Health and Human Services Board Meeting — Agenda Packet

Health and Human Services Board Agenda October 14, 2026 5:00 PM St. Croix County Government Center - Room 1400 Government Center - 1101 Carmichael Road, Hudson, Wisconsin Call to Order Roll Call Approval of Minutes 1. Minutes of Previous Meeting - September 9, 2026 Public Comment Business 1. Financial Report for August 2026 - Fay Strenke 2. Behavioral Health in St. Croix County: Understanding the Continuum of Care Request for Future Agenda Items Announcements Date of Next Meeting 1. Date of Next Meeting - November 11, 2026 Adjournment Reasonable efforts will be made to provide special accommodations for access to public meetings. To request a special accommodation, please contact the County Clerk’s Office at (715) 386-4600 at least two business days prior to the time of the meeting. For more information on St. Croix County's public meetings visit: sccwi.gov/meetings Page 1 of 78 Health and Human Services Board Minutes September 9, 2026 5:00 PM St. Croix County Government Center - Room 1400 Government Center - 1101 Carmichael Road, Hudson, Wisconsin Call to Order Health and Human Services (HHS) Board Chair, Greg Tellijohn, called the September 9, 2026, meeting to order at approximately 5:00 pm. Roll Call PRESENT: Mike Barcalow, Kathleen Findlay, Deb Lindemann, Danielle McIntosh, Wayne Roen, Dan Schmit, Denise Shirley-Carter, Julie Smith, Greg Tellijohn ABSENT: None. OTHERS IN ATTENDANCE: HHS Director, Bob Rohret; County Administrator, Ken Witt; Deputy Director, Shar Lopez; Fiscal Manager, Fay Strenke; ADRC Administrator, Kristin Newton; Economic Support Administrator, Ronda Brown; Health Care Campus Administrator, Sandy Hackenmueller; Public Health Administrator, Elle Klasen; Children Services Administrator, Michelle Leccia; Public Health Strategist, Genevieve Palazzolo Approval of Minutes 1. Minutes of Previous Meeting - July 15, 2026 Minutes were accepted as presented. Public Comment No public comments received. Business 1. Financial Report for July 2026 (Fay Strenke) Fay Strenke, HHS Fiscal Manager, presented financials through July 2026. She noted HHS judgments and damages line there is a negative balance of $133,000 due to the State incorrectly applied opioid settlement funds then corrected the error — this does not affect our settlement funds. Behavioral Health purchased services are trending higher than budgeted due to acute care adult placements. Operating expenses negative balances will be balanced with grant funds. Childrens Services purchased services trending lower than last year at this time. Health Care Campus financials were also reviewed. 2. Consideration of 2027 Requested Budget (Ken Witt) Ken Witt, County Administrator, presented the HHS 2027 requested budget report. Administrator Witt explained each division's request and reviewed the 2024 and 2025 actual budgets, the 2026 adopted budgets, and the 2027 requested budgets. He also explained that the General Property Tax line, Net Wages and Fringes line, and Operating Expenses line are used to analyze causes of increases and decreases, which assist with decision-making. Witt noted that cell phone expenses will be moved from the Administration budget to each individual Division to improve reporting and that adult protective services continue to grow. Also noted increasing long-term placement costs at Trempealeau and Winnebago state hospital. Page 2 of 78 3. Review Rate Adjustments for HHS and Health Care Campus (Fay Strenke/Sandy Hackenmueller) Fay Strenke, HHS Fiscal Manager, presented proposed HHS and Health Care Campus 2027 rate adjustments. Department staffing, overhead, billable services, and Wisconsin Medicaid cost reporting are used to review and calculate rates. The requested HHS rate increase is less than 2%. Uninsured client rates will continue to be based on a sliding fee schedule. Intoxicated Driver Program (IDP) and Court Ordered Assessments must be paid in full and are not eligible for the sliding fee scale. The Health Care Campus requested rate increases for the Health Center — Skilled Nursing Facility and Kitty Rhoades Memorial Memory Care Center daily rates; all others will remain the same. Motion: Approve the 2027 Health and Human Services and Health Care Campus rate adjustments as requested. Result: Passed Moved by: Mike Barcalow Seconded by: Dan Schmit Ayes: Greg Tellijohn, Denise Shirley-Carter, Wayne Roen, Danielle McIntosh, Deb Lindeman, Julie Smith, Dr. Kathleen Findlay Nays: None Abstain: None Notes: Motion was passed unanimously 4. HHS Director's Report (Bob Rohret) Bob Rohret, HHS Director, shared that Human Resources will assist in facilitating a 2027-2030 strategic plan. Members of the HHS Board are invited to participate in the planning sessions; interested members should reach out to Rohret. Shar Lopez, HHS Deputy Director, wrote an article regarding partnerships with law enforcement, adult protective services, and behavioral health crisis co-response, which is set to be featured in the December WCA Magazine. Rohret is working with Polk County and DHS to expedite the release of Crisis Care Facility funding in the amount of $10 million by the Joint Committee on Finance. Two Polk County providers are interested in developing a regional care facility. If funds are not released soon, the approved time period to use these funds will expire and the funds will then return to the state. Vital Strategies, a global public health nonprofit, matched $100,000 in opioid settlement funds, which supported the duties of a substance-use professional, Kim Kitzberger, embedded in Child Protection Services and Family Treatment Court, as well as a Public Health evaluation effort. A presentation from Public Health will follow with additional details. Rohret also provided updates from each specific HHS Division. 5. Evaluation of Projects Related to Vital Strategies Opioid Settlement Matching Funds (Genevieve Palazzolo, PH Strategist) Genevieve Palazzolo, HHS Public Health Strategist, provided a presentation regarding an evaluation of projects related to the Vital Strategies opioid settlement matching funds. This funding was utilized to support a Substance-Use Professional, Kim Kitzberger, embedded within the Children Services department, to work with families affected by substance use in Child Protective Services (CPS) cases, and to support the implementation of Family Treatment Court (FTC). Public Health conducted an evaluation to assess preliminary outcomes for these interventions with respect to out-of-home placements, reunification, and support for recovery within families. This grant facilitated the integration of Page 3 of 78 substance-use support directly into Children Services, allowing for earlier connections to assistance for families. The grant concluded at the end of August 2026; however, Kim's position will continue through existing opioid settlement funding. Please refer to the presentation slides in the packet for further details. Request for Future Agenda Items Rohret requested to provide a series of presentations at the October HHS Board meeting regarding mental health, addiction, and behavioral health systems and our response to the needs in St. Croix County, focusing on various departments within the county and HHS divisions. Announcements 1. The next Men's Shed event is November 4, featuring Phil Landgraf of Veterans Services. 2. The ADRC and Public Health will host the first ADRC Expo on October 21 at Ready Randy's in New Richmond. Date of Next Meeting 1. Date of Next Meeting - October 14, 2026 Adjournment Meeting adjourned at 06:15 PM Page 4 of 78 HHS Overview - Summary of Fund 225 FY24 FY25 Prior Year FY26 FY26 Actual Actual August Operating Budget August Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes 8,301,613 9,815,676 6,543,784 10,615,715 7,077,143 3,538,572 33.33% 43310: Other Federal Payment 765,802 309,118 186,628 150,000 54,195 95,805 63.87% 43510: State General Government Grant 22,487 30,594 13,956 12,600 79,096 (66,496) 527.75% 43550: State Health Grant 958,772 922,493 461,601 686,246 433,901 252,345 36.77% 43560: State Human Services Grant 8,292,735 8,320,626 4,459,151 8,075,042 4,561,542 3,513,500 43.51% 43610: State Payments for Municipal Services 86,579 97,533 67,371 87,000 62,391 24,609 28.29% 44310: Building Permits and Inspection Fees 287,708 290,257 269,321 290,000 284,082 5,919 2.04% 44910: Other Regulatory Permits and Fees 12,011 13,058 11,573 12,000 11,477 524 4.36% 45220: Judgments and Damages 972,241 232,034 232,034 228,413 (133,424) 361,837 158.41% 46510: Public Health Services 139,278 132,967 74,135 111,500 88,956 22,544 20.22% 46610: Human Services 5,165,817 4,812,269 1,286,672 5,718,794 1,386,461 4,332,333 75.76% 46630: AODA Non-IDP 52,584 40,546 28,222 50,000 10,020 39,980 79.96% 46633: AODA IDP Treatment Fees 57,735 48,602 27,386 40,000 23,559 16,441 41.10% 46635: AODA IDP Assessments 180,465 137,202 99,088 180,000 88,086 91,914 51.06% 46637: AODA DOC 200 5,583 1,926 2,000 6,517 (4,517) 225.84% 46639: AODA Inpt 8,530 3,807 3,294 10,000 1,377 8,623 86.23% 46640: MH Revenues 559,362 959,783 492,213 700,500 360,174 340,326 48.58% 46643: ACSS Revenues 107,166 107,881 70,394 137,000 89,638 47,362 34.57% 46644: MD Outpatient Revenue 98,449 89,270 52,134 85,000 45,070 39,930 46.98% 46650: YCSS Revenues 860,803 894,971 391,198 950,250 656,214 294,036 30.94% 46651: B-3 Revenues 136,301 147,918 86,414 162,254 106,952 55,302 34.08% 46660: Revenues F&C 169,757 139,664 96,547 160,000 61,400 98,600 61.62% 48110: Interest Revenue 191 1 1 - - - - 48210: Rent Revenue 1,166 - - - - - - 48510: Donations & Contributions 309,816 302,177 191,638 291,800 165,612 126,188 43.24% 48610: Miscellaneous Revenue 61,908 45,874 21,852 32,600 25,855 6,745 20.69% 48710: Collection of Doubtful Accounts 16,461 40,994 33,210 35,000 52,284 (17,284) 49.38% 49410: Sales of General Fixed Assets 17,275 870 870 - - - - Total Revenues 27,643,214 27,941,768 15,202,611 28,823,714 15,598,578 13,225,136 45.88% Total Wages 12,456,837 12,749,725 7,894,313 14,015,152 8,340,205 5,674,947 40.49 Total Fringes 4,755,106 5,034,950 3,254,557 5,732,562 3,335,973 2,396,588 41.81% 51599: Interdepartmental Wage & Fringe 2,292 12,510 1,093 38,000 6,528 31,472 82.82% Print Date September 25, 2026 Page 5 of 78 HHS Overview - Summary of Fund 225 FY24 FY25 Prior Year FY26 FY26 Actual Actual August Operating Budget August Balance Percent Final Final YTD Adopted YTD Remaining Remaining Net Wage & Fringe 17,209,651 17,797,185 11,149,963 19,785,714 11,682,707 8,103,007 40.95% 51910: Staff Development 61,534 38,232 16,279 34,529 18,958 15,571 45.09% 52110: Medical and Dental Services 19,102 12,270 3,000 4,050 750 3,300 81.48% 52113: Psychiatrist/Psychologist Consultant 281,925 297,145 168,220 316,000 172,525 143,475 45.40% 52116: Consultant Fees 200 - - - - - - 52117: Legal Services 27,512 11,206 10,507 30,000 2,165 27,835 92.78% 52119: Accounting Services 17,587 17,600 17,600 13,000 4,200 8,800 67.69% 52120: Volunteer Services Expense 2,655 2,386 2,386 2,700 2,718 (18) 0.65% 52122: Interpreter Services 2,951 3,845 3,110 2,050 677 1,374 67.00% 52125: Purchased Services 7,912,011 7,649,548 4,469,674 6,633,503 3,719,497 2,914,006 43.93% 52126: Chore Services 4,000 2,078 1,251 2,000 850 1,150 57.50% 52127: Personal Care Services 4,160 4,471 2,533 3,500 1,820 1,680 48.00% 52128: Homemaker Services 31,364 27,828 16,966 26,890 12,916 13,974 51.97% 52129: Respite Services 34,304 27,434 13,826 40,800 21,597 19,203 47.07% 52132: Transportation 67,659 67,120 53,241 65,200 51,304 13,896 21.31% 52133: Administration 1,500 - - - - - - 52135: Catered Food 476,835 461,133 274,714 425,000 252,540 172,460 40.58% 52136: Unprepared Food 18,390 18,507 11,238 17,000 10,334 6,666 39.21% 52140: Civil Process/Paper Fees 497 190 190 - - - - 52151: Investigation Services 304 - - - - - - 52152: Bank Service Charges 6,323 5,895 3,824 6,000 4,537 1,463 24.38% 52190: Other Professional Services 81,824 129,436 67,416 142,406 133,251 9,155 6.43% 52240: Telephone/Dictaphone 5,417 - - 3,295 3,440 (145) 4.39% 52250: Cellular Phone Service 86,643 88,255 59,109 93,944 61,127 32,817 34.93% 52252: Internet Fees 1,574 - - - - - - 52410: Repair and Replacement 21,953 9,825 3,495 10,000 2,836 7,164 71.64% 52440: Misc. Repair & Maintenance 1,025 2,314 960 1,500 631 869 57.94% 52920: Computer Repair 11,222 4,735 90 7,150 4,732 2,418 33.81% 52990: Other Contractual Services 20,400 12,024 10,224 50,000 29,400 20,600 41.20% 53110: Postage 31,738 34,148 23,837 43,025 25,280 17,745 41.24% 53120: Copy Expense 8 5 5 25 - 25 98.56% 53130: Managed Print Costs - IT 24,088 24,449 16,468 24,250 19,768 4,482 18.48% 53190: Office Supplies 28,597 18,454 11,165 20,677 11,126 9,551 46.19% Print Date September 25, 2026 Page 6 of 78 HHS Overview - Summary of Fund 225 FY24 FY25 Prior Year FY26 FY26 Actual Actual August Operating Budget August Balance Percent Final Final YTD Adopted YTD Remaining Remaining 53210: Publications & Printing 6,089 475 100 290 2,072 (1,782) 614.58% 53211: Law Book Publications - - - 350 - 350 100.00% 53212: Outreach/Education 30,162 58,301 43,951 29,180 24,026 5,154 17.66% 53213: Program Development 2,119 1,073 399 2,106 1,506 600 28.49% 53220: Advertising/Promotion 500 - - - - - - 53230: Subscriptions 576 - - 300 - 300 100.00% 53240: Dues & Licenses 42,289 48,922 14,389 30,759 7,212 23,547 76.55% 53250: Software Subscriptions & Renewals 1,866 11,926 3,013 2,744 8,620 (5,876) 214.15% 53310: Employee Mileage 51,422 55,312 31,182 47,817 45,306 2,510 5.25% 53320: Employee Lodging 25,670 28,011 17,008 16,711 4,582 12,129 72.58% 53330: Employee Meal Expense 7,143 10,957 6,974 7,886 3,300 4,586 58.15% 53340: Employee Airfare 7,120 7,448 3,993 3,500 488 3,012 86.05% 53350: Employee Other Expenses 2,163 3,589 1,719 428 540 (112) 26.20% 53420: Medical Supplies 76,360 96,394 71,547 53,450 24,079 29,371 54.95% 53430: Provided Food Expense 893 2,090 987 450 3,198 (2,748) 610.71% 53440: Operating Supplies 66,051 51,903 29,607 44,082 89,351 (45,270) 102.70% 53450: Uniform Expense/Supplies 274 190 190 - 133 (133) - 53460: Instructional Aids 6,591 1,962 - 500 - 500 100.00% 53470: Fuel Expenses 16,474 15,042 9,296 18,000 9,649 8,351 46.39% 53490: Other Operating Supplies 108 1,695 1,695 - 1,000 (1,000) - 53510: Repair and Maintenance Supplies - - - - 18 (18) - 53610: Other Repairs and Maintenance Supplies 840 255 255 250 - 250 100.00% 53910: Other Supplies and Expenses 13,268 6,320 1,517 1,550 3,827 (2,277) 146.93% 53920: Cell Phones & Accessories 788 - - - - - - 53930: Software Purchased 184,855 293,376 175,559 199,348 109,080 90,268 45.28% 53940: Equipment Purchased - Non Fixed Asset 26,551 25,168 16,511 1,600 3,100 (1,500) 93.76% 53995: Vehicle Operating Expenses 29,415 27,517 19,527 32,500 21,072 11,428 35.16% 55180: Liability Insurance 141,000 141,000 141,000 146,000 146,000 - - 55310: Rents and Leases 22,568 6,230 2,900 3,700 1,335 2,365 63.92% 57910: Other Grants, Contributions and Indemnities 376,005 376,005 376,005 376,005 376,005 - - Operating 10,424,460 10,241,691 6,230,650 9,038,000 5,454,481 3,583,519 39.65% Total Expenses 27,634,111 28,038,876 17,380,613 28,823,714 17,137,188 11,686,526 40.54% Report Total 9,103 (97,108) (2,178,003) - (1,538,611) - - Print Date September 25, 2026 Page 7 of 78 4110 - Public Health : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual August Operating Budget August Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes 840,386 1,061,301 707,534 1,013,268 675,512 337,756 33.33% 43510: State General Government Grant - 93 - - 3,547 (3,547) - 43550: State Health Grant 946,691 904,817 461,601 674,246 433,901 240,345 35.65% 44310: Building Permits and Inspection Fees 287,708 290,257 269,321 290,000 284,082 5,919 2.04% 44910: Other Regulatory Permits and Fees 12,011 13,058 11,573 12,000 11,477 524 4.36% 46510: Public Health Services 139,278 132,967 74,135 111,500 88,956 22,544 20.22% 48510: Donations & Contributions 2,209 1,773 1,428 - 1,250 (1,250) - Total Revenues 2,228,282 2,404,265 1,525,591 2,101,014 1,498,724 602,290 28.67% Total Wages 1,244,532 1,254,671 763,076 1,374,744 851,672 523,072 38.05% Total Fringes 487,454 482,977 301,921 533,087 345,569 187,518 35.18% 51599: Interdepartmental Wage & Fringe 188 76 1,725 2,500 1,248 3,748 149.91% Net Wage & Fringe 1,731,798 1,737,572 1,063,272 1,905,331 1,198,488 706,843 37.10% 51910: Staff Development 6,457 2,006 1,075 1,885 1,736 149 7.91% 52110: Medical and Dental Services 1,361 - - - - - - 52122: Interpreter Services 1,469 2,349 1,772 1,200 365 835 69.58% 52125: Purchased Services 4,259 2,779 2,564 695 2,622 (1,927) 277.25% 52190: Other Professional Services 3,401 66,686 25,467 84,088 38,588 45,500 54.11% 52250: Cellular Phone Service 2,418 1,920 1,463 1,128 546 582 51.60% 52920: Computer Repair 765 - - - 22 (22) - 53110: Postage 661 17 9 675 - 675 100.00% 53130: Managed Print Costs - IT 274 400 254 250 226 24 9.57% 53190: Office Supplies 6,561 772 697 477 - 477 100.00% 53212: Outreach/Education 5,294 1,333 962 880 729 151 17.21% 53230: Subscriptions 190 - - 300 - 300 100.00% 53240: Dues & Licenses 34,524 38,249 9,800 24,354 3,167 21,187 87.00% 53250: Software Subscriptions & Renewals 20 - - 244 1,029 (785) 321.80% 53310: Employee Mileage 9,989 8,753 4,992 6,716 6,469 247 3.68% 53320: Employee Lodging 4,021 2,213 1,625 3,703 131 3,572 96.46% 53330: Employee Meal Expense 1,603 933 693 1,375 396 979 71.20% 53340: Employee Airfare - 787 787 1,000 - 1,000 100.00% 53350: Employee Other Expenses 306 (294) (294) 253 - 253 100.00% Print Date September 25, 2026 Page 8 of 78 4110 - Public Health : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual August Operating Budget August Balance Percent Final Final YTD Adopted YTD Remaining Remaining 53420: Medical Supplies 54,951 53,839 32,096 38,750 21,234 17,516 45.20% 53430: Provided Food Expense - - - 100 - 100 100.00% 53440: Operating Supplies 12,649 15,928 11,898 10,582 6,316 4,266 40.31% 53610: Other Repairs and Maintenance Supplies 840 255 255 250 - 250 100.00% 53910: Other Supplies and Expenses 129 118 118 50 22 28 55.18% 53930: Software Purchased 21,419 22,381 522 14,948 80 14,868 99.46% 53940: Equipment Purchased - Non Fixed Asset 1,002 3,195 3,195 600 1,815 (1,215) 202.54% 55310: Rents and Leases 1,180 1,300 1,300 1,180 1,265 (85) 7.20% Operating 175,743 225,919 101,249 195,683 86,758 108,925 55.66% Total Expenses 1,907,541 1,963,491 1,164,521 2,101,014 1,285,246 815,768 38.83% Report Total 320,741 440,774 361,070 - 213,478 - - Print Date September 25, 2026 Page 9 of 78 4310 - Behavioral Health : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual August Operating Budget August Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes 1,966,643 2,295,299 1,530,199 2,499,076 1,666,051 833,026 33.33% 43310: Other Federal Payment 632,374 309,118 186,628 100,000 54,195 45,805 45.81% 43510: State General Government Grant - 9,759 - - 64,480 (64,480) - 43550: State Health Grant 12,081 17,676 - 12,000 - 12,000 100.00% 43560: State Human Services Grant 2,133,628 2,017,032 1,655,851 2,025,062 1,718,140 306,922 15.16% 43610: State Payments for Municipal Services 86,579 97,533 67,371 87,000 62,391 24,609 28.29% 45220: Judgments and Damages 972,241 232,034 232,034 119,416 (133,424) 252,840 211.73% 46630: AODA Non-IDP 52,584 40,546 28,222 50,000 10,020 39,980 79.96% 46633: AODA IDP Treatment Fees 57,735 48,602 27,386 40,000 23,559 16,441 41.10% 46635: AODA IDP Assessments 180,465 137,202 99,088 180,000 88,086 91,914 51.06% 46637: AODA DOC 200 5,583 1,926 2,000 6,517 (4,517) -225.84% 46639: AODA Inpt 8,530 3,807 3,294 10,000 1,377 8,623 86.23% 46640: MH Revenues 559,362 959,783 492,213 700,500 360,174 340,326 48.58% 46643: ACSS Revenues 107,166 107,881 70,394 137,000 89,638 47,362 34.57% 46644: MD Outpatient Revenue 98,449 89,270 52,134 85,000 45,070 39,930 46.98% 48510: Donations & Contributions 1,255 2,676 971 - 700 (700) - 48610: Miscellaneous Revenue - 1,335 - - 9,796 (9,796) - Total Revenues 6,869,294 6,375,135 4,447,710 6,047,054 4,066,771 1,980,284 32.75% Total Wages 2,313,431 2,156,516 1,340,315 2,256,273 1,274,738 981,535 43.50% Total Fringes 851,475 837,467 550,372 937,010 494,136 442,874 47.26% 51599: Interdepartmental Wage & Fringe 2,161 - - - 1,669 1,669 - Net Wage & Fringe 3,162,745 2,993,983 1,890,687 3,193,283 1,770,543 1,422,740 44.55% 51910: Staff Development 38,922 9,344 5,941 10,250 3,682 6,568 64.08% 52110: Medical and Dental Services 6,000 349 349 - - - - 52113: Psychiatrist/Psychologist Consultant 281,925 297,145 168,220 316,000 172,525 143,475 45.40% 52116: Consultant Fees 200 - - - - - - 52122: Interpreter Services 196 615 565 100 263 (163) 162.50% 52125: Purchased Services 2,206,937 3,159,763 1,613,062 2,008,500 1,391,476 617,024 30.72% 52132: Transportation 2,593 3,109 1,487 1,500 3,886 (2,386) 159.09% 52190: Other Professional Services 24,052 15,698 9,600 - 84,199 (84,199) - 52240: Telephone/Dictaphone - - - - 173 (173) - Print Date September 25, 2026 Page 10 of 78 4310 - Behavioral Health : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual August Operating Budget August Balance Percent Final Final YTD Adopted YTD Remaining Remaining 52250: Cellular Phone Service 53 427 229 - 366 (366) - 52920: Computer Repair 3,497 706 30 - 1,588 (1,588) - 52990: Other Contractual Services 20,400 12,024 10,224 50,000 29,400 20,600 41.20% 53110: Postage - 31 10 - - - - 53190: Office Supplies 1,262 692 682 - 142 (142) - 53210: Publications & Printing - - - - 1,701 (1,701) - 53212: Outreach/Education 100 1,300 1,300 3,000 9,776 (6,776) 225.87% 53220: Advertising/Promotion 500 - - - - - - 53230: Subscriptions 386 - - - - - - 53240: Dues & Licenses 2,336 4,800 500 1,300 730 570 43.85% 53250: Software Subscriptions & Renewals 1,206 1,868 1,628 1,000 5,073 (4,073) 407.31% 53310: Employee Mileage 7,679 5,429 2,834 3,575 3,151 424 11.87% 53320: Employee Lodging 12,268 15,462 9,844 3,350 1,467 1,883 56.20% 53330: Employee Meal Expense 2,891 4,897 3,434 2,341 496 1,845 78.81% 53340: Employee Airfare 4,051 3,951 3,206 - - - - 53350: Employee Other Expenses 132 1,386 1,263 - - - - 53420: Medical Supplies 21,278 37,945 36,143 7,600 505 7,095 93.35% 53440: Operating Supplies 14,952 3,929 759 2,150 63,543 (61,393) 2,855.48% 53450: Uniform Expense/Supplies 274 190 190 - 133 (133) - 53460: Instructional Aids 6,591 1,962 - 500 - 500 100.00% 53490: Other Operating Supplies 108 44 44 - - - - 53910: Other Supplies and Expenses 11,221 829 818 - 121 (121) - 53930: Software Purchased 47,849 80,870 53,215 66,600 33,154 33,446 50.22% 53940: Equipment Purchased - Non Fixed Asset 10,830 2,244 2,159 - - - - 53995: Vehicle Operating Expenses - - - - - - - 55310: Rents and Leases 16,588 1,300 - - - - - 57910: Other Grants, Contributions and Indemnities 376,005 376,005 376,005 376,005 376,005 - - Operating 3,123,283 4,044,314 2,303,742 2,853,771 2,183,555 670,216 23.49% Total Expenses 6,286,028 7,038,297 4,194,429 6,047,054 3,954,098 2,092,956 34.61% Report Total 583,267 (663,162) 253,281 - 112,673 - - Print Date September 25, 2026 Page 11 of 78 4320 - CCS : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual August Operating Budget August Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes - - - - - - 100.00% 46610: Human Services 4,935,031 4,599,163 1,200,988 5,593,794 1,352,273 4,241,521 75.83% 48610: Miscellaneous Revenue 13,085 2,122 2,122 - - - - Total Revenues 4,948,116 4,601,285 1,203,110 5,593,794 1,352,273 4,241,521 75.83% Total Wages 2,352,178 2,457,026 1,530,958 2,343,460 1,518,152 825,308 35.22% Total Fringes 944,872 1,062,874 695,286 1,041,814 661,325 380,489 36.52% 51599: Interdepartmental Wage & Fringe - - - 361,142 950 362,092 100.26% Net Wage & Fringe 3,297,050 3,519,901 2,226,243 3,746,416 2,178,527 1,567,889 41.85% 51910: Staff Development 5,455 4,475 (225) 10,000 199 9,801 98.01% 52122: Interpreter Services - - - - 21 (21) - 52125: Purchased Services 1,644,601 1,198,746 677,111 1,250,000 802,636 447,364 35.79% 52190: Other Professional Services - - - 1,500 - 1,500 100.00% 52920: Computer Repair - - - 3,000 - 3,000 100.00% 53190: Office Supplies - - - - 51 (51) - 53212: Outreach/Education - 1,496 - 1,500 - 1,500 100.00% 53240: Dues & Licenses 1,100 - - 550 - 550 100.00% 53250: Software Subscriptions & Renewals - - - - 104 (104) - 53310: Employee Mileage 8,059 10,032 5,434 11,000 11,184 (184) 1.67% 53320: Employee Lodging 466 - - 500 - 500 100.00% 53330: Employee Meal Expense 238 606 136 300 - 300 100.00% 53350: Employee Other Expenses - 139 - - - - - 53910: Other Supplies and Expenses - (12) - - - - - 53930: Software Purchased 45,913 92,311 58,412 68,400 40,071 28,329 41.42% 59200: Overhead - - - 500,628 - 500,628 100.00% Operating 1,705,832 1,307,792 740,869 1,847,378 854,266 993,112 53.76% Total Expenses 5,002,882 4,827,693 2,967,113 5,593,794 3,032,793 2,561,001 45.78% Report Total (54,766) (226,408) (1,764,003) - (1,680,520) - - Print Date September 25, 2026 Page 12 of 78 4410 - Economic Support : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual August Operating Budget August Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes 149,128 190,117 126,745 150,436 100,291 50,145 33.33% 43510: State General Government Grant 12,937 12,133 9,927 12,600 8,461 4,139 32.85% 43560: State Human Services Grant 1,190,213 1,270,872 562,660 1,145,908 604,042 541,866 47.29% 48610: Miscellaneous Revenue 4,200 2,000 800 - - - - Total Revenues 1,356,479 1,475,122 700,133 1,308,944 712,794 596,150 45.54% Total Wages 851,313 835,981 514,118 898,887 555,033 343,854 38.25% Total Fringes 374,785 347,740 222,036 395,936 246,821 149,115 37.66% Net Wage & Fringe 1,226,098 1,183,721 736,155 1,294,823 801,854 492,969 38.07% 52125: Purchased Services 3,363 4,625 3,463 5,908 2,625 3,283 55.57% 52190: Other Professional Services 3,019 2,460 1,700 3,318 805 2,513 75.74% 52240: Telephone/Dictaphone 2,761 - - 3,295 3,052 243 7.37% 52920: Computer Repair 305 - - 150 - 150 100.00% 53190: Office Supplies 169 10 - - - - - 53240: Dues & Licenses - 808 - - - - - 53250: Software Subscriptions & Renewals - 202 - - 271 (271) - 53310: Employee Mileage - - - 50 20 30 59.40% 53320: Employee Lodging - - - 300 - 300 100.00% 53330: Employee Meal Expense - - - 100 - 100 100.00% 53440: Operating Supplies 93 45 45 400 32 368 91.95% 53910: Other Supplies and Expenses 187 114 114 - 76 (76) - 53930: Software Purchased - 3,123 3,123 600 - 600 100.00% 53940: Equipment Purchased - Non Fixed Asset - 56 56 - - - - Operating 9,896 11,443 8,501 14,121 6,882 7,239 51.26% Total Expenses 1,235,994 1,195,164 744,655 1,308,944 808,736 500,208 38.21% Report Total 120,485 279,958 (44,523) - (95,942) - - Print Date September 25, 2026 Page 13 of 78 4510 - Children Services : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual August Operating Budget August Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes 3,592,768 4,165,595 2,777,063 4,900,486 3,266,991 1,633,495 33.33% 43510: State General Government Grant 9,550 8,610 4,028 - 2,607 (2,607) - 43560: State Human Services Grant 2,448,666 2,586,088 1,094,672 2,465,158 1,114,956 1,350,202 54.77% 45220: Judgments and Damages - - - 108,997 - 108,997 100.00% 46610: Human Services 230,786 207,111 84,627 125,000 32,099 92,901 74.32% 46650: YCSS Revenues 860,803 894,971 391,198 950,250 656,214 294,036 30.94% 46651: B-3 Revenues 136,301 147,918 86,414 162,254 106,952 55,302 34.08% 46660: Revenues F&C 169,757 139,664 96,547 160,000 61,400 98,600 61.62% 48110: Interest Revenue 191 - - - - - - 48510: Donations & Contributions 2,738 1,913 7,835 - 765 (765) - 48610: Miscellaneous Revenue - 2,497 2,497 - - - - Total Revenues 7,451,561 8,154,366 4,544,880 8,872,145 5,241,984 3,630,161 40.92% Total Wages 3,110,158 3,350,891 2,074,112 4,069,554 2,302,344 1,767,210 43.43% Total Fringes 1,176,844 1,325,799 858,305 1,700,209 904,401 795,809 46.81% 51599: Interdepartmental Wage & Fringe 37,779 52,747 28,219 322,142 33,428 355,570 110.38% Net Wage & Fringe 4,324,781 4,729,437 2,960,636 5,447,621 3,240,173 2,207,448 40.52% 51910: Staff Development 7,284 19,875 6,756 8,100 10,697 (2,597) 32.07% 52110: Medical and Dental Services 11,741 11,921 2,651 4,050 750 3,300 81.48% 52117: Legal Services 27,512 11,206 10,507 30,000 2,165 27,835 92.78% 52122: Interpreter Services 1,163 138 81 - 5 (5) - 52125: Purchased Services 4,015,351 3,224,812 2,122,977 3,262,400 1,482,885 1,779,515 54.55% 52132: Transportation 3,752 - - - - - - 52133: Administration 1,500 - - - - - - 52140: Civil Process/Paper Fees 497 190 190 - - - - 52151: Investigation Services 304 - - - - - - 52190: Other Professional Services 44,157 29,303 22,266 45,500 2,156 43,344 95.26% 52440: Misc. Repair & Maintenance - - - - 65 (65) - 52920: Computer Repair 2,142 2,464 60 - 2,651 (2,651) - 53110: Postage 327 80 80 100 - 100 100.00% 53130: Managed Print Costs - IT 179 63 61 - 10 (10) - 53190: Office Supplies 386 129 129 - 82 (82) - Print Date September 25, 2026 Page 14 of 78 4510 - Children Services : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual August Operating Budget August Balance Percent Final Final YTD Adopted YTD Remaining Remaining 53210: Publications & Printing 335 100 100 200 334 (134) 66.84% 53211: Law Book Publications - - - 350 - 350 100.00% 53212: Outreach/Education 8,256 7,798 6,877 10,000 8,287 1,713 17.13% 53213: Program Development 288 - - - - - - 53240: Dues & Licenses - 730 - - - - - 53310: Employee Mileage 20,767 24,033 13,716 22,976 19,689 3,287 14.31% 53320: Employee Lodging 6,210 8,045 3,977 5,588 859 4,729 84.62% 53330: Employee Meal Expense 1,911 3,442 2,004 2,860 1,302 1,558 54.48% 53340: Employee Airfare 3,070 2,710 - 2,500 488 2,012 80.46% 53350: Employee Other Expenses 947 2,085 711 - 516 (516) - 53420: Medical Supplies - 4,610 3,307 7,100 2,340 4,760 67.05% 53430: Provided Food Expense 22 996 30 - 2,357 (2,357) - 53440: Operating Supplies 1,465 - - 500 595 (95) 19.00% 53470: Fuel Expenses 55 39 39 - - - - 53490: Other Operating Supplies - 1,651 1,651 - 1,000 (1,000) - 53910: Other Supplies and Expenses 531 4,943 140 1,500 3,362 (1,862) 124.10% 53920: Cell Phones & Accessories 788 - - - - - - 53930: Software Purchased 22,032 41,755 27,482 19,800 16,425 3,375 17.05% 53940: Equipment Purchased - Non Fixed Asset 3,948 13,690 5,117 1,000 - 1,000 100.00% 53995: Vehicle Operating Expenses - 27 27 - - - - 55310: Rents and Leases - 1,530 1,600 - - - - Operating 4,186,919 3,418,362 2,232,535 3,424,524 1,559,019 1,865,505 54.47% Total Expenses 8,511,700 8,147,799 5,193,171 8,872,145 4,799,192 4,072,953 45.91% Report Total (1,060,139) 6,567 (648,291) - 442,791 - - Print Date September 25, 2026 Page 15 of 78 4610 - Aging & Disability Resource Center : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual August Operating Budget August Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes 374,737 622,541 415,027 728,517 485,678 242,839 33.33% 43310: Other Federal Payment 133,428 - - - - - - 43560: State Human Services Grant 1,888,045 1,873,949 1,145,968 1,808,914 1,124,404 684,510 37.84% 46610: Human Services - 5,995 1,058 - 2,090 (2,090) - 48510: Donations & Contributions 302,822 294,858 181,269 291,800 162,529 129,271 44.30% 48610: Miscellaneous Revenue 43,403 37,435 16,137 32,000 15,372 16,628 51.96% 49410: Sales of General Fixed Assets 17,275 870 870 - - - - Total Revenues 2,759,709 2,835,648 1,760,329 2,861,231 1,790,072 1,071,159 37.44% Total Wages 1,391,678 1,487,433 932,536 1,611,823 963,143 648,680 40.25% Total Fringes 439,961 508,550 328,892 540,522 340,194 200,328 37.06% 51599: Interdepartmental Wage & Fringe 56 3,750 1,500 1,500 1,463 38 2.50% Net Wage & Fringe 1,831,696 1,999,733 1,262,929 2,153,845 1,304,800 849,045 39.42% 51910: Staff Development 2,249 1,897 1,100 1,794 1,579 215 11.98% 52119: Accounting Services 1,575 1,575 1,575 - - - - 52120: Volunteer Services Expense 2,655 2,386 2,386 2,700 2,718 (18) 0.65% 52125: Purchased Services - 2,085 325 - - - - 52126: Chore Services 4,000 2,078 1,251 2,000 850 1,150 57.50% 52127: Personal Care Services 4,160 4,471 2,533 3,500 1,820 1,680 48.00% 52128: Homemaker Services 31,364 27,828 16,966 26,890 12,916 13,974 51.97% 52129: Respite Services 34,304 27,434 13,826 40,800 21,597 19,203 47.07% 52132: Transportation 61,314 64,010 51,753 63,700 47,418 16,282 25.56% 52135: Catered Food 476,835 461,133 274,714 425,000 252,540 172,460 40.58% 52136: Unprepared Food 18,390 18,507 11,238 17,000 10,334 6,666 39.21% 52190: Other Professional Services 5,726 11,098 4,590 3,000 4,927 (1,927) 64.25% 52240: Telephone/Dictaphone 2,573 - - - - - - 52250: Cellular Phone Service 14,402 14,581 9,761 22,816 10,236 12,580 55.13% 52252: Internet Fees 1,574 - - - - - - 52410: Repair and Replacement 21,953 9,825 3,495 10,000 2,836 7,164 71.64% 52440: Misc. Repair & Maintenance 1,025 2,314 960 1,500 566 934 62.28% 52920: Computer Repair 3,261 - - - 140 (140) - 53110: Postage 5,429 4,883 3,280 6,250 3,420 2,830 45.29% Print Date September 25, 2026 Page 16 of 78 4610 - Aging & Disability Resource Center : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual August Operating Budget August Balance Percent Final Final YTD Adopted YTD Remaining Remaining 53120: Copy Expense 8 5 5 25 - 25 98.56% 53130: Managed Print Costs - IT - - - - 1 (1) - 53190: Office Supplies 1,532 1,432 758 1,200 599 601 50.06% 53210: Publications & Printing 5,717 337 - 50 - 50 100.00% 53212: Outreach/Education 16,512 41,587 30,023 13,800 5,234 8,566 62.07% 53213: Program Development 1,831 1,073 399 2,106 1,506 600 28.49% 53240: Dues & Licenses 1,119 1,076 851 1,305 305 1,000 76.63% 53250: Software Subscriptions & Renewals - - - - 209 (209) - 53310: Employee Mileage 3,601 5,109 3,087 2,000 2,677 (677) 33.84% 53320: Employee Lodging 1,543 1,218 728 1,770 1,010 760 42.94% 53330: Employee Meal Expense 381 900 603 710 887 (177) 24.96% 53350: Employee Other Expenses 45 22 12 - 24 (24) - 53430: Provided Food Expense 79 136 - 250 61 189 75.57% 53440: Operating Supplies 36,685 31,853 16,801 30,200 18,771 11,429 37.85% 53470: Fuel Expenses 16,418 15,003 9,257 18,000 9,649 8,351 46.39% 53910: Other Supplies and Expenses 803 177 177 - - - - 53940: Equipment Purchased - Non Fixed Asset 5,411 5,134 5,134 - 1,285 (1,285) - 53995: Vehicle Operating Expenses 496 447 225 500 68 432 86.41% 55180: Liability Insurance 6,000 6,000 6,000 6,000 6,000 - - 55310: Rents and Leases 4,800 2,100 - 2,520 70 2,450 97.23% Operating 795,771 769,713 473,813 707,386 422,254 285,132 40.31% Total Expenses 2,627,467 2,769,446 1,736,741 2,861,231 1,727,054 1,134,177 39.64% Report Total 132,242 66,202 23,588 - 63,018 - - Print Date September 25, 2026 Page 17 of 78 4920 - Health & Human Services Administration : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual August Operating Budget August Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes 1,377,951 1,480,823 987,215 1,323,931 882,621 441,311 33.33% 43310: Other Federal Payment - - - 50,000 - 50,000 100.00% 43560: State Human Services Grant 632,182 572,685 - 630,000 - 630,000 100.00% 48110: Interest Revenue - 1 1 - - - - 48210: Rent Revenue 1,166 - - - - - - 48510: Donations & Contributions 792 957 135 - 368 (368) - 48610: Miscellaneous Revenue 1,220 486 296 600 687 (87) -14.52% 48710: Collection of Doubtful Accounts 16,461 40,994 33,210 35,000 52,284 (17,284) -49.38% Total Revenues 2,029,773 2,095,947 1,020,858 2,039,531 935,960 1,103,571 54.11% Total Wages 1,193,547 1,207,207 739,198 1,460,411 875,123 585,288 40.08% Total Fringes 479,715 469,543 297,744 583,983 343,528 240,455 41.17% 51599: Interdepartmental Wage & Fringe 37,779 43,911 26,901 - 30,329 30,329 - Net Wage & Fringe 1,635,483 1,632,838 1,010,041 2,044,394 1,188,322 856,073 41.87% 51910: Staff Development 1,167 635 1,631 2,500 1,065 1,435 57.40% 52119: Accounting Services 16,012 16,025 16,025 13,000 4,200 8,800 67.69% 52122: Interpreter Services 123 744 692 750 23 727 96.93% 52125: Purchased Services 37,500 56,740 50,172 106,000 37,253 68,747 64.86% 52152: Bank Service Charges 6,323 5,895 3,824 6,000 4,537 1,463 24.38% 52190: Other Professional Services 1,470 4,190 3,793 5,000 2,577 2,423 48.47% 52240: Telephone/Dictaphone 83 - - - 214 (214) - 52250: Cellular Phone Service 69,770 71,328 47,657 70,000 49,978 20,022 28.60% 52920: Computer Repair 1,253 1,565 - 4,000 332 3,668 91.70% 53110: Postage 25,321 29,138 20,458 36,000 21,860 14,140 39.28% 53130: Managed Print Costs - IT 23,635 23,987 16,154 24,000 19,532 4,468 18.62% 53190: Office Supplies 18,687 15,420 8,899 19,000 10,253 8,747 46.04% 53210: Publications & Printing 37 38 - 40 37 3 6.70% 53212: Outreach/Education - 4,789 4,789 - - - - 53240: Dues & Licenses 3,209 3,259 3,239 3,250 3,010 240 7.38% 53250: Software Subscriptions & Renewals 640 9,855 1,385 1,500 1,934 (434) 28.91% 53310: Employee Mileage 1,326 1,956 1,119 1,500 2,117 (617) 41.12% 53320: Employee Lodging 1,162 1,072 833 1,500 1,114 386 25.73% Print Date September 25, 2026 Page 18 of 78 4920 - Health & Human Services Administration : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual August Operating Budget August Balance Percent Final Final YTD Adopted YTD Remaining Remaining 53330: Employee Meal Expense 119 179 104 200 219 (19) 9.50% 53350: Employee Other Expenses 733 252 27 175 - 175 100.00% 53420: Medical Supplies 130 - - - - - - 53430: Provided Food Expense 792 957 957 100 780 (680) 679.92% 53440: Operating Supplies 206 147 105 250 95 155 62.00% 53510: Repair and Maintenance Supplies - - - - 18 (18) - 53910: Other Supplies and Expenses 398 150 150 - 246 (246) - 53930: Software Purchased 47,642 52,935 32,804 29,000 19,350 9,650 33.28% 53940: Equipment Purchased - Non Fixed Asset 5,361 850 850 - - - - 53995: Vehicle Operating Expenses 28,918 27,043 19,274 32,000 21,004 10,996 34.36% 55180: Liability Insurance 135,000 135,000 135,000 140,000 140,000 - - 59200: Overhead - - - (500,628) - (500,628) 100.00% Operating 427,017 464,148 369,942 (4,863) 341,748 (346,611) 7,127.50% Total Expenses 2,062,500 2,096,987 1,379,984 2,039,531 1,530,069 509,462 24.98% Report Total (32,727) (1,040) (359,125) - (594,109) - - Print Date September 25, 2026 Page 19 of 78 4200 - Health Care Campus : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual August Operating Budget August Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes - - - - - - 100.00% 43510: State General Government Grant 95,738 51,174 26,838 - 29,747 (29,747) - 43560: State Human Services Grant 241,434 336,031 336,031 - - - - 46520: Institutional Care 8,764,103 9,670,334 6,493,340 13,140,699 6,828,293 6,312,406 48.04% 46910: Other Public Charges for Services 189 60 30 - 101 (101) - 48110: Interest Revenue 1,085 150 93 1,000 20 980 98.02% 48510: Donations & Contributions 14,441 13,897 6,661 3,600 5,088 (1,488) -41.33% 48610: Miscellaneous Revenue 31,877 26,972 15,224 24,000 28,064 (4,064) -16.93% 48710: Collection of Doubtful Accounts 2,679 - - - 1,435 (1,435) - 49240: Transfer from Capital Projects Fund 276,856 289,016 - - - - - 49310: Fund Balance Applied - - - (259,415) - (259,415) 100.00% 49410: Sales of General Fixed Assets (6,691) - - - (56,502) 56,502 - Total Revenues 9,421,711 10,387,635 6,878,217 12,909,883 6,836,246 6,073,638 47.05% Total Wages 3,526,984 4,246,997 2,559,051 5,410,523 2,827,506 2,583,017 47.74% Total Fringes 1,290,045 1,620,399 1,052,382 2,422,486 1,112,044 1,310,442 54.09% 51599: Interdepartmental Wage & Fringe 161,929 201,820 154,629 232,388 165,272 67,116 28.88% Net Wage & Fringe 4,978,958 6,069,216 3,766,062 8,065,396 4,104,822 3,960,574 49.11% 51910: Staff Development 23,507 7,095 6,936 18,500 1,785 16,715 90.35% 51915: Nursing Professional & Education 2,369 7,105 4,205 3,500 6,559 (3,059) 87.39% 52111: Physician Consultant 7,500 9,000 6,000 9,000 6,000 3,000 33.33% 52112: Pharmacist Consultant 2,775 3,125 1,806 3,200 1,831 1,369 42.77% 52113: Psychiatrist/Psychologist Consultant 7,563 14,093 8,904 1,500 9,430 (7,930) 528.67% 52114: Dietary Consultant 11,164 14,157 8,387 18,000 3,054 14,946 83.03% 52116: Consultant Fees 400 700 700 - - - - 52117: Legal Services 273 - - - - - - 52119: Accounting Services 22,355 34,993 34,993 30,000 23,625 6,375 21.25% 52124: Purchased Pool Staff 907,164 761,783 428,511 840,000 399,334 440,666 52.46% 52125: Purchased Services 588,090 642,542 414,799 962,183 502,816 459,367 47.74% 52132: Transportation 2,228 2,476 1,874 2,500 1,360 1,140 45.59% 52152: Bank Service Charges 345 340 340 500 425 75 15.00% 52170: Speech Therapy 25,492 21,307 5,260 16,000 24,289 (8,289) 51.81% Print Date September 25, 2026 Page 20 of 78 4200 - Health Care Campus : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual August Operating Budget August Balance Percent Final Final YTD Adopted YTD Remaining Remaining 52171: Occ Therapy 179,406 149,651 96,519 185,000 76,540 108,460 58.63% 52172: Physical Therapy 204,100 159,442 96,743 195,000 86,762 108,238 55.51% 52173: X-Ray 6,083 2,768 1,869 4,000 1,758 2,242 56.04% 52174: Labs 7,248 7,523 5,125 10,500 4,172 6,328 60.27% 52176: Pharmacy 67,797 77,410 41,350 78,000 33,716 44,284 56.77% 52177: Rented Equipment - 6,717 5,042 5,000 276 4,724 94.49% 52178: Misc Medicare A 2,923 6,730 4,057 7,000 6,684 316 4.52% 52190: Other Professional Services 4,741 4,982 3,448 5,000 3,314 1,686 33.72% 52210: Water & Sewer 27,001 42,553 26,570 43,000 17,591 25,409 59.09% 52220: Electricity 149,360 152,546 102,208 147,000 91,990 55,010 37.42% 52230: Gas for Heating 35,523 43,634 28,806 50,200 33,046 17,154 34.17% 52240: Telephone/Dictaphone - - - - 450 (450) - 52250: Cellular Phone Service 3,820 3,912 2,361 4,800 2,360 2,440 50.84% 52420: Grounds Maintenance 10,033 38,679 20,698 37,600 9,946 27,654 73.55% 52430: Building Maintenance 37,112 56,518 31,705 45,000 64,646 (19,646) 43.66% 52440: Misc. Repair & Maintenance 418 1,623 1,623 2,600 988 1,612 62.01% 52920: Computer Repair 10,406 1,176 202,293 2,500 8,900 (6,400) 256.01% 52930: Refuse Collection Services 22,557 23,426 15,240 22,700 10,264 12,436 54.78% 52990: Other Contractual Services 126,996 134,239 83,799 131,500 93,307 38,193 29.04% 53110: Postage 2,663 2,400 1,433 3,120 1,644 1,476 47.31% 53130: Managed Print Costs - IT 11,508 11,879 7,778 12,500 7,616 4,884 39.08% 53190: Office Supplies 2,854 2,926 1,706 2,550 1,340 1,210 47.43% 53210: Publications & Printing 1,124 893 720 1,000 448 552 55.22% 53212: Outreach/Education 11,596 8,686 8,036 1,000 400 600 60.00% 53220: Advertising/Promotion - 1,389 989 2,000 197 1,803 90.15% 53240: Dues & Licenses 20,534 16,464 15,422 24,215 18,273 5,942 24.54% 53250: Software Subscriptions & Renewals 43,950 69,441 17,239 122,700 18,180 104,520 85.18% 53310: Employee Mileage 3,464 1,225 635 2,000 960 1,040 52.00% 53320: Employee Lodging 8,558 4,131 1,206 4,700 - 4,700 100.00% 53330: Employee Meal Expense 1,194 603 91 900 82 818 90.89% 53340: Employee Airfare 1,916 389 - - - - - 53350: Employee Other Expenses 522 328 - - - - - 53420: Medical Supplies 1,816 3,517 1,534 2,300 1,773 527 22.93% 53421: Nursing Supplies - Med A 4,063 5,854 4,702 4,000 3,934 66 1.66% Print Date September 25, 2026 Page 21 of 78 4200 - Health Care Campus : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual August Operating Budget August Balance Percent Final Final YTD Adopted YTD Remaining Remaining 53422: Nursing Supplies - Non-Billable 75,424 81,449 55,642 99,000 66,207 32,793 33.12% 53423: Med A - IV Supplies 2,386 35,959 35,561 6,000 71 5,929 98.81% 53430: Provided Food Expense 15,826 17,428 14,790 24,000 13,195 10,805 45.02% 53440: Operating Supplies 79,217 91,223 73,622 50,660 39,203 11,457 22.62% 53450: Uniform Expense/Supplies - 45 980 - 2,454 (2,454) - 53460: Instructional Aids 1,080 378 180 250 198 52 20.80% 53470: Fuel Expenses 1,048 185 88 - 60 (60) - 53480: Wandergaurd Expense 1,552 2,556 239 1,500 - 1,500 100.00% 53481: OTC Drugs - Non-Billable 18,116 18,380 10,207 18,000 11,131 6,869 38.16% 53483: Therapy Supplies 670 2,115 1,674 1,500 1,133 367 24.50% 53485: Vaccine - Residents 16,581 54 - 4,000 - 4,000 100.00% 53490: Other Operating Supplies - 250 205 4,000 12,900 (8,900) 222.51% 53910: Other Supplies and Expenses 833 1,504 696 - 398 (398) - 53920: Cell Phones & Accessories 2,673 - - - - - - 53940: Equipment Purchased - Non Fixed Asset 10,138 3,360 3,060 12,000 135 11,865 98.88% 53950: Nursing Equipment < $1,000 68,233 15,411 13,994 500 4,143 (3,643) 728.66% 53995: Vehicle Operating Expenses 252 359 359 700 386 314 44.89% 54470: Plumbing Fixtures - 26 26 - - - - 55180: Liability Insurance 72,500 72,500 72,500 77,500 77,500 - - 55310: Rents and Leases 2,260 2,318 1,520 2,400 1,596 804 33.50% 55420: Depreciation - Land Improvements 1,480 2,544 1,696 1,480 848 632 42.71% 55430: Depreciation - Buildings 553,032 567,100 382,323 553,031 185,500 367,531 66.46% 55440: Depreciation - Fixed Equipment 43,836 106,348 58,433 43,835 55,298 (11,463) 26.15% 55450: Depreciation - Vehicles 14,864 29,735 19,823 14,863 9,912 4,951 33.31% 55910: Other Fixed Charges - 103,800 103,800 115,000 115,000 - - 57410: Losses 41,662 25,469 - - - - - 59400: WRS Pension Allocation (24,800) 53,831 - - - - - 59530: Transfer to Debt Service Fund - 500,000 500,000 750,000 500,000 250,000 33.33% Operating 3,611,374 4,296,697 3,105,078 4,844,487 2,679,332 2,165,155 44.69% 58110: New Vehicles 99,306 - - - - - - 58000: Capital Outlay 99,306 - - - - - - Total Expenses 8,689,638 10,365,913 6,871,140 12,909,883 6,784,154 6,125,729 47.45% Report Total 732,073 21,722 7,078 - 52,091 - - Print Date September 25, 2026 Page 22 of 78 4210 - Skilled Nursing Facility : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual August Operating Budget August Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes - - - - - - 100.00% 43510: State General Government Grant - - - - 4,170 (4,170) - 46520: Institutional Care 6,737,672 7,302,295 4,956,970 8,850,340 4,979,936 3,870,404 43.73% 46910: Other Public Charges for Services 189 60 30 - 101 (101) - 48110: Interest Revenue 1,085 150 93 1,000 20 980 98.02% 48510: Donations & Contributions 14,441 13,897 6,661 3,600 5,088 (1,488) -41.33% 48610: Miscellaneous Revenue 14,717 21,614 12,766 15,000 26,564 (11,564) -77.09% 48710: Collection of Doubtful Accounts 2,679 - - - 1,435 (1,435) - 49240: Transfer from Capital Projects Fund 276,856 289,016 - - - - - 49310: Fund Balance Applied - - - (82,554) - (82,554) 100.00% 49410: Sales of General Fixed Assets - - - - (56,502) 56,502 - Total Revenues 7,047,640 7,627,032 4,976,520 8,787,386 4,960,811 3,826,574 43.55% Total Wages 2,568,227 2,922,336 1,777,555 3,558,752 1,975,464 1,583,288 44.49% Total Fringes 930,429 1,165,601 765,869 1,532,891 818,327 714,565 46.62% 51599: Interdepartmental Wage & Fringe 100,713 134,382 106,315 151,680 133,089 18,591 12.26% Net Wage & Fringe 3,599,369 4,222,320 2,649,739 5,243,324 2,926,880 2,316,444 44.18% 51910: Staff Development 2,185 4,429 4,270 15,500 1,785 13,715 88.48% 51915: Nursing Professional & Education 1,709 4,505 2,710 3,500 3,899 (399) 11.39% 52111: Physician Consultant 7,500 9,000 6,000 9,000 6,000 3,000 33.33% 52112: Pharmacist Consultant 2,775 3,125 1,806 3,200 1,831 1,369 42.77% 52113: Psychiatrist/Psychologist Consultant 7,563 5,081 3,117 - 5,530 (5,530) - 52114: Dietary Consultant 11,164 14,157 8,387 18,000 3,054 14,946 83.03% 52116: Consultant Fees 400 700 700 - - - - 52119: Accounting Services 22,355 34,993 34,993 30,000 23,625 6,375 21.25% 52124: Purchased Pool Staff 906,005 761,783 428,511 840,000 399,334 440,666 52.46% 52125: Purchased Services 304,943 378,879 246,341 588,960 249,898 339,062 57.57% 52132: Transportation 2,228 2,476 1,874 2,500 1,360 1,140 45.59% 52152: Bank Service Charges 345 340 340 500 425 75 15.00% 52170: Speech Therapy 25,492 21,307 5,260 16,000 24,289 (8,289) 51.81% 52171: Occ Therapy 179,406 149,651 96,519 185,000 76,540 108,460 58.63% 52172: Physical Therapy 204,100 159,442 96,743 195,000 86,762 108,238 55.51% Print Date September 25, 2026 Page 23 of 78 4210 - Skilled Nursing Facility : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual August Operating Budget August Balance Percent Final Final YTD Adopted YTD Remaining Remaining 52173: X-Ray 6,083 2,768 1,869 4,000 1,758 2,242 56.04% 52174: Labs 7,248 7,523 5,125 10,500 4,172 6,328 60.27% 52176: Pharmacy 67,797 77,410 41,350 78,000 33,716 44,284 56.77% 52177: Rented Equipment - 6,717 5,042 5,000 276 4,724 94.49% 52178: Misc Medicare A 2,923 6,730 4,057 7,000 6,684 316 4.52% 52190: Other Professional Services 4,741 4,982 3,448 5,000 3,314 1,686 33.72% 52210: Water & Sewer 11,070 17,447 10,894 17,000 7,212 9,788 57.58% 52220: Electricity 61,278 62,544 41,905 60,000 37,716 22,284 37.14% 52230: Gas for Heating 9,370 15,847 11,215 19,200 11,653 7,547 39.31% 52240: Telephone/Dictaphone - - - - 450 (450) - 52250: Cellular Phone Service 2,408 2,505 1,669 3,000 1,667 1,333 44.44% 52420: Grounds Maintenance 3,345 15,944 8,572 16,000 4,312 11,688 73.05% 52430: Building Maintenance 26,223 33,215 16,720 25,000 46,970 (21,970) 87.88% 52440: Misc. Repair & Maintenance 418 1,623 1,623 2,600 988 1,612 62.01% 52920: Computer Repair 6,927 1,018 914 1,500 4,444 (2,944) 196.29% 52930: Refuse Collection Services 17,615 17,227 10,679 15,000 8,222 6,778 45.18% 52990: Other Contractual Services 117,643 120,020 76,563 118,000 83,423 34,577 29.30% 53110: Postage 2,663 2,400 1,433 3,120 1,644 1,476 47.31% 53130: Managed Print Costs - IT 9,494 9,985 6,517 10,000 6,406 3,594 35.94% 53190: Office Supplies 1,690 2,352 1,372 2,000 1,214 786 39.28% 53210: Publications & Printing 865 893 720 1,000 448 552 55.22% 53212: Outreach/Education 3,745 960 465 500 300 200 40.00% 53220: Advertising/Promotion - 1,389 989 1,500 197 1,303 86.87% 53240: Dues & Licenses 15,856 14,252 13,209 20,600 15,009 5,591 27.14% 53250: Software Subscriptions & Renewals 28,991 47,330 10,287 79,800 6,917 72,883 91.33% 53310: Employee Mileage 2,831 1,225 635 2,000 960 1,040 52.00% 53320: Employee Lodging 1,948 3,901 976 3,500 - 3,500 100.00% 53330: Employee Meal Expense 699 603 91 800 82 718 89.75% 53340: Employee Airfare - 389 - - - - - 53350: Employee Other Expenses 217 328 - - - - - 53420: Medical Supplies 1,816 3,465 1,482 2,300 1,773 527 22.93% 53421: Nursing Supplies - Med A 4,063 5,854 4,702 4,000 3,934 66 1.66% 53422: Nursing Supplies - Non-Billable 64,801 75,378 51,689 90,000 60,078 29,923 33.25% 53423: Med A - IV Supplies 2,386 35,959 35,561 6,000 71 5,929 98.81% Print Date September 25, 2026 Page 24 of 78 4210 - Skilled Nursing Facility : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual August Operating Budget August Balance Percent Final Final YTD Adopted YTD Remaining Remaining 53430: Provided Food Expense 15,826 17,181 14,790 24,000 13,107 10,893 45.39% 53440: Operating Supplies 36,243 41,599 29,385 32,000 28,496 3,504 10.95% 53450: Uniform Expense/Supplies - 45 980 - 2,454 (2,454) - 53460: Instructional Aids 1,080 378 180 250 198 52 20.80% 53470: Fuel Expenses 561 185 88 - 60 (60) - 53480: Wandergaurd Expense 924 1,564 42 500 - 500 100.00% 53481: OTC Drugs - Non-Billable 17,222 17,131 9,307 18,000 9,858 8,142 45.23% 53483: Therapy Supplies 670 2,115 1,674 1,500 1,133 367 24.50% 53485: Vaccine - Residents 9,354 - - 4,000 - 4,000 100.00% 53490: Other Operating Supplies - 250 205 4,000 12,900 (8,900) 222.51% 53910: Other Supplies and Expenses 833 1,217 425 - 398 (398) - 53940: Equipment Purchased - Non Fixed Asset 316 2,894 2,593 12,000 135 11,865 98.88% 53950: Nursing Equipment < $1,000 10,921 6,739 5,579 - 3,895 (3,895) - 53995: Vehicle Operating Expenses 252 366 366 700 386 314 44.89% 55180: Liability Insurance 36,250 36,250 36,250 44,000 38,750 5,250 11.93% 55310: Rents and Leases 2,260 2,318 1,520 2,400 1,596 804 33.50% 55420: Depreciation - Land Improvements 1,480 2,544 1,696 1,480 848 632 42.71% 55430: Depreciation - Buildings 399,030 398,975 265,983 399,029 132,992 266,037 66.67% 55440: Depreciation - Fixed Equipment 34,216 57,454 38,597 34,216 23,252 10,964 32.04% 55450: Depreciation - Vehicles 9,907 9,907 6,605 9,907 3,302 6,605 66.67% 55910: Other Fixed Charges - 53,800 53,800 60,000 61,000 (1,000) 1.67% 57410: Losses 2,270 15,963 - - - - - 59400: WRS Pension Allocation (24,800) 53,831 - - - - - 59530: Transfer to Debt Service Fund - 250,000 250,000 375,000 350,000 25,000 6.67% Operating 2,720,139 3,122,756 2,029,408 3,544,062 1,925,101 1,618,961 45.68% Total Expenses 6,319,508 7,345,076 4,679,147 8,787,386 4,851,981 3,935,405 44.78% Report Total 728,132 281,957 297,374 - 108,831 - - Print Date September 25, 2026 Page 25 of 78 4230 - Kitty Rhoades (Dementia) : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual August Operating Budget August Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes - - - - - - 100.00% 43560: State Human Services Grant 241,434 336,031 336,031 - - - - 46520: Institutional Care - 205,514 48,177 1,806,750 311,734 1,495,016 82.75% 49310: Fund Balance Applied - - - (176,861) - (176,861) 100.00% Total Revenues 241,434 541,545 384,208 1,629,889 311,734 1,318,155 80.87% Total Wages 3,100 308,706 137,149 957,044 292,659 664,385 69.42% Total Fringes 1,020 120,319 56,075 566,374 134,379 431,995 76.27% 51599: Interdepartmental Wage & Fringe 4,466 13,385 3,737 6,000 2,724 3,276 54.59% Net Wage & Fringe 8,586 442,410 196,961 1,529,418 429,762 1,099,656 71.90% 51910: Staff Development 20,822 1,333 1,333 1,500 - 1,500 100.00% 52113: Psychiatrist/Psychologist Consultant - 9,012 5,787 1,500 3,750 (2,250) 150.00% 52125: Purchased Services 185 9,895 1,134 53,223 25,705 27,518 51.70% 52210: Water & Sewer 1,755 2,766 1,727 6,000 1,143 4,857 80.94% 52220: Electricity 9,704 9,916 6,644 12,000 5,979 6,021 50.17% 52230: Gas for Heating 340 794 581 1,000 528 472 47.20% 52250: Cellular Phone Service - - - 900 - 900 100.00% 52420: Grounds Maintenance 401 2,505 1,336 1,600 539 1,061 66.29% 52430: Building Maintenance 685 2,374 2,262 2,000 2,309 (309) 15.47% 52920: Computer Repair 1,759 - 201,221 - 170 (170) - 52930: Refuse Collection Services - - - 500 - 500 100.00% 52990: Other Contractual Services 155 2,035 143 1,500 95 1,405 93.68% 53130: Managed Print Costs - IT - 190 117 500 202 298 59.63% 53190: Office Supplies 666 63 34 50 - 50 100.00% 53210: Publications & Printing 259 - - - - - - 53212: Outreach/Education 7,821 7,491 7,491 - - - - 53240: Dues & Licenses 15 415 415 415 - 415 100.00% 53250: Software Subscriptions & Renewals - 6,149 3,476 3,500 5,631 (2,131) 60.90% 53310: Employee Mileage 633 - - - - - - 53320: Employee Lodging 6,610 - - - - - - 53330: Employee Meal Expense 495 - - - - - - 53340: Employee Airfare 1,916 - - - - - - Print Date September 25, 2026 Page 26 of 78 4230 - Kitty Rhoades (Dementia) : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual August Operating Budget August Balance Percent Final Final YTD Adopted YTD Remaining Remaining 53350: Employee Other Expenses 306 - - - - - - 53422: Nursing Supplies - Non-Billable 5,486 286 263 3,000 434 2,566 85.52% 53430: Provided Food Expense - 248 - - 88 (88) - 53440: Operating Supplies 28,593 37,530 37,339 3,660 2,509 1,151 31.45% 53910: Other Supplies and Expenses - 256 256 - - - - 53920: Cell Phones & Accessories 2,673 - - - - - - 53940: Equipment Purchased - Non Fixed Asset 9,823 467 467 - - - - 53950: Nursing Equipment < $1,000 55,992 8,101 8,101 - 216 (216) - 53995: Vehicle Operating Expenses - (7) (7) - - - - 54470: Plumbing Fixtures - 26 26 - - - - 55430: Depreciation - Buildings 602 602 401 602 201 401 66.66% 55440: Depreciation - Fixed Equipment 2,066 29,234 6,075 2,065 26,513 (24,448) 1,183.93% 55450: Depreciation - Vehicles 4,957 19,827 13,218 4,956 6,609 (1,653) 33.36% Operating 164,717 151,507 299,840 100,471 82,623 17,848 17.76% 58110: New Vehicles 99,306 - - - - - - 58000: Capital Outlay 99,306 - - - - - - Total Expenses 272,608 593,917 496,801 1,629,889 512,385 1,117,504 68.56% Report Total (31,174) (52,372) (112,593) - (200,651) - - Print Date September 25, 2026 Page 27 of 78 4240 - Orchard View : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual August Operating Budget August Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes - - - - - - 100.00% 43510: State General Government Grant 95,738 51,174 26,838 - 25,577 (25,577) - 46520: Institutional Care 2,026,430 2,162,525 1,488,193 2,483,609 1,536,623 946,985 38.13% 48610: Miscellaneous Revenue 17,160 5,358 2,458 9,000 1,500 7,500 83.33% 49410: Sales of General Fixed Assets (6,691) - - - - - - Total Revenues 2,132,637 2,219,057 1,517,489 2,492,609 1,563,700 928,908 37.27% Total Wages 955,657 1,015,955 644,347 894,726 559,383 335,344 37.48% Total Fringes 358,597 334,478 230,438 323,221 159,339 163,882 50.70% 51599: Interdepartmental Wage & Fringe 56,750 54,052 44,577 74,708 29,458 45,250 60.57% Net Wage & Fringe 1,371,004 1,404,486 919,361 1,292,655 748,180 544,475 42.12% 51910: Staff Development 500 1,333 1,333 1,500 - 1,500 100.00% 51915: Nursing Professional & Education 660 2,600 1,495 - 2,660 (2,660) - 52113: Psychiatrist/Psychologist Consultant - - - - 150 (150) - 52117: Legal Services 273 - - - - - - 52124: Purchased Pool Staff 1,159 - - - - - - 52125: Purchased Services 282,962 253,768 167,324 320,000 227,213 92,787 29.00% 52210: Water & Sewer 14,175 22,340 13,949 20,000 9,235 10,765 53.82% 52220: Electricity 78,378 80,087 53,659 75,000 48,295 26,705 35.61% 52230: Gas for Heating 25,813 26,993 17,010 30,000 20,865 9,135 30.45% 52250: Cellular Phone Service 1,412 1,407 691 900 693 207 23.04% 52420: Grounds Maintenance 6,287 20,231 10,790 20,000 5,094 14,906 74.53% 52430: Building Maintenance 10,204 20,928 12,722 18,000 15,367 2,633 14.63% 52920: Computer Repair 1,720 158 158 1,000 4,286 (3,286) 328.56% 52930: Refuse Collection Services 4,942 6,199 4,561 7,200 2,042 5,158 71.64% 52990: Other Contractual Services 9,198 12,185 7,094 12,000 9,789 2,211 18.42% 53130: Managed Print Costs - IT 2,014 1,703 1,144 2,000 1,008 992 49.59% 53190: Office Supplies 498 510 300 500 126 374 74.79% 53212: Outreach/Education 30 235 80 500 100 400 80.00% 53220: Advertising/Promotion - - - 500 - 500 100.00% 53240: Dues & Licenses 4,663 1,798 1,798 3,200 3,265 (65) 2.02% 53250: Software Subscriptions & Renewals 14,959 15,962 3,476 39,400 5,631 33,769 85.71% Print Date September 25, 2026 Page 28 of 78 4240 - Orchard View : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual August Operating Budget August Balance Percent Final Final YTD Adopted YTD Remaining Remaining 53320: Employee Lodging - 230 230 1,200 - 1,200 100.00% 53330: Employee Meal Expense - - - 100 - 100 100.00% 53420: Medical Supplies - 52 52 - - - - 53422: Nursing Supplies - Non-Billable 5,138 5,786 3,690 6,000 5,695 305 5.08% 53440: Operating Supplies 14,380 12,094 6,898 15,000 8,198 6,802 45.35% 53470: Fuel Expenses 487 - - - - - - 53480: Wandergaurd Expense 628 992 197 1,000 - 1,000 100.00% 53481: OTC Drugs - Non-Billable 894 1,249 900 - 1,272 (1,272) - 53485: Vaccine - Residents 7,227 54 - - - - - 53910: Other Supplies and Expenses - 32 15 - - - - 53950: Nursing Equipment < $1,000 1,320 572 314 500 33 467 93.41% 55180: Liability Insurance 36,250 36,250 36,250 33,500 38,750 (5,250) 15.67% 55430: Depreciation - Buildings 153,400 167,523 115,939 153,400 52,308 101,092 65.90% 55440: Depreciation - Fixed Equipment 7,554 19,659 13,762 7,554 5,533 2,021 26.76% 55910: Other Fixed Charges - 50,000 50,000 55,000 54,000 1,000 1.82% 57410: Losses 39,392 9,506 - - - - - 59530: Transfer to Debt Service Fund - 250,000 250,000 375,000 150,000 225,000 60.00% Operating 726,517 1,022,434 775,831 1,199,954 671,609 528,345 44.03% Total Expenses 2,097,522 2,426,920 1,695,192 2,492,609 1,419,789 1,072,820 43.04% Report Total 35,116 (207,863) (177,703) - 143,912 - - Print Date September 25, 2026 Page 29 of 78 4710 - Veterans Services : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual August Operating Budget August Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes 315,898 330,087 220,058 344,407 229,605 114,802 33.33% 43510: State General Government Grant 24,767 32,071 17,875 22,500 18,800 3,700 16.44% 48510: Donations & Contributions 641 3,194 944 - 4,227 (4,227) - 48610: Miscellaneous Revenue 69 - - - - - - Total Revenues 341,375 365,352 238,877 366,907 252,632 114,275 31.15% Total Wages 201,610 208,828 128,887 217,132 136,554 80,578 37.11% Total Fringes 98,854 107,268 69,966 113,082 72,830 40,252 35.60% Net Wage & Fringe 300,464 316,096 198,853 330,214 209,384 120,830 36.59% 51910: Staff Development 475 370 150 750 160 590 78.67% 52125: Purchased Services - - - - 546 (546) - 52190: Other Professional Services 147 - - - - - - 52410: Repair and Replacement 1,347 1,428 - 1,347 - 1,347 100.00% 53110: Postage 989 1,303 1,303 1,150 14 1,136 98.81% 53130: Managed Print Costs - IT 930 891 604 1,000 714 286 28.55% 53190: Office Supplies 1,136 747 663 1,000 279 721 72.11% 53212: Outreach/Education 1,356 875 875 1,500 5,607 (4,107) 273.80% 53213: Program Development 11,435 11,705 6,665 10,700 6,120 4,580 42.80% 53240: Dues & Licenses 40 85 85 100 20 80 80.00% 53310: Employee Mileage 823 915 424 1,000 750 250 25.01% 53320: Employee Lodging 1,480 852 686 1,500 808 692 46.13% 53330: Employee Meal Expense 1,587 790 458 1,000 558 442 44.20% 53350: Employee Other Expenses - - - 50 - 50 100.00% 53440: Operating Supplies 3,773 1,983 1,983 3,395 2,851 544 16.02% 53490: Other Operating Supplies 600 - - - - - - 53910: Other Supplies and Expenses 155 - - - 95 (95) - 55180: Liability Insurance 1,701 1,875 1,875 2,201 2,201 - - 57110: Direct Relief to Indigents 5,248 9,869 5,351 10,000 3,863 6,137 61.37% Operating 33,222 33,687 21,122 36,693 24,586 12,107 33.00% Total Expenses 333,686 349,784 219,976 366,907 233,970 132,937 36.23% Report Total 7,689 15,568 18,901 - 18,662 - - Print Date September 25, 2026 Page 30 of 78 Behavioral Health in St. Croix County: Understanding the Continuum of Care Cover Memo To: Health and Human Services Board From: Ken Witt, County Administrator Bob Rohret, HHS Director Date: October 14, 2026 Agenda Item: Behavioral Health in St. Croix County: Understanding the Continuum of Care Background Information: This overview provides a framework for the Board’s discussion of behavioral health services in St. Croix County, illustrating how Public Health, Human Services, Justice Support Services, Corporation Counsel, law enforcement, and community partners connect across the continuum of care. The presentations will follow that continuum from prevention and early identification through crisis response, treatment and recovery, concluding with an overview of Wisconsin’s Chapter 51 involuntary civil commitment process and the legal framework that applies when an individual’s behavioral health needs and safety concerns require court involvement. Page 31 of 78 A Shared Story of Behavioral Health In St. Croix County Bob Rohret/ Health and Human Services Director Page 32 of 78 Page 33 of 78 See the Whole Community Elle Klasen, Health Officer / Public Health Administrator Page 34 of 78 Behavioral Health Surveillance Informs Our Work Monitor • Overdose • Self-harm • Suicidal ideation • Suicide attempts • Fatalities Detect • Alerts • Trends • Patterns Inform • Connect with CHA • Define needs • Target prevention • Guide response Page 35 of 78 Overdose & Suicide Data Overdose Deaths 72% of people who died by overdose were men. • 66% of people who died by overdose had a documented history of addiction. Overdose ED Visits 33% of overdose ED visits were among people 14-25. • 57% of people who had an ED visit for overdose were women. Suicide Deaths 89% of people who died by suicide were men. • 58% of people who died by suicide had a documented history of mental health concerns. Suicide/Self-Harm ED Visits 38% of suicide and self- harm ED visits were among people ages 14-25. • From 2023 to 2025, suicide and self-harm ED visits among people ages 14-25 have increased by 12%. 2018 - 2025 65 2023 - 2025 334 2018 – 2025 80 2023 - 2025 1,016 Public Health uses these patterns to move upstream—from responding to individual crises to preventing them across the community. Page 36 of 78 Community Voice → Shared Priority → Coordinated Action Community Health Assessment Surveillance Data Community Input Secondary Data Community Health Improvement Plan Mental Health Priority Implement Partners Measurable Objectives Evaluation 2025 2026 - 2030 2026 - 2030 Page 37 of 78 Acting Upstream to Prevent Harm Schools & Community Listening to Youth Improve awareness + access Youth Mental Health Build awareness of where to turn in a crisis 988 – 211 – 911 Access to naloxone, fentanyl & xylazine test strips, health & safety supplies Youth prevention Community Education Harm Reduction, Tobacco – WWFTA, Alcohol Prevention EmPOWER Youth: strengthening skills to navigate challenges Resilience Work Page 38 of 78 Understand ✓Surveillance ✓Community voice ✓Data & trends Implement ✓Promote well-being ✓Prevention ✓ Reduce risk ✓Resource connection ✓Reduce harm Evaluate ✓Process ✓Outcomes ✓Impact Learn ✓Review ✓Adjust ✓Improve Sustain ✓Strengthen ✓Integrate ✓Scale The Public Health – Behavioral Health Approach Community Conditions Where people live, learn, work, play, and age shape mental health and well-being. Page 39 of 78 Map the System Shar Lopez, Health & Human Services Deputy Director Phil Galli, Justice Support Services Director Page 40 of 78 The Subcommittee’s Role • Shared table for Behavioral Health and Justice Partners • Review how people move between agencies • Identify gaps and agree on priorities • Assign responsibilities and follow progress Page 41 of 78 The Sequential Intercept Model (SIM) Page 42 of 78 It Takes Partners Across the System Partners Contributions HHS, Crisis Teams, Treatment Providers Assessment, crisis response, & connection to care. Law enforcement, dispatch, jail Emergency response, safety, & identification of needs. Courts, Attorneys, Diversion, and Justice Support Services Legal decisions, diversion, and pretrial coordination. Corrections & Community Providers Supervision, reentry, & ongoing support. Peers, families, & people with lived experience Recovery support & insight into access barriers. Page 43 of 78 SIM Strengths, Gaps, & Improvements Existing Foundation Opportunities Improvements Initiated Crisis services and trained responders Increase crisis placement options and withdrawal management options. • Work week crisis moved to HHS. • Exploring newly licensed crisis homes in area for contracting. Peer resources and jail social worker Secure long-term viable funding and coordinated release planning. • MA billing & grant funding for Peer Support. • Added Peer Support to BH CJCC membership. • Increased efforts for release planning, including Peer Support. • Grant submitted for second social worker funding • Grant-funded jail therapist position ended 9/30/26. Cross-agency collaboration Shared information and completed handoffs. • Data dashboard pilot • Broader BH CJCC work group to include Probation and Parole Community treatment and recovery supports Housing, transportation, and medication continuity. • Grant funding for recovery housing & transportation • Greater coordination with community providers Page 44 of 78 Bridge Custody and Community Bill Scholz, Social Worker II St. Croix County Jail Page 45 of 78 Identifying needs Page 46 of 78 Immediate Concerns • Assessing for precautions • Identifying suicidal/homicidal ideation • 15/30/60 watches • Isolation and monitoring • 9 SHU/ 3 receiving/ 4 F Block /2 Safety • Community Crisis Assessment/Chapter 51 Page 47 of 78 Engagement during custody • 11 days – average length of stay • Hours to years • May or may not know when an inmate is releasing to the community • Court and/or Probation determine length of stay (unless able to post bond) • Taking care of MH while in jail • MH small group • Handouts (coping skills) • Forming routines • Distraction materials Page 48 of 78 Release Planning • Done at the request of the inmate • Meet face-to-face • Discuss needs and barriers • Services and Resources • Resource folders • Challenges: • Unknown release date • Required assessments • Bond or probation conditions • No contacts • Unable to access resources across state lines Page 49 of 78 Connection to Ongoing Care • Intake paperwork and internal referrals • Workers/providers can come meet with inmates while in custody • Phone screens for treatment • Sober living applications/referrals • Peer Support/FITC able to begin in the jail Page 50 of 78 Respond at Crisis Stephanie Greier, Behavioral Health Supervisor II Page 51 of 78 Crisis Occurs Law Enforcement (LE) will respond and secure scene If LE feels it is appropriate, co- responder will be dispatched out for a risk assessment Risk Assessments determine ‘Level of Care’ How much support is needed to keep this person safe? Determine the safest, least restrictive next step Page 52 of 78 Levels of Care • Telephone Stabilization • Home Individually • Support Plan • Jail with precautions • Voluntary Hospitalization • Emergency Detention/Involuntary Hospitalization Page 53 of 78 St. Croix County Crisis Line Call 715-381-4357 (HELP) *Available M-F 8-4:30 pm -Telephone Assessment -Mobile Response if determined clinically necessary -Resources Page 54 of 78 Health Partners • Behavioral Health Assessments • Licensed behavioral- health professionals can evaluate patients remotely while they're physically inthe emergency department, assess their mental-health needs, and help coordinate further care. • -Westfield’s Hospital (New Richmond) • -Hudson Hospital Page 55 of 78 Northwest Connections (NWC) 24/7 emergencymental-health and substance-use crisis service serving numerous Wisconsincounties. It provides crisis assessment, intervention, safety planning, resources, and—when needed—mobile crisis response or coordination ofhospitalization. * HHS contracts with NWC for crisis assessment overnight hours, weekends, and holidays *Crisis reports pulled by ES staff the following business day for follow up Page 56 of 78 Connect to Care Natalie Radich, Behavioral Health Supervisor II James Tabatt, Behavioral Health Supervisor II Page 57 of 78 Behavioral Health Services • Community Outreach • Targeted Case Management • Comprehensive Community Services • Community Support Program • Integrated Behavioral Health Clinic • Intoxicated Driver Program • Adult Protective Services • Mental Health Crisis Services • Various time-limited grant funded opportunities Page 58 of 78 Providing Treatment and Assessment Integrated Behavioral Health Clinic • Integrated (mental health & substance use) assessment and treatment, nursing & psychiatric care, and medication management. Intoxicated Driver Program (IDP) • Driver safety assessment following an OWI citation, with recommendations for education or treatment. Page 59 of 78 Expanding Support and Protecting Safety Targeted and time limited programming opportunity to expand the services St. Croix County residents have over and above the mandated only services. Responds to abuse, neglect, self-neglect, and exploitation of adults at risk and older adults. Behavioral health crisis services include a crisis phone line, mobile response, co-responder teams, community crisis providers, and jail-based support. Grant Funded Programming Adult Protective Services Behavioral Health Crisis Services Page 60 of 78 Supporting Recovery in the Community Comprehensive Community Services (CCS) • Mental health and substance use treatment, skill building, and wellness supports for eligible consumers of all ages. Community Support Program (CSP) • Ongoing community-based treatment and practical support for adults with serious mental illness. Page 61 of 78 Connecting People with Resources Community Outreach Targeted Case Management Page 62 of 78 Involuntary Civil Commitment Process Heather Amos, Corporation Counsel Page 63 of 78 Involuntary Civil Commitments • An involuntary civil commitment is authorized under Wisconsin Statute Chapter 51, which is entitled “State Alcohol, Drug Abuse, Developmental Disabilities, and Mental Health Act.” • An involuntary commitment requires that the individual be: • Mentally ill, drug dependent, or developmentally disabled; • A proper subject for treatment of their mental illness; and • A danger to themselves or others. Page 64 of 78 Legislative Policy of Wis. Stat. Ch. 51 • It is the policy of the state to assure the provision of a full range of treatment and rehabilitation services in the state for all mental disorders and developmental disabilities and for mental illness, alcoholism and other drug abuse. • There shall be a unified system of prevention of such conditions and provision of services which will assure all people in need of care access to the least restrictive treatment alternative appropriate to their needs, and movement through all treatment components to assure continuity of care, within the limits of available state and federal funds and of county funds required to be appropriated to match state funds. • To protect personal liberties, no person who can be treated adequately outside of a hospital, institution or other inpatient facility may be involuntarily treated in such a facility. Page 65 of 78 Wis. Stat. Ch. 51 – Overall • Generally speaking, individuals have the right to decide for themselves whether to treat their mental illness or substance use disorders. • Only in limited circumstances can the County intervene and require individuals to receive treatment against their will. • Individual must be dangerous to themselves or others due, as set forth in the statute, in order to be involuntarily committed for treatment. Page 66 of 78 Definition of Mental Illness Wis. Stat. § 51.01(13): (a) “Mental illness” means mental disease to such extent that a person so afflicted requires care and treatment for his or her own welfare, or the welfare of others, or of the community. (b) “Mental illness”, for purposes of involuntary commitment, means a substantial disorder of thought, mood, perception, orientation, or memory which grossly impairs judgment, behavior, capacity to recognize reality, or ability to meet the ordinary demands of life, but does not include alcoholism. Page 67 of 78 Project Subject for Treatment • “Treatment" means those psychological, educational, social, chemical, medical or somatic techniques designed to bring about rehabilitation of a mentally ill, alcoholic, drug dependent or developmentally disabled person. • Most often treatment is obtained through the involuntary administration of psychotropic medication. Page 68 of 78 Dangerousness In order for a individual to be placed under a civil commitment, one of the standards of dangerousness in Wis. Stat. § 51.20(1)(a)2 must be met: • Harm to Self • Harm to Others • Impaired Judgment • Unable to Care for Self as to Create a Substantial Probability of Harm or Death • Fifth Standard (Subject not Taking Psychotropic Medication) Page 69 of 78 Three Ways to Initiate • Emergency Detention by Law Enforcement • Wis. Stat. § 51.15 • Treatment Director’s Hold • Subject voluntary presents for treatment at a facility but then wants to leave. If the Treatment Director believes that the person meets the criteria of mentally ill, treatable, and dangerous to self or others, the Director (or designee) can initiate a 72-hour hold that proceeds much like a detention by law enforcement. • Three-Party Petition • Three adults with knowledge can petition the court, through the Corporation Counsel Office, to commence the involuntarily commitment process for a subject. The initial petition is reviewed by the judge who determines whether the subject should be held inpatient pending the probable cause and final hearings. Page 70 of 78 Law Enforcement Detention – Wis. Stat. § 51.15 • The purpose of this section is to provide, on an emergency basis, treatment by the least restrictive means appropriate to meet the individual's needs, if all of the following criteria is met: • The individual is mentally ill, drug dependent, or developmentally disabled. • The individual evidences one of the standards of dangerousness. • It is reasonably believed that the individual is unable or unwilling to cooperate with voluntary treatment. • A law enforcement officer may take an individual into custody if the officer has cause to believe that the individual is mentally ill, is drug dependent, or is developmentally disabled, and that taking the person into custody is the least restrictive alternative appropriate to the person's needs. • The County also is required to approve of the detention. Page 71 of 78 Overview of the Process • Law enforcement involvement • Determination that an emergency detention might be necessary • Co-Responder, Northwest Connections or Telehealth involvement for a crisis assessment • Emergency Detention Not Required – Safety Plan and done • Emergency Detention Required – Medical Clearance • Transport to facility • Determination by approved treatment facility regarding need for Probable Cause Hearing • Probable Cause Hearing (within 72 hours of Emergency Detention) • Final Hearing (within 14 days of Emergency Detention) • Dismissal; • Settlement Agreement (up to 90 days); • Commitment • If committed, initial commitment can be up to 6 months; can be recommitted for one-year periods. Page 72 of 78 Approved Treatment Facility and State Treatment Facility • Wis. Stat. 51.01(2) defines an "approved treatment facility" as follows: • “Approved treatment facility” means any publicly or privately operated treatment facility or unit thereof approved by the department* for treatment of alcoholic, drug dependent, mentally ill or developmentally disabled persons. • *Department means the State of Wisconsin Department of Health Services (DHS) • Wis. Stat. 51.01(15) defines "state treatment facility" as follows: • “State treatment facility” means any of the institutions operated by the department for the purpose of providing diagnosis, care or treatment for mental or emotional disturbance, developmental disability, alcoholism or drug dependency and includes but is not limited to mental health institutes. • A privately operated treatment facility includes Amery Regional Medical Center and Mayo Clinic Health Systems in Eau Claire. • A state treatment facility includes Winnebago Mental Health Institute in Oshkosh. Page 73 of 78 Winnebago Mental Health Institute • If the court is unable to locate placement for an individual in a privately operated treatment facility, the subject will go to Winnebago. The current cost breakdown for Winnebago is as follows: Page 74 of 78 Statutory Requirements for Treatment of the Mentally Ill Wis. Stat. § 51.42(1) states: • (1) Program. • (a) Purpose and intent. All of the following are the purposes and intent of this section: • 2. To utilize and expand existing governmental, voluntary and private community resources for provision of services to prevent or ameliorate mental disabilities, including but not limited to mental illness, developmental disabilities, alcoholism and drug abuse. Page 75 of 78 Statutory Requirements for Treatment of the Mentally Ill Wis. Stat. § 51.42(3) states: • (ar) Duties. A county department of community programs shall do all of the following: • 1. Enter into contracts to render services to or secure services from other agencies or resources including out-of-state agencies or resources. ... • 4. Within the limits of available state and federal funds and of county funds required to be appropriated to match state funds, provide for the program needs of persons suffering from mental disabilities, including mental illness, developmental disabilities, alcoholism or drug abuse, by offering the following services: • c. Inpatient and outpatient care and treatment, residential facilities, partial hospitalization, emergency care and supportive transitional services. Page 76 of 78 The Jail is not an Approved Treatment Facility • The St. Croix County Jail is not an approved treatment facility under Wis. Stat. 51.01(2). • While the St. Croix County Jail may have individuals in custody that need treatment for a mental illness, the Jail itself does not meet the statutory criteria under Wis. Stat. Ch. 51 to place an individual for an emergency detention. Page 77 of 78 What questions do you have for us? Page 78 of 78