100.00 .00 100.00 .00 .00 .00 100.00 0 66.44 50313 Printing 150.00 .00 150.00 .00 .00 .00 150.00 0 .00 50314 Small Items of Equipment 1,000.00 .00 1,000.00 .00 .00 1,133.23 (133.23) 113 4,206.33 50325 Registration Fees/Training 2,514.00 .00 2,514.00 5,090.32 .00 19,793.97 (17,279.97) 787 3,325.61 50329 Subscriptions 192.00 .00 192.00 163.08 .00 163.08 28.92 85 97.66 50331 Software, Licensing, Maint. Fees .00 .00 .00 137.90 .00 1,207.01 (1,207.01) +++ 1,416.86 50335 Meal Expenses 400.00 .00 400.00 62.98 .00 150.04 249.96 38 366.15 50339 Travel 4,500.00 .00 4,500.00 639.11 .00 5,169.23 (669.23) 115 6,248.93 50340 Operating Supplies 900.00 .00 900.00 74.14 .00 11,176.52 (10,276.52) 1242 536.42 50373 Advertising/Marketing .00 .00 .00 .00 .00 .00 .00 +++ 7,623.98 50393 Client Expenses 1,011,505.00 .00 1,011,505.00 139,078.73 .00 1,108,020.28 (96,515.28) 110 639,609.84 50945 Expenditure Transfer - Administration 66,324.00 .00 66,324.00 2,759.51 .00 38,175.15 28,148.85 58 54,002.63 50946 Expenditure Transfer - Indirect Cost 100,978.00 .00 100,978.00 6,135.84 .00 70,073.55 30,904.45 69 82,369.60 EXPENSE TOTALS $1,735,480.00 $0.00 $1,735,480.00 $183,197.44 $0.00 $1,511,218.66 $224,261.34 87% $2,506,542.32 Fund 225 - Human Services Totals REVENUE TOTALS 573,089.00 .00 573,089.00 29,623.36 .00 319,876.96 253,212.04 56% 611,621.15 EXPENSE TOTALS 1,735,480.00 .00 1,735,480.00 183,197.44 .00 1,511,218.66 224,261.34 87% 2,506,542.32 Fund 225 - Human Services Totals ($1,162,391.00) $0.00 ($1,162,391.00) ($153,574.08) $0.00 ($1,191,341.70) $28,950.70 ($1,894,921.17) Grand Totals REVENUE TOTALS 573,089.00 .00 573,089.00 29,623.36 .00 319,876.96 253,212.04 56% 611,621.15 EXPENSE TOTALS 1,735,480.00 .00 1,735,480.00 183,197.44 .00 1,511,218.66 224,261.34 87% 2,506,542.32 Run by Tanya Armsbury on 09/22/2026 08:54:37 AM Page 1 of 2 Youth Justice Fiscal Year to Date 08/31/26 Only Show Rollup Account and Rollup to Account Page 74 of 85 Grand Totals ($1,162,391.00) $0.00 ($1,162,391.00) ($153,574.08) $0.00 ($1,191,341.70) $28,950.70 ($1,894,921.17) Run by Tanya Armsbury on 09/22/2026 08:54:37 AM Page 2 of 2 Youth Justice Fiscal Year to Date 08/31/26 Only Show Rollup Account and Rollup to Account Page 75 of 85 Adopted Budget Amended Current Month YTD YTD Budget - YTD % Used/ Account Account Description Budget Amendments Budget Transactions Encumbrances Transactions Transactions Rec'd Prior Year Total Fund 225 - Human Services REVENUE 43650 St. Aid 296,750.00 .00 296,750.00 18,595.75 .00 234,085.85 62,664.15 79 368,405.13 46600 Client Collections-Medicaid 131,560.00 .00 131,560.00 9,122.64 .00 75,161.11 56,398.89 57 190,282.07 48600 Misc. General Revenue .00 .00 .00 .00 .00 1,000.00 (1,000.00) +++ .00 REVENUE TOTALS $428,310.00 $0.00 $428,310.00 $27,718.39 $0.00 $310,246.96 $118,063.04 72% $558,687.20 EXPENSE 50111 Regular Salaries 317,939.00 .00 317,939.00 21,201.64 .00 193,813.76 124,125.24 61 343,628.01 50112 Salaries Overtime .00 .00 .00 .00 .00 .00 .00 +++ 12.00 50144 Term Life Ins./Employer's Share 105.00 .00 105.00 12.05 .00 94.17 10.83 90 123.67 50147 Workers Comp 8,776.00 .00 8,776.00 411.50 .00 3,911.00 4,865.00 45 7,774.94 50151 FICA-Employer's Share 24,326.00 .00 24,326.00 1,492.09 .00 13,777.47 10,548.53 57 24,354.21 50152 Retirement-Employer's Share 22,104.00 .00 22,104.00 1,469.23 .00 13,391.90 8,712.10 61 23,117.25 50154 Hospital and Health Insurance 118,658.00 .00 118,658.00 7,725.88 .00 68,709.58 49,948.42 58 115,755.80 50155 Flex Administration Fees 380.00 .00 380.00 26.81 .00 247.53 132.47 65 401.01 50156 Health Reimb. Acct. 11,284.00 .00 11,284.00 .00 .00 11,044.06 239.94 98 12,925.25 50158 Unemployment Compensation .00 .00 .00 .00 .00 .00 .00 +++ 16.20 50220 Contracted Expenses 158,985.00 .00 158,985.00 24,375.73 .00 150,948.58 8,036.42 95 72,361.69 50225 Telephone 3,852.00 .00 3,852.00 212.23 .00 2,228.93 1,623.07 58 4,854.89 50242 Repair & Maint. 275.00 .00 275.00 .00 .00 .00 275.00 0 253.00 50275 OBLIGATION TO STATE 15,000.00 .00 15,000.00 .00 .00 .00 15,000.00 0 .00 50311 Postage 775.00 .00 775.00 87.92 .00 1,108.01 (333.01) 143 1,044.38 50312 Office Supplies 270.00 .00 270.00 (129.73) .00 .00 270.00 0 62.86 50313 Printing 2,511.00 .00 2,511.00 234.68 .00 564.68 1,946.32 22 1,248.29 50314 Small Items of Equipment 3,200.00 .00 3,200.00 .00 .00 1,298.04 1,901.96 41 17,111.87 50321 Publications/Legal Notices .00 .00 .00 .00 .00 .00 .00 +++ 2,412.48 50324 Membership Dues 900.00 .00 900.00 .00 .00 840.00 60.00 93 5,735.00 50325 Registration Fees/Training 2,100.00 .00 2,100.00 84.41 .00 2,932.90 (832.90) 140 1,195.01 50329 Subscriptions 500.00 .00 500.00 13.70 .00 3,498.79 (2,998.79) 700 5,492.62 50331 Software, Licensing, Maint. Fees 1,500.00 .00 1,500.00 518.92 .00 4,534.94 (3,034.94) 302 3,745.73 50335 Meal Expenses 100.00 .00 100.00 .00 .00 .00 100.00 0 153.53 50339 Travel 2,650.00 .00 2,650.00 184.53 .00 1,318.93 1,331.07 50 2,949.78 50340 Operating Supplies 2,000.00 .00 2,000.00 1,247.10 .00 4,021.27 (2,021.27) 201 11,156.35 50344 Supplies .00 .00 .00 .00 .00 .00 .00 +++ 494.21 50373 Advertising/Marketing 1,500.00 .00 1,500.00 316.06 .00 3,088.54 (1,588.54) 206 3,429.94 50393 Client Expenses 2,600.00 .00 2,600.00 .00 .00 388.42 2,211.58 15 26,013.00 50945 Expenditure Transfer - Administration 75,552.00 .00 75,552.00 4,463.09 .00 51,052.87 24,499.13 68 107,630.66 50946 Expenditure Transfer - Indirect Cost 115,028.00 .00 115,028.00 9,923.77 .00 93,648.76 21,379.24 81 165,253.36 EXPENSE TOTALS $892,870.00 $0.00 $892,870.00 $73,871.61 $0.00 $626,463.13 $266,406.87 70% $960,706.99 Fund 225 - Human Services Totals Run by Tanya Armsbury on 09/22/2026 08:55:26 AM Page 1 of 2 Public Health Fiscal Year to Date 08/31/26 Only Show Rollup Account and Rollup to Account Page 76 of 85 Adopted Budget Amended Current Month YTD YTD Budget - YTD % Used/ Account Account Description Budget Amendments Budget Transactions Encumbrances Transactions Transactions Rec'd Prior Year Total REVENUE TOTALS 428,310.00 .00 428,310.00 27,718.39 .00 310,246.96 118,063.04 72% 558,687.20 EXPENSE TOTALS 892,870.00 .00 892,870.00 73,871.61 .00 626,463.13 266,406.87 70% 960,706.99 Fund 225 - Human Services Totals ($464,560.00) $0.00 ($464,560.00) ($46,153.22) $0.00 ($316,216.17) ($148,343.83) ($402,019.79) Grand Totals REVENUE TOTALS 428,310.00 .00 428,310.00 27,718.39 .00 310,246.96 118,063.04 72% 558,687.20 EXPENSE TOTALS 892,870.00 .00 892,870.00 73,871.61 .00 626,463.13 266,406.87 70% 960,706.99 Grand Totals ($464,560.00) $0.00 ($464,560.00) ($46,153.22) $0.00 ($316,216.17) ($148,343.83) ($402,019.79) Run by Tanya Armsbury on 09/22/2026 08:55:26 AM Page 2 of 2 Public Health Fiscal Year to Date 08/31/26 Only Show Rollup Account and Rollup to Account Page 77 of 85 Adopted Budget Amended Current Month YTD YTD Budget - YTD % Used/ Account Account Description Budget Amendments Budget Transactions Encumbrances Transactions Transactions Rec'd Prior Year Total Fund 258 - Agent of the State REVENUE 43650 St. Aid 45,000.00 .00 45,000.00 .00 .00 17,200.50 27,799.50 38 35,940.00 46600 Public Charges for Services 543,000.00 .00 543,000.00 40,427.00 .00 606,388.19 (63,388.19) 112 534,915.06 REVENUE TOTALS $588,000.00 $0.00 $588,000.00 $40,427.00 $0.00 $623,588.69 ($35,588.69) 106% $570,855.06 EXPENSE 50111 Regular Salaries 220,500.00 .00 220,500.00 18,962.42 .00 141,222.15 79,277.85 64 212,055.24 50112 Salaries Overtime .00 .00 .00 .00 .00 .00 .00 +++ 72.39 50144 Term Life Ins./Employer's Share 74.00 .00 74.00 8.89 .00 59.75 14.25 81 94.85 50147 Workers Comp 6,222.00 .00 6,222.00 359.13 .00 2,716.28 3,505.72 44 4,134.74 50151 FICA-Employer's Share 16,779.00 .00 16,779.00 1,407.38 .00 10,465.38 6,313.62 62 15,602.33 50152 Retirement-Employer's Share 15,708.00 .00 15,708.00 1,130.88 .00 9,095.37 6,612.63 58 14,012.95 50154 Hospital and Health Insurance 49,303.00 .00 49,303.00 3,098.56 .00 26,382.94 22,920.06 54 45,444.62 50155 Flex Administration Fees 269.00 .00 269.00 12.42 .00 102.63 166.37 38 214.29 50156 Health Reimb. Acct. 4,829.00 .00 4,829.00 .00 .00 3,410.38 1,418.62 71 3,330.96 50220 Contracted Expenses 28,715.00 .00 28,715.00 .00 .00 25,685.30 3,029.70 89 32,424.66 50225 Telephone 2,200.00 .00 2,200.00 177.69 .00 1,165.66 1,034.34 53 1,887.49 50275 OBLIGATION TO STATE 35,000.00 .00 35,000.00 .00 .00 .00 35,000.00 0 27,642.50 50311 Postage 3,200.00 .00 3,200.00 111.64 .00 2,856.51 343.49 89 4,253.09 50312 Office Supplies 400.00 .00 400.00 .00 .00 32.22 367.78 8 187.07 50313 Printing 400.00 .00 400.00 .00 .00 320.00 80.00 80 1,001.00 50314 Small Items of Equipment 4,200.00 .00 4,200.00 .00 .00 2,740.99 1,459.01 65 1,231.27 50324 Membership Dues 160.00 .00 160.00 .00 .00 90.00 70.00 56 .00 50325 Registration Fees/Training 2,600.00 .00 2,600.00 139.10 .00 987.63 1,612.37 38 1,224.74 50329 Subscriptions .00 .00 .00 .00 .00 .00 .00 +++ 120.00 50331 Software, Licensing, Maint. Fees 1,150.00 .00 1,150.00 302.81 .00 2,138.02 (988.02) 186 924.48 50335 Meal Expenses 350.00 .00 350.00 .00 .00 49.00 301.00 14 74.20 50339 Travel 13,500.00 .00 13,500.00 1,784.86 .00 8,958.68 4,541.32 66 12,724.56 50340 Operating Supplies 5,100.00 .00 5,100.00 .00 .00 4,283.42 816.58 84 7,916.81 50373 Advertising/Marketing .00 .00 .00 .00 .00 .00 .00 +++ 118.00 50945 Expenditure Transfer - Administration 64,301.00 .00 64,301.00 4,348.18 .00 39,657.74 24,643.26 62 68,862.38 50946 Expenditure Transfer - Indirect Cost 113,361.00 .00 113,361.00 9,668.30 .00 71,747.06 41,613.94 63 105,120.33 EXPENSE TOTALS $588,321.00 $0.00 $588,321.00 $41,512.26 $0.00 $354,167.11 $234,153.89 60% $560,674.95 Fund 258 - Agent of the State Totals REVENUE TOTALS 588,000.00 .00 588,000.00 40,427.00 .00 623,588.69 (35,588.69) 106% 570,855.06 EXPENSE TOTALS 588,321.00 .00 588,321.00 41,512.26 .00 354,167.11 234,153.89 60% 560,674.95 Fund 258 - Agent of the State Totals ($321.00) $0.00 ($321.00) ($1,085.26) $0.00 $269,421.58 ($269,742.58) $10,180.11 Grand Totals REVENUE TOTALS 588,000.00 .00 588,000.00 40,427.00 .00 623,588.69 (35,588.69) 106% 570,855.06 Run by Tanya Armsbury on 09/22/2026 08:56:10 AM Page 1 of 2 Agent of the State Fiscal Year to Date 08/31/26 Only Show Rollup Account and Rollup to Account Page 78 of 85 EXPENSE TOTALS 588,321.00 .00 588,321.00 41,512.26 .00 354,167.11 234,153.89 60% 560,674.95 Grand Totals ($321.00) $0.00 ($321.00) ($1,085.26) $0.00 $269,421.58 ($269,742.58) $10,180.11 Run by Tanya Armsbury on 09/22/2026 08:56:10 AM Page 2 of 2 Agent of the State Fiscal Year to Date 08/31/26 Only Show Rollup Account and Rollup to Account Page 79 of 85 ADRC / EBS / Dementia Care 1,800.00 6% 1,688.88 Other 111.12 Legal Services - 1,800.00 1,688.88 111.12 LTC / APS / Elder Abuse LTC BCA 105,000.00 19% 84,773.90 20,226.10 Residential Placements 17,670.00 Legal Services - Other Expenses - LTC BCA 2,556.10 Elder Abuse - funds available (2,838.00) 2,838.00 AAR/APS 35,300.00 overspent (179,144.83) 214,444.83 Residential Placements 169,034.78 Other Expenses - APS 5,867.78 Legal Services 39,542.27 140,300.00 19% (94,370.93) 234,670.93 AODA/MH AODA/MH BCA 2,585,960.00 69% 800,854.03 1,785,105.97 Inpatient MH (Winnebago, Trempealeau) 773,651.55 Transports 5,507.46 Northland Counseling Crisis 46,169.50 Residential Placements 1,350.00 Northland Crisis Bed 196,335.66 AODA Hospitalization - Legal Services 23,840.00 Other AODA/MH BCA 3,458.34 Community Support Program (CSP) 734,793.46 Northland On Call 14,040.00 58% 5,940.00 8,100.00 Transitions 367,811.00 41% 218,074.80 149,736.20 Prevention 12,516.00 39% 7,656.00 4,860.00 CCS - funds available (15.00) 15.00 Other AODA/MH Grants* 93,198.00 0% 678.00 92,520.00 3,073,525.00 66% 1,033,187.83 2,040,337.17 FAMILY SERVICES C&F BCA 450,000.00 97% 12,344.25 437,655.75 Foster Care 120,342.39 Group Home 104,855.20 RCC 127,991.75 Other C&F BCA 55,909.41 Secure Detention/Corrections 28,557.00 Kinship Benefit 67,500.00 52% 32,506.45 34,993.55 Foster Admin 40,000.00 overspent (786.54) 40,786.54 Other Family Services Grants* 150.00 funds available (24,686.45) 24,836.45 OHP Sex Trafficked Youth* 150,000.00 0% 143,971.76 6,028.24 TSSF 7,000.00 63% 2,593.92 4,406.08 Legal Services 28,000.00 26% 20,773.17 7,226.83 742,650.00 75% 186,716.56 555,933.44 CST CST 775.00 10% 700.03 74.97 775.00 10% 700.03 74.97 BUDGET % of Budget Used Budget Remaining Total Spent YTD 2026 HS Purchased Service Recap 16.57 - - 16.57 - - - - - - - 209.59 52.19 981.00 (2,528.00) 31,764.97 26,395.00 2,204.14 1,000.00 6,054.33 14,454.21 41,214.03 39,373.40 - - - - 111,842.17 154,955.00 371.39 3,600.00 5,061.77 6,902.42 14,846.30 8,823.33 250.00 3,620.00 104,216.14 107,406.43 1,080.00 1,350.00 6,393.17 45,123.02 4,860.00 - 28,800.00 - 272,860.94 336,640.20 - - - - 18,923.88 15,577.81 14,838.00 15,332.60 18,730.50 19,354.85 3,651.66 20,914.78 15,030.00 4,992.00 4,992.00 6,167.40 2,226.40 749.09 1,052.31 4,106.00 8.89 2,224.17 22.00 1,053.56 1,685.79 90,466.26 81,167.43 - - - - - 45.00 - 45.00 - - - - DECJULY AUG SEPT OCT NOV Page 80 of 85 BUDGET % of Budget Used Budget Remaining Total Spent YTD 2026 HS Purchased Service Recap Family Support CLTS 125,000.00 14% 107,507.28 17,492.72 Children's COP 16,150.00 10% 14,523.86 1,626.14 141,150.00 14% 122,031.14 19,118.86 Youth Aids Youth Aids 1,000,000.00 overspent (69,287.16) 1,069,287.16 Foster Care 2,334.00 Group Home 65,720.00 RCC 627,035.82 Foster Admin - Other Youth Aids 83.64 Secure Detention/Corrections 368,630.00 Transports 1,850.00 Electronic Monitoring 3,633.70 Legal Services - YJ AODA* 3,547.00 0% 3,547.00 - YJ Community Intervention Program* 10,958.00 22% 8,580.35 2,377.65 Positive Youth Development* - funds available (32,940.08) 32,940.08 YJ Innovation* - 0% 0.00 - CP Diversion YJ* 202,224.00 0% 189,221.11 13,002.89 1,216,729.00 92% 99,121.22 1,117,607.78 ES Wood County Incentives (pass through) 5,000.00 32% 3,379.14 1,620.86 Other - 0% 0.00 - 5,000.00 32% 3,379.14 1,620.86 Fraud Fraud Contract* 50,000.00 48% 26,183.69 23,816.31 50,000.00 48% 26,183.69 23,816.31 Daycare Contracted - Daycare Certification 13,204.00 23% 10,205.01 2,998.99 Day Care Fraud* 3,000.00 100% 7.25 2,992.75 16,204.00 37% 10,212.26 5,991.74 PH - Public Health 66,985.00 21% 52,985.00 14,000.00 PH Misc. 14,000.00 Legal Services - Interpreter Services - Water Program 9,000.00 67% 3,000.00 6,000.00 Sanitarian 8,215.00 0% 8,215.00 - County TRH 11,500.00 0% 11,467.00 33.00 Other PH Grants - overspent (105.50) 105.50 95,700.00 21% 75,561.50 20,138.50 Reproductive Health* Cert Language - 0% 0.00 - Wi State Lab - 0% 0.00 - - 0% 0.00 - DECJULY AUG SEPT OCT NOV 10,192.09 974.15 519.54 39.60 10,711.63 1,013.75 - - - - 778.00 778.00 9,300.00 9,610.00 58,343.10 52,257.32 - 13.65 24.12 56,800.00 75,433.00 375.90 859.20 - 607.00 117.09 6,202.54 - - - 132,420.19 139,078.73 - - - - 1,428.42 - - 1,428.42 - - - - - 6,634.50 1,469.18 6,634.50 1,469.18 - - - - 204.74 268.87 541.28 1,144.41 746.02 1,413.28 - - - - 1,000.00 1,000.00 - - 3,315.00 - - - - - 105.50 - 4,420.50 1,000.00 - - - - - - - - - - - - - - Page 81 of 85 BUDGET % of Budget Used Budget Remaining Total Spent YTD 2026 HS Purchased Service Recap Immunizations 0% 0.00 - - 0% 0.00 - Preparedness - 0% 0.00 - - 0% 0.00 - Birth to Three Birth - Three 94,600.00 57% 40,291.22 54,308.78 94,600.00 57% 40,291.22 54,308.78 Agency Other - overspent (1.45) 1.45 background checks/drug tests 300.00 0% 210.40 89.60 300.00 0% 208.95 91.05 Grand Totals 5,578,733.00 73% 1,504,911.49 4,073,821.51 * Cost neutral due to 100% reimbursement DECJULY AUG SEPT OCT NOV - - - - - - - - - - - - - - - - 375.43 13,010.39 375.43 13,010.39 - - - - - - - - - - - - - - 561,294.49 614,211.36 - - - - Page 82 of 85 % OF TOTAL BUDGET BUDGET RECEIVED ADRC / EBS / DCS 225-61-54107 508,925.00 27% 135,164.00 State Receipt 135,164.00 DCS Sponsorship 0% - Elder Abuse 225-626-54114 12,136.00 58% 7,080.00 Elder Abuse - State Receipt 626-43650 7,080.00 Long Term Care 225-627-54114 27,500.00 124% 34,043.21 LTC Assessment - Guardianship 22,909.48 NW Counseling Rent/Utilities 11,133.73 APS - other over 40.00 Elder Abuse - Client 0% - AODA/MH 225-650-54108 560,300.00 59% Medicaid: 285,881.46 CSP MA 209,114.75 CSP WIMCR - AODA MA - I & R MH MA - NORTHLAND MOBILE CRISIS (OP) MA 76,766.71 CRISIS WIMCR 165,000.00 0% - Winnebago MA over 53,962.00 Client Collection: 46,497.36 CSP CLIENT 3,520.32 OWI CLIENT 8,450.00 TRANSITION HOUSE 13,732.39 IDP 7,770.39 INPATIENT AODA CLIENT - I & R MH Client 425.00 INPT MH CLIENT 10,019.21 MH Purchased - CLIENT 1,588.08 NORTHLAND CRISIS CLIENT 991.97 Winnebago Client 0% - Insurance: - AODA INSURANCE - I & R MH Insurance - NORTHLAND MOBILE CRISIS (OP) Insurance - Winnebago Insurance over 7,024.00 CCS 225-656-54108 CCS MA 412,000.00 0% - CCS client - 0% - 2026 HS RECEIPT RECAP JULY AUG SEPT OCT NOV DEC P13 135,164.00 - - -$ -$ 2,092.00 486.00 3,245.00 -$ - -$ 2,787.92 3,568.07 4,776.57 -$ 992.22 -$ 20.00 - -$ - -$ 2,807.92 4,560.29 4,776.57 - - - -$ 39,035.82 24,983.99 30,909.33 -$ - -$ - -$ - -$ 8,556.83 6,294.99 -$ - - -$ - 4,760.00 49,202.00 - 39,035.82 38,300.82 86,406.32 - - - - - -$ 900.00 1,200.00 450.00 -$ 100.00 2,852.00 1,755.00 -$ 1,012.94 663.15 618.00 -$ - -$ - - -$ 1,068.21 1,267.00 872.00 -$ 140.00 350.00 110.00 - 991.97 -$ - - -$ 3,221.15 6,332.15 4,796.97 - - - - - - -$ - - -$ - - -$ - 7,831.00 (807.00) -$ - 7,831.00 (807.00) - - - - - - - -$ - - - -$ - - - - - - -$ Page 83 of 85 % OF TOTAL BUDGET BUDGET RECEIVED 2026 HS RECEIPT RECAP FAMILY SERVICES 225-700-54109 41,400.00 86% 35,665.92 3561 FOSTER 11,967.94 3561 GROUP HOME - 3561 RCC 3,956.80 FOSTER ADMN - Other - client 81.00 CPS Case Management MA 15,706.44 TSSF Case Management MA - SSF Case Management MA 3,953.74 Kinship 225-705-54109 - over 6,479.15 Family Support Children's COP MA 225-707-54109 - 0% - CLTS Client 225-708-54109 - over 26.00 Medicaid: CLTS MA 225-708-54109 430,000.00 47% 12,983.69 CLTS Case Management MA 191,195.22 Juv Justice 225-750-54116 18,500.00 137% 25,416.00 Other 16,564.00 366 FOSTER - 366 GROUP HOME - 366 RCC 8,852.00 Youth Aids Case Management - MA - over 20,209.21 PH 225-65-54111 Public Health 5,700.00 118% 6,740.56 Lead MA 360.00 0% - PNCC MA 12,000.00 over 287.53 Reproductive Health 225-75-54121 RH MA 49,000.00 18% 8,818.15 RH Client 1,000.00 over 150.96 RH Insurance - 0% - Immunizations 225-76-54122 Imm MA - 0% - Imm Client - 0% - Imm Insurance - 0% - JULY AUG SEPT OCT NOV DEC P13 1,326.98 968.40 1,380.59 -$ - - -$ - 3,956.80 -$ - - -$ - - -$ 1,104.96 2,785.24 4,856.03 -$ - - - -$ 298.05 529.67 - -$ 2,729.99 4,283.31 10,193.42 - - - -$ - - - -$ - - - - - - -$ - - - -$ - - -$ -$ 1,845.78 298.33 10,142.58 -$ 30,276.51 34,438.81 23,035.78 -$ 32,122.29 34,737.14 33,178.36 - - - -$ 2,104.00 2,104.00 2,104.00 -$ - - -$ - - -$ - - -$ 2,355.32 2,166.31 3,402.12 -$ 4,459.32 4,270.31 5,506.12 - - - -$ 512.75 1,429.56 21.25 -$ - - -$ - - -$ 512.75 1,429.56 21.25 - - - -$ 1,311.81 1,162.61 - -$ - - -$ - - -$ 1,311.81 1,162.61 - - - - -$ - - - -$ - - - -$ - - - -$ - - - - - - -$ Page 84 of 85 % OF TOTAL BUDGET BUDGET RECEIVED 2026 HS RECEIPT RECAP Agent of the State 258-65 Sanitarian 438,000.00 120% 403,370.94 County TRH 75,000.00 121,993.25 PH Water Testing 16,000.00 445% 71,264.00 TNC Water Testing 14,000.00 110% 15,360.00 Birth to Three 225-67-54113 Medicaid: BIRTH - THREE CASE MGMT - MA 45,000.00 49% 9,028.74 BIRTH - THREE THERAPIES - MA 13,113.69 BIRTH - THREE CLIENT 3,000.00 42% 1,250.00 BIRTH - THREE INSURANCE 3,500.00 19% 663.88 BIRTH - THREE WIMCR 12,000.00 0% - Admn 225-60-54106 - Copies - 0% - Other - Revolving Cash or Restitution Other - over 107.75 State Receipts GEARS payments DHS 1,607,148.00 83% 756,377.85 *Winnebago expense removed from payment figure 584,955.00 SPARC payments DCF 1,189,109.00 46% 551,163.58 *DCF Fees removed from payment figure - DOJ Payments over 42,357.33 Economic Support 365,000.00 63% 229,369.50 Fraud 50,000.00 31% 15,475.00 Daycare Fraud 3,000.00 29% 868.90 WHEAP Outreach *not calendar yr 26,030.00 60% 15,571.36 WHEAP Weather *not calendar yr 24,549.00 60% 14,620.45 WIC 74,478.00 56% 41,851.21 TNC Water 45,000.00 79% 25,800.75 Sanitarian *Ashland Co. 9,780.00 Lead Testing in Daycares - 0% - 3,384,314.00 Grand Totals $6,069,635.00 63% $3,802,007.60 JULY AUG SEPT OCT NOV DEC P13 44,791.00 27,537.00 2,570.00 -$ 11,430.00 7,200.00 780.00 -$ 7,315.00 4,995.00 1,100.00 -$ 370.00 695.00 -$ 63,906.00 40,427.00 4,450.00 - - - -$ 1,737.42 - 806.93 -$ 1,893.28 - 1,935.84 -$ - 600.00 -$ - 356.63 -$ - - -$ 3,630.70 956.63 2,742.77 - - - -$ - - -$ - - -$ - - - - - - -$ - 1.75 26.00 -$ - 1.75 26.00 - - - -$ 606,765.90 18,595.75 -$ 166,749.00 21,537.00 -$ 29,036.08 81,220.13 -$ -$ 3,726.55 3,774.46 -$ 66,068.00 45,018.50 -$ 3,733.00 6,256.00 -$ -$ 2,207.92 1,679.65 -$ 132.39 - -$ 8,883.96 5,573.84 3,979.62 -$ 8,600.25 -$ 9,780.00 -$ -$ 887,302.80 183,655.33 22,359.87 - - - -$ $1,178,296.55 $328,433.90 $176,895.65 $0.00 $0.00 $0.00 -$ Page 85 of 85