Health and Human Services Board Meeting — Agenda Packet

Health and Human Services Board Agenda July 15, 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 - June 10, 2026 Public Comment Business 1. Financial Report for May 2026 2. Health and Human Services Director Report 3. Consideration of New Position Requests for 2027 Budget 4. Economic Support Division Updates Request for Future Agenda Items Announcements Date of Next Meeting 1. Date of Next Meeting - August 12, 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 40 Health and Human Services Board Minutes June 10, 2026 5:00 PM St. Croix County Government Center - Room 1400 Government Center - 1101 Carmichael Road, Hudson, Wisconsin Call to Order The meeting was called to order at 5:00pm. Roll Call PRESENT: Mike Barcalow, Kathleen Findlay, Deb Lindemann, Danielle McIntosh, Wayne Roen, Dan Schmit, Denise Shirley-Carter, Julie Smith, Greg Tellijohn Approval of Minutes 1. Minutes of Previous Meeting — May 13, 2026 Minutes were accepted as presented. Public Comment No public comment. Business 1. Open Public Participation Process — Review Letters and Take Public Testimony Related to the 2027 Health and Human Services Budget There were no written testimonies received and no in-person participation. 2. Financial Report for April 2026 Health and Human Services Director, Bob Rohret, reviewed the April financial report. Rohret agreed to follow-up on one budget item under Children Services that required further explanation. 3. ADRC Overview and Recap of First Men's Shed Program by Kristin Newton and Amy Roemhild Kristin Newton provided an overview of Aging and Disability Resource Center (ADRC) services and initiatives, followed by a presentation provided from Amy Roemhild on the first Men's Shed event held in St. Croix County. The Men’s Shed event was successful with 38 participants, and Roemhild extended her appreciation to Highway Commission, Robbie Krejci, for hosting the event. Roemhild also stated that the ADRC received a $3,000 grant to help sustain the Men Shed effort, at least in the short-term. 4. Public Health Orientation by Public Health Administrator Elle Klasen Public Health Administrator and St. Croix County Health Officer, Elle Klasen, provided an orientation to the HHS Board, who also serve as the St. Croix County Local Board of Health. Klasen provided an overview of Local Health Board responsibilities and presented on the service areas within our Public Health Division. . Klasen stated that she would Page 2 of 40 send Board members additional information relevant to the roles and responsibilities of Local Health Boards following tonight’s meeting. 5. Consideration of Capital Project Requests - Health and Human Services County Administrator, Ken Witt, discussed Capital Project requests for Health and Human Services. Currently, only scheduled vehicle replacements for the ADRC are listed on the Capital Improvement Plan for HHS. Request for Future Agenda Items Bob Rohret requested to provide a Director's report to the Board in July regarding an overview of the Health and Human Services Department. Rohret will also provide a summary of HHS new position requests for the 2027 budget, with justification and estimated tax levy impact. Announcements HHS Director Rohret introduced Diana Martinson, Executive Administrative Assistant. Diana began employment with St. Croix County Health and Human Services on June 1st, 2026, following Colleen Linder’s retirement. Welcome Diana! Date of Next Meeting Due to Board member availability, the July Board meeting will be held on July 15, 2026. 1. Date of Next Meeting — July 8, 2026 at 5:00 p.m. Due to Board member availability, the July Board meeting will be held on July 15, 2026. Adjournment Meeting adjourned at 06:39 PM Page 3 of 40 HHS Overview - Summary of Fund 225 FY24 FY25 Prior Year FY26 FY26 Actual Actual May Operating Budget May Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes 8,301,613 9,815,676 4,089,865 10,615,715 4,423,214 6,192,501 58.33% 43310: Other Federal Payment 765,802 309,118 90,719 150,000 26,605 123,395 82.26% 43510: State General Government Grant 22,487 30,594 1,687 12,600 24,143 (11,543) 91.61% 43550: State Health Grant 958,772 922,493 205,251 686,246 191,301 494,945 72.12% 43560: State Human Services Grant 8,292,735 8,320,626 2,114,931 8,075,042 1,928,688 6,146,354 76.12% 43610: State Payments for Municipal Services 86,579 97,533 42,121 87,000 34,755 52,245 60.05% 44310: Building Permits and Inspection Fees 287,708 290,257 54,639 290,000 78,052 211,948 73.09% 44910: Other Regulatory Permits and Fees 12,011 13,058 3,036 12,000 3,246 8,754 72.95% 45220: Judgments and Damages 972,241 232,034 24,850 228,413 35,462 192,951 84.47% 46510: Public Health Services 139,278 132,967 45,203 111,500 55,303 56,197 50.40% 46610: Human Services 5,165,817 4,812,269 549,779 5,718,794 774,637 4,944,157 86.45% 46630: AODA Non-IDP 52,584 40,546 18,814 50,000 5,632 44,368 88.74% 46633: AODA IDP Treatment Fees 57,735 48,602 14,527 40,000 15,077 24,923 62.31% 46635: AODA IDP Assessments 180,465 137,202 69,538 180,000 52,796 127,204 70.67% 46637: AODA DOC 200 5,583 631 2,000 3,105 (1,105) 55.26% 46639: AODA Inpt 8,530 3,807 3,079 10,000 1,047 8,953 89.53% 46640: MH Revenues 559,362 959,783 222,896 700,500 220,807 479,693 68.48% 46643: ACSS Revenues 107,166 107,881 42,464 137,000 47,988 89,012 64.97% 46644: MD Outpatient Revenue 98,449 89,270 28,548 85,000 24,337 60,663 71.37% 46650: YCSS Revenues 860,803 894,971 214,012 950,250 256,252 693,998 73.03% 46651: B-3 Revenues 136,301 147,918 44,062 162,254 59,397 102,857 63.39% 46660: Revenues F&C 169,757 139,664 63,511 160,000 37,000 123,000 76.88% 48110: Interest Revenue 191 1 1 - - - - 48210: Rent Revenue 1,166 - - - - - - 48510: Donations & Contributions 309,816 302,177 105,536 291,800 88,855 202,945 69.55% 48610: Miscellaneous Revenue 61,908 45,874 16,214 32,600 10,278 22,322 68.47% 48710: Collection of Doubtful Accounts 16,461 40,994 22,286 35,000 22,628 12,372 35.35% 49410: Sales of General Fixed Assets 17,275 870 870 - - - - Total Revenues 27,643,214 27,941,768 8,089,071 28,823,714 8,420,606 20,403,108 70.79% Total Wages 12,456,837 12,749,725 4,490,391 14,015,152 4,694,008 9,321,144 66.51 Total Fringes 4,755,106 5,034,950 1,962,584 5,732,562 2,013,768 3,718,794 64.87% 51599: Interdepartmental Wage & Fringe 2,292 12,510 225 38,000 6,528 31,472 82.82% Print Date June 30, 2026 Page 4 of 40 HHS Overview - Summary of Fund 225 FY24 FY25 Prior Year FY26 FY26 Actual Actual May Operating Budget May Balance Percent Final Final YTD Adopted YTD Remaining Remaining Net Wage & Fringe 17,209,651 17,797,185 6,452,750 19,785,714 6,714,305 13,071,409 66.06% 51910: Staff Development 61,534 38,232 8,654 34,529 10,879 23,650 68.49% 52110: Medical and Dental Services 19,102 12,270 1,106 4,050 - 4,050 100.00% 52113: Psychiatrist/Psychologist Consultant 281,925 297,145 95,458 316,000 96,525 219,475 69.45% 52116: Consultant Fees 200 - - - 180 (180) - 52117: Legal Services 27,512 11,206 8,263 30,000 356 29,644 98.81% 52119: Accounting Services 17,587 17,600 9,988 13,000 - 13,000 100.00% 52120: Volunteer Services Expense 2,655 2,386 2,386 2,700 2,540 160 5.91% 52122: Interpreter Services 2,951 3,845 1,729 2,050 302 1,748 85.28% 52125: Purchased Services 7,912,011 7,649,548 2,582,168 6,633,503 2,115,398 4,518,105 68.11% 52126: Chore Services 4,000 2,078 403 2,000 475 1,525 76.25% 52127: Personal Care Services 4,160 4,471 765 3,500 770 2,730 78.00% 52128: Homemaker Services 31,364 27,828 10,403 26,890 6,890 20,000 74.38% 52129: Respite Services 34,304 27,434 6,676 40,800 15,589 25,211 61.79% 52132: Transportation 67,659 67,120 45,401 65,200 41,389 23,811 36.52% 52133: Administration 1,500 - - - - - - 52135: Catered Food 476,835 461,133 154,618 425,000 137,071 287,929 67.75% 52136: Unprepared Food 18,390 18,507 6,594 17,000 5,513 11,487 67.57% 52140: Civil Process/Paper Fees 497 190 - - - - - 52151: Investigation Services 304 - - - - - - 52152: Bank Service Charges 6,323 5,895 1,878 6,000 2,235 3,765 62.75% 52190: Other Professional Services 81,824 129,436 26,744 142,406 76,632 65,774 46.19% 52240: Telephone/Dictaphone 5,417 - - 3,295 3,274 21 0.63% 52250: Cellular Phone Service 86,643 88,255 37,104 93,944 37,732 56,212 59.84% 52252: Internet Fees 1,574 - - - - - - 52410: Repair and Replacement 21,953 9,825 1,514 10,000 2,590 7,410 74.10% 52440: Misc. Repair & Maintenance 1,025 2,314 554 1,500 316 1,184 78.94% 52920: Computer Repair 11,222 4,735 30 7,150 4,393 2,757 38.56% 52990: Other Contractual Services 20,400 12,024 7,824 50,000 14,400 35,600 71.20% 53110: Postage 31,738 34,148 17,718 43,025 14,218 28,807 66.95% 53120: Copy Expense 8 5 5 25 - 25 98.56% 53130: Managed Print Costs - IT 24,088 24,449 10,148 24,250 12,502 11,748 48.45% 53190: Office Supplies 28,597 18,454 6,471 20,677 7,116 13,562 65.59% Print Date June 30, 2026 Page 5 of 40 HHS Overview - Summary of Fund 225 FY24 FY25 Prior Year FY26 FY26 Actual Actual May Operating Budget May Balance Percent Final Final YTD Adopted YTD Remaining Remaining 53210: Publications & Printing 6,089 475 100 290 2,035 (1,745) 601.71% 53211: Law Book Publications - - - 350 - 350 100.00% 53212: Outreach/Education 30,162 58,301 30,348 29,180 13,773 15,407 52.80% 53213: Program Development 2,119 1,073 399 2,106 1,026 1,080 51.28% 53220: Advertising/Promotion 500 - - - - - - 53230: Subscriptions 576 - - 300 - 300 100.00% 53240: Dues & Licenses 42,289 48,922 13,219 30,759 3,970 26,789 87.09% 53250: Software Subscriptions & Renewals 1,866 11,926 2,383 2,744 2,547 197 7.18% 53310: Employee Mileage 51,422 55,312 17,391 47,817 22,613 25,204 52.71% 53320: Employee Lodging 25,670 28,011 7,572 16,711 1,103 15,608 93.40% 53330: Employee Meal Expense 7,143 10,957 3,891 7,886 1,157 6,729 85.33% 53340: Employee Airfare 7,120 7,448 3,313 3,500 - 3,500 100.00% 53350: Employee Other Expenses 2,163 3,589 463 428 120 308 71.96% 53420: Medical Supplies 76,360 96,394 22,991 53,450 13,295 40,155 75.13% 53430: Provided Food Expense 893 2,090 247 450 2,157 (1,707) 379.30% 53440: Operating Supplies 66,051 51,903 20,288 44,082 45,753 (1,672) 3.79% 53450: Uniform Expense/Supplies 274 190 - - - - - 53460: Instructional Aids 6,591 1,962 - 500 - 500 100.00% 53470: Fuel Expenses 16,474 15,042 5,352 18,000 5,162 12,838 71.32% 53490: Other Operating Supplies 108 1,695 1,695 - - - - 53610: Other Repairs and Maintenance Supplies 840 255 255 250 - 250 100.00% 53910: Other Supplies and Expenses 13,268 6,320 1,270 1,550 2,511 (961) 62.00% 53920: Cell Phones & Accessories 788 - - - - - - 53930: Software Purchased 184,855 293,376 762 199,348 100,819 98,529 49.43% 53940: Equipment Purchased - Non Fixed Asset 26,551 25,168 7,349 1,600 1,380 220 13.76% 53995: Vehicle Operating Expenses 29,415 27,517 12,765 32,500 11,989 20,511 63.11% 55180: Liability Insurance 141,000 141,000 - 146,000 - 146,000 100.00% 55310: Rents and Leases 22,568 6,230 - 3,700 70 3,630 98.11% 57910: Other Grants, Contributions and Indemnities 376,005 376,005 376,005 376,005 376,005 - - Operating 10,424,460 10,241,691 3,572,656 9,038,000 3,216,771 5,821,229 64.41% Total Expenses 27,634,111 28,038,876 10,025,406 28,823,714 9,931,076 18,892,638 65.55% Report Total 9,103 (97,108) (1,936,335) - (1,510,470) - - Print Date June 30, 2026 Page 6 of 40 4110 - Public Health : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual May Operating Budget May Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes 840,386 1,061,301 442,209 1,013,268 422,195 591,073 58.33% 43510: State General Government Grant - 93 - - 1,094 (1,094) - 43550: State Health Grant 946,691 904,817 205,251 674,246 191,301 482,945 71.63% 44310: Building Permits and Inspection Fees 287,708 290,257 54,639 290,000 78,052 211,948 73.09% 44910: Other Regulatory Permits and Fees 12,011 13,058 3,036 12,000 3,246 8,754 72.95% 46510: Public Health Services 139,278 132,967 45,203 111,500 55,303 56,197 50.40% 48510: Donations & Contributions 2,209 1,773 750 - 1,250 (1,250) - Total Revenues 2,228,282 2,404,265 751,088 2,101,014 752,441 1,348,573 64.19% Total Wages 1,244,532 1,254,671 432,466 1,374,744 480,779 893,965 65.03% Total Fringes 487,454 482,977 181,939 533,087 210,613 322,474 60.49% 51599: Interdepartmental Wage & Fringe 188 76 525 2,500 1,660 4,160 166.41% Net Wage & Fringe 1,731,798 1,737,572 613,880 1,905,331 693,052 1,212,279 63.63% 51910: Staff Development 6,457 2,006 955 1,885 571 1,314 69.71% 52110: Medical and Dental Services 1,361 - - - - - - 52116: Consultant Fees - - - - 180 (180) - 52122: Interpreter Services 1,469 2,349 647 1,200 253 947 78.94% 52125: Purchased Services 4,259 2,779 152 695 1,378 (683) 98.22% 52190: Other Professional Services 3,401 66,686 2,379 84,088 36,901 47,187 56.12% 52250: Cellular Phone Service 2,418 1,920 914 1,128 286 842 74.62% 52920: Computer Repair 765 - - - 22 (22) - 53110: Postage 661 17 - 675 - 675 100.00% 53130: Managed Print Costs - IT 274 400 142 250 171 79 31.50% 53190: Office Supplies 6,561 772 697 477 - 477 100.00% 53212: Outreach/Education 5,294 1,333 316 880 610 270 30.71% 53230: Subscriptions 190 - - 300 - 300 100.00% 53240: Dues & Licenses 34,524 38,249 9,240 24,354 - 24,354 100.00% 53250: Software Subscriptions & Renewals 20 - - 244 403 (159) 65.15% 53310: Employee Mileage 9,989 8,753 3,189 6,716 3,281 3,435 51.15% 53320: Employee Lodging 4,021 2,213 1,234 3,703 - 3,703 100.00% 53330: Employee Meal Expense 1,603 933 663 1,375 304 1,071 77.89% 53340: Employee Airfare - 787 787 1,000 - 1,000 100.00% Print Date June 30, 2026 Page 7 of 40 4110 - Public Health : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual May Operating Budget May Balance Percent Final Final YTD Adopted YTD Remaining Remaining 53350: Employee Other Expenses 306 (294) 115 253 120 133 52.57% 53420: Medical Supplies 54,951 53,839 20,146 38,750 10,710 28,040 72.36% 53430: Provided Food Expense - - - 100 - 100 100.00% 53440: Operating Supplies 12,649 15,928 9,487 10,582 4,604 5,978 56.49% 53610: Other Repairs and Maintenance Supplies 840 255 255 250 - 250 100.00% 53910: Other Supplies and Expenses 129 118 107 50 22 28 55.18% 53930: Software Purchased 21,419 22,381 - 14,948 80 14,868 99.46% 53940: Equipment Purchased - Non Fixed Asset 1,002 3,195 - 600 1,380 (780) 129.97% 55310: Rents and Leases 1,180 1,300 - 1,180 - 1,180 100.00% Operating 175,743 225,919 51,426 195,683 61,275 134,408 68.69% Total Expenses 1,907,541 1,963,491 665,305 2,101,014 754,327 1,346,687 64.10% Report Total 320,741 440,774 85,782 - (1,886) - - Print Date June 30, 2026 Page 8 of 40 4310 - Behavioral Health : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual May Operating Budget May Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes 1,966,643 2,295,299 956,375 2,499,076 1,041,282 1,457,795 58.33% 43310: Other Federal Payment 632,374 309,118 90,719 100,000 26,605 73,395 73.40% 43510: State General Government Grant - 9,759 - - 21,904 (21,904) - 43550: State Health Grant 12,081 17,676 - 12,000 - 12,000 100.00% 43560: State Human Services Grant 2,133,628 2,017,032 523,494 2,025,062 331,484 1,693,579 83.63% 43610: State Payments for Municipal Services 86,579 97,533 42,121 87,000 34,755 52,245 60.05% 45220: Judgments and Damages 972,241 232,034 24,850 119,416 35,462 83,954 70.30% 46630: AODA Non-IDP 52,584 40,546 18,814 50,000 5,632 44,368 88.74% 46633: AODA IDP Treatment Fees 57,735 48,602 14,527 40,000 15,077 24,923 62.31% 46635: AODA IDP Assessments 180,465 137,202 69,538 180,000 52,796 127,204 70.67% 46637: AODA DOC 200 5,583 631 2,000 3,105 (1,105) -55.26% 46639: AODA Inpt 8,530 3,807 3,079 10,000 1,047 8,953 89.53% 46640: MH Revenues 559,362 959,783 222,896 700,500 220,807 479,693 68.48% 46643: ACSS Revenues 107,166 107,881 42,464 137,000 47,988 89,012 64.97% 46644: MD Outpatient Revenue 98,449 89,270 28,548 85,000 24,337 60,663 71.37% 48510: Donations & Contributions 1,255 2,676 591 - 700 (700) - 48610: Miscellaneous Revenue - 1,335 - - - - - Total Revenues 6,869,294 6,375,135 2,038,647 6,047,054 1,862,980 4,184,074 69.19% Total Wages 2,313,431 2,156,516 786,184 2,256,273 740,253 1,516,020 67.19% Total Fringes 851,475 837,467 325,905 937,010 300,984 636,026 67.88% 51599: Interdepartmental Wage & Fringe 2,161 - - - - - - Net Wage & Fringe 3,162,745 2,993,983 1,112,089 3,193,283 1,041,237 2,152,047 67.39% 51910: Staff Development 38,922 9,344 1,588 10,250 1,798 8,452 82.46% 52110: Medical and Dental Services 6,000 349 - - - - - 52113: Psychiatrist/Psychologist Consultant 281,925 297,145 95,458 316,000 96,525 219,475 69.45% 52116: Consultant Fees 200 - - - - - - 52122: Interpreter Services 196 615 548 100 - 100 100.00% 52125: Purchased Services 2,206,937 3,159,763 845,640 2,008,500 746,328 1,262,172 62.84% 52132: Transportation 2,593 3,109 876 1,500 1,328 172 11.49% 52190: Other Professional Services 24,052 15,698 8,000 - 32,090 (32,090) - 52240: Telephone/Dictaphone - - - - 8 (8) - Print Date June 30, 2026 Page 9 of 40 4310 - Behavioral Health : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual May Operating Budget May Balance Percent Final Final YTD Adopted YTD Remaining Remaining 52250: Cellular Phone Service 53 427 91 - 229 (229) - 52920: Computer Repair 3,497 706 30 - 1,588 (1,588) - 52990: Other Contractual Services 20,400 12,024 7,824 50,000 14,400 35,600 71.20% 53110: Postage - 31 10 - - - - 53190: Office Supplies 1,262 692 250 - 69 (69) - 53210: Publications & Printing - - - - 1,701 (1,701) - 53212: Outreach/Education 100 1,300 1,300 3,000 4,888 (1,888) 62.93% 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 1,448 1,000 1,198 (198) 19.84% 53310: Employee Mileage 7,679 5,429 1,584 3,575 280 3,295 92.16% 53320: Employee Lodging 12,268 15,462 4,645 3,350 - 3,350 100.00% 53330: Employee Meal Expense 2,891 4,897 1,827 2,341 76 2,265 96.75% 53340: Employee Airfare 4,051 3,951 2,526 - - - - 53350: Employee Other Expenses 132 1,386 329 - - - - 53420: Medical Supplies 21,278 37,945 778 7,600 505 7,095 93.35% 53440: Operating Supplies 14,952 3,929 595 2,150 30,134 (27,984) 1,301.57% 53450: Uniform Expense/Supplies 274 190 - - - - - 53460: Instructional Aids 6,591 1,962 - 500 - 500 100.00% 53490: Other Operating Supplies 108 44 44 - - - - 53910: Other Supplies and Expenses 11,221 829 688 - 121 (121) - 53930: Software Purchased 47,849 80,870 - 66,600 33,154 33,446 50.22% 53940: Equipment Purchased - Non Fixed Asset 10,830 2,244 2,159 - - - - 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 1,354,743 2,853,771 1,343,156 1,510,615 52.93% Total Expenses 6,286,028 7,038,297 2,466,831 6,047,054 2,384,393 3,662,661 60.57% Report Total 583,267 (663,162) (428,185) - (521,413) - - Print Date June 30, 2026 Page 10 of 40 4320 - CCS : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual May Operating Budget May Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes - - - - - - 100.00% 46610: Human Services 4,935,031 4,599,163 511,200 5,593,794 644,645 4,949,149 88.48% 48610: Miscellaneous Revenue 13,085 2,122 (257) - - - - Total Revenues 4,948,116 4,601,285 510,943 5,593,794 644,645 4,949,149 88.48% Total Wages 2,352,178 2,457,026 877,377 2,343,460 847,027 1,496,433 63.86% Total Fringes 944,872 1,062,874 424,247 1,041,814 396,861 644,953 61.91% 51599: Interdepartmental Wage & Fringe - - - 361,142 - 361,142 100.00% Net Wage & Fringe 3,297,050 3,519,901 1,301,623 3,746,416 1,243,888 2,502,528 66.80% 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 1,198,746 388,121 1,250,000 457,493 792,507 63.40% 52190: Other Professional Services - - - 1,500 - 1,500 100.00% 52920: Computer Repair - - - 3,000 - 3,000 100.00% 53212: Outreach/Education - 1,496 - 1,500 - 1,500 100.00% 53240: Dues & Licenses 1,100 - - 550 - 550 100.00% 53310: Employee Mileage 8,059 10,032 2,447 11,000 6,465 4,535 41.23% 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 44 68,400 40,071 28,329 41.42% 59200: Overhead - - - 500,628 - 500,628 100.00% Operating 1,705,832 1,307,792 390,523 1,847,378 504,249 1,343,129 72.70% Total Expenses 5,002,882 4,827,693 1,692,147 5,593,794 1,748,137 3,845,657 68.75% Report Total (54,766) (226,408) (1,181,204) - (1,103,492) - - Print Date June 30, 2026 Page 11 of 40 4410 - Economic Support : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual May Operating Budget May Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes 149,128 190,117 79,215 150,436 62,682 87,754 58.33% 43510: State General Government Grant 12,937 12,133 - 12,600 - 12,600 100.00% 43560: State Human Services Grant 1,190,213 1,270,872 220,022 1,145,908 218,831 927,077 80.90% 48610: Miscellaneous Revenue 4,200 2,000 800 - - - - Total Revenues 1,356,479 1,475,122 300,037 1,308,944 281,512 1,027,431 78.49% Total Wages 851,313 835,981 297,338 898,887 312,572 586,315 65.23% Total Fringes 374,785 347,740 134,660 395,936 149,428 246,508 62.26% Net Wage & Fringe 1,226,098 1,183,721 431,997 1,294,823 462,000 832,823 64.32% 52125: Purchased Services 3,363 4,625 2,700 5,908 1,388 4,521 76.51% 52190: Other Professional Services 3,019 2,460 1,200 3,318 455 2,863 86.29% 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 - - - - - 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 29 600 - 600 100.00% 53940: Equipment Purchased - Non Fixed Asset - 56 56 - - - - Operating 9,896 11,443 4,143 14,121 5,023 9,098 64.43% Total Expenses 1,235,994 1,195,164 436,141 1,308,944 467,023 841,920 64.32% Report Total 120,485 279,958 (136,103) - (185,511) - - Print Date June 30, 2026 Page 12 of 40 4510 - Children Services : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual May Operating Budget May Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes 3,592,768 4,165,595 1,735,665 4,900,486 2,041,869 2,858,617 58.33% 43510: State General Government Grant 9,550 8,610 1,687 - 1,145 (1,145) - 43560: State Human Services Grant 2,448,666 2,586,088 760,675 2,465,158 763,976 1,701,182 69.01% 45220: Judgments and Damages - - - 108,997 - 108,997 100.00% 46610: Human Services 230,786 207,111 38,579 125,000 126,140 (1,140) -0.91% 46650: YCSS Revenues 860,803 894,971 214,012 950,250 256,252 693,998 73.03% 46651: B-3 Revenues 136,301 147,918 44,062 162,254 59,397 102,857 63.39% 46660: Revenues F&C 169,757 139,664 63,511 160,000 37,000 123,000 76.88% 48110: Interest Revenue 191 - - - - - - 48510: Donations & Contributions 2,738 1,913 765 - 765 (765) - 48610: Miscellaneous Revenue - 2,497 - - - - - Total Revenues 7,451,561 8,154,366 2,858,956 8,872,145 3,286,545 5,585,600 62.96% Total Wages 3,110,158 3,350,891 1,160,303 4,069,554 1,280,976 2,788,578 68.52% Total Fringes 1,176,844 1,325,799 518,067 1,700,209 542,595 1,157,614 68.09% 51599: Interdepartmental Wage & Fringe 37,779 52,747 13,671 322,142 21,584 343,726 106.70% Net Wage & Fringe 4,324,781 4,729,437 1,692,040 5,447,621 1,845,155 3,602,466 66.13% 51910: Staff Development 7,284 19,875 5,846 8,100 6,326 1,774 21.91% 52110: Medical and Dental Services 11,741 11,921 1,106 4,050 - 4,050 100.00% 52117: Legal Services 27,512 11,206 8,263 30,000 356 29,644 98.81% 52122: Interpreter Services 1,163 138 - - 5 (5) - 52125: Purchased Services 4,015,351 3,224,812 1,316,327 3,262,400 868,401 2,393,999 73.38% 52132: Transportation 3,752 - - - - - - 52133: Administration 1,500 - - - - - - 52140: Civil Process/Paper Fees 497 190 - - - - - 52151: Investigation Services 304 - - - - - - 52190: Other Professional Services 44,157 29,303 10,595 45,500 1,306 44,194 97.13% 52920: Computer Repair 2,142 2,464 - - 2,651 (2,651) - 53110: Postage 327 80 77 100 - 100 100.00% 53130: Managed Print Costs - IT 179 63 58 - - - - 53190: Office Supplies 386 129 - - 20 (20) - 53210: Publications & Printing 335 100 100 200 334 (134) 66.84% Print Date June 30, 2026 Page 13 of 40 4510 - Children Services : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual May Operating Budget May Balance Percent Final Final YTD Adopted YTD Remaining Remaining 53211: Law Book Publications - - - 350 - 350 100.00% 53212: Outreach/Education 8,256 7,798 827 10,000 5,589 4,411 44.11% 53213: Program Development 288 - - - - - - 53240: Dues & Licenses - 730 - - - - - 53310: Employee Mileage 20,767 24,033 7,662 22,976 10,297 12,679 55.18% 53320: Employee Lodging 6,210 8,045 702 5,588 505 5,083 90.96% 53330: Employee Meal Expense 1,911 3,442 928 2,860 374 2,486 86.92% 53340: Employee Airfare 3,070 2,710 - 2,500 - 2,500 100.00% 53350: Employee Other Expenses 947 2,085 6 - - - - 53420: Medical Supplies - 4,610 2,068 7,100 2,080 5,020 70.71% 53430: Provided Food Expense 22 996 30 - 2,111 (2,111) - 53440: Operating Supplies 1,465 - - 500 - 500 100.00% 53470: Fuel Expenses 55 39 - - - - - 53490: Other Operating Supplies - 1,651 1,651 - - - - 53910: Other Supplies and Expenses 531 4,943 100 1,500 2,079 (579) 38.58% 53920: Cell Phones & Accessories 788 - - - - - - 53930: Software Purchased 22,032 41,755 - 19,800 16,425 3,375 17.05% 53940: Equipment Purchased - Non Fixed Asset 3,948 13,690 - 1,000 - 1,000 100.00% 53995: Vehicle Operating Expenses - 27 - - - - - 55310: Rents and Leases - 1,530 - - - - - Operating 4,186,919 3,418,362 1,356,346 3,424,524 918,856 2,505,668 73.17% Total Expenses 8,511,700 8,147,799 3,048,387 8,872,145 2,764,012 6,108,133 68.85% Report Total (1,060,139) 6,567 (189,431) - 522,533 - - Print Date June 30, 2026 Page 14 of 40 4610 - Aging & Disability Resource Center : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual May Operating Budget May Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes 374,737 622,541 259,392 728,517 303,549 424,968 58.33% 43310: Other Federal Payment 133,428 - - - - - - 43560: State Human Services Grant 1,888,045 1,873,949 610,740 1,808,914 614,398 1,194,517 66.04% 46610: Human Services - 5,995 - - 3,852 (3,852) - 48510: Donations & Contributions 302,822 294,858 103,343 291,800 85,830 205,970 70.59% 48610: Miscellaneous Revenue 43,403 37,435 15,437 32,000 9,842 22,158 69.24% 49410: Sales of General Fixed Assets 17,275 870 870 - - - - Total Revenues 2,759,709 2,835,648 989,782 2,861,231 1,017,470 1,843,761 64.44% Total Wages 1,391,678 1,487,433 525,298 1,611,823 538,307 1,073,515 66.60% Total Fringes 439,961 508,550 196,790 540,522 205,662 334,861 61.95% 51599: Interdepartmental Wage & Fringe 56 3,750 300 1,500 1,050 450 30.00% Net Wage & Fringe 1,831,696 1,999,733 722,389 2,153,845 745,019 1,408,826 65.41% 51910: Staff Development 2,249 1,897 405 1,794 1,190 604 33.67% 52119: Accounting Services 1,575 1,575 - - - - - 52120: Volunteer Services Expense 2,655 2,386 2,386 2,700 2,540 160 5.91% 52125: Purchased Services - 2,085 - - - - - 52126: Chore Services 4,000 2,078 403 2,000 475 1,525 76.25% 52127: Personal Care Services 4,160 4,471 765 3,500 770 2,730 78.00% 52128: Homemaker Services 31,364 27,828 10,403 26,890 6,890 20,000 74.38% 52129: Respite Services 34,304 27,434 6,676 40,800 15,589 25,211 61.79% 52132: Transportation 61,314 64,010 44,525 63,700 40,062 23,639 37.11% 52135: Catered Food 476,835 461,133 154,618 425,000 137,071 287,929 67.75% 52136: Unprepared Food 18,390 18,507 6,594 17,000 5,513 11,487 67.57% 52190: Other Professional Services 5,726 11,098 1,555 3,000 3,604 (604) 20.14% 52240: Telephone/Dictaphone 2,573 - - - - - - 52250: Cellular Phone Service 14,402 14,581 6,137 22,816 6,327 16,489 72.27% 52252: Internet Fees 1,574 - - - - - - 52410: Repair and Replacement 21,953 9,825 1,514 10,000 2,590 7,410 74.10% 52440: Misc. Repair & Maintenance 1,025 2,314 554 1,500 316 1,184 78.94% 52920: Computer Repair 3,261 - - - - - - 53110: Postage 5,429 4,883 2,141 6,250 2,086 4,164 66.63% Print Date June 30, 2026 Page 15 of 40 4610 - Aging & Disability Resource Center : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual May Operating Budget May 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 1,432 698 1,200 251 949 79.07% 53210: Publications & Printing 5,717 337 - 50 - 50 100.00% 53212: Outreach/Education 16,512 41,587 27,905 13,800 2,686 11,114 80.53% 53213: Program Development 1,831 1,073 399 2,106 1,026 1,080 51.28% 53240: Dues & Licenses 1,119 1,076 240 1,305 230 1,075 82.38% 53310: Employee Mileage 3,601 5,109 2,002 2,000 1,399 601 30.05% 53320: Employee Lodging 1,543 1,218 527 1,770 101 1,669 94.29% 53330: Employee Meal Expense 381 900 296 710 256 454 63.92% 53350: Employee Other Expenses 45 22 12 - - - - 53430: Provided Food Expense 79 136 - 250 46 204 81.47% 53440: Operating Supplies 36,685 31,853 10,075 30,200 10,889 19,311 63.94% 53470: Fuel Expenses 16,418 15,003 5,352 18,000 5,162 12,838 71.32% 53910: Other Supplies and Expenses 803 177 177 - - - - 53940: Equipment Purchased - Non Fixed Asset 5,411 5,134 5,134 - - - - 53995: Vehicle Operating Expenses 496 447 - 500 51 449 89.81% 55180: Liability Insurance 6,000 6,000 - 6,000 - 6,000 100.00% 55310: Rents and Leases 4,800 2,100 - 2,520 70 2,450 97.23% Operating 795,771 769,713 291,496 707,386 247,192 460,194 65.06% Total Expenses 2,627,467 2,769,446 1,013,885 2,861,231 992,211 1,869,020 65.32% Report Total 132,242 66,202 (24,103) - 25,259 - - Print Date June 30, 2026 Page 16 of 40 4920 - Health & Human Services Administration : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual May Operating Budget May Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes 1,377,951 1,480,823 617,010 1,323,931 551,638 772,294 58.33% 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 87 - 310 (310) - 48610: Miscellaneous Revenue 1,220 486 234 600 436 164 27.41% 48710: Collection of Doubtful Accounts 16,461 40,994 22,286 35,000 22,628 12,372 35.35% Total Revenues 2,029,773 2,095,947 639,618 2,039,531 575,012 1,464,520 71.81% Total Wages 1,193,547 1,207,207 411,426 1,460,411 494,094 966,317 66.17% Total Fringes 479,715 469,543 180,976 583,983 207,625 376,358 64.45% 51599: Interdepartmental Wage & Fringe 37,779 43,911 13,671 - 17,766 17,766 - Net Wage & Fringe 1,635,483 1,632,838 578,731 2,044,394 683,953 1,360,441 66.54% 51910: Staff Development 1,167 635 85 2,500 795 1,705 68.20% 52119: Accounting Services 16,012 16,025 9,988 13,000 - 13,000 100.00% 52122: Interpreter Services 123 744 534 750 23 727 96.93% 52125: Purchased Services 37,500 56,740 29,227 106,000 40,411 65,589 61.88% 52152: Bank Service Charges 6,323 5,895 1,878 6,000 2,235 3,765 62.75% 52190: Other Professional Services 1,470 4,190 3,015 5,000 2,276 2,724 54.48% 52240: Telephone/Dictaphone 83 - - - 214 (214) - 52250: Cellular Phone Service 69,770 71,328 29,962 70,000 30,890 39,110 55.87% 52920: Computer Repair 1,253 1,565 - 4,000 133 3,868 96.69% 53110: Postage 25,321 29,138 15,491 36,000 12,132 23,868 66.30% 53130: Managed Print Costs - IT 23,635 23,987 9,947 24,000 12,330 11,670 48.62% 53190: Office Supplies 18,687 15,420 4,826 19,000 6,775 12,225 64.34% 53210: Publications & Printing 37 38 - 40 - 40 100.00% 53212: Outreach/Education - 4,789 - - - - - 53240: Dues & Licenses 3,209 3,259 3,239 3,250 3,010 240 7.38% 53250: Software Subscriptions & Renewals 640 9,855 935 1,500 946 554 36.96% 53310: Employee Mileage 1,326 1,956 506 1,500 870 630 41.99% 53320: Employee Lodging 1,162 1,072 464 1,500 497 1,003 66.87% Print Date June 30, 2026 Page 17 of 40 4920 - Health & Human Services Administration : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual May Operating Budget May Balance Percent Final Final YTD Adopted YTD Remaining Remaining 53330: Employee Meal Expense 119 179 41 200 147 53 26.50% 53350: Employee Other Expenses 733 252 - 175 - 175 100.00% 53420: Medical Supplies 130 - - - - - - 53430: Provided Food Expense 792 957 217 100 - 100 100.00% 53440: Operating Supplies 206 147 86 250 95 155 62.00% 53910: Other Supplies and Expenses 398 150 84 - 213 (213) - 53930: Software Purchased 47,642 52,935 689 29,000 11,089 17,911 61.76% 53940: Equipment Purchased - Non Fixed Asset 5,361 850 - - - - - 53995: Vehicle Operating Expenses 28,918 27,043 12,765 32,000 11,938 20,062 62.69% 55180: Liability Insurance 135,000 135,000 - 140,000 - 140,000 100.00% 59200: Overhead - - - (500,628) - (500,628) 100.00% Operating 427,017 464,148 123,979 (4,863) 137,019 (141,882) 2,917.58% Total Expenses 2,062,500 2,096,987 702,710 2,039,531 820,972 1,218,559 59.75% Report Total (32,727) (1,040) (63,092) - (245,960) - - Print Date June 30, 2026 Page 18 of 40 4200 - Health Care Campus : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual May Operating Budget May Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes - - - - - - 100.00% 43510: State General Government Grant 95,738 51,174 - - 4,170 (4,170) - 43560: State Human Services Grant 241,434 336,031 336,031 - - - - 46520: Institutional Care 8,764,103 9,670,334 4,013,153 13,140,699 4,148,034 8,992,664 68.43% 46910: Other Public Charges for Services 189 60 30 - - - - 48110: Interest Revenue 1,085 150 88 1,000 20 980 98.02% 48510: Donations & Contributions 14,441 11,010 1,642 3,600 3,702 (102) -2.84% 48610: Miscellaneous Revenue 31,877 26,972 11,663 24,000 17,401 6,599 27.49% 48710: Collection of Doubtful Accounts 2,679 - - - 1,435 (1,435) - 49240: Transfer from Capital Projects Fund 276,856 - - - - - - 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 10,095,731 4,362,606 12,909,883 4,118,260 8,791,623 68.10% Total Wages 3,526,984 4,173,142 1,409,589 5,410,523 1,574,678 3,835,845 70.90% Total Fringes 1,290,045 1,620,399 635,385 2,422,486 669,826 1,752,659 72.35% 51599: Interdepartmental Wage & Fringe 161,929 201,820 64,208 232,388 64,884 167,504 72.08% Net Wage & Fringe 4,978,958 5,995,361 2,109,181 8,065,396 2,309,388 5,756,009 71.37% 51910: Staff Development 23,507 7,095 1,047 18,500 350 18,150 98.11% 51915: Nursing Professional & Education 2,369 7,105 2,899 3,500 3,661 (161) 4.60% 52111: Physician Consultant 7,500 9,000 3,750 9,000 3,750 5,250 58.33% 52112: Pharmacist Consultant 2,775 3,125 1,013 3,200 1,019 2,181 68.16% 52113: Psychiatrist/Psychologist Consultant 7,563 14,093 5,787 1,500 6,969 (5,469) 364.60% 52114: Dietary Consultant 11,164 14,157 3,910 18,000 3,054 14,946 83.03% 52116: Consultant Fees 400 700 - - - - - 52117: Legal Services 273 - - - - - - 52119: Accounting Services 22,355 34,993 11,813 30,000 7,875 22,125 73.75% 52124: Purchased Pool Staff 907,164 761,783 293,902 840,000 273,590 566,410 67.43% 52125: Purchased Services 588,090 642,542 243,570 962,183 289,299 672,884 69.93% 52132: Transportation 2,228 2,476 544 2,500 1,000 1,500 60.01% 52152: Bank Service Charges 345 340 340 500 425 75 15.00% 52170: Speech Therapy 25,492 21,307 2,522 16,000 16,047 (47) 0.29% Print Date June 30, 2026 Page 19 of 40 4200 - Health Care Campus : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual May Operating Budget May Balance Percent Final Final YTD Adopted YTD Remaining Remaining 52171: Occ Therapy 179,406 149,651 58,063 185,000 44,612 140,388 75.89% 52172: Physical Therapy 204,100 159,442 54,529 195,000 51,644 143,356 73.52% 52173: X-Ray 6,083 2,768 1,138 4,000 927 3,073 76.82% 52174: Labs 7,248 7,523 3,813 10,500 2,235 8,265 78.72% 52176: Pharmacy 67,797 77,410 24,844 78,000 16,370 61,630 79.01% 52177: Rented Equipment - 6,717 3,367 5,000 276 4,724 94.49% 52178: Misc Medicare A 2,923 6,730 2,185 7,000 4,007 2,993 42.76% 52190: Other Professional Services 4,741 4,982 2,297 5,000 2,148 2,852 57.04% 52210: Water & Sewer 27,001 42,553 17,159 43,000 13,491 29,509 68.62% 52220: Electricity 149,360 152,546 61,764 147,000 52,338 94,662 64.40% 52230: Gas for Heating 35,523 43,634 24,394 50,200 26,213 23,987 47.78% 52240: Telephone/Dictaphone - - - - 450 (450) - 52250: Cellular Phone Service 3,820 3,912 1,475 4,800 1,391 3,409 71.01% 52420: Grounds Maintenance 10,033 38,679 17,353 37,600 7,472 30,128 80.13% 52430: Building Maintenance 37,112 56,518 18,274 45,000 36,193 8,807 19.57% 52440: Misc. Repair & Maintenance 418 1,623 1,623 2,600 324 2,276 87.55% 52920: Computer Repair 10,406 202,397 202,087 2,500 7,946 (5,446) 217.83% 52930: Refuse Collection Services 22,557 23,426 9,984 22,700 7,107 15,593 68.69% 52990: Other Contractual Services 126,996 134,239 51,245 131,500 67,740 63,760 48.49% 53110: Postage 2,663 2,400 - 3,120 1,011 2,109 67.60% 53130: Managed Print Costs - IT 11,508 11,879 4,699 12,500 5,083 7,417 59.34% 53190: Office Supplies 2,854 2,926 1,016 2,550 779 1,772 69.47% 53210: Publications & Printing 1,124 893 420 1,000 - 1,000 100.00% 53212: Outreach/Education 11,596 8,686 7,826 1,000 225 775 77.50% 53220: Advertising/Promotion - 1,389 - 2,000 50 1,950 97.50% 53240: Dues & Licenses 20,534 16,464 2,329 24,215 2,237 21,978 90.76% 53250: Software Subscriptions & Renewals 43,950 69,441 11,144 122,700 11,940 110,760 90.27% 53310: Employee Mileage 3,464 1,225 344 2,000 526 1,474 73.72% 53320: Employee Lodging 8,558 4,131 - 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 3,517 891 2,300 1,107 1,193 51.89% 53421: Nursing Supplies - Med A 4,063 5,854 1,836 4,000 2,564 1,436 35.91% Print Date June 30, 2026 Page 20 of 40 4200 - Health Care Campus : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual May Operating Budget May Balance Percent Final Final YTD Adopted YTD Remaining Remaining 53422: Nursing Supplies - Non-Billable 75,424 81,449 36,616 99,000 41,416 57,584 58.17% 53423: Med A - IV Supplies 2,386 35,959 26,868 6,000 71 5,929 98.81% 53430: Provided Food Expense 15,826 17,428 8,269 24,000 11,328 12,672 52.80% 53440: Operating Supplies 79,217 91,223 64,468 50,660 23,318 27,342 53.97% 53450: Uniform Expense/Supplies - 45 953 - 2,920 (2,920) - 53460: Instructional Aids 1,080 378 180 250 198 52 20.80% 53470: Fuel Expenses 1,048 185 - - 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 6,436 18,000 6,731 11,269 62.61% 53483: Therapy Supplies 670 2,115 818 1,500 614 886 59.08% 53485: Vaccine - Residents 16,581 54 - 4,000 - 4,000 100.00% 53490: Other Operating Supplies - 250 205 4,000 7,330 (3,330) 83.24% 53910: Other Supplies and Expenses 833 1,504 670 - 375 (375) - 53920: Cell Phones & Accessories 2,673 - - - - - - 53940: Equipment Purchased - Non Fixed Asset 10,138 3,360 2,989 12,000 135 11,865 98.88% 53950: Nursing Equipment < $1,000 68,233 15,411 13,074 500 734 (234) 46.83% 53995: Vehicle Operating Expenses 252 359 - 700 - 700 100.00% 54470: Plumbing Fixtures - 26 26 - - - - 55180: Liability Insurance 72,500 72,500 - 77,500 - 77,500 100.00% 55310: Rents and Leases 2,260 2,318 950 2,400 599 1,802 75.06% 55420: Depreciation - Land Improvements 1,480 2,544 1,060 1,480 212 1,268 85.68% 55430: Depreciation - Buildings 553,032 567,100 243,922 553,031 46,375 506,656 91.61% 55440: Depreciation - Fixed Equipment 43,836 86,226 37,158 43,835 46,378 (2,543) 5.80% 55450: Depreciation - Vehicles 14,864 29,735 12,389 14,863 2,478 12,385 83.33% 55910: Other Fixed Charges - 103,800 - 115,000 - 115,000 100.00% 57410: Losses 41,662 25,469 - - - - - 59400: WRS Pension Allocation (24,800) - - - - - - 59530: Transfer to Debt Service Fund - 500,000 500,000 750,000 312,500 437,500 58.33% Operating 3,611,374 4,423,965 2,114,577 4,844,487 1,479,295 3,365,192 69.46% 58110: New Vehicles 99,306 - - - - - - 58000: Capital Outlay 99,306 - - - - - - Total Expenses 8,689,638 10,419,326 4,223,758 12,909,883 3,788,683 9,121,201 70.65% Report Total 732,073 (323,594) 138,848 - 329,578 - - Print Date June 30, 2026 Page 21 of 40 4210 - Skilled Nursing Facility : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual May Operating Budget May 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 3,087,238 8,850,340 3,008,247 5,842,093 66.01% 46910: Other Public Charges for Services 189 60 30 - - - - 48110: Interest Revenue 1,085 150 88 1,000 20 980 98.02% 48510: Donations & Contributions 14,441 11,010 1,642 3,600 3,702 (102) -2.84% 48610: Miscellaneous Revenue 14,717 21,614 9,445 15,000 16,241 (1,241) -8.28% 48710: Collection of Doubtful Accounts 2,679 - - - 1,435 (1,435) - 49240: Transfer from Capital Projects Fund 276,856 - - - - - - 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 7,335,129 3,098,442 8,787,386 2,977,313 5,810,073 66.12% Total Wages 2,568,227 2,848,481 949,037 3,558,752 1,076,650 2,482,103 69.75% Total Fringes 930,429 1,165,601 457,581 1,532,891 490,187 1,042,704 68.02% 51599: Interdepartmental Wage & Fringe 100,713 134,382 36,801 151,680 44,797 106,883 70.47% Net Wage & Fringe 3,599,369 4,148,465 1,443,419 5,243,324 1,611,633 3,631,690 69.26% 51910: Staff Development 2,185 4,429 1,047 15,500 350 15,150 97.74% 51915: Nursing Professional & Education 1,709 4,505 1,974 3,500 1,541 1,959 55.97% 52111: Physician Consultant 7,500 9,000 3,750 9,000 3,750 5,250 58.33% 52112: Pharmacist Consultant 2,775 3,125 1,013 3,200 1,019 2,181 68.16% 52113: Psychiatrist/Psychologist Consultant 7,563 5,081 - - 3,969 (3,969) - 52114: Dietary Consultant 11,164 14,157 3,910 18,000 3,054 14,946 83.03% 52116: Consultant Fees 400 700 - - - - - 52119: Accounting Services 22,355 34,993 11,813 30,000 7,875 22,125 73.75% 52124: Purchased Pool Staff 906,005 761,783 293,902 840,000 273,590 566,410 67.43% 52125: Purchased Services 304,943 378,879 125,407 588,960 143,051 445,909 75.71% 52132: Transportation 2,228 2,476 544 2,500 1,000 1,500 60.01% 52152: Bank Service Charges 345 340 340 500 425 75 15.00% 52170: Speech Therapy 25,492 21,307 2,522 16,000 16,047 (47) 0.29% 52171: Occ Therapy 179,406 149,651 58,063 185,000 44,612 140,388 75.89% 52172: Physical Therapy 204,100 159,442 54,529 195,000 51,644 143,356 73.52% Print Date June 30, 2026 Page 22 of 40 4210 - Skilled Nursing Facility : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual May Operating Budget May Balance Percent Final Final YTD Adopted YTD Remaining Remaining 52173: X-Ray 6,083 2,768 1,138 4,000 927 3,073 76.82% 52174: Labs 7,248 7,523 3,813 10,500 2,235 8,265 78.72% 52176: Pharmacy 67,797 77,410 24,844 78,000 16,370 61,630 79.01% 52177: Rented Equipment - 6,717 3,367 5,000 276 4,724 94.49% 52178: Misc Medicare A 2,923 6,730 2,185 7,000 4,007 2,993 42.76% 52190: Other Professional Services 4,741 4,982 2,297 5,000 2,148 2,852 57.04% 52210: Water & Sewer 11,070 17,447 7,035 17,000 5,531 11,469 67.46% 52220: Electricity 61,278 62,544 25,323 60,000 21,458 38,542 64.24% 52230: Gas for Heating 9,370 15,847 9,706 19,200 9,746 9,454 49.24% 52240: Telephone/Dictaphone - - - - 450 (450) - 52250: Cellular Phone Service 2,408 2,505 1,043 3,000 959 2,041 68.05% 52420: Grounds Maintenance 3,345 15,944 7,115 16,000 3,121 12,879 80.50% 52430: Building Maintenance 26,223 33,215 10,766 25,000 29,596 (4,596) 18.39% 52440: Misc. Repair & Maintenance 418 1,623 1,623 2,600 324 2,276 87.55% 52920: Computer Repair 6,927 1,018 708 1,500 4,125 (2,625) 175.03% 52930: Refuse Collection Services 17,615 17,227 6,474 15,000 5,697 9,303 62.02% 52990: Other Contractual Services 117,643 120,020 48,335 118,000 62,018 55,983 47.44% 53110: Postage 2,663 2,400 - 3,120 1,011 2,109 67.60% 53130: Managed Print Costs - IT 9,494 9,985 4,009 10,000 4,339 5,661 56.61% 53190: Office Supplies 1,690 2,352 817 2,000 682 1,318 65.90% 53210: Publications & Printing 865 893 420 1,000 - 1,000 100.00% 53212: Outreach/Education 3,745 960 255 500 225 275 55.00% 53220: Advertising/Promotion - 1,389 - 1,500 50 1,450 96.67% 53240: Dues & Licenses 15,856 14,252 1,503 20,600 1,773 18,827 91.39% 53250: Software Subscriptions & Renewals 28,991 47,330 4,192 79,800 4,431 75,369 94.45% 53310: Employee Mileage 2,831 1,225 344 2,000 526 1,474 73.72% 53320: Employee Lodging 1,948 3,901 - 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 3,465 839 2,300 1,107 1,193 51.89% 53421: Nursing Supplies - Med A 4,063 5,854 1,836 4,000 2,564 1,436 35.91% 53422: Nursing Supplies - Non-Billable 64,801 75,378 34,445 90,000 37,700 52,300 58.11% 53423: Med A - IV Supplies 2,386 35,959 26,868 6,000 71 5,929 98.81% Print Date June 30, 2026 Page 23 of 40 4210 - Skilled Nursing Facility : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual May Operating Budget May Balance Percent Final Final YTD Adopted YTD Remaining Remaining 53430: Provided Food Expense 15,826 17,181 8,269 24,000 11,328 12,672 52.80% 53440: Operating Supplies 36,243 41,599 23,186 32,000 15,838 16,162 50.51% 53450: Uniform Expense/Supplies - 45 953 - 2,920 (2,920) - 53460: Instructional Aids 1,080 378 180 250 198 52 20.80% 53470: Fuel Expenses 561 185 - - 60 (60) - 53480: Wandergaurd Expense 924 1,564 42 500 - 500 100.00% 53481: OTC Drugs - Non-Billable 17,222 17,131 5,878 18,000 5,843 12,157 67.54% 53483: Therapy Supplies 670 2,115 818 1,500 614 886 59.08% 53485: Vaccine - Residents 9,354 - - 4,000 - 4,000 100.00% 53490: Other Operating Supplies - 250 205 4,000 7,330 (3,330) 83.24% 53910: Other Supplies and Expenses 833 1,217 399 - 375 (375) - 53940: Equipment Purchased - Non Fixed Asset 316 2,894 2,522 12,000 135 11,865 98.88% 53950: Nursing Equipment < $1,000 10,921 6,739 4,660 - 701 (701) - 53995: Vehicle Operating Expenses 252 366 - 700 - 700 100.00% 55180: Liability Insurance 36,250 36,250 - 44,000 - 44,000 100.00% 55310: Rents and Leases 2,260 2,318 950 2,400 599 1,802 75.06% 55420: Depreciation - Land Improvements 1,480 2,544 1,060 1,480 212 1,268 85.68% 55430: Depreciation - Buildings 399,030 398,975 166,240 399,029 33,248 365,781 91.67% 55440: Depreciation - Fixed Equipment 34,216 57,454 24,524 34,216 10,699 23,517 68.73% 55450: Depreciation - Vehicles 9,907 9,907 4,128 9,907 826 9,081 91.67% 55910: Other Fixed Charges - 53,800 - 60,000 - 60,000 100.00% 57410: Losses 2,270 15,963 - - - - - 59400: WRS Pension Allocation (24,800) - - - - - - 59530: Transfer to Debt Service Fund - 250,000 250,000 375,000 218,750 156,250 41.67% Operating 2,720,139 3,068,925 1,284,217 3,544,062 1,085,148 2,458,914 69.38% Total Expenses 6,319,508 7,217,389 2,727,636 8,787,386 2,696,781 6,090,605 69.31% Report Total 728,132 117,740 370,806 - 280,532 - - Print Date June 30, 2026 Page 24 of 40 4230 - Kitty Rhoades (Dementia) : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual May Operating Budget May 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 18,200 1,806,750 188,569 1,618,181 89.56% 49310: Fund Balance Applied - - - (176,861) - (176,861) 100.00% Total Revenues 241,434 541,545 354,231 1,629,889 188,569 1,441,320 88.43% Total Wages 3,100 308,706 98,737 957,044 183,177 773,868 80.86% Total Fringes 1,020 120,319 37,911 566,374 83,808 482,566 85.20% 51599: Interdepartmental Wage & Fringe 4,466 13,385 2,913 6,000 2,130 3,870 64.50% Net Wage & Fringe 8,586 442,410 139,562 1,529,418 269,114 1,260,304 82.40% 51910: Staff Development 20,822 1,333 - 1,500 - 1,500 100.00% 52113: Psychiatrist/Psychologist Consultant - 9,012 5,787 1,500 2,850 (1,350) 90.00% 52125: Purchased Services 185 9,895 609 53,223 14,601 38,622 72.57% 52210: Water & Sewer 1,755 2,766 1,115 6,000 877 5,123 85.38% 52220: Electricity 9,704 9,916 4,015 12,000 3,402 8,598 71.65% 52230: Gas for Heating 340 794 535 1,000 463 537 53.66% 52250: Cellular Phone Service - - - 900 - 900 100.00% 52420: Grounds Maintenance 401 2,505 1,128 1,600 479 1,121 70.04% 52430: Building Maintenance 685 2,374 2,167 2,000 340 1,660 82.98% 52920: Computer Repair 1,759 201,221 201,221 - 170 (170) - 52930: Refuse Collection Services - - - 500 - 500 100.00% 52990: Other Contractual Services 155 2,035 143 1,500 27 1,473 98.18% 53130: Managed Print Costs - IT - 190 86 500 141 359 71.80% 53190: Office Supplies 666 63 - 50 - 50 100.00% 53210: Publications & Printing 259 - - - - - - 53212: Outreach/Education 7,821 7,491 7,491 - - - - 53240: Dues & Licenses 15 415 200 415 - 415 100.00% 53250: Software Subscriptions & Renewals - 6,149 3,476 3,500 3,754 (254) 7.26% 53310: Employee Mileage 633 - - - - - - 53320: Employee Lodging 6,610 - - - - - - 53330: Employee Meal Expense 495 - - - - - - 53340: Employee Airfare 1,916 - - - - - - Print Date June 30, 2026 Page 25 of 40 4230 - Kitty Rhoades (Dementia) : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual May Operating Budget May Balance Percent Final Final YTD Adopted YTD Remaining Remaining 53350: Employee Other Expenses 306 - - - - - - 53422: Nursing Supplies - Non-Billable 5,486 286 263 3,000 186 2,814 93.81% 53430: Provided Food Expense - 248 - - - - - 53440: Operating Supplies 28,593 37,530 37,329 3,660 2,402 1,258 34.37% 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 - - - - 53995: Vehicle Operating Expenses - (7) - - - - - 54470: Plumbing Fixtures - 26 26 - - - - 55430: Depreciation - Buildings 602 602 251 602 50 552 91.67% 55440: Depreciation - Fixed Equipment 2,066 9,112 3,797 2,065 34,296 (32,231) 1,560.83% 55450: Depreciation - Vehicles 4,957 19,827 8,261 4,956 1,652 3,304 66.66% Operating 164,717 332,606 286,724 100,471 65,693 34,778 34.62% 58110: New Vehicles 99,306 - - - - - - 58000: Capital Outlay 99,306 - - - - - - Total Expenses 272,608 775,016 426,285 1,629,889 334,807 1,295,082 79.46% Report Total (31,174) (233,471) (72,054) - (146,238) - - Print Date June 30, 2026 Page 26 of 40 4240 - Orchard View : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual May Operating Budget May Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes - - - - - - 100.00% 43510: State General Government Grant 95,738 51,174 - - - - - 46520: Institutional Care 2,026,430 2,162,525 907,715 2,483,609 951,218 1,532,390 61.70% 48610: Miscellaneous Revenue 17,160 5,358 2,218 9,000 1,160 7,840 87.11% 49410: Sales of General Fixed Assets (6,691) - - - - - - Total Revenues 2,132,637 2,219,057 909,933 2,492,609 952,378 1,540,230 61.79% Total Wages 955,657 1,015,955 361,815 894,726 314,851 579,875 64.81% Total Fringes 358,597 334,478 139,892 323,221 95,832 227,389 70.35% 51599: Interdepartmental Wage & Fringe 56,750 54,052 24,493 74,708 17,957 56,751 75.96% Net Wage & Fringe 1,371,004 1,404,486 526,200 1,292,655 428,640 864,015 66.84% 51910: Staff Development 500 1,333 - 1,500 - 1,500 100.00% 51915: Nursing Professional & Education 660 2,600 925 - 2,120 (2,120) - 52113: Psychiatrist/Psychologist Consultant - - - - 150 (150) - 52117: Legal Services 273 - - - - - - 52124: Purchased Pool Staff 1,159 - - - - - - 52125: Purchased Services 282,962 253,768 117,553 320,000 131,648 188,352 58.86% 52210: Water & Sewer 14,175 22,340 9,009 20,000 7,083 12,917 64.58% 52220: Electricity 78,378 80,087 32,426 75,000 27,477 47,523 63.36% 52230: Gas for Heating 25,813 26,993 14,154 30,000 16,003 13,997 46.66% 52250: Cellular Phone Service 1,412 1,407 432 900 433 467 51.90% 52420: Grounds Maintenance 6,287 20,231 9,110 20,000 3,872 16,128 80.64% 52430: Building Maintenance 10,204 20,928 5,341 18,000 6,256 11,744 65.24% 52920: Computer Repair 1,720 158 158 1,000 3,650 (2,650) 265.01% 52930: Refuse Collection Services 4,942 6,199 3,510 7,200 1,410 5,790 80.41% 52990: Other Contractual Services 9,198 12,185 2,768 12,000 5,695 6,305 52.54% 53130: Managed Print Costs - IT 2,014 1,703 603 2,000 604 1,396 69.82% 53190: Office Supplies 498 510 199 500 96 404 80.72% 53212: Outreach/Education 30 235 80 500 - 500 100.00% 53220: Advertising/Promotion - - - 500 - 500 100.00% 53240: Dues & Licenses 4,663 1,798 626 3,200 464 2,736 85.52% 53250: Software Subscriptions & Renewals 14,959 15,962 3,476 39,400 3,754 35,646 90.47% Print Date June 30, 2026 Page 27 of 40 4240 - Orchard View : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual May Operating Budget May Balance Percent Final Final YTD Adopted YTD Remaining Remaining 53320: Employee Lodging - 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 1,908 6,000 3,531 2,469 41.15% 53440: Operating Supplies 14,380 12,094 3,953 15,000 5,078 9,922 66.15% 53470: Fuel Expenses 487 - - - - - - 53480: Wandergaurd Expense 628 992 197 1,000 - 1,000 100.00% 53481: OTC Drugs - Non-Billable 894 1,249 559 - 888 (888) - 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 - 33,500 - 33,500 100.00% 55430: Depreciation - Buildings 153,400 167,523 77,431 153,400 13,077 140,323 91.48% 55440: Depreciation - Fixed Equipment 7,554 19,659 8,837 7,554 1,383 6,171 81.69% 55910: Other Fixed Charges - 50,000 - 55,000 - 55,000 100.00% 57410: Losses 39,392 9,506 - - - - - 59530: Transfer to Debt Service Fund - 250,000 250,000 375,000 93,750 281,250 75.00% Operating 726,517 1,022,434 543,637 1,199,954 328,455 871,499 72.63% Total Expenses 2,097,522 2,426,920 1,069,837 2,492,609 757,095 1,735,514 69.63% Report Total 35,116 (207,863) (159,904) - 195,284 - - Print Date June 30, 2026 Page 28 of 40 4710 - Veterans Services : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual May Operating Budget May Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes 315,898 330,087 137,536 344,407 143,503 200,904 58.33% 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 - 120 (120) - 48610: Miscellaneous Revenue 69 - - - - - - Total Revenues 341,375 365,352 156,355 366,907 162,423 204,484 55.73% Total Wages 201,610 208,828 73,520 217,132 77,519 139,614 64.30% Total Fringes 98,854 107,268 42,669 113,082 44,303 68,779 60.82% Net Wage & Fringe 300,464 316,096 116,189 330,214 121,822 208,392 63.11% 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 - 1,150 100.00% 53130: Managed Print Costs - IT 930 891 395 1,000 464 536 53.57% 53190: Office Supplies 1,136 747 663 1,000 279 721 72.11% 53212: Outreach/Education 1,356 875 - 1,500 95 1,405 93.66% 53213: Program Development 11,435 11,705 3,845 10,700 3,720 6,980 65.23% 53240: Dues & Licenses 40 85 70 100 20 80 80.00% 53310: Employee Mileage 823 915 350 1,000 552 448 44.83% 53320: Employee Lodging 1,480 852 724 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 - 3,395 (446) 3,841 113.14% 53490: Other Operating Supplies 600 - - - - - - 53910: Other Supplies and Expenses 155 - - - - - - 55180: Liability Insurance 1,701 1,875 - 2,201 - 2,201 100.00% 57110: Direct Relief to Indigents 5,248 9,869 3,012 10,000 2,663 7,337 73.37% Operating 33,222 33,687 10,969 36,693 9,419 27,274 74.33% Total Expenses 333,686 349,784 127,158 366,907 131,240 235,667 64.23% Report Total 7,689 15,568 29,197 - 31,182 - - Print Date June 30, 2026 Page 29 of 40 July 2026 HHS Director's Report Department Overview The Health and Human Services Department continues to adapt successfully to changing federal policies while maintaining essential services for St. Croix County residents. Through organizational changes, workflow improvements, strategic partnerships, and external funding, HHS remains focused on improving outcomes while minimizing impacts on the County tax levy. Prevention and early intervention remain central to our approach. Although ongoing funding is limited for early intervention and prevention services, HHS has leveraged grants, opioid settlement funding, and community partnerships to develop innovative programs that improve outcomes and reduce future system costs. Aging & Disability Resource Center (ADRC) • Added a 0.4 FTE Volunteer Coordinator (Amber Halverson) to support more than 200 ADRC volunteers. • Secured $3,000 in community foundation grants to expand the Men's Shed initiative. Children Services • Reduced out-of-home placements from 106 children in 2023 to 37 today through continued implementation of Families First, Corporation Counsel overseeing CHIPS cases, and strong collaboration with partners. • Launching the 16-week evidence-based Celebrating Families program this fall. • Received a $5,000 grant to support relatives and kinship caregivers pursuing foster care licensure. Behavioral Health • Completed the integration of Behavioral Health and CCS under Becky Kerr's leadership. • Restructuring supports improved service integration, operational efficiencies, and management of emergency detention costs. • Recruitment continues for three Mental Health Therapists amid statewide workforce challenges in this area. • Behavioral Health and Public Health will jointly pursue supplemental block grant funding. Public Health • Welcomed Jo Zecherle as Public Health Educator to coordinate the Western Wisconsin Tobacco-Free Alliance (grant funded). Page 30 of 40 • Continued focus on adolescent mental health through partnerships with schools and community organizations. • Expanded environmental health efforts through tick prevention and mosquito surveillance. Health Care Campus • Maintaining census across all service areas. • Requesting an Administrative Assistant–Clinical Scheduling Coordinator; position would not require County tax levy. Economic Support • Division update on federal policy changes and implementation efforts will be provided by Ronda Brown at this meeting. Administration • Welcomed Diana Martinson as Executive Administrative Assistant. • Records Division is primarily focused on the Health Insurance Portability and Accountability Act (HIPAA) risk assessment for Health and Human Services, in partnership with other county departments and the County Administrator. • Developing the proposed 2027 HHS budget. • Hudson office utilization continues to grow; Julie Kusilek provides outstanding administrative support in that office. Looking Ahead • A comprehensive 2027 HHS Budget Overview will outline service trends, operational priorities, financial challenges, and strategic opportunities. I will be providing this overview as part of our 2027 budgeting process later this summer. Page 31 of 40 Consideration of New Position Requests for 2027 Budget Cover Memo To: Health and Human Services Board From: Ken Witt, County Administrator Audrie Haycraft, Human Resources Director Date: July 15, 2026 Agenda Item: Consideration of New Position Requests for 2027 Budget Background Information: Public Health request an additional .15 FTE Public Health Nurse. Public Health, prior to COVID, had additional nursing positions for state statute mandated communicable disease control and prevention work. During COVID, PH had additional financial and staff support. However, since COVID dollars have ended and the current grant funding, for the additional .15 FTE in Public Health Nursing time, is ending, Public Health needs the additional FTE to at minimum maintain our current mandated efforts toward communicable disease control. It is especially important now with two measles exposures in our county in the past year and cases of West Nile Virus. Grant funding would cover the 2027 costs but would revert to tax levy in 2028 at an estimated net annual cost of $15,000. Public Health request an additional .4 FTE Program Associate II. The Environmental Health program under Public Health is an agent of the Department of Agriculture, Trade and Consumer Protection (DATCP) and the licensing and inspecting conducted under this program is fee funded. In a recent evaluation, DATCP identified that PH’s Environmental Health staff have more inspection sites per inspector than recommended for agents. These staff, with higher than recommended licensing and inspection numbers, need additional operational support for county-wide licensing and inspections. The requested .4 increase for operational support work will be funded by the DATCP program. This will also alleviate some of the work supporting Environmental Health currently being absorbed by the only department-wide Public Health Program Associate II. This position will then be able to take on additional roles for Public Health as a whole. This is especially important as our Public Health department has of the lowest FTE-per-capita ratios of all public health departments in the state. Position cost would be supported by fees charged. No net tax levy impact. ADRC request 1.0 FTE ADRC Specialist I or II – I&A/Options Counselor. Estimated tax levy cost of $50,000. ADRC caseloads continue to grow beyond current capacity. As the required entry point for all publicly funded long-term care programs in Wisconsin, the ADRC plays a critical role in ensuring timely eligibility determinations, functional screenings, and enrollment into long-term care services. Demand for ADRC Options Counseling has increased significantly, with referrals rising from an average of 34 per month in 2024 to an estimated 45 per month in 2026—a 32% increase. ADRC Specialists are required to complete functional eligibility screens within 30 days; however, meeting these state-mandated timelines is becoming increasingly challenging due to growing referral volumes, competing responsibilities, and the increasing complexity and acuity of the aging and disability populations being served. Delays in eligibility determinations, screening, and enrollment increase the likelihood of crises that can result in Adult Protective Services involvement, emergency placements, and involuntary institutional care—all county-funded obligations that carry substantially higher costs than the preventative services and early intervention provided through the ADRC. An additional ADRC Specialist would help ensure compliance with state requirements, maintain timely access Page 32 of 40 to long-term care programs, and reduce the risk of costly downstream interventions. Approximately 40% of the position cost (and potentially more) is supported through Medicaid funding, making it a cost- effective investment that helps offset significantly higher future county expenditures. Older adults are the fastest growing demographic of Wisconsin's population. Additionally, St. Croix County’s aging population is growing rapidly and continues to increase demand for ADRC services. In 2023, approximately 22,351 county residents (23.3% of the population) were age 60 or older, and projections show that number increasing to 25,380 by 2030 and more than 30,260 by 2040. The county’s older adult population is already driving increased need for long-term care access, caregiver support, and crisis prevention services. Current data shows that more than 14,500 St. Croix County residents are age 65+, with nearly 1 in 4 households including at least one resident age 60 or older. Behavioral Health request an additional 1.0 FTE Mental Health Co-Responder. Estimated fiscal cost of $100,000. Since the Co-Responder Program was implemented in 2022, Co-Responders have responded to more than 650 crisis calls throughout St. Croix County, providing community-based behavioral health crisis intervention in partnership with law enforcement. Most contacts have been resolved through community-based safety planning, reducing unnecessary hospitalizations and jail placements while allowing law enforcement officers to return to patrol duties more quickly and efficiently. Program responsibilities have continued to expand, including assuming primary responsibility for staffing the St. Croix County Crisis Line during weekday business hours in 2026, which created additional cost savings by eliminating the need for contracted crisis coverage during business hours. An additional 1.0 FTE Co-Responder position would help maintain timely response capacity, support countywide coverage, improve operational efficiency, and ensure continued access to effective crisis intervention services for county residents. These early intervention services prevent higher downstream costs, provide better consumer care, and reduce law enforcement time and involvement during crisis responses. As acute care placement costs and service demands increase, this position is viewed by HHS as a cost-saving measure that aligns with best practice intervention strategies. Behavioral Health request .5 FTE Substance Use Counselor. Position is 100% Medicaid reimbursable and will have no net tax levy impact. Provide substance use recommendations and treatment within CCS. This position would support the CCS program and would be supervised by James Tabatt. Under CCS requirements, individuals with identified substance use needs must have recommendations and services provided by a qualified Substance Use Counselor. With the exception of Bre and James, current CCS Mental Health Professionals do not have the necessary substance use background or credentials to fulfill this role. At present, these responsibilities fall primarily to Bre and James in addition to their existing duties. While manageable in the short term, this is not a sustainable long-term solution given current workload demands. Adding this position would ensure compliance with program requirements, provide dedicated expertise in substance use services, and better support the growing needs of the CCS program. Economic Support request an 1.0 FTE Economic Support Supervisor position be created. Estimated net fiscal cost of $60,000 with the other half of the position being covered by Great Rivers Consortium funding. The Economic Support division is at a critical point where the demands of leadership, supervision, and operational management have exceeded the capacity of the existing structure. To maintain funding, compliance, performance, quality, staffing, resources, and Page 33 of 40 continuity for staff (local and consortium), consumers (local and consortium), and partners (local), a new position is essential. Health Care Campus request a 1.0 FTE Administrative Assistant – Clinical Scheduling Coordinator position be created. No tax levy impact as the position will be covered by Health Care Campus revenues. • Develops, posts, and maintains staff schedules for 24-hour programs in accordance with department procedures and coverage requirements. • Updates schedules to reflect time-off requests, shift pickups, holidays, and other adjustments as needed. • Responds promptly to staffing changes including but not limited to call-ins • Proactively uses a variety of outreach methods and follow-up with staff until coverage is secured • Independently manages day-to-day scheduling responsibilities, consulting with Leadership on escalated or complex staffing concerns • Utilizes creative and flexible problem-solving to secure coverage, thinking beyond standard approaches when needed. • Follows organizational policies, labor guidelines, and scheduling procedures to ensure equitable staffing. • Maintains timely and transparent communication with Leadership regarding scheduling status, trends, and potential staffing risks. • Schedules training shifts and permanent shifts for new hires into the scheduling software . • Adjusts templates based on scheduling changes. • Updates staff schedules and scheduling software as needed to reflect program need per management direction . • Proficiently uses scheduling software (e.g., Maple, shift key etc) and Microsoft Office programs (Excel, Outlook) for data entry, updates, and reporting. • Adheres to scheduled working hours with regular and predictable attendance. • Assists with the onboarding process. • Performs other duties as assigned. Page 34 of 40 1 Health and Human Services Board Presentation – Economic Support Division – July 15, 2026 Consortium Snapshot The Great Rivers Consortium (GRC) is an economic support agency partnership that determines eligibility for public assistance programs across 1 0 counties that includes Barron, Burnett, Chippewa, Douglas, Dunn, Eau Claire (lead agency), Pierce, Polk, St. Croix, and Washburn. The lead agency holds the Income Maintenance (IM) contract with the Wisconsin Department of Health Services (WI DHS) and our lead agency in turn enters into an agreement with us to perform the work. GRC processes applications, reviews, and benefit changes for programs such as BadgerCare Plus , Elderly, Blind, and Disabled Medicaid, FoodShare , and Wisconsin Shares Child Care Subsidy. Although online, mobile, and in -person services exist, GRC primarily deliver s programs and services through the Great Rivers Call Center at 1-888-283-0012. Some of our programs in Wisconsin require an interactive interview for both new applications and renewals and a live call center makes for an efficient way to establish a filing date (marking the official start of the application process from which benefits can begin if eligible) and complete the required interview. Our call center also offers other program assistance, educational benefits, real-time support, and human connection in addition to more accurate information gathering to help mitigate misunderstandings and errors. FoodShare is Wisconsin's name for the federal Supplemental Nutrition Assistance Program (SNAP). In Wisconsin, the 2026 gross monthly income limit (before taxes and deductions) for most households to qualify for Food Share is typically 200% of the Federal Poverty Level; for example, $2,610 for a household of one and $5,360 for a family of four. The exact benefit amounts for FoodShare vary depending on household size , income, and whether the household is applying under standard or elderly/disabled guidelines. For most FoodShare applicants in Wisconsin, there is no asset or resource limit. FoodShare Quality Control (FSQC) is the federal and state government’s way of measuring how accurately a state agency performs the critical function of determining SNAP households’ program eligibility and benefits. It consists of both state agency reviews and federal reviews. U.S. Department of Agriculture (USDA) Food and Nutrition Administration (FNA) has long performed SNAP Quality Control measures and assessed for states’ liability and financial responsibility when their Image created with Microsoft Copilot. Page 35 of 40 2 Health and Human Services Board Presentation – Economic Support Division – July 15, 2026 SNAP/FoodShare payment error rates exceed the national payment error rate. Related language has been written into past IM contracts between DHS and consortia. What is new is that in addition to states paying more administrative costs for the people and systems necessary to run FoodShare, for the first time, states may become responsible for paying for member's FoodShare benefits unless the state’s payment error rate remains under 6%. States with error rates at or above 6% threshold will be responsible for covering 5%, 10%, or 15% of their states’ benefits. The higher the Payment Error Rate, the higher the percentage. On June 24, 2026, USDA announced the official State Payment Error Rates for Federal Year 2025 (ending September 30, 2025) and Wisconsin’s was 5.72 % just under the penalty threshold, which is particularly important as FY 2025 is the first year that could be used to calculate th e federal penalty fees . And while proactive efforts by Wisconsin prevented having to pay penalty fees in 2027, the important work continues. If future FoodShare error rates exceed six percent, penalties will apply unless the implementation of this federal legislation is delayed or eliminated. FSQC reviews are selected randomly for cases in which eligibility and benefits have already been determined. On a monthly basis, consortia receive FSQC summaries with distinctive components. • Case and Procedural Error Rates (CAPER) refers to FoodShare that was closed or denied incorrectly. • Active Error Rates (AER) refers to payment errors that occur at application or recertification. o AER measures payment errors that include both overpayments (when households receive more benefits than they are entitled to) and underpayments (when households receive less benefits than they are entitled to). o The state's accumulative AER is what puts our state at risk for fiscal penalties that determines if Wisconsin will be required to begin paying a portion of FoodShare benefits costs starting as soon as October 1, 2027. FoodShare error rates are not fraud rates ; payment accuracy errors in SNAP are largely accidental and unintentional. • Can happen when an applicant is determined to be eligible when they are not. • Can happen when an eligible participant is certified to receive more or less benefits than they are entitled to. Image created with Microsoft Copilot. Page 36 of 40 3 Health and Human Services Board Presentation – Economic Support Division – July 15, 2026 • Payment errors can be caused by the agency and by the client. o Administrative mistakes such as keying missteps, miscalculations, or misapplied policies. o Household mistakes such as forgetting to report a minor change in income or household size. Agencies cannot control consumers’ decisions and actions or the complexity of the FoodShare program , but we can strive to explain individual and household options and information, ask thorough questions , interpret confusing eligibility rules, and clarify reporting requirements and necessary verifications to help avoid client errors by making it easier for consumers to understand what they are supposed to do. • Overpayments must be paid back to the state, and the state must reimburse participants for underpayments. • There is no single “fraud rate,” but deliberate and intentional fraud is extremely low making up a small fraction of the error rate . Office of the Inspector General (OIG) consolidates all program integrity, audit, and fraud investigation activities into one office, including the Fraud Investigation, Recovery, and Enforcement (FIRE) section to investigate and penalize deliberate recipient and retailer fraud. Our own GRC also has a Benefit Recovery Team with one fraud investigator and four part-time claims specialists. In response to fiscal concerns by federal legislative changes approved in “One Big Beautiful Bill Act” (OBBA), DHS has communicated to consortia statewide that they need to increase their FoodShare quality control efforts supported by a 2025 Wisconsin Act 116 contract addendum and funding for SNAP Quality Assurance Reviews. • Recognizing that the work of multiple partners does not come with guaranteed outcomes, the consortia must develop a structured plan to operationalize the required scope of work outlined by DHS , utilize the allocated funding, and execute the project to the best of our collective ability. • These funds are all funds and do not require county match. Consortia may not supplan t their existing level of effort by funding Income Maintenance with these funds. The funds are intended to supplement, not replace the existing level of funding contributions made by our consortium. Any unspent funds are re-obligated by DHS. In addition to other quality control efforts consortia may already be performing, a required solution is FoodShare Precertification Reviews (PCR) using the state’s Pre -Certification tool located in our existing CARES Worker Web (CWW). Image created with Microsoft Copilot. Page 37 of 40 4 Health and Human Services Board Presentation – Economic Support Division – July 15, 2026 • Although the FSQC and PCR processes are separate and different processes, they coincide in important ways. • PCRs as a collective consortia-level measure proactively ensures timeliness and accuracy that reduces the likelihood of errors in cases that may be selected for the federal/state FSQC efforts, thus minimizing the potential for FSQC errors, thus making it more feasible to maintain a low error rate. • PCR data provides useful details toward staff development initiatives that support new and ongoing staff performing as error-free as possible in a complex and ever-changing work environment. • Consortia establish sam ple criteria that pull cases in for assessment before eligibility is certified and benefit payments are issue d, such as case samples that include employment, self -employment, or unearned income. Consortia are strongly encouraged to review error data and adjust the sample criteria to pull in cases that coincide with their highest error prone areas, such as wages and salaries, unearned income, and shelter and utilities. • Consortia must review a minimum of 25% of FoodShare cases each month and over time utilize the review results to scale up to a percentage that effectively maintains a consortium AER under 6%. How does FSQC and PCR relate to the Economic Support Division’s position request in St Croix County? Great Rivers Consortium has agreed to fund 50% of a supervisor position to support consortium -level functions related to an all-new PCR contract addendum, functional plan, funding, and devoted team that will require expanded SharePoint Coordination that serves as the foundation of our regional operational design and a distributed, virtual and remote framework. • New PCR Team will require its own dedicated associated site for workload management and scheduling purposes. • PCR structure will be incorporated into the consortium’s operational handbook. • PCR processes will be outlined in the consortium’s Program, Policy and Procedure Manual. • Existing PCR & FSQC, performance, and training pages will be expanded. Associated activities will be data mining and interpretation, root cause analyses to find the reasons for the highest dollar errors, and toolkit development. Image created with Microsoft Copilot. Page 38 of 40 5 Health and Human Services Board Presentation – Economic Support Division – July 15, 2026 • Microsoft is shifting toward automated, workflow -driven features that place significantly more responsibility on site administrators in addition to relaying related information to consortium partners and retraining site users as menus and features shift. How does the Economic Support Division’s position request benefit St Croix County? The total estimated cost for a supervisor position as proposed is $115,000; 50% is anticipated to be funded by tax levy (with a portion of this contribution collecting federal match revenue). St. Croix County has a valuable stake in Great River Consortium’s success. GRC has been in business since January 2012 i.e. 14+ years. We are not only contracted to do the work, but the consortium’s design allows us to operate a live call center that is available to our local constituents daily as well as manage some responsibilities collectively through team structures , all of which supports quality and performance. In general, operationally we perform better as a regional entity than we did as individual counties. The Economic Support division is at a critical point where the demands of leadership, supervision, and operational management have exceeded the capacity of the existing structure. The growing complexity of legislative initiatives are far greater than PCR efforts and they present additional pressure on local agencies to train and retain staff, ensure compliance with federal and state changes, maintain service quality, meet performance requirements, sustain operational pillars under increasing demands , and educate and support partners and consumers . Overall, t he division would gain substantial value from clearer role separation between subject matter experts (team leaders) , supervision, and higher-level administrative responsibilities. A new supervisor will add to and extend our ability to perform the following critical tasks: • Support scheduling and minimum coverage. Work is inherently time-sensitive and requires critical backup and redundancy. We cannot close our live call center more than twice per year and only for holding consortium-wide events. In the same way we cannot stop business, we cannot extend dates and timelines beyond federal and state guidelines, and the new PCRs orchestrated between reviewers and staff are also deadline-driven and not something we can turn off. • Assist with personnel management for high-turnover positions, including hiring, training, coaching, and ongoing performance planning for specialist and team leaders. o The Economic Support Division has been in continuous recruitment and training since November 2022 for both specialist and lead roles , a similar challenge faced by all other consortium partners, that adversely impacts everyone in numerous ways . Research supports our experience t hat call centers face notoriously high turnover rates, and the same is true for specific public service roles namely in HHS. Research also suggests that ineffective onboarding and inadequate training are primary drivers for high-rate attrition. Page 39 of 40 6 Health and Human Services Board Presentation – Economic Support Division – July 15, 2026 o Leadership provides new worker wraparound training in addition to continuous learning methods and skill level maintenance initiatives to ensure required compliance, performance, timeliness, and quality. o Based on present circumstances and knowledge, a supervisor provides far greater long-term stability, efficiency, and organizational resilience than adding another specialist in a high -attrition role. The performance data that relates directly to where specialists spend their time has remained relatively consistent over the years in spite of workload fluctuations. Where we experience marked challenges is in the repeated time and effort necessary to continuously build teams of knowledgeable and skilled agents who can perform timely and accurately. In other words, w hile additional specialists may offer temporary capacity, the recurring turnover creates continuous training demands, workflow disruptions, and loss of operational knowledge that a supervisor can directly solve. • Facilitate increased “in the moment” guidance, stability, and crisis resilience for frontline specialists and team leaders who serve as ground level support. • Support all HHS divisions by assisting consumers with Medicaid eligibility challenges that helps secure reimbursement for eligible services and minimizes financial risk. • Support more frequent questions, aligning services, and timely informational updates for partners and local consumers including coordinating direct lobby services for two lobby locations. • Support SharePoint Coordination and platforms for HHS partners across varied roles and locations. • Support division Administrator during absences by providing operational oversight and addressing urgent consumer matters, staff scheduling and leave issues, timesheet approvals, technology troubleshooting, software or system incident reporting, and other supervisory responsibilities necessary to maintain continuity of services. 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