Health & Human Services Board — Agenda Packet

1 Sawyer County Health & Human Services Board Meeting Thursday, July 2, 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. June 4, 2026 Draft Minutes 9. HHS BYLAWS (DISCUSSION AND POSSIBLE ACTION) Page 1 of 60 2 10. RESOLUTION 2026-____ MENTAL HEALTH FUNDING (DISCUSSION AND POSSIBLE ACTION) a. Resolution 2026-___Mental Health Funding 11. EXTERNAL ENTITY REPORTS a. LCO Liaison b. Senior Resource Center 12. ADMINISTRATION a. Acronym/Terms Glossary b. HHS Organizational Chart c. HHS Admin Update d. HHS Strategic Plan Update 13. AGING AND DISABILITY RESOURCE CENTER (ADRC) a. ADRC/APS Update 14. BEHAVIORAL HEALTH a. Behavioral Health Report b. Community Support & Mobile Crisis c. Mental Health Monthly Expense Report d. Mental Health Cost by Client Report 15. CHILD, YOUTH & FAMILY SERVICES a. Child Protective Services b. Youth Justice Report c. Truancy & Diversion Report d. Children's Support Services 16. ECONOMIC SUPPORT a. Economic Support Report 17. PUBLIC HEALTH Page 2 of 60 3 a. Public Health Report b. Resolution 2026-____Public Health Funding (Discussion and Possible Action) 18. FISCAL a. Budget Performance Report b. Budget Performance by Unit c. Purchased Services Recap 19. BOARD APPOINTED COMMITTEE UPDATES 20. CORRESPONDENCE, REPORTS FROM CONFERENCES AND MEETINGS 21. FUTURE AGENDA ITEMS 22. FINALIZATION OF BUSINESS 23. NEXT MEETING DATE /TIME: AUGUST 6, 2026 AT 5:00PM 24. 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 60 Minutes of the June 4, 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 Mike Markgren Chuck Van Etten Julia Lyons John Minto- Absent Ashley Miller Jim Miller Hailey Sands Jeff Hoehne Caitlan Myren Lorraine Gouge- Absent Julie McCallum- Virtual Dawn Petit- Absent Shawna White- Virtual Pam Mueller Cole Myren Dr. Sabrina Dunlap- Late/Excused Call to Order – Chair Wilson called the meeting to order at 5:02 pm. Certification of Compliance with the open meeting law was confirmed. Roll Call was taken; a quorum was met. Meeting Agenda – Set Public Comments – None Minutes from the previous meeting dated: May 12, 2026 Motion to approve amended minutes made by: Mr. Hoehne Second by: Mr. Van Etten Motion carried without negative vote. HHS Bylaws Review— The 2019 HHS Bylaws were reviewed and will be revised for discussion in July. Outside Committee Reports- LCO Liaison— No report Senior Resource Center— The May SRC Board report was provided. Administration— The HHS Acronym/Terms glossary and HHS organizational chart have been included as standing agenda items. Ms. Lyons reviewed the Org chart and discussed several staff changes due to retirements and resignations. Ms. Lyons reviewed progress on the HHS Strategic Plan goals of reducing mental health costs and improving efficiency. The all-staff training day went well. Aging and Disability Resource Center (ADRC)— Ms. Lyons introduced Ashley Miller, the new Supervisor of the ADRC and Adult Long-Term Care. The department is interviewing for a new dementia care specialist. Behavioral Health— A written report was provided. Page 4 of 60 Mobile Crisis- Ms. Myren reviewed the Community Support and Mobile Crisis reports, showing 9 new consults and 45 consumers in May. Ms. Lyons stated a need to seek 100% funding for the services, which is currently reimbursed at the rate of 60/40. Mr. Markgren will draft a county resolution requesting full funding for the July agenda. Mental Health Expense reports were provided and reviewed. Children, Youth & Family Services— Child Protective Services- Ms. Lyons reported that Indian Child Welfare placements will be reimbursed at $110,000 which will be put back into CPS, and the department received $28,000 in funding for Youth and Families. These revenues were not anticipated. Youth Justice- YJ had 4 referrals in April; there are 28 active clients. Truancy & Diversion- A report will be made in July Children’s Support Services- Hailey Sands reviewed a written report on referral and enrollment numbers and timelines for CLTS (Children’s Long-Term Support): there are 60 enrolled and 2 pending enrollments and the program is at full capacity. Economic Support— Ms. White updated the committee on the Northern Income Maintenance Consortium written report data. In April there were 1,793 FoodShare recipients, 20 Child Care families served and 1,337 BadgerCare Plus clients served. The call center answered 6,786 calls with a 96% answer rate. The Northern Consortium had a 0% error rate in a recent audit of state-wide consortia. A fully funded Quality Assurance team consisting of members from five of the eleven counties in the Northern Consortium will employ 6 workers including Sawyer County’s Kim Christianson. Public Health-- Ms. McCallum provided a written report for May: inspections of seasonal facilities are underway and over 92% completed. Fiscal— Ms. Lyons provided the HHS fiscal reports and reviewed purchased services and state receipts. Board Appointed Committee Updates— None Correspondence, Reports from Conferences and Meetings— None Future Agenda Items— Bylaws, Community Support Resolution, Truancy & Diversion Meeting Date/Time – The next meeting of the Health and Human Services Board will be Thursday, July 2, 2026, at 5:00pm in the Board Room. Meeting adjourned at 6: 01 pm Minutes recorded by Liz Klein, County Clerk Page 5 of 60 HealthRESOLUTION NO. 26- RESOLUTION REQUESTING THE STATE TO PROVIDE GPR FUNDING TO COVER THE FULL NON-FEDERAL SHARE OF MA CSP AND CRISIS SERVICES WHEREAS, Sawyer County is concerned that the public mental health system in Wisconsin is in need of additional resources to respond appropriately to the needs of individuals with persistent mental illness and those experiencing a mental health crisis; and WHEREAS, state law designates counties with the responsibility for the well -being, treatment, and care of individuals with mental illness, and serving those without private insurance coverage; and WHEREAS, the Medical Assistance program (MA) covers an array of mental health services, ranging from office-based therapy to inpatient hospitalization, and many of these services are delivered by counties; and WHEREAS, Community Support Programs (CSP) offer intensive community -based care for adults whose mental illness and functional limitations might otherwise require them to need institutionalized care. Counties use CSP services to keep people out of extended hospitalizations and support people in the community following emergency detentions; and WHEREAS, counties are required to provide Crisis intervention services including an emergency mental health services program to serve persons in crisis situations; at a minimum, 24-hour crisis telephone service and 24-hour in-person response on an on-call basis; and WHEREAS, while the state pays the full cost of most MA services, when it comes to county- based CSP and Crisis mental health services, the county finances the cost of the services up front, and receives MA reimbursement for only the federal share for that service, and WHEREAS, Community Aids funding has not kept pace over the years with increased county costs for services, resulting in counties bearing a disproportionate share of CSP and Crisis service costs from county tax levy; and WHEREAS, counties are limited in their capacity to use tax levy revenue due to state levy limits, so the lack of Community Aids increases combined with strict property tax controls makes it difficult for counties to maintain Crisis and CSP services; and WHEREAS, in addition to the costs to county human service departments, counties and municipalities also incur law enforcement costs to transport and provide security for persons in a crisis; and WHEREAS, the awareness of the 988 National Suicide & Crisis Lifeline has made mental health assessment and referral more readily available, resulting in more demand on the mental health crisis systems; and Page 6 of 60 WHEREAS, stagnant state funding results in variations in the extent of services available across counties, wait lists for services, and eligible people receiving limited services; and WHEREAS, the limited state funding for Crisis services makes it difficult for counties to implement new evidence-based services, such as mobile crisis workers that could meet law enforcement officers in the field for crisis calls, that would reduce the need for law enforcement involvement and provide a more trauma-informed response to crisis situations, and; WHEREAS, Wisconsin’s counties continue to cover the costs of mental health services for individuals who are not Medicaid eligible, and; NOW, THEREFORE, BE IT RESOLVED: that the Sawyer County Board of Supervisors does hereby request that the state of Wisconsin provide state General Purpose Revenue funding to cover the full non-federal share of MA CSP and Crisis services, and; BE IT FURTHER RESOLVED, that the Sawyer County Clerk is hereby authorized and directed to send a copy of this Resolution to the Governor of the State of Wisconsin, Wisconsin State Legislators with a constituency within Sawyer County, and the Wisconsin Counties Association. This Resolution is recommended for adoption by the Sawyer County Board of Supervisors at its meeting on July 16, 2026, by this Sawyer County Health and Human Services Committee this 2nd Day of July, 2026 _______________________________ ___________________________________ Kay Wilson, Chair Jim Miller, Member _______________________________ ___________________________________ Chuck Van Etten, Vice Chair Jeff Hoehne, Member _______________________________ ___________________________________ John Minto, Member Lorraine Gouge, Member _______________________________ ___________________________________ Pam Mueller, Member Dr. Sabrina Dunlap, Member _____________________________________________________________________________ This Resolution is hereby adopted by the Sawyer County Board of Supervisors this 16th day of July, 2026. _________________________________ ____________________________________ Ron Kinsley, Chair, Liz Klein, County Clerk Sawyer County Board of Supervisors Page 7 of 60 Acronym or Term Definition AaR 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. 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 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 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 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. 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 evaluation, treatment to competency, and/or treatment after a finding of not guilty due to mental disease or defect. Page 8 of 60 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. 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 CSP 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. 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. DJC Division of Juvenile Corrections in DOC; formerly DYS in DHSS. DOC Wisconsin State Department of Corrections. 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 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. Federal Poverty Level y p y p y 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 Stamps. 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. 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. HIPPA 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. Page 9 of 60 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) 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 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 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 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. PNCC Prenatal Care Coordination Protective Placement 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 RCAC Residetial Care Apartment Complex (assisted living) Respite Care g y 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 Page 10 of 60 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 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. WEM state's planning, preparedness, mitigation, response and recovery efforts for natural and man-caused disasters. WHA Wisconsin Hospital Association. WIC 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 11 of 60 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: 06/01/2026 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 Youth Justice, Diversion & Truancy Department Sarah Inczauskis, Supervisor -Kim Lambert, YJ Case Worker -Jami Engebretson, YJ Case Worker -Melinda Hoyes, Diversion & Truancy Specialist -Amy Thompson, Foster Care Coordinator/Case Worker Contracted Service Journey’s Peer Support Child Welfare Season Westphal, Supervisor -Tysa Marlow, Intake Case Worker -Erika Prince, Ongoing Case Worker -Amy Rocio, Family Facilitator 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 Open Position, Service Coordinator Aging & Disability Resource Center of the North (Sawyer County Branch) Ashley Miller, Supervisor -Linda Seeger, Information & Assistance -Heather Bergman, Information & Assistance -Kim Hill, 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, ES Specialist / WHEAP Specialist (moving to new QA position) Open Position, 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 Four (4) Staff Starting July 6 Behavioral Health Alicia Carlson, Supervisor -Joe Bodo, Mental Health Clinician, OWI Assessor – Limited Term Employee -Alison Carlson, CCS Facilitator, Coordinated Services Team (CST) Coordinator / Information & Referral Assistant North Central Region 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 -Nikki Paul, 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 John Minto, Supervisor Lorraine Gouge, Tribal Liaison Pam Mueller, Community Member Dawn Petit, 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 12 of 60 Mission Statement Vision Statement Budgeting & Finance Operational Efficiency & Innovation Workforce: Retention, Compensation, Culture & Staff Development Affordable/Workforce Housing Mental Health Top Five Areas of Focus County Goals Efficient Operations to Reduce Costs Budget Balancing/ Monitoring Responsible/ Sustainable Spending Innovative Solutions Customer Service Affordable Housing for Workers Address Homelessness Employee Retention Staff Development Cross Training Community Care Mental Health Substance Abuse Problems Page 13 of 60 Operational Efficiency & Innovation Workforce: Retention, Compensation, Culture & Staff Development Affordable/Workforce Housing Mental Health Department -Health and Human Services- Department Goals Increase revenue streams Budgeting & Finance Create efficient processes through the new electronic health record Improve employee engagement and retention Reduce mental health out-of- home costs Page 14 of 60 Department: Health and Human Services- Department Goal: Improve employee engagement and retention- Provide opportunities for all HHS staff to connect as group at least 2 times in 2026. Implement the 30, 90, 365 day check-in with new employees in 2026 and act on recommendations. Develop a 2026 staff appreciation plan that focuses on celebrating years of service, recognizing professional weeks/months, and recognize out- standing work through Blue Ribbon or other means of appreciation. Strategies Measurement Staff will have been given an opportunity to participate in at least 2 HHS staff events in 2026. Track that check-ins have occurred and document significant outcomes. Plan will be developed and tracked monthly throughout 2026. Page 15 of 60 Department: Health and Human Services- Department Goal: Create efficient processes through the new electronic health record Implement strategies using the new E.H.R. to reduce duplicate documentation and create one source of truth for client information & billing in 2026. Develop a centralized referral process to streamline the assessment process and duplication of tasks by end of Q1 2026. Strategies Measurement Track strategies implemented and report out on a quarterly basis. Centralized referral process will be implemented by end of Q1 2026. PDCA cycle will be used to assess and modify process as needed. Page 16 of 60 Department:_Health and Human Services- Department Goal: Reduce mental health out-of-home cost- Transition client focus at Transitions Residential Home to long-term clients under county commitment by Q2 2026 Update Transitions physical environment to meet client needs by end of Q1 2026. Hire additional staff and train all in DBT, borderline personality and other identified training to ensure competent staff and a safe living environment. To be completed by end of Q1 2026 Strategies Measurement Ongoing mental health out-of-home placement costs will be reduced by 25% Safety precautions will be in place by end of Q1 2026. Protocols will be established and staff will be signed off in competencies by end of Q1 2026. Page 17 of 60 Department:_Health and Human Services- Department Goal: Increase revenue streams Using the new centralized referral process, we will identify programs that best fit the client need while maximizing reimbursement. For referrals that have private insurance, we will try to become a preferred provider in order to bill and get paid at a higher rate. Identify and train specific HHS staff in CCS services for increased billing capacity. Strategies Measurement Track program caseloads and reimbursement on a monthly basis. Track private insurance plans that we are a preferred provider. Three HHS staff members will be able to bill under CCS services by April 2026. Page 18 of 60 715.634.4806 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 Submitted by Ashley Miller, ALTC Unit Supervisor ADRC-N Information & Assistance (I&A) • Referrals to Sawyer: 15 new referrals were assigned primarily to our two full- time I&A specialists. • Total of 53 Active Clients with open cases in May. These were split between the 2 full time I&A Specialists. • Disenrollments and LTC program switches are being handled by both of our I & A Specialists Adult Long-Term Care Unit Updates • Dementia Care Specialist employment offer given and accepted! Very excited to have her on the team. • We had 74 total walk ins for May. • APS continues to hold Multi- Disciplinary Team Meetings that occur in March, June, September and November. Benefit Specialists- Elder Benefit Specialist (EBS) • EBS Contacts: 20 new referrals for May, and 22 appointments with previously opened cases. Adult Protective Services (APS) • 23 new cases/referrals for May. o 4 of them were for Financial Abuse. o 7 of those cases were for Self-Neglect o 2 were for Mental Health o 3 were for Abuse. o 7 were for Dementia/Guardianship. • Rebecca is involved with a State Team for developing a new standardized intake form for APS across Wisconsin. Rebecca also is developing a Financial Abuse Specialist Team for Sawyer County. They have their first meeting on July 13th. • Rebecca is creating an Elder Death Review Team, which has their first meeting in August. • Wisconsin is moving towards a three-tiered response time to new referrals. Which is a response time of 24 hours, 3-4 calendar days, and 7 calendar days. This would lead to needing to have APS on call for Sawyer County to adhere to these new requirements. There is a compliance date set by the federal government of 5/8/2028. Page 19 of 60 715.634.4806 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 June 23, 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. Deputy Director Mann and Supervisor Carlson have been working diligently to streamline the intake process by reducing unnecessary paperwork and updating forms within Patagonia. Their collaborative efforts have focused on improving efficiency while maintaining compliance with program requirements. The process has been progressing well, resulting in the elimination of several forms and proce- dures that were determined to be redundant or unnecessarily burdensome for both clinicians and clients. These revisions are intended to create a more user-friendly enrollment experience, reduce administrative workload, and allow staff to spend more time focusing on direct service delivery and client engagement. CCS Program (Comprehensive Community Services) Service Director Carlson continues to address ongoing barriers related to reinstating the CCS Program in Sawyer County. The program recently encountered an unforeseen barrier related to obtaining physician prescriptions for CCS services. A provider who had previously been identified as a potential signing practitioner expressed concerns regarding potential liability associated with signing CCS physician prescriptions. Service Director Carlson contacted the State seeking clarification and guidance regarding any liability concerns; however, a definitive answer was not provided. In an effort to address the provider's concerns, Service Director Carlson also reached out to a provider affili- ated with Taylor County who is willing to discuss the CCS program and liability considerations with the provider in question. SD Carl- son is awaiting a response to determine whether the provider is interested in receiving additional information and education regarding CCS services and the role of the physician prescription. Efforts to identify alternative solutions and maintain timely access to CCS ser- vices for potential participants remain ongoing. Currently, the program has one prospective CCS participant who is in the initial stages of the enrollment process. At this time, enroll- ment is pending receipt of a signed physician's prescription from the individual's primary care provider. This individual represents the first prospective participant the program is actively working to enroll since reinstatement efforts began. While several referrals have been received, many have not resulted in enrollment. In some cases, referred individuals have had miscon- ceptions regarding the scope of CCS services and believed the program could pay for items or services that are not covered under CCS. In other instances, individuals were already engaged in outpatient mental health counseling with providers who are not CCS-certified and elected to continue with their existing services rather than pursue CCS enrollment. As CCS services continue to be reestablished, staff remain committed to outreach efforts, timely communication with referrals, and assisting interested individuals through the eligi- bility determination and enrollment process. Intoxicated Driver Program (IDP) Assessor Bodo has successfully completed three OWI assessments this month without issue. The next monthly DOT Zoom meeting is scheduled for 06.30.26 at 12:00 p.m. Staff will continue to participate in these meetings to remain informed of statewide updates, policy changes, and best practices related to the administration of the Intoxicated Driver Pro- gram. Assessor Bodo and Supervisor Carlson will be reviewing and updating current policies and procedures in preparation for the pro- gram’s bi-annual recertification, expected to occur this fall. 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. The quarterly CST meeting was held virtually on June 10, 2026. Staff are currently preparing the 2026 six-month performance report, which is due July 30, 2026, as well as the 2027 CST grant application, due August 7, 2026.In addition, Supervisor Carlson and Coordinator Carlson are working collaboratively to update both the Community Resource Brochure and the Adolescent Resource Brochure to ensure current information and resources are accurately reflected. Respectfully, Alicia D. Carlson M.S., LPC, NCC, ICS, CSAC, CCTP, IDP-AT Behavioral Health Programs Clinic Supervisor/CCS Service Director/IDP Supervisor Page 20 of 60 Community Support Program and Mobile Crisis May 2026 CSP: • 46 consumers engaged in CSP in the month of May • There were no new admissions or discharges in May • Staffing for the program remains at 1 psychiatrist, 1 RN, 1 clinical coordinator, 1 mental health technician, and 4 case managers • The team continues to provide 24/7 crisis response, case management, supportive psychotherapy, symptom management, and medication monitoring to these consumers Mobile Crisis: • 14 crisis consult calls were received from Law Enforcement o 7 calls resulted in assessment ▪ 4 assessments resulted in Emergency Detention ▪ 1 assessment resulted in voluntary BHU admission ▪ 2 assessments resulted in safety planning o 3 calls resulted in consumer voluntarily going to ER for evaluation & BHU admission o 2 calls safety plans were made via phone without face-to-face assessment o 1 consumer was referred for crisis follow up only following out of county crisis assessment Thank you! Caitlan Myren, MSW, LCSW Director of Northland Community Services Page 21 of 60 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$ 1,536.07$ 3,686.57$ 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$ 1,000.00$ 2,700.00$ In-patient MH - $ - -$ $ 11,400.00 4,275.00$ 15,675.00$ 37,620.00$ New Beginnings of Barron County (CBRF) $150/day no invoice no invoice $ 1,350.00 $ - -$ 1,350.00$ 3,240.00$ Northland Community Support Program no invoice 133,515.47$ 90,941.60$ 57,535.23$ 140,262.75$ 422,255.05$ 1,013,412.12$ Northland Crisis Bed no invoice 29,070.30$ $ 43,072.05 $ 47,250.35 $ 34,848.80 154,241.50$ 370,179.60$ Northland Mobile Crisis & Crisis On Call no invoice 8,238.06$ $ 8,953.87 $ 7,241.04 $ 8,252.42 32,685.39$ 78,444.94$ TJ Duffy/Joe Bodo (Chapter 51 Coordination & Consultation Services) 3,120.00$ 3,120.00$ 3,120.00$ no invoice 6,240.00$ 15,600.00$ 37,440.00$ 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$ 125,734.91$ 301,763.78$ 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 50,395.84$ 120,950.02$ 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$ 437,688.64$ 332,946.00$ TOTAL by Month 171,644.36$ 304,283.57$ 264,220.68$ 197,284.89$ 324,061.90$ -$ -$ -$ -$ -$ -$ -$ 1,261,495.40$ 2,305,716.02$ check figure: $1,261,495.40 Total Annual Projection: $2,305,716.02 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 22 of 60 Age Range Daily Rate for Placement Annual Placement Costs Winnebago Costs 2026 Client Ability to Pay Comments Client A 18-30 $180.00 $65,700.00 making payments; has Medicaid At risk of needing higher cost placement or crisis services Client B 18-30 $2,166.00 $790,590.00 $327,066.00 making payments; has Medicaid Unlikely to move to a less restrictive placement Client C 18-30 $180.00 $7,380.00 making payments; has Medicaid Moved out of county Client D 61-75 $380.00 $138,700.00 making payments; has Medicare & Medicaid. Unlikely to move to a less restrictive placement. We are determining the most appropriate placement, as this client will always need to live in a group home. Total annual placement costs: $1,002,370.00 Winnebago costs: $327,066.00 $1,329,436.00 Client B Possible new placement *Currently in Winnebago but we are working to move to Transitions. This will cost more than $180 per day as we need to add to the staffing ratio, but will be much less than the cost at Winnebago or through other placements that have been looked at. Page 23 of 60 ***We will have 5 of the out-of-home placements either returning home or doing a “step-down” to a lower level of care before the summer is over. However, we will also have a couple of new referrals going into a higher level of care in the near future. 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 Sawyer County Youth Justice Report – Submitted by: Sarah Inczauskis May 2026 Youth Justice & Diversion Supervisor Referral Activity May 2026 Total Referrals Received - 3 Pending Scheduled Intakes 2 Counseled & Closed 0 Recommended Deferred Prosecution Agreement (DPA) 0 Recommended Delinquency Petition 0 Recommended Waiver to Adult Court 0 Recommended Serious Juvenile Offender Program (SJOP) 0 Referred to Another County/State 0 Addressed Through Existing Court Order 0 Diversion Program Recommendation 1 Year-to-date Referrals Received 15 Category Total Active Youth Justice Cases 28 Out-of-Home Placements 9 Temporary Physical Custody (JDC) 0 Serious Juvenile Offender Program Placements 0 Active Capias Warrants 0 Staff Member Active Cases Pending Court Melinda Hoyos 9 3 Kim Lambert 9 1 Jami Engebretson 9 0 Amy Thompson 3 0 Total 30 4 Page 24 of 60 CULTIVATING A NEW TOMORROW Sawyer County Diversion Program – Year One Working with youth who were completely disconnected and replanting them into an environment, with support, where they can grow. Page 25 of 60 ADDRESSING SEVERE, CHRONIC TRUANCY 53 Total Referrals in One Year 89% Showed Improvement or Were Considered a Complete Success 11% Considered Unsuccessful Severe Disconnection: All referred youth faced chronic truancy with next to no prior school attendance in the previous school year. Unenrolled Youth: Multiple students entered the program as official "10-day drops," completely separated from the school system. Sawyer County Diversion Program - Year One May 2026 Board Presentation Page 26 of 60 89% of Enrolled Youth Increased School Attendance in the 2025-26 School Year Elementary (12 Kids): 100% attendance achieved. (Note: Elementary truancy generally reflects parental failure rather than a child's independent choice). Ages 15–16 (18 Youth): Achieved 80% attendance. Ages 13–14 (21 Youth): Achieved 70% attendance. Ages 17–18 (2 Youth): Maintained 50% attendance or less. Sawyer County Diversion Program - Year One May 2026 Board Presentation Page 27 of 60 Flexible Pathways & Individual Success The Power of Alternative Educational Paths and Consistent Outreach Online Learning: 4 youth identified online school as their best option; 100% succeeded, and 1 has already graduated. Open-Door Policy: A 17-year-old female opted out of the program upon turning 18. Later in the year, she reached back out for support, re-engaged, and successfully graduated. Sawyer County Diversion Program - Year One May 2026 Board Presentation Page 28 of 60 Measurable Relief for County Courts and Youth Justice (YJ) Court Caseloads: Judge Isham reported 22 truancy cases in court at this time last year, compared to just 2 cases this year. Youth Justice: Out of 53 total referrals, only 4 youth received a delinquency charge that moved them forward into YJ. Youth Justice case load numbers continue to lessen. Sawyer County Diversion Program - Year One May 2026 Board Presentation Page 29 of 60 The Ultimate Milestone: Graduation The Capstone Stat: 7 out of 7 graduate-aged youth successfully earned their diplomas. Accelerated Tracks: 5 of these youth graduated early. Higher Education: A 17-year-old male graduated early and has already enrolled in a Minnesota college. Sawyer County Diversion Program - Year One May 2026 Board Presentation Page 30 of 60 Beyond the Classroom: Life Skills & Family Impact Parental Feedback: 90% of parents report measurable behavioral or lifestyle improvements in their child. Workforce Readiness: 7 youth successfully secured employment. Shifting Horizons: 4 youth who had never previously considered higher education now express active interest in college. Sawyer County Diversion Program - Year One May 2026 Board Presentation Page 31 of 60 Feedback From Parents & Youth ❖ Made friends and is able to keep up with the work due to consistent attendance. ❖ More confidence reported ❖ More comfortable approaching teachers for help ❖ Understands concepts more due to regular school attendance ❖ Understands going to school each day helps mom with daily life, and being a role model for his little brother ❖ Youth gained the confidence to advocate for himself, drawing attention to his mother’s unstable mental health, and went to live with his grandmother. ❖ Youth now likes school, so is willing to wake up and get ready. His mother has developed a good routine and has limited video games during the week. This has really been successful ❖ This youth has gained the skills to maintain a work schedule, while putting school first. With this effort, the relationship has improved with Mom. Sawyer County Diversion Program - Year One May 2026 Board Presentation Page 32 of 60 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 – May 2026 Jen Sarbeck: 22 enrolled 11 referrals Children’s Long-Term Support – May 2026 Ruth Anne Gillmor: 20 enrolled 6 referrals Chelcy Nelson: 25 enrolled 3 referrals Hailey Sands: 15 enrolled (1 participant discharged at the end of May) 1 deferred enrollment 1 referral Total children enrolled: 60 Total children eligible but not yet enrolled: 0 Sawyer County CLTS Program Enrollment Times: Average days from referral to becoming eligible: 31 days Average days from eligible to being enrolled: 11 days Average days from referral to being enrolled: 44 days Statewide CLTS Program Enrollment Times: Average days from referral to becoming eligible: 27 days Average days from eligible to being enrolled: 37 days Average days from referral to being enrolled: 55 days Respectfully, Hailey Sands, BA, BS, IDP-AT Children’s Supportive Services Supervisor Page 33 of 60 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. 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 June 12, 2026 Economic Support Unit Update May 2026 Sawyer County FoodShare Cases – 1,084 FoodShare Recipients – 1,797 FoodShare Benefits Issued - $280,624.00 BadgerCare Plus Cases – 1,313 Elderly, Blind, Disabled Cases – 240 Long Term Care Cases – 95 Child Care Families Served – 21 May 2026 Northern Income Maintenance Consortium Timeliness Performance Call Center Answer Rate: 5,989 Calls Answered, 95.29% Answer Rate, 48.08 Longest Wait Time (minutes) FoodShare Applications – 778 Applications Processed, Processed Timely 99.74% BadgerCare Plus Applications – 536 Applications, Processed Timely 100% Renewals Processed – 1,856 Renewals, Processed Timely 99.57% FoodShare Six-Month Report Forms Processed – 471, Processed Timely 99.32% Respectfully, Shawna K. White Resolution Coordinator Northern Income Maintenance Consortium Economic Support Supervisor Page 34 of 60 SAWYER COUNTY HEALTH AND HUMAN SERVICES BOARD PUBLIC HEALTH UPDATE – JULY 2026 06/24/2026 • 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 Ticks in Wisconsin: Data and Surveillance Wisconsin DHS monitors tick bite-related concerns throughout the year. Looking at trends helps the public know when risk is higher for tick bites and tick-borne disease. This chart shows ED visits and the impact within our region, which is trending high but just under last year’s levels. Local reports of tick-borne disease cases are currently high. ENVIRONMENTAL PUBLIC HEALTH: Assessment & Surveillance; Community Partnership Development; Accountability & Performance Management; Communications The environmental health staff are busy inspecting facilities as the new licensing year approaches. As of June 24, Sawyer County has 925 licensed facilities and 97% (897/925) of facilities have had a pre-inspection or routine inspection this license year. Of the 28 remaining facilities needing an inspection, 18 are transient or special event campground facilities. Since May 1, our team has received 12 complaints regarding potential human health hazards. Onsite assessments, follow-up, and referrals were made, depending on the situation. Page 35 of 60 SAWYER COUNTY HEALTH AND HUMAN SERVICES BOARD PUBLIC HEALTH UPDATE – JULY 2026 06/24/2026 CHRONIC DISEASE & INJURY PREVENTION and ACCESS TO & LINKAGE WITH CLINICAL CARE: Assessment & Surveillance; Community Partnership Development; Communications Sawyer County Healthier Together As a part of the Sawyer County Healthier Together initiative, workgroups have been formed around the priority areas to identify goals and participate in the work outlined in our Community Health Improvement Plan. The root cause and gap analyses were completed in 2025, with work continuing in the collaboration and community awareness areas. Many local agencies are engaged in the work through representation on workgroups. FOUNDATIONAL CAPABILITIES: Emergency Preparedness & Response; Communication; Accountability & Performance Management; Organizational Capabilities Training In June, Sawyer County Public Health staff participated in the following trainings, meetings, and conferences: DATCP Evaluation Training, Injury and Violence prevention, LCO substance use prevention event, and PFAS listening session. Page 36 of 60 RESOLUTION# 26-6-1 DATE June 23, 2026 Effective Date Upon passage & posting Page 1 of 2 Introduced by Health & Human Services Committee Operations Committee Adopted by the County Board of Wood County, June 23, 2026 County Clerk County Board Chairman INTENT & SYNOPSIS: A resolution to support sustainable state funding for local public health departments. FISCAL NOTE: None WHEREAS, in Wisconsin, local health departments (LHDs) are legally required to provide a core set of public health services under Wisconsin Statutes Chapter 251 and Wisconsin Administrative Code Chapter DHS 140; and WHEREAS, responsibilities of LHDs have expanded significantly in recent years due to emerging public health threats, workforce shortages, and increasing community health needs; and WHEREAS, local health departments rely significantly on a combination of limited state aids, categorical grants, and local property tax levy to fund these mandated services; and WHEREAS, current state funding mechanisms for public health are largely outdated, not indexed to inflation, and do not reflect the true cost of delivering foundational public health services; and WHEREAS, Wisconsin currently ranks 49th lowest in state dollars dedicated to public health per person (https://www.americashealthrankings.org/explore/measures/PH_funding); and WHEREAS, Public health initiatives consistently deliver high returns on investment (ROI), with recent data showing a median ROI of 14.3 to 1, often saving $14 in medical and societal costs for every $1 spent (https://www.pew.org/en/research-and- analysis/articles/2025/07/08/public-health-initiatives-deliver-big-returns-on-investment); and WHEREAS, reliance on short-term, restricted, or competitive grant funding creates instability and limits long- term planning; and Motion: Adopted: X 1st Rozar Lost: 2nd Buttke Tabled: No: 0 Yes: 17 Absent: 2 Number of votes required: X Majority Two-thirds Reviewed by: NF , Corp Counsel Reviewed by: PY , Finance Dir. NO YES A 1 Schulz, W X 2 Rozar, D X 3 Buttke, T X 4 Perlock, R X 5 Hovendick, T X 6 Breu, A X 7 Voight, W X 8 Hahn, J X 9 Goldberg, P X 10 Thao, L X 11 Penzkover, J X 12 Valenstein, L X 13 Casper, L X 14 Polach, D X 15 Clendenning, B X 16 Pliml, L X 17 Zurfluh, J X 18 Hamilton, B X 19 Leichtnam, B X Page 37 of 60 WHEREAS, counties bear a disproportionate share of the financial burden for providing foundational public health services, placing additional pressure on local property taxpayers; and WHEREAS, a strong and adequately funded public health system is essential to protect the health, safety, and economic stability of Wisconsin residents and communities; NOW, THEREFORE, BE IT RESOLVED that the Wood County Board of Supervisors supports continuing to build and retain public health infrastructure through increased and flexible funding; and BE IT FURTHER RESOLVED that such a funding model should: • Provide increased General Purpose Revenue (GPR) support for local health departments • Include automatic inflationary adjustments • Allow for flexible use of funds to meet local needs • Reduce reliance on short-term, restricted, and/or competitive grants BE IT FURTHER RESOLVED that the State of Wisconsin recognizes public health as a core governmental function and prioritizes sustained investment to ensure consistent service delivery across all jurisdictions; and BE IT FURTHER RESOLVED that Wood County requests that the Wisconsin Counties Association advocates for policies that reduce the reliance on local property tax levy to fund foundational public health services; and BE IT FURTHER RESOLVED that a copy of this resolution be forwarded to the Governor of Wisconsin, members of the Wisconsin State Legislature, the Wisconsin Department of Health Services, and all Wisconsin counties. Page 38 of 60 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 1,062,500.00 1,487,500.00 42 2,525,000.00 43650 St. Aid 3,860,375.00 .00 3,860,375.00 191,914.81 .00 789,798.80 3,070,576.20 20 3,897,599.12 46600 Client Collections-Medicaid 1,621,260.00 .00 1,621,260.00 82,414.05 .00 330,587.08 1,290,672.92 20 1,808,577.60 48500 Donations from Org./HHS 950,000.00 .00 950,000.00 91,551.68 .00 457,758.40 492,241.60 48 950,467.44 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 .00 269,993.75 377,991.25 42 790,000.00 49300 Use of Fund Balance 300,000.00 .00 300,000.00 .00 .00 .00 300,000.00 0 1,812,663.00 REVENUE TOTALS $9,929,620.00 $0.00 $9,929,620.00 $632,379.29 $0.00 $2,911,638.03 $7,017,981.97 29% $11,788,384.66 EXPENSE 50111 Regular Salaries 2,249,806.00 .00 2,249,806.00 279,400.83 .00 1,007,389.88 1,242,416.12 45 2,272,930.15 50112 Salaries Overtime .00 .00 .00 4,978.46 .00 12,195.26 (12,195.26) +++ 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 72.04 .00 347.71 428.29 45 938.32 50147 Workers Comp 47,732.00 .00 47,732.00 3,881.44 .00 14,467.50 33,264.50 30 35,220.16 50151 FICA-Employer's Share 172,113.00 .00 172,113.00 20,650.14 .00 74,269.76 97,843.24 43 165,852.21 50152 Retirement-Employer's Share 157,100.00 .00 157,100.00 20,149.99 .00 72,301.32 84,798.68 46 153,654.05 50154 Hospital and Health Insurance 568,716.00 .00 568,716.00 85,097.43 .00 266,484.31 302,231.69 47 525,804.00 50155 Flex Administration Fees 2,041.00 .00 2,041.00 346.51 .00 1,028.43 1,012.57 50 2,157.89 50156 Health Reimb. Acct. 55,284.00 .00 55,284.00 1,333.28 .00 54,535.10 748.90 99 54,870.79 50158 Unemployment Compensation .00 .00 .00 .00 .00 .00 .00 +++ 294.90 50218 Garbage 2,182.00 .00 2,182.00 95.00 .00 295.33 1,886.67 14 195.19 50220 Contracted Expenses 1,561,340.00 .00 1,561,340.00 37,424.39 .00 157,144.07 1,404,195.93 10 4,595,401.23 50221 Water and Sewer 2,160.00 .00 2,160.00 113.75 .00 448.10 1,711.90 21 140.13 50222 Electric 5,075.00 .00 5,075.00 357.48 .00 1,958.95 3,116.05 39 441.36 50224 Heating Fuels 1,425.00 .00 1,425.00 82.55 .00 735.44 689.56 52 220.26 50225 Telephone 28,588.00 .00 28,588.00 1,451.38 .00 10,977.67 17,610.33 38 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 5,275.00 162.19 .00 1,927.76 3,347.24 37 4,168.44 50312 Office Supplies 7,610.00 .00 7,610.00 144.29 .00 1,063.24 6,546.76 14 8,004.52 50313 Printing 17,311.00 .00 17,311.00 503.82 .00 2,768.11 14,542.89 16 9,807.86 50314 Small Items of Equipment 12,050.00 .00 12,050.00 189.38 .00 2,164.82 9,885.18 18 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 1,137.00 253.00 82 5,735.00 50325 Registration Fees/Training 18,364.00 .00 18,364.00 4,595.97 .00 23,259.60 (4,895.60) 127 12,499.07 50329 Subscriptions 4,017.00 .00 4,017.00 2,579.99 .00 3,764.14 252.86 94 26,141.15 50331 Software, Licensing, Maint. Fees 48,623.00 .00 48,623.00 1,850.00 .00 11,048.29 37,574.71 23 34,902.36 50335 Meal Expenses 950.00 .00 950.00 11.00 .00 299.57 650.43 32 805.32 50339 Travel 19,230.00 .00 19,230.00 2,429.08 .00 10,351.60 8,878.40 54 24,230.92 Run by Tanya Armsbury on 06/23/2026 10:09:41 AM Page 1 of 3 Budget Performance Report Fiscal Year to Date 05/31/26 Only Show Rollup Account and Rollup to Account Page 39 of 60 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 2,319.39 .00 5,931.06 2,068.94 74 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 .00 .00 1,750.00 1,100.00 61 12,553.04 50393 Client Expenses 3,988,678.00 .00 3,988,678.00 568,261.62 .00 2,087,774.02 1,900,903.98 52 2,330,292.46 50513 Public Liability Insurance 61,850.00 .00 61,850.00 4,864.08 .00 24,320.40 37,529.60 39 58,900.75 50945 Expenditure Transfer - Administration (84,630.00) .00 (84,630.00) (9,959.34) .00 (24,707.59) (59,922.41) 29 (68,862.38) 50946 Expenditure Transfer - Indirect Cost 821,159.00 .00 821,159.00 81,649.77 .00 416,170.45 404,988.55 51 845,347.11 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 $1,115,035.91 $0.00 $4,331,625.92 $5,597,994.08 44% $11,200,861.39 Fund 225 - Human Services Totals REVENUE TOTALS 9,929,620.00 .00 9,929,620.00 632,379.29 .00 2,911,638.03 7,017,981.97 29% 11,788,384.66 EXPENSE TOTALS 9,929,620.00 .00 9,929,620.00 1,115,035.91 .00 4,331,625.92 5,597,994.08 44% 11,200,861.39 Fund 225 - Human Services Totals $0.00 $0.00 $0.00 ($482,656.62) $0.00 ($1,419,987.89) $1,419,987.89 $587,523.27 Fund 258 - Agent of the State REVENUE 43650 St. Aid 45,000.00 .00 45,000.00 .00 .00 8,600.25 36,399.75 19 35,940.00 46600 Public Charges for Services 543,000.00 .00 543,000.00 154,310.00 .00 225,961.94 317,038.06 42 534,915.06 REVENUE TOTALS $588,000.00 $0.00 $588,000.00 $154,310.00 $0.00 $234,562.19 $353,437.81 40% $570,855.06 EXPENSE 50111 Regular Salaries 220,500.00 .00 220,500.00 28,358.05 .00 85,521.32 134,978.68 39 212,055.24 50112 Salaries Overtime .00 .00 .00 .00 .00 .00 .00 +++ 72.39 50144 Term Life Ins./Employer's Share 74.00 .00 74.00 6.63 .00 33.02 40.98 45 94.85 50147 Workers Comp 6,222.00 .00 6,222.00 503.22 .00 1,678.19 4,543.81 27 4,134.74 50151 FICA-Employer's Share 16,779.00 .00 16,779.00 2,098.50 .00 6,309.69 10,469.31 38 15,602.33 50152 Retirement-Employer's Share 15,708.00 .00 15,708.00 1,669.11 .00 5,716.71 9,991.29 36 14,012.95 50154 Hospital and Health Insurance 49,303.00 .00 49,303.00 6,803.98 .00 20,387.34 28,915.66 41 45,444.62 50155 Flex Administration Fees 269.00 .00 269.00 24.97 .00 78.98 190.02 29 214.29 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 33.00 .00 1,368.00 27,347.00 5 32,424.66 50225 Telephone 2,200.00 .00 2,200.00 178.76 .00 762.80 1,437.20 35 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 3,200.00 749.32 .00 1,565.72 1,634.28 49 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 .00 400.00 0 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 2,600.00 245.76 .00 622.18 1,977.82 24 1,224.74 50329 Subscriptions .00 .00 .00 .00 .00 .00 .00 +++ 120.00 Run by Tanya Armsbury on 06/23/2026 10:09:41 AM Page 2 of 3 Budget Performance Report Fiscal Year to Date 05/31/26 Only Show Rollup Account and Rollup to Account Page 40 of 60 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 1,150.00 289.77 .00 1,255.67 (105.67) 109 924.48 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 1,369.38 .00 4,625.61 8,874.39 34 12,724.56 50340 Operating Supplies 5,100.00 .00 5,100.00 .00 .00 2,008.49 3,091.51 39 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 9,959.34 .00 24,707.59 39,593.41 38 68,862.38 50946 Expenditure Transfer - Indirect Cost 113,361.00 .00 113,361.00 9,901.91 .00 41,587.95 71,773.05 37 105,120.33 EXPENSE TOTALS $588,321.00 $0.00 $588,321.00 $62,191.70 $0.00 $204,551.85 $383,769.15 35% $560,674.95 Fund 258 - Agent of the State Totals REVENUE TOTALS 588,000.00 .00 588,000.00 154,310.00 .00 234,562.19 353,437.81 40% 570,855.06 EXPENSE TOTALS 588,321.00 .00 588,321.00 62,191.70 .00 204,551.85 383,769.15 35% 560,674.95 Fund 258 - Agent of the State Totals ($321.00) $0.00 ($321.00) $92,118.30 $0.00 $30,010.34 ($30,331.34) $10,180.11 Grand Totals REVENUE TOTALS 10,517,620.00 .00 10,517,620.00 786,689.29 .00 3,146,200.22 7,371,419.78 30% 12,359,239.72 EXPENSE TOTALS 10,517,941.00 .00 10,517,941.00 1,177,227.61 .00 4,536,177.77 5,981,763.23 43% 11,761,536.34 Grand Totals ($321.00) $0.00 ($321.00) ($390,538.32) $0.00 ($1,389,977.55) $1,389,656.55 $597,703.38 Run by Tanya Armsbury on 06/23/2026 10:09:41 AM Page 3 of 3 Budget Performance Report Fiscal Year to Date 05/31/26 Only Show Rollup Account and Rollup to Account Page 41 of 60 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 1,257.00 .00 16,068.50 534,430.50 3 571,565.00 46600 Client Collections 27,500.00 .00 27,500.00 8,966.91 .00 18,814.09 8,685.91 68 41,814.58 REVENUE TOTALS $577,999.00 $0.00 $577,999.00 $10,223.91 $0.00 $34,882.59 $543,116.41 6% $613,379.58 EXPENSE 50111 Regular Salaries 377,787.00 .00 377,787.00 41,095.76 .00 153,918.81 223,868.19 41 367,048.31 50144 Term Life Ins./Employer's Share 239.00 .00 239.00 16.40 .00 92.16 146.84 39 285.70 50147 Workers Comp 11,413.00 .00 11,413.00 726.56 .00 2,845.92 8,567.08 25 8,349.86 50151 FICA-Employer's Share 28,899.00 .00 28,899.00 2,972.70 .00 11,092.00 17,807.00 38 26,481.68 50152 Retirement-Employer's Share 26,520.00 .00 26,520.00 2,895.88 .00 11,021.02 15,498.98 42 25,521.88 50154 Hospital and Health Insurance 82,684.00 .00 82,684.00 11,195.95 .00 37,300.78 45,383.22 45 71,901.12 50155 Flex Administration Fees 373.00 .00 373.00 72.07 .00 233.67 139.33 63 406.49 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 30.00 .00 149.99 232.01 39 195.19 50220 Contracted Expenses 141,800.00 .00 141,800.00 2,550.10 .00 20,313.82 121,486.18 14 117,476.34 50221 Water and Sewer 560.00 .00 560.00 34.00 .00 140.13 419.87 25 140.13 50222 Electric 1,475.00 .00 1,475.00 115.36 .00 780.42 694.58 53 441.36 50224 Heating Fuels 775.00 .00 775.00 33.53 .00 325.06 449.94 42 220.26 50225 Telephone 5,030.00 .00 5,030.00 341.40 .00 1,994.82 3,035.18 40 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 18.54 .00 236.10 313.90 43 239.30 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 1,008.54 .00 1,513.07 236.93 86 498.32 50329 Subscriptions 1,025.00 .00 1,025.00 29.99 .00 224.05 800.95 22 1,323.49 50331 Software, Licensing, Maint. Fees .00 .00 .00 145.87 .00 1,266.93 (1,266.93) +++ 1,823.34 50335 Meal Expenses 200.00 .00 200.00 .00 .00 .00 200.00 0 55.74 50339 Travel 3,750.00 .00 3,750.00 172.00 .00 1,383.00 2,367.00 37 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 36,794.56 .00 106,712.31 (106,412.31) 35571 174,544.17 50945 Expenditure Transfer - Administration 100,110.00 .00 100,110.00 12,027.89 .00 39,215.29 60,894.71 39 106,393.33 50946 Expenditure Transfer - Indirect Cost 152,420.00 .00 152,420.00 11,958.54 .00 70,065.90 82,354.10 46 163,764.47 EXPENSE TOTALS $1,040,592.00 $0.00 $1,040,592.00 $124,235.64 $0.00 $556,730.59 $483,861.41 54% $1,091,842.34 Fund 225 - Human Services Totals REVENUE TOTALS 577,999.00 .00 577,999.00 10,223.91 .00 34,882.59 543,116.41 6% 613,379.58 Run by Tanya Armsbury on 06/23/2026 10:11:17 AM Page 1 of 2 ADRC/LTC Fiscal Year to Date 05/31/26 Only Show Rollup Account and Rollup to Account Page 42 of 60 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 1,040,592.00 124,235.64 .00 556,730.59 483,861.41 54% 1,091,842.34 Fund 225 - Human Services Totals ($462,593.00) $0.00 ($462,593.00) ($114,011.73) $0.00 ($521,848.00) $59,255.00 ($478,462.76) Grand Totals REVENUE TOTALS 577,999.00 .00 577,999.00 10,223.91 .00 34,882.59 543,116.41 6% 613,379.58 EXPENSE TOTALS 1,040,592.00 .00 1,040,592.00 124,235.64 .00 556,730.59 483,861.41 54% 1,091,842.34 Grand Totals ($462,593.00) $0.00 ($462,593.00) ($114,011.73) $0.00 ($521,848.00) $59,255.00 ($478,462.76) Run by Tanya Armsbury on 06/23/2026 10:11:17 AM Page 2 of 2 ADRC/LTC Fiscal Year to Date 05/31/26 Only Show Rollup Account and Rollup to Account Page 43 of 60 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 25,719.00 .00 37,343.00 185,875.00 17 232,315.00 46600 Client Collections-Medicaid 842,000.00 .00 842,000.00 23,343.16 .00 75,749.18 766,250.82 9 498,791.56 REVENUE TOTALS $1,065,218.00 $0.00 $1,065,218.00 $49,062.16 $0.00 $113,092.18 $952,125.82 11% $731,106.56 EXPENSE 50111 Regular Salaries 398,595.00 .00 398,595.00 38,840.07 .00 134,686.44 263,908.56 34 357,006.86 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 11.79 .00 58.95 126.05 32 189.23 50147 Workers Comp 10,995.00 .00 10,995.00 673.57 .00 2,462.60 8,532.40 22 8,464.61 50151 FICA-Employer's Share 30,493.00 .00 30,493.00 2,840.76 .00 9,903.83 20,589.17 32 26,265.67 50152 Retirement-Employer's Share 27,702.00 .00 27,702.00 2,636.08 .00 9,457.94 18,244.06 34 22,906.93 50154 Hospital and Health Insurance 109,438.00 .00 109,438.00 10,727.47 .00 29,823.52 79,614.48 27 77,370.23 50155 Flex Administration Fees 364.00 .00 364.00 38.65 .00 107.50 256.50 30 341.07 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 7,590.00 .00 23,538.00 588,978.00 4 1,952,443.69 50225 Telephone 5,186.00 .00 5,186.00 243.04 .00 1,249.75 3,936.25 24 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 .00 .00 277.53 962.47 22 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 .00 .00 179.00 3,521.00 5 260.66 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 1,100.00 418.58 .00 2,601.13 (1,501.13) 236 2,770.03 50339 Travel 1,180.00 .00 1,180.00 312.25 .00 964.52 215.48 82 1,209.45 50393 Client Expenses 2,235,123.00 .00 2,235,123.00 305,227.40 .00 1,083,793.70 1,151,329.30 48 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 25,519.66 .00 69,039.15 35,920.85 66 91,227.31 50946 Expenditure Transfer - Indirect Cost 159,802.00 .00 159,802.00 25,372.52 .00 118,731.46 41,070.54 74 139,334.34 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 $420,451.84 $0.00 $1,492,508.41 $2,262,950.59 40% $3,882,456.34 Fund 225 - Human Services Totals REVENUE TOTALS 1,065,218.00 .00 1,065,218.00 49,062.16 .00 113,092.18 952,125.82 11% 731,106.56 EXPENSE TOTALS 3,755,459.00 .00 3,755,459.00 420,451.84 .00 1,492,508.41 2,262,950.59 40% 3,882,456.34 Fund 225 - Human Services Totals ($2,690,241.00) $0.00 ($2,690,241.00) ($371,389.68) $0.00 ($1,379,416.23) ($1,310,824.77) ($3,151,349.78) Grand Totals REVENUE TOTALS 1,065,218.00 .00 1,065,218.00 49,062.16 .00 113,092.18 952,125.82 11% 731,106.56 Run by Tanya Armsbury on 06/23/2026 10:11:47 AM Page 1 of 2 AODA/MH Fiscal Year to Date 05/31/26 Only Show Rollup Account and Rollup to Account Page 44 of 60 EXPENSE TOTALS 3,755,459.00 .00 3,755,459.00 420,451.84 .00 1,492,508.41 2,262,950.59 40% 3,882,456.34 Grand Totals ($2,690,241.00) $0.00 ($2,690,241.00) ($371,389.68) $0.00 ($1,379,416.23) ($1,310,824.77) ($3,151,349.78) Run by Tanya Armsbury on 06/23/2026 10:11:47 AM Page 2 of 2 AODA/MH Fiscal Year to Date 05/31/26 Only Show Rollup Account and Rollup to Account Page 45 of 60 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 20,912.23 .00 167,997.01 655,538.99 20 904,087.92 46600 Client Collections-Medicaid 41,400.00 .00 41,400.00 5,268.73 .00 19,737.68 21,662.32 48 35,357.54 REVENUE TOTALS $864,936.00 $0.00 $864,936.00 $26,180.96 $0.00 $187,734.69 $677,201.31 22% $939,445.46 EXPENSE 50111 Regular Salaries 185,860.00 .00 185,860.00 28,867.79 .00 100,423.11 85,436.89 54 297,063.99 50112 Salaries Overtime .00 .00 .00 .00 .00 .00 .00 +++ 3,703.27 50144 Term Life Ins./Employer's Share 18.00 .00 18.00 7.97 .00 22.11 (4.11) 123 68.92 50147 Workers Comp 5,810.00 .00 5,810.00 612.22 .00 2,205.38 3,604.62 38 7,358.88 50151 FICA-Employer's Share 14,218.00 .00 14,218.00 2,080.62 .00 7,295.22 6,922.78 51 22,127.71 50152 Retirement-Employer's Share 12,981.00 .00 12,981.00 2,078.48 .00 7,231.15 5,749.85 56 19,656.81 50154 Hospital and Health Insurance 42,308.00 .00 42,308.00 11,073.90 .00 31,806.48 10,501.52 75 57,291.48 50155 Flex Administration Fees 114.00 .00 114.00 34.39 .00 87.49 26.51 77 162.46 50156 Health Reimb. Acct. 4,324.00 .00 4,324.00 666.64 .00 7,337.07 (3,013.07) 170 8,202.64 50220 Contracted Expenses 28,150.00 .00 28,150.00 5,740.00 .00 43,698.60 (15,548.60) 155 959,184.49 50225 Telephone 2,640.00 .00 2,640.00 221.63 .00 1,070.27 1,569.73 41 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 9.49 .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 2,500.00 267.18 .00 1,936.45 563.55 77 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 44.39 .00 205.00 1,818.00 10 3,349.18 50335 Meal Expenses 100.00 .00 100.00 11.00 .00 105.16 (5.16) 105 68.50 50339 Travel 5,000.00 .00 5,000.00 752.79 .00 3,517.28 1,482.72 70 9,668.70 50340 Operating Supplies 1,300.00 .00 1,300.00 351.94 .00 594.97 705.03 46 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 65,034.15 .00 253,082.01 461,417.99 35 327,499.48 50513 Public Liability Insurance .00 .00 .00 .00 .00 .00 .00 +++ 30.00 50945 Expenditure Transfer - Administration 83,531.00 .00 83,531.00 10,891.29 .00 28,656.44 54,874.56 34 85,407.18 50946 Expenditure Transfer - Indirect Cost 127,175.00 .00 127,175.00 10,828.50 .00 48,862.90 78,312.10 38 132,523.56 EXPENSE TOTALS $1,233,802.00 $0.00 $1,233,802.00 $139,574.37 $0.00 $538,553.27 $695,248.73 44% $1,942,181.64 Fund 225 - Human Services Totals REVENUE TOTALS 864,936.00 .00 864,936.00 26,180.96 .00 187,734.69 677,201.31 22% 939,445.46 EXPENSE TOTALS 1,233,802.00 .00 1,233,802.00 139,574.37 .00 538,553.27 695,248.73 44% 1,942,181.64 Fund 225 - Human Services Totals ($368,866.00) $0.00 ($368,866.00) ($113,393.41) $0.00 ($350,818.58) ($18,047.42) ($1,002,736.18) Grand Totals Run by Tanya Armsbury on 06/23/2026 10:13:11 AM Page 1 of 2 Child Welfare Fiscal Year to Date 05/31/26 Only Show Rollup Account and Rollup to Account Page 46 of 60 REVENUE TOTALS 864,936.00 .00 864,936.00 26,180.96 .00 187,734.69 677,201.31 22% 939,445.46 EXPENSE TOTALS 1,233,802.00 .00 1,233,802.00 139,574.37 .00 538,553.27 695,248.73 44% 1,942,181.64 Grand Totals ($368,866.00) $0.00 ($368,866.00) ($113,393.41) $0.00 ($350,818.58) ($18,047.42) ($1,002,736.18) Run by Tanya Armsbury on 06/23/2026 10:13:11 AM Page 2 of 2 Child Welfare Fiscal Year to Date 05/31/26 Only Show Rollup Account and Rollup to Account Page 47 of 60 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 48,127.33 .00 112,554.74 369,228.26 23 540,641.09 REVENUE TOTALS $481,783.00 $0.00 $481,783.00 $48,127.33 $0.00 $112,554.74 $369,228.26 23% $540,641.09 EXPENSE 50111 Regular Salaries 327,525.00 .00 327,525.00 31,341.68 .00 125,387.25 202,137.75 38 310,091.61 50112 Salaries Overtime .00 .00 .00 212.40 .00 424.80 (424.80) +++ 927.44 50144 Term Life Ins./Employer's Share 109.00 .00 109.00 11.23 .00 56.15 52.85 52 126.03 50147 Workers Comp 665.00 .00 665.00 50.01 .00 207.42 457.58 31 509.47 50151 FICA-Employer's Share 25,055.00 .00 25,055.00 2,310.40 .00 9,228.23 15,826.77 37 22,591.00 50152 Retirement-Employer's Share 22,896.00 .00 22,896.00 2,271.92 .00 9,057.89 13,838.11 40 21,445.04 50154 Hospital and Health Insurance 69,472.00 .00 69,472.00 5,912.62 .00 25,305.91 44,166.09 36 59,860.00 50155 Flex Administration Fees 317.00 .00 317.00 34.87 .00 109.37 207.63 35 227.41 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 7,483.44 .00 19,435.85 51,768.15 27 61,641.05 50225 Telephone 530.00 .00 530.00 44.18 .00 219.28 310.72 41 519.51 50312 Office Supplies 250.00 .00 250.00 .00 .00 .00 250.00 0 80.18 50313 Printing .00 .00 .00 .00 .00 .21 (.21) +++ .00 50314 Small Items of Equipment 1,200.00 .00 1,200.00 .00 .00 47.27 1,152.73 4 .00 50325 Registration Fees/Training 500.00 .00 500.00 31.29 .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 .00 100.00 0 137.62 50945 Expenditure Transfer - Administration 95,575.00 .00 95,575.00 11,513.52 .00 35,071.43 60,503.57 37 97,998.94 50946 Expenditure Transfer - Indirect Cost 145,513.00 .00 145,513.00 11,447.14 .00 61,796.33 83,716.67 42 150,546.18 EXPENSE TOTALS $768,165.00 $0.00 $768,165.00 $72,664.70 $0.00 $292,438.80 $475,726.20 38% $735,055.70 Fund 225 - Human Services Totals REVENUE TOTALS 481,783.00 .00 481,783.00 48,127.33 .00 112,554.74 369,228.26 23% 540,641.09 EXPENSE TOTALS 768,165.00 .00 768,165.00 72,664.70 .00 292,438.80 475,726.20 38% 735,055.70 Fund 225 - Human Services Totals ($286,382.00) $0.00 ($286,382.00) ($24,537.37) $0.00 ($179,884.06) ($106,497.94) ($194,414.61) Grand Totals REVENUE TOTALS 481,783.00 .00 481,783.00 48,127.33 .00 112,554.74 369,228.26 23% 540,641.09 EXPENSE TOTALS 768,165.00 .00 768,165.00 72,664.70 .00 292,438.80 475,726.20 38% 735,055.70 Grand Totals ($286,382.00) $0.00 ($286,382.00) ($24,537.37) $0.00 ($179,884.06) ($106,497.94) ($194,414.61) Run by Tanya Armsbury on 06/23/2026 10:13:38 AM Page 1 of 1 Economic Support Fiscal Year to Date 05/31/26 Only Show Rollup Account and Rollup to Account Page 48 of 60 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 53,200.35 .00 211,648.02 342,940.98 38 502,049.98 46600 Client Collections-Medicaid 18,500.00 .00 18,500.00 5,106.31 .00 25,665.26 (7,165.26) 139 19,224.17 REVENUE TOTALS $573,089.00 $0.00 $573,089.00 $58,306.66 $0.00 $237,313.28 $335,775.72 41% $521,274.15 EXPENSE 50111 Regular Salaries 246,829.00 .00 246,829.00 28,810.63 .00 104,208.56 142,620.44 42 201,002.13 50112 Salaries Overtime .00 .00 .00 900.45 .00 1,202.45 (1,202.45) +++ 1,074.05 50144 Term Life Ins./Employer's Share 79.00 .00 79.00 6.37 .00 32.40 46.60 41 86.75 50147 Workers Comp 7,822.00 .00 7,822.00 672.49 .00 2,431.47 5,390.53 31 5,171.08 50151 FICA-Employer's Share 18,883.00 .00 18,883.00 2,165.44 .00 7,710.51 11,172.49 41 14,950.70 50152 Retirement-Employer's Share 17,425.00 .00 17,425.00 2,139.19 .00 7,588.14 9,836.86 44 13,896.70 50154 Hospital and Health Insurance 43,872.00 .00 43,872.00 11,485.94 .00 33,820.61 10,051.39 77 35,025.26 50155 Flex Administration Fees 149.00 .00 149.00 24.81 .00 73.17 75.83 49 110.88 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 8,025.00 197,199.00 4 1,432,042.26 50225 Telephone 2,150.00 .00 2,150.00 179.38 .00 890.60 1,259.40 41 1,853.96 50311 Postage .00 .00 .00 16.10 .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 2,514.00 308.40 .00 13,607.30 (11,093.30) 541 3,325.61 50329 Subscriptions 192.00 .00 192.00 .00 .00 .00 192.00 0 97.66 50331 Software, Licensing, Maint. Fees .00 .00 .00 95.12 .00 793.31 (793.31) +++ 1,416.86 50335 Meal Expenses 400.00 .00 400.00 .00 .00 194.41 205.59 49 366.15 50339 Travel 4,500.00 .00 4,500.00 1,044.75 .00 3,277.03 1,222.97 73 6,248.93 50340 Operating Supplies 900.00 .00 900.00 1,510.00 .00 2,188.36 (1,288.36) 243 536.42 50373 Advertising/Marketing .00 .00 .00 .00 .00 .00 .00 +++ 7,623.98 50393 Client Expenses 1,011,505.00 .00 1,011,505.00 160,349.34 .00 701,003.54 310,501.46 69 639,609.84 50945 Expenditure Transfer - Administration 66,324.00 .00 66,324.00 8,902.26 .00 26,580.61 39,743.39 40 54,002.63 50946 Expenditure Transfer - Indirect Cost 100,978.00 .00 100,978.00 8,850.93 .00 46,601.11 54,376.89 46 82,369.60 EXPENSE TOTALS $1,735,480.00 $0.00 $1,735,480.00 $227,461.60 $0.00 $967,028.01 $768,451.99 56% $2,506,542.32 Fund 225 - Human Services Totals REVENUE TOTALS 573,089.00 .00 573,089.00 58,306.66 .00 237,313.28 335,775.72 41% 521,274.15 EXPENSE TOTALS 1,735,480.00 .00 1,735,480.00 227,461.60 .00 967,028.01 768,451.99 56% 2,506,542.32 Fund 225 - Human Services Totals ($1,162,391.00) $0.00 ($1,162,391.00) ($169,154.94) $0.00 ($729,714.73) ($432,676.27) ($1,985,268.17) Grand Totals REVENUE TOTALS 573,089.00 .00 573,089.00 58,306.66 .00 237,313.28 335,775.72 41% 521,274.15 EXPENSE TOTALS 1,735,480.00 .00 1,735,480.00 227,461.60 .00 967,028.01 768,451.99 56% 2,506,542.32 Run by Tanya Armsbury on 06/23/2026 10:14:30 AM Page 1 of 2 Youth Justice Fiscal Year to Date 05/31/26 Only Show Rollup Account and Rollup to Account Page 49 of 60 Grand Totals ($1,162,391.00) $0.00 ($1,162,391.00) ($169,154.94) $0.00 ($729,714.73) ($432,676.27) ($1,985,268.17) Run by Tanya Armsbury on 06/23/2026 10:14:30 AM Page 2 of 2 Youth Justice Fiscal Year to Date 05/31/26 Only Show Rollup Account and Rollup to Account Page 50 of 60 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 20,406.90 .00 137,667.03 159,082.97 46 368,405.13 46600 Client Collections-Medicaid 131,560.00 .00 131,560.00 10,994.59 .00 40,238.22 91,321.78 31 190,282.07 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 $31,401.49 $0.00 $178,905.25 $249,404.75 42% $558,687.20 EXPENSE 50111 Regular Salaries 317,939.00 .00 317,939.00 32,966.19 .00 130,899.76 187,039.24 41 343,628.01 50112 Salaries Overtime .00 .00 .00 .00 .00 .00 .00 +++ 12.00 50144 Term Life Ins./Employer's Share 105.00 .00 105.00 11.31 .00 57.19 47.81 54 123.67 50147 Workers Comp 8,776.00 .00 8,776.00 735.70 .00 2,597.32 6,178.68 30 7,774.94 50151 FICA-Employer's Share 24,326.00 .00 24,326.00 2,316.59 .00 9,307.88 15,018.12 38 24,354.21 50152 Retirement-Employer's Share 22,104.00 .00 22,104.00 2,297.83 .00 9,018.46 13,085.54 41 23,117.25 50154 Hospital and Health Insurance 118,658.00 .00 118,658.00 16,140.81 .00 52,951.98 65,706.02 45 115,755.80 50155 Flex Administration Fees 380.00 .00 380.00 58.28 .00 191.86 188.14 50 401.01 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 14,027.85 .00 41,903.75 117,081.25 26 72,361.69 50225 Telephone 3,852.00 .00 3,852.00 332.71 .00 1,758.31 2,093.69 46 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 7.18 .00 747.39 27.61 96 1,044.38 50312 Office Supplies 270.00 .00 270.00 .00 .00 129.73 140.27 48 62.86 50313 Printing 2,511.00 .00 2,511.00 .00 .00 330.00 2,181.00 13 1,248.29 50314 Small Items of Equipment 3,200.00 .00 3,200.00 179.89 .00 424.32 2,775.68 13 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 35.00 865.00 4 5,735.00 50325 Registration Fees/Training 2,100.00 .00 2,100.00 169.94 .00 1,060.02 1,039.98 50 1,195.01 50329 Subscriptions 500.00 .00 500.00 2,550.00 .00 3,485.09 (2,985.09) 697 5,492.62 50331 Software, Licensing, Maint. Fees 1,500.00 .00 1,500.00 289.69 .00 2,978.18 (1,478.18) 199 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 2,650.00 112.49 .00 639.23 2,010.77 24 2,949.78 50340 Operating Supplies 2,000.00 .00 2,000.00 457.45 .00 1,196.99 803.01 60 11,156.35 50344 Supplies .00 .00 .00 .00 .00 .00 .00 +++ 494.21 50373 Advertising/Marketing 1,500.00 .00 1,500.00 .00 .00 1,750.00 (250.00) 117 3,429.94 50393 Client Expenses 2,600.00 .00 2,600.00 .00 .00 .00 2,600.00 0 26,013.00 50945 Expenditure Transfer - Administration 75,552.00 .00 75,552.00 11,807.84 .00 36,199.49 39,352.51 48 107,630.66 50946 Expenditure Transfer - Indirect Cost 115,028.00 .00 115,028.00 11,739.76 .00 63,428.24 51,599.76 55 165,253.36 EXPENSE TOTALS $892,870.00 $0.00 $892,870.00 $96,201.51 $0.00 $372,134.25 $520,735.75 42% $960,706.99 Fund 225 - Human Services Totals Run by Tanya Armsbury on 06/23/2026 10:16:07 AM Page 1 of 2 Public Health Fiscal Year to Date 05/31/26 Only Show Rollup Account and Rollup to Account Page 51 of 60 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 31,401.49 .00 178,905.25 249,404.75 42% 558,687.20 EXPENSE TOTALS 892,870.00 .00 892,870.00 96,201.51 .00 372,134.25 520,735.75 42% 960,706.99 Fund 225 - Human Services Totals ($464,560.00) $0.00 ($464,560.00) ($64,800.02) $0.00 ($193,229.00) ($271,331.00) ($402,019.79) Grand Totals REVENUE TOTALS 428,310.00 .00 428,310.00 31,401.49 .00 178,905.25 249,404.75 42% 558,687.20 EXPENSE TOTALS 892,870.00 .00 892,870.00 96,201.51 .00 372,134.25 520,735.75 42% 960,706.99 Grand Totals ($464,560.00) $0.00 ($464,560.00) ($64,800.02) $0.00 ($193,229.00) ($271,331.00) ($402,019.79) Run by Tanya Armsbury on 06/23/2026 10:16:07 AM Page 2 of 2 Public Health Fiscal Year to Date 05/31/26 Only Show Rollup Account and Rollup to Account Page 52 of 60 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 8,600.25 36,399.75 19 35,940.00 46600 Public Charges for Services 543,000.00 .00 543,000.00 154,310.00 .00 225,961.94 317,038.06 42 534,915.06 REVENUE TOTALS $588,000.00 $0.00 $588,000.00 $154,310.00 $0.00 $234,562.19 $353,437.81 40% $570,855.06 EXPENSE 50111 Regular Salaries 220,500.00 .00 220,500.00 28,358.05 .00 85,521.32 134,978.68 39 212,055.24 50112 Salaries Overtime .00 .00 .00 .00 .00 .00 .00 +++ 72.39 50144 Term Life Ins./Employer's Share 74.00 .00 74.00 6.63 .00 33.02 40.98 45 94.85 50147 Workers Comp 6,222.00 .00 6,222.00 503.22 .00 1,678.19 4,543.81 27 4,134.74 50151 FICA-Employer's Share 16,779.00 .00 16,779.00 2,098.50 .00 6,309.69 10,469.31 38 15,602.33 50152 Retirement-Employer's Share 15,708.00 .00 15,708.00 1,669.11 .00 5,716.71 9,991.29 36 14,012.95 50154 Hospital and Health Insurance 49,303.00 .00 49,303.00 6,803.98 .00 20,387.34 28,915.66 41 45,444.62 50155 Flex Administration Fees 269.00 .00 269.00 24.97 .00 78.98 190.02 29 214.29 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 33.00 .00 1,368.00 27,347.00 5 32,424.66 50225 Telephone 2,200.00 .00 2,200.00 178.76 .00 762.80 1,437.20 35 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 3,200.00 749.32 .00 1,565.72 1,634.28 49 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 .00 400.00 0 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 2,600.00 245.76 .00 622.18 1,977.82 24 1,224.74 50329 Subscriptions .00 .00 .00 .00 .00 .00 .00 +++ 120.00 50331 Software, Licensing, Maint. Fees 1,150.00 .00 1,150.00 289.77 .00 1,255.67 (105.67) 109 924.48 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 1,369.38 .00 4,625.61 8,874.39 34 12,724.56 50340 Operating Supplies 5,100.00 .00 5,100.00 .00 .00 2,008.49 3,091.51 39 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 9,959.34 .00 24,707.59 39,593.41 38 68,862.38 50946 Expenditure Transfer - Indirect Cost 113,361.00 .00 113,361.00 9,901.91 .00 41,587.95 71,773.05 37 105,120.33 EXPENSE TOTALS $588,321.00 $0.00 $588,321.00 $62,191.70 $0.00 $204,551.85 $383,769.15 35% $560,674.95 Fund 258 - Agent of the State Totals REVENUE TOTALS 588,000.00 .00 588,000.00 154,310.00 .00 234,562.19 353,437.81 40% 570,855.06 EXPENSE TOTALS 588,321.00 .00 588,321.00 62,191.70 .00 204,551.85 383,769.15 35% 560,674.95 Fund 258 - Agent of the State Totals ($321.00) $0.00 ($321.00) $92,118.30 $0.00 $30,010.34 ($30,331.34) $10,180.11 Grand Totals REVENUE TOTALS 588,000.00 .00 588,000.00 154,310.00 .00 234,562.19 353,437.81 40% 570,855.06 Run by Tanya Armsbury on 06/23/2026 10:16:34 AM Page 1 of 2 Agent of the State Fiscal Year to Date 05/31/26 Only Show Rollup Account and Rollup to Account Page 53 of 60 EXPENSE TOTALS 588,321.00 .00 588,321.00 62,191.70 .00 204,551.85 383,769.15 35% 560,674.95 Grand Totals ($321.00) $0.00 ($321.00) $92,118.30 $0.00 $30,010.34 ($30,331.34) $10,180.11 Run by Tanya Armsbury on 06/23/2026 10:16:34 AM Page 2 of 2 Agent of the State Fiscal Year to Date 05/31/26 Only Show Rollup Account and Rollup to Account Page 54 of 60 ADRC / EBS / Dementia Care 1,800.00 4% 1,721.20 Other 78.80 15.76 15.76 15.76 15.76 15.76 Legal Services - - - - 1,800.00 1,721.20 78.80 15.76 15.76 15.76 15.76 15.76 - LTC / APS / Elder Abuse LTC BCA 105,000.00 19% 85,302.36 19,697.64 Residential Placements 17,670.00 - 17,670.00 - - - Legal Services - - - - - Other Expenses - LTC BCA 2,027.64 309.73 687.15 398.92 330.06 301.78 Elder Abuse - funds available (3,140.00) 3,140.00 - 1,300.00 1,300.00 420.00 120.00 AAR/APS 35,300.00 overspent (68,809.69) 104,109.69 Residential Placements 84,942.31 12,007.75 22,360.00 14,080.00 36,494.56 Other Expenses - APS 2,644.70 33.94 93.94 908.94 1,603.94 3.94 Legal Services 16,522.68 2,835.11 5,910.73 300.00 5,068.22 2,408.62 140,300.00 19% 16,492.67 123,807.33 15,186.53 25,661.82 25,267.86 21,502.22 39,328.90 - AODA/MH AODA/MH BCA 2,585,960.00 40% 1,552,324.81 1,033,635.19 Inpatient MH (Winnebago, Trempealeau) 406,098.84 12,855.92 12,239.90 153,465.66 105,257.00 122,280.36 Transports 1,536.07 - 1,200.00 - 336.07 Northland Counseling Crisis 28,095.39 - 7,158.06 7,873.87 6,161.04 6,902.42 Residential Placements 1,350.00 - 1,350.00 - - Northland Crisis Bed 154,241.50 - 29,070.30 43,072.05 47,250.35 34,848.80 AODA Hospitalization - - - - - Legal Services 16,600.00 3,370.00 3,120.00 3,120.00 500.00 6,490.00 Other AODA/MH BCA 3,458.34 3,333.00 125.34 - - - Community Support Program (CSP) 422,255.05 - 133,515.47 90,941.60 57,535.23 140,262.75 Northland On Call 14,040.00 33% 9,450.00 4,590.00 - 1,080.00 1,080.00 1,080.00 1,350.00 Transitions 367,811.00 19% 298,063.70 69,747.30 11,586.44 24,242.84 25,024.56 (35,206.84) 44,100.30 Prevention 12,516.00 0% 12,516.00 - - - - - CCS - funds available (15.00) 15.00 - 15.00 - - Other AODA/MH Grants* 93,198.00 0% 29,478.00 63,720.00 - - 63,720.00 - 3,073,525.00 38% 1,901,817.51 1,171,707.49 31,145.36 210,551.91 327,142.74 246,296.78 356,570.70 - FAMILY SERVICES C&F BCA 450,000.00 50% 226,560.77 223,439.23 Foster Care 68,868.61 - 17,411.04 17,158.82 17,355.74 16,943.01 Group Home 59,352.00 - 15,332.60 13,848.80 15,332.60 14,838.00 RCC 70,551.55 - 14,984.40 17,481.80 19,354.85 18,730.50 Other C&F BCA 24,667.07 4,852.79 4,485.57 4,350.00 6,878.98 4,099.73 Kinship Benefit 67,500.00 30% 47,482.45 20,017.55 - 5,041.55 4,992.00 4,992.00 4,992.00 Foster Admin 40,000.00 65% 13,980.24 26,019.76 - 6,372.98 5,756.24 6,372.98 7,517.56 Other Family Services Grants* 150.00 funds available (20,372.00) 20,522.00 20,507.00 15.00 - - OHP Sex Trafficked Youth* 150,000.00 0% 148,086.65 1,913.35 - - - 1,913.35 TSSF 7,000.00 10% 6,318.77 681.23 100.00 581.23 - - - Legal Services 28,000.00 15% 23,812.52 4,187.48 150.00 1,532.48 - 765.00 1,740.00 742,650.00 40% 445,869.40 296,780.60 25,609.79 65,741.85 63,602.66 71,052.15 70,774.15 - CST CST 775.00 4% 745.03 29.97 - 11.99 17.98 - - 775.00 4% 745.03 29.97 - 11.99 17.98 - - - JAN FEB MAR APRIL MAY JUNEBUDGET % of Budget Used Budget Remaining Total Spent YTD 2026 HS Purchased Service Recap Page 55 of 60 JAN FEB MAR APRIL MAY JUNEBUDGET % of Budget Used Budget Remaining Total Spent YTD 2026 HS Purchased Service Recap Family Support CLTS 125,000.00 4% 120,089.79 4,910.21 550.00 231.38 3,446.05 335.78 347.00 Children's COP 16,150.00 5% 15,414.50 735.50 414.30 32.12 128.48 160.60 - 141,150.00 4% 135,504.29 5,645.71 964.30 263.50 3,574.53 496.38 347.00 - Youth Aids Youth Aids 1,000,000.00 67% 329,110.95 670,889.05 Foster Care - - - - - - Group Home 37,200.00 - 9,610.00 8,680.00 9,610.00 9,300.00 RCC 437,409.58 - 105,154.48 112,618.24 123,774.48 95,862.38 Foster Admin - - - - - - Other Youth Aids 45.87 17.68 18.00 - 10.19 - Secure Detention/Corrections 191,985.00 17,825.00 47,162.00 29,556.00 50,132.00 47,310.00 Transports 1,850.00 - - - - 1,850.00 Electronic Monitoring 2,398.60 644.40 232.70 62.65 - 1,458.85 Legal Services - - - - - - YJ AODA* 3,547.00 0% 3,547.00 - - - - - - YJ Community Intervention Program* 10,958.00 4% 10,546.44 411.56 - 300.00 - - 111.56 Positive Youth Development* - funds available (26,737.54) 26,737.54 19,200.00 - 3,810.99 - 3,726.55 YJ Innovation* - 0% 0.00 - - - - - - CP Diversion YJ* 202,224.00 0% 191,233.61 10,990.39 - 5,025.00 5,126.70 108.69 730.00 1,216,729.00 58% 507,700.46 709,028.54 37,687.08 167,502.18 159,854.58 183,635.36 160,349.34 - ES Wood County Incentives (pass through) 5,000.00 4% 4,807.56 192.44 - 192.44 - - - Other - 0% 0.00 - - - - - - 5,000.00 4% 4,807.56 192.44 - 192.44 - - - - Fraud Fraud Contract* 50,000.00 31% 34,465.07 15,534.93 - 958.84 4,361.15 3,990.24 6,224.70 50,000.00 31% 34,465.07 15,534.93 - 958.84 4,361.15 3,990.24 6,224.70 - Daycare Contracted - Daycare Certification 13,204.00 18% 10,802.58 2,401.42 317.52 589.84 784.33 - 709.73 Day Care Fraud* 3,000.00 44% 1,692.94 1,307.06 - - - 758.05 549.01 16,204.00 23% 12,495.52 3,708.48 317.52 589.84 784.33 758.05 1,258.74 - PH - Public Health 66,985.00 16% 55,985.00 11,000.00 PH Misc. 11,000.00 1,000.00 7,000.00 1,000.00 1,000.00 1,000.00 Legal Services - - - - - - Interpreter Services - - - - - - Water Program 9,000.00 15% 7,665.00 1,335.00 - - - 1,335.00 - Sanitarian 8,215.00 0% 8,215.00 - - - - - - County TRH 11,500.00 0% 11,467.00 33.00 - - - - 33.00 Other PH Grants - 0.00 0.00 - - - - - - 95,700.00 13% 83,332.00 12,368.00 1,000.00 7,000.00 1,000.00 2,335.00 1,033.00 - Reproductive Health* Cert Language - 0% 0.00 - - - - - - Wi State Lab - 0% 0.00 - - - - - - - 0% 0.00 - - - - - - - Page 56 of 60 JAN FEB MAR APRIL MAY JUNEBUDGET % 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 33% 63,696.25 30,903.75 6,238.64 3,870.04 671.70 7,095.52 13,027.85 94,600.00 33% 63,696.25 30,903.75 6,238.64 3,870.04 671.70 7,095.52 13,027.85 - Agency Other - overspent (1.45) 1.45 - - 1.45 - background checks/drug tests 300.00 0% 243.40 56.60 - - - 23.60 33.00 300.00 0% 241.95 58.05 - - 1.45 23.60 33.00 - Grand Totals 5,578,733.00 42% 3,208,888.91 2,369,844.09 118,164.98 482,360.17 586,294.74 537,201.06 648,963.14 - * Cost neutral due to 100% reimbursement Page 57 of 60 % OF TOTAL BUDGET BUDGET RECEIVED JAN FEB MAR APRIL MAY JUNE ADRC / EBS / DCS 225-61-54107 508,925.00 0% - State Receipt - - - - - - - DCS Sponsorship 0% - - - - - - - Elder Abuse 225-626-54114 12,136.00 10% 1,257.00 Elder Abuse - State Receipt 626-43650 1,257.00 - - - - 1,257.00 - Long Term Care 225-627-54114 27,500.00 74% 20,413.43 LTC Assessment - - - - - - Guardianship 11,531.92 - 923.50 1,302.17 7,706.91 1,599.34 NW Counseling Rent/Utilities 8,881.51 1,260.00 2,520.00 1,260.00 2,581.51 1,260.00 - APS - other over 20.00 - - - - - 20.00 Elder Abuse - Client 0% - - - - - 1,260.00 2,520.00 2,183.50 3,883.68 8,966.91 1,619.34 AODA/MH 225-650-54108 560,300.00 35% Medicaid: 165,835.49 CSP MA 114,185.61 - - - 68,684.28 23,524.79 21,976.54 CSP WIMCR - - - - - - AODA MA - - - - - - I & R MH MA - - - - - - NORTHLAND MOBILE CRISIS (OP) MA 51,649.88 - 3,275.89 7,957.38 22,613.78 - 17,802.83 CRISIS WIMCR - - - - - 3,275.89 7,957.38 91,298.06 23,524.79 39,779.37 Client Collection: 28,646.09 CSP CLIENT 3,520.32 - - - 3,520.32 - - OWI CLIENT 5,450.00 650.00 1,700.00 1,000.00 1,050.00 900.00 150.00 TRANSITION HOUSE 7,396.39 10.00 - 3,968.39 150.00 1,804.00 1,464.00 IDP 5,476.30 - 420.48 484.91 1,903.79 938.56 1,728.56 INPATIENT AODA CLIENT - - - - - - I & R MH Client 425.00 300.00 - - - 125.00 INPT MH CLIENT 5,390.00 150.00 2,761.00 450.00 1,267.00 762.00 MH Purchased - CLIENT 988.08 248.08 125.00 100.00 125.00 300.00 90.00 NORTHLAND CRISIS CLIENT - - - - - - 1,208.08 2,395.48 8,314.30 7,199.11 5,209.56 4,319.56 Insurance: - AODA INSURANCE - - - - - - - I & R MH Insurance - - - - - - - NORTHLAND MOBILE CRISIS (OP) Insurance - - - - - - - - - - - - - CCS 225-656-54108 CCS MA 412,000.00 0% - - - - - - - CCS client - 0% - - - - - - - - - - - - - 2026 HS RECEIPT RECAP Page 58 of 60 % OF TOTAL BUDGET BUDGET RECEIVED JAN FEB MAR APRIL MAY JUNE 2026 HS RECEIPT RECAP FAMILY SERVICES 225-700-54109 41,400.00 44% 18,322.66 3561 FOSTER 8,155.43 112.34 75.00 953.50 2,548.22 2,280.97 2,185.40 3561 GROUP HOME - - - - - - - 3561 RCC - - - - - - - FOSTER ADMN - - - - - - - Other - client 81.00 30.00 20.00 31.00 - - - CPS Case Management MA 6,960.21 - - 1,689.91 1,192.15 2,413.47 1,664.68 TSSF Case Management MA - - - - - - - SSF Case Management MA 3,126.02 - - 741.54 596.14 574.29 1,214.05 142.34 95.00 3,415.95 4,336.51 5,268.73 5,064.13 Kinship 225-705-54109 - over 6,479.15 - - - 6,479.15 - - - - - 6,479.15 - - Family Support Children's COP MA 225-707-54109 - 0% - - - - - - - CLTS Client 225-708-54109 - 0% - - - - - - - Medicaid: CLTS MA 225-708-54109 430,000.00 24% 697.00 - 350.00 - - - 347.00 CLTS Case Management MA 103,444.12 - 26,260.46 22,750.57 3,044.99 23,343.16 28,044.94 - 26,610.46 22,750.57 3,044.99 23,343.16 28,391.94 Juv Justice 225-750-54116 18,500.00 103% 19,104.00 Other 10,252.00 918.00 918.00 2,104.00 2,104.00 2,104.00 2,104.00 366 FOSTER - - - - - - - 366 GROUP HOME - - - - - - - 366 RCC 8,852.00 - 8,852.00 - - - - Youth Aids Case Management - MA - over 12,285.46 - 2,915.09 2,747.86 3,002.31 3,620.20 918.00 9,770.00 5,019.09 4,851.86 5,106.31 5,724.20 PH 225-65-54111 Public Health 5,700.00 81% 4,604.00 40.25 3,020.25 1,157.75 105.75 121.50 158.50 Lead MA 360.00 0% - - - - - - - PNCC MA 12,000.00 over 287.53 - - 167.73 35.94 35.94 47.92 40.25 3,020.25 1,325.48 141.69 157.44 206.42 Reproductive Health 225-75-54121 RH MA 49,000.00 13% 6,343.73 - - 2,995.03 1,114.77 1,228.67 1,005.26 RH Client 1,000.00 over 120.96 - - 120.96 - - - RH Insurance - 0% - - - - - - - - - 3,115.99 1,114.77 1,228.67 1,005.26 Immunizations 225-76-54122 Imm MA - 0% - - - - - - - Imm Client - 0% - - - - - - - Imm Insurance - 0% - - - - - - - - - - - - - Page 59 of 60 % OF TOTAL BUDGET BUDGET RECEIVED JAN FEB MAR APRIL MAY JUNE 2026 HS RECEIPT RECAP Agent of the State 258-65 Sanitarian 438,000.00 78% 266,317.94 3,485.00 2,246.94 12,031.00 22,560.00 106,640.00 119,355.00 County TRH 75,000.00 76,850.00 1,500.00 600.00 2,250.00 5,850.00 29,400.00 37,250.00 PH Water Testing 16,000.00 297% 47,569.00 615.00 2,219.00 2,940.00 4,500.00 17,925.00 19,370.00 TNC Water Testing 14,000.00 94% 13,140.00 1,340.00 7,220.00 2,815.00 630.00 345.00 790.00 6,940.00 12,285.94 20,036.00 33,540.00 154,310.00 176,765.00 Birth to Three 225-67-54113 Medicaid: BIRTH - THREE CASE MGMT - MA 45,000.00 35% 6,484.39 - 1,315.79 661.55 1,613.80 1,366.67 1,526.58 BIRTH - THREE THERAPIES - MA 9,284.57 - 1,528.08 241.95 2,620.04 2,717.64 2,176.86 BIRTH - THREE CLIENT 3,000.00 5% 150.00 - - - 150.00 - - BIRTH - THREE INSURANCE 3,500.00 9% 307.25 - - - - - 307.25 BIRTH - THREE WIMCR 12,000.00 0% - - - - - - - - 2,843.87 903.50 4,383.84 4,084.31 4,010.69 Admn 225-60-54106 - Copies - 0% - - - - - - - Other - - - - - - - - - - - - - Revolving Cash or Restitution Other - over 80.00 - 80.00 - - - - - 80.00 - - - - State Receipts GEARS payments DHS 1,607,148.00 33% 128,396.20 49,985.00 14,338.17 24,236.96 20,406.90 19,429.17 *Winnebago expense removed from payment figure 396,669.00 - 122,368.00 34,626.00 58,869.00 180,806.00 SPARC payments DCF 1,189,109.00 28% 330,076.37 - 112,679.34 176,130.47 29,182.59 12,083.97 *DCF Fees removed from payment figure - - - DOJ Payments over 34,856.32 - - 34,856.32 - Economic Support 365,000.00 32% 118,283.00 - - 48,503.00 46,384.00 23,396.00 Fraud 50,000.00 11% 5,486.00 - - 959.00 4,527.00 Daycare Fraud 3,000.00 29% 868.90 - - 868.90 WHEAP Outreach *not calendar yr 26,030.00 34% 8,808.27 - 6,763.23 - - 2,045.04 WHEAP Weather *not calendar yr 24,549.00 47% 11,455.08 - 5,551.42 2,702.40 - 3,201.26 WIC 74,478.00 31% 23,413.79 - 12,353.96 5,524.17 5,535.66 TNC Water 45,000.00 38% 17,200.50 - 8,600.25 8,600.25 Sanitarian *Ashland Co. - - - Lead Testing in Daycares - 0% - - - 3,384,314.00 49,985.00 - 274,054.12 294,799.08 196,181.98 260,493.25 Grand Totals $6,069,635.00 31% $1,883,557.20 $60,493.67 $62,896.89 $349,075.88 $455,072.74 $428,638.86 $527,379.16 Page 60 of 60