Health & Human Services Board — Agenda Packet

1 Sawyer County Health & Human Services Board Meeting Tuesday, May 12, 2026 @ 6:30 PM Sawyer County Board Room AGENDA 1. ZOOM LINK a. To view or participate in the virtual meeting from a computer, iPad, Android device, click on this link to join the webinar: https://zoom.us/j/92309461969. You can also use the dial in at: 1-312-626-6799 Webinar ID: 923 0946 1969. Use *9 to Raise/lower hand and *6 to Unmute/mute. If you are on a computer, click the "Raise Hand" button and wait to be recognized. If you are on a telephone, dial *9 and wait to be recognized. If additional assistance is needed please contact the County Clerk's Office at 715- 634-4866 prior to the meeting. This meeting will be recorded and will be available on our website at: https://sawyercountygov.org. 2. CALL TO ORDER 3. ROLL CALL 4. PLEDGE OF ALLEGIANCE 5. CERTIFICATION OF COMPLIANCE WITH THE OPEN MEETINGS LAW 6. ELECTION OF CHAIR & VICE CHAIR OF HHS COMMITTEE 7. MEETING AGENDA 8. PUBLIC COMMENTS At this time, members of the public will be given the opportunity to address the Board. Please adhere to the following when addressing the Board: • Comments will be limited to 3 minutes or less per individual. • Comments should be directed to the Board as a whole and not directed to individual Board members. • The Board cannot respond to your comments during this time. • Please sign in and fill out a public comment sheet if you wish to speak on an item. 9. CONSIDER APPROVAL OF MINUTES FROM PREVIOUS MEETING a. April 6, 2026 Meeting Minutes 10. HHS COMMITTEE MEETING DATE AND TIME (DISCUSSION AND POSSIBLE ACTION) Page 1 of 88 2 11. EXTERNAL ENTITY REPORTS a. LCO Liaison b. Senior Resource Center 12. ADMINISTRATION a. Acronym/Terms Glossary b. HHS Bylaws c. HHS Organizational Chart d. Strategic Plan 2026 13. AGING AND DISABILITY RESOURCE CENTER (ADRC) a. ADRC & APS Overview 14. BEHAVIORAL HEALTH a. Behavioral Health Report b. Community Support & Mobile Crisis c. Mental Health Monthly Expense Report d. Mental Health Cost by Client Report 15. CHILD, YOUTH & FAMILY SERVICES a. Child Protective Services (Verbal) b. Youth Justice Report c. Truancy & Diversion d. Children's Support Services 16. ECONOMIC SUPPORT a. Economic Support Report 17. PUBLIC HEALTH a. Public Health Report b. 2025 Annual Public Health Report Page 2 of 88 3 18. FISCAL a. Budget Performance Report b. Budget Performance by Unit c. Purchased Services Recap 19. BOARD APPOINTED COMMITTEE UPDATES 20. CORRESPONDENCE, REPORTS FROM CONFERENCES AND MEETINGS 21. FUTURE AGENDA ITEMS 22. NEXT MEETING DATE /TIME: TUESDAY, JUNE 9 AT 6:30PM 23. ADJOURNMENT DISCLAIMER: A quorum of the County Board of Supervisors or of any of its committees may be present at this meeting to listen and observe. Neither the Board nor any of the committees have established attendance at this meeting as an official function of the Board or committee(s) or otherwise made a determination that attendance at the meeting is necessary to carry out the Board or committee’s function. The only purpose for other supervisors attending the meeting is to listen to the information presented. Neither the Board nor any committee (other than the committee providing this notice and agenda) will take any official action with respect to this noticed meeting. Copy sent via email to: Committee Members, Associated Staff and News Media. Note: Any person wishing to attend whom, because of a disability, requires accommodation should call the Sawyer County Clerk’s Office (715.634.4866) at least 24 hours before the scheduled meeting so appropriate arrangements can be made. Mission Statement: The Sawyer County Board of Supervisors will strive to provide excellent services and responsible leadership to protect and enhance Sawyer County citizens, businesses, and resources, while preserving our unique heritage. Page 3 of 88 Minutes of the April 6, 2026 Meeting of the Sawyer County Health and Human Services Committee of the Sawyer County Board of Supervisors Board Room, Sawyer County Voting Committee Members Present: Others Present: Chair: Kay Wilson Liz Klein Vice Chair: Tweed Shuman Julia Lyons Marshal Savitski Julie McCallum Chuck Van Etten Joe Bodo- Virtual Jeff Hoehne- Absent Carol Martin Lorraine Gouge Rebecca Erickson Dawn Petit- Virtual Shawna White- Virtual Pam Mueller Caitlan Myren- Virtual Dr. Sabrina Dunlap Call to Order – Chair Wilson called the meeting to order at 6:30 pm. Certification of Compliance with the open meeting law was confirmed. Roll Call was taken; a quorum was met. Meeting Agenda – Set Public Comments – None Minutes from the previous meeting dated: March 10, 2026 Motion to approve made by: Mr. Savitski Second by: Mr. Van Etten Motion carried without negative vote. Outside Committee Reports- LCO Liaison— Ms. Gouge reported that LCO is hiring a medical doctor for the clinic, and the drug xylazine has been reported as a growing problem at Lac du Flambeau. Dr. Dunlap stated that xylazine is found mixed into street drugs like fentanyl and is very dangerous because it is not counteracted by Narcan. Ms. Lyons stated that use of the drug is associated with wounds. Senior Resource Center— No report Administration— The HHS Acronym/Terms glossary and HHS organizational chart have been included as standing agenda items. Ms. Lyons reviewed the Org chart and discussed several staff changes due to retirements and resignations, including the retirement of ADRC/APS Supervisor Carol Martin. Joe Bodo has started doing OWI assessments as our previous assessor has taken another role in the agency. Ms. Lyons reviewed the HHS Strategic Plan and updated the committee on training, reducing mental health out of home costs by moving a client, increasing efficiency by using the electronic health record system and increasing revenue via having staff certified in CCS. Motion to approve closure of HHS for a staff training day on May 13, 2026 by: Mr. Savitski Second by: Mr. Van Etten Motion carried without negative vote. Page 4 of 88 Aging and Disability Resource Center (ADRC)— Ms. Martin reported that ADRC has six staff members but some may be retiring in the coming months. She provided a handout on ADRCs of the north that shows Sawyer County intake numbers are rising while surrounding counties appear to be trending lower. Ms. Erickson, Adult Protective Services Lead, reviewed a report of APS services from 2025. In addition, she noted that guardianships are going up in 2026 compared to 2025. Behavioral Health— A written report was provided. Mobile Crisis-Ms. Myren stated that the March report was standard. Mental Health Expense reports were provided. Children, Youth & Family Services— Child Protective Services- No updates Youth Justice- YJ had 1 referral in February; there are 36 active clients. Diversion took clients on a grant funded field trip to Minnesota with the School Resource Officer. Children’s Support Services-Hailey Sands is the new Children’s Support Services Supervisor. She will be supervising CLTS and Birth to Three. Economic Support— Ms. White updated the committee on the Northern Income Maintenance Consortium written report data. Allison Larson will be leaving to take a job closer to home. In March there were 1,787 FoodShare recipients, 19 Child Care families and 1,334 BadgerCare Plus clients served. The call center answered 6,722 calls with a 97.27% answer rate. Public Health-- Ms. McCallum provided a written report and shared that April is National Public Health Month. Fiscal— Ms. Lyons provided the HHS fiscal reports and reviewed new revenue data. The county will receive the annual Reproductive Health Funding that was in question due to budget cuts. Board Appointed Committee Updates— None Correspondence, Reports from Conferences and Meetings—HHS employees will be attending a number of trainings coming up in April and May. Future Agenda Items— Consider a different time and day for HHS meetings when new committee is seated after the election Meeting Date/Time – The next meeting of the Health and Human Services Board will be Tuesday, May 12, 2026, at 6:30 pm in the Board Room. Meeting adjourned at 7:35 pm Minutes recorded by Liz Klein, County Clerk Page 5 of 88 Page 6 of 88 Page 7 of 88 Page 8 of 88 Page 9 of 88 Page 10 of 88 Acronym or Term Definition AaR condition that substantially impairs his or her ability to care for his or her needs and who has experienced, is currently experiencing, or is at risk of experiencing abuse, neglect, self-neglect, or financial exploitation. ACA Affordable Care Act; health care reform law designed to make affordable health insurance available to more people, expand Medicaid, and support medical care at lower costs. ACCESS Online tool to determine eligibility for health and nutrition public assistance programs, to apply for benefits and for members to manage their accounts. ACEs neglect, or household dysfunction, which are linked to compromised health and well-being in adulthood. ADL Activities of Daily Living ADRC Aging and Disability Resource Centers, or ADRCs, offer the general public a single source of objective information and assistance on issues affecting older people and people with disabilities. Also, ADRCs are the local entry-way to obtain publicly funded long term care. Aging Network A diverse group of organizations that work on behalf of older adults. AODA Alcohol and Other Drug Abuse. APHA American Public Health Association. Assisted Living Facility and which provides each tenant with up to 28 hours of supportive, personal and nursing services per week; 1997 Wisconsin Act 13 amended statutes to change official name to residential care apartment complex. BAA Business associate agreement BadgerCare Plus A health care program which helps low-income children, pregnant people, and adults in Wisconsin. BCA Base County Allocation (funding that passes from the state to the county for Human Service work) Benefit Specialist, Disability (DBS) A person in each county, usually in the county aging office, who helps elderly persons obtain and keep Medicare, Medical Assistance and other human services program benefits. Benefit Specialist, Elderly (EBS) A person in each county, usually in the county aging office, who helps elderly persons obtain and keep Medicare, Medical Assistance and other human services program benefits. Birth To 3 A program of early intervention services for children from birth through age 2 with disabilities, and for their families. Administered by DLTC and county administrative agencies in accordance with ch. HFS 90 Adm. Codes. Block Grants Federal grants to aid states. DHS regularly receives 6 different ones: Social Services, Community Services, Maternal and Child Health, Preventive Health and Health Services, Substance Abuse, and Mental Health. Departments make proposals to use these grants, and receive input from the public. The Wisconsin legislature reviews everything and final applications are submitted to the federal government for the next year's grants. Budget Mandate agency to do something by a certain date, e.g., carry out a study and submit a report with recommendations CAH critical access hospital CAP Community Action Program or Corrective Action Plan CARES Client Assistance for Re-employment and Economic Support System; Wisconsin's income maintenance eligibility system. CBRF Community-based residential facility; a place in which 5 or more unrelated adults live and where they receive care, treatment, or services, but not nursing care on any permanent basis, in addition to board and room. CBRFs are licensed by DHS under ch. HFS 83 rules. CCS Comprehensive Community Services is a program for people with mental health and substance use needs that, if ignored, could lead them to being hospitalized in times of crisis. CDC Centers for Disease Control and Prevention in Atlanta, a division of HHS. Certification A type of approval in the form of a written assurance or declaration that an individual, household, service provider or program meets specified conditions for receiving something or doing something as, for instance, a household to receive food stamps or a health care provider to receive reimbursement for providing services to Medicaid-covered patients. Chapter 252 of the Wisconsin Statutes: prevention and control of communicable diseases. Chapter 254 of the Wisconsin Statutes: environmental health. Chapter 51 of the Wisconsin Statutes: commitment for treatment of mental illness; and services for persons who are mentally ill, developmentally disabled, alcohol-abusing or drug abusing. Chapter 971 evaluation, treatment to competency, and/or treatment after a finding of not guilty due to mental disease or defect. Page 11 of 88 CHA Community Health Assessment CHIP Community Health Improvement Plan CHSD County human services department organized under s. 46.23, Wisconsin Statutes. CLIA Clinical Laboratory Improvement Amendments of 1988, PL 100-578, and implementing final federal regulations, 42 CFR 493. CMS Centers for Medicare and Medicaid Services (formerly the Health Care Financing Administration), in the U.S. Department of Health and Human Services. COOP Continuity of Operations CSP services provided to persons with severe and persistent mental illness. Regulated under ch. HFS 63 Adm. Code. CYSGCN Children and Youth with Special Health Care Needs Program within the Division of Public Health. DATCP Wisconsin Department of Agriculture, Trade and Consumer Protection DCF Department of Children and Families (DCF). Created on July 1, 2008. DHS Department of Health Services DHSS Formerly Wisconsin State Department of Health and Social Services, to July 1, 1996. Is now Department of Health Services (DHS). Disability Rights Wisconsin Disability Rights Wisconsin; A Wisconsin-wide organization that advocates for people with disabilities and mental illnesses. DJC Division of Juvenile Corrections in DOC; formerly DYS in DHSS. DOC Wisconsin State Department of Corrections. DPH DHS Division of Public Health. DPI Department of Public Instruction DQA Division of Quality Assurance DSPS Department of Safety and Professional Services EBT Electronic Benefits Transfer; system to transfer food stamp benefits electronically instead of physical stamp coupons. E H R Electronic Health Records EMS Emergency Medical Services. EMT Emergency medical technician. Family Support A DHS program under s. 46.985, Wis. Stats., and ch. HFS 65 Adm. Codes, that provides support to families with a severely handicapped child living at home by helping pay for the services and goods that a family needs to care for the family member at home. FAS Fetal alcohol syndrome; physical and/or mental anomalies in a newborn child resulting from the mother's drinking of alcoholic beverages during pregnancy. FDA U.S. Food and Drug Administration. Federal Poverty Level y p y p y the threshold are considered in poverty, based upon guidelines which are updated yearly by the U.S. Department of Health and Human Services. Income excludes Medicare, Medicaid, food stamps and WIC drafts. FFY Federal fiscal year, October 1 to September 30. FNS Stamps. FPOS Family Planning Only Services FSET FoodShare Employment and Training GLITC Great Lakes Inter-Tribal Council. A coalition of 12 Indian tribes of Wisconsin and Upper Michigan. GPR General Purpose Revenue: consists of state collected taxes and other revenue. This money goes to the state general fund where it can be distributed by the legislature. GWAAR Greater Wisconsin Agency on Aging Resources, Inc. HC Health Care HealthCHeck A Medicaid health care benefit especially created for young people. HHA Home Health Agency HHS U.S. Department of Health and Human Services. HIPPA Health Insurance Portability and Accountability Actof of 1996. HSD County human services department established under s. 46.23, Wisconsin Statutes, through a merger of the county social services department, the county department of community programs established under s. 51.42, Wisconsin Statutes, and other county human service agencies. I&A Information and assistance. I&R Information and referral. IDP Intoxicated Driver Program. Page 12 of 88 IM Income Maintenance; federal program which helps provide supplemental income for households within a certain income threshold. IMD Institution for mental disease (i.e. Winnebago) LEP Limited English Proficiency. LHD Local Health Department LTC Long Term Care LTS Long Term Support MA Another term for Medicaid. Medicaid is a joint federal and state program that helps more than 1 million Wisconsin residents get high-quality health care coverage, long-term care, and other services that promote physical and mental health and well-being. MCH Maternal and Child Health (Title V) program of the Department. MCO Managed Care Organization (i.e. ICLUSA) Medicaid health care coverage, long-term care, and other services that promote physical and mental health and well-being. Medicaid Purchase Plan (MAPP) Health care coverage for people with a disability who are 18 or older and are working or interested in working. Medical Assistance Another term for Medicaid. Medicaid is a joint federal and state program that helps more than 1 million Wisconsin residents get high-quality health care coverage, long-term care, and other services that promote physical and mental health and well-being. MOU Memorandum of Understanding. MRC to emergencies and promote healthy living throughout the year. MRC organizes and utilizes medical and public health professionals such as physicians, nurses, pharmacists, dentists, veterinarians, and epidemiologists. NACCHO The National Association of County and City Health Officials (NACCHO) is the Washington, DC- based organization representing local public health departments in the U.S. NH Nursing Home NIH National Institutes of Health, a division of HHS; includes 17 research institutes and the National Library of Medicine. OCMH Office of Children's Mental Health OIG Office of Inspector General OSHA Occupational Safety and Health Administration in the U.S. Department of Labor. PNCC Prenatal Care Coordination Protective Placement and need care and custody. Placement is within nursing homes or other non-psychiatric protective living areas. Protective Services Assistance to protect vulnerable persons from being abused, exploited, or treated in a degrading manner, and to help those who are adults live as independently as possible. PT Physical Therapy QA Quality assurance RCAC Residetial Care Apartment Complex (assisted living) Respite Care g y at risk. RFP Request for proposal; a document that solicits proposals from outside parties in a competitive bidding process. SAMHSA Substance Abuse and Mental Health Services Administration, part of PHS in HHS. SNAP Supplemental Nutrition and Assistance Program SNF Skilled Nursing Facility; a federal certification and state licensing term for long-term care facilities. These facilities provide care to residents who no longer need hospital care but still need medical care and skilled nursing help. SSBG Social Services Block Grant. A federal grant which provides funds to states for a variety of social services, and which in turn is distributed by the Department on a formula basis to counties which provide or purchase these services for people who need them. SSI Supplemental Security Income; a federal government income support program for aged, blind and disabled persons; checks are distributed by the federal government; monthly grant includes a state supplement amounting to over 20%. STD Sexually Transmitted Disease STI Sexually Transmitted Infection TANF Temporary Assistance for Needy Families. TIC Trauma Informed Care Page 13 of 88 Title V-A of the Social Security Act of 1935, as amended: Maternal and Child Health. WAFCA Wisconsin Association of Family and Children's Agencies WALHDAB Wisconsin Association of Local Health Departments and Boards. WCA Wisconsin Counties Association. WCHSA Wisconsin Counties Human Services Association. WCMH Wisconsin Council on Mental Health WEAVR Wisconsin Emergency Assistance Volunteer Registry, or WEAVR, is a secure, password-protected, web-based volunteer registration system for health care and behavioral health professionals. WEDC Wisconsin Economic Development Corporation WEDSS facilitate reporting, investigation, and surveillance of communicable diseases in Wisconsin. It is designed for public health staff, infection control practitioners, clinical laboratories, clinics, and other disease reporters. WEHA Wisconsin Environmental Health Association. WEM state's planning, preparedness, mitigation, response and recovery efforts for natural and man-caused disasters. WHA Wisconsin Hospital Association. WIC income, nutritionally at-risk pregnant and nursing women and infants and children under age five through improved nutrition made possible by nutrition education and vouchers for the purchase of certain foods. WIR The Wisconsin Immunization Registry is an online database that tracks vaccine records for Wisconsin children and adults. WiSACWIS Wisconsin Statewide Automated Child Welfare Information Systems Wisconsin Well Woman Medicaid Health care coverage for people under age 65 who have been diagnosed with and need treatment for breast or cervical cancer or certain precancerous conditions of the breast or cervix. WISHIN Wisconsin Statewide Health Information Network WMHI Winnebago Mental Health Institute near Oshkosh. WPHA Wisconsin Public Health Association WSLH Wisconsin State Laboratory of Hygiene provide Clinical, Water and Other Environmental, and Industrial Hygiene analytical services, specialized public health procedures, reference testing, training, technical assistance and consultation for private and public health agencies. WWWP Wisconsin Well Woman Program provides preventive health screening services to women with little or no health insurance coverage. Page 14 of 88 SA WYER COUNTY HEALTH & HUMAN SERVICES BOARD BYLAWS ARTICLE 1: Introduction The Sawyer County ("County") Board of Supervisors ("County Board of Supervisors") has the responsibility for the well-being, treatment and care of persons experiencing social, mental and physical disabilities, including but not limited to, health care, mental illness treatment, developmental disabilities services, income maintenance, extended supervision and parole services, alcohol and drug abuse services, services to children, youth and aging, family counseling, special education services, and manpower services. These services are provided through the Sawyer County Department of Health & Human Services (the "Depruiment") established by the County Board of Supervisors under Wis. Stat.§ 46.23. ARTICLE II: Authorization The Sawyer County Health & Human Services Board (the "Board") was created and authorized to function by resolution of the County Board of Supervisors on March 1 7, 1994, as amended, and is authorized to administer the powers and duties prescribed under Wis. Stat. § 46.23(5) and Wis. Stat. § 251.04. It is the intent of the Board and the County Board of Supervisors that these Bylaws of the Sawyer County Health and Human Services Board Bylaws (the "Bylaws") supplement the Board's obligations and authority as set forth in Wis. Stat. Ch. 46, Wis. Stat. Ch. 250, and any applicable statutes, codes, administrative rules and local ordinances. ARTICLE III: Health & Human Services Board Appointments, Composition, Terms, Replacement (1) Composition: (a) The Board shall consist of nine (9) members, all of whom have recognized ability and have demonstrated interest or competence in the field of public health or community health. Five (5) members shall be County Board Supervisors and four (4) members shall be citizens-at-large and may not be employees of the County. At least one (1) citizen-at..:large member shall be an individual who receives or has received human services or shall be a family member of such an individual. No public or private provider of services may be appointed to the Board. A good­ faith attempt will be made to have equal representation from the northern and southern geographic regions of the County. In addition, one Board member should be a tribal representative from the Lac Courte Oreilles Band of Lake Superior Chippewa Indians of Wisconsin ("LCO"). This member will serve as a liaison between the Board and the LCO Tribal Governing Board. In appointing the members who are citizens-at-large, a good-faith effort shall be made to appoint a registered nurse and a physician. The Board Chair and Board Vice Chair shall be members of the County Board of Supervisors. The Board Chair and Board Vice Chair shall be elected at the first May meeting of each year and shall assume the office immediately upon being elected. Page 15 of 88 (2) Election/ Appointment: (a) All members of the Board are appointed by the Sawyer County AdministraJor, subject to confirmation by the County Board of Supervisors pursuant to Wis. Stat. § 46.23(4)(b)(2). Appointments shall be made and confirmed at the November meeting of the County Board of Supervisors for expiring terms, at the April organizational meeting of the County Board of Supervisors in election years, and following a vacancy on the Board due to resignation or removal. (3) Terms: (a) Board members shall serve for terms of three (3) years, so arranged that as nearly as practicable, the terms of one-third of the members shall expire each year. Terms shall begin on May 1 and extend through April 30 of the third year. Vacancies shall be filled in the same manner as the original appointment and for the length of the unexpired term. There are no term limits identified for Board members. (4) Resignations: (a) Any Board member who wishes to resign from the Board shall send written notice and or email notification in duplicate to the Board Chair and to the County Administrator. Both the Board Chair and the County Administrator must approve the resignation in writing. (b) Any Board member appointed to the Board as a County Board of Supervisor shall resign as a Board member upon that County Board of Supervisor no longer serving as a County Board Supervisor. ( c) In the event a Board member resigns their position prior to the completion of their term, the County Administrator, with the consent of the majority of the Board members, shall appoint a person to fill the unexpired term of the resigned person. This shall be done at the next regular Board meeting following the date of resignation. (5) Terminations: ( a) A Board member elected to the Board may be removed from office for the following reasons: i. For cause, by a two-thirds vote of each County Board of Supervisors participating in the appointment on due notice in writing and hearing of the charges against the Board member; and Page 16 of 88 \ 11. If the Board member, when appointed, was a member of the County Board of Supervisors and was not reelected to that office, on due notice in writing. ARTICLE IV: Meetings, Notices, Attendance, Voting (1) Meetings of the Board: (a) Meetings of the Board shall be held monthly. The agenda is the responsibility of the Board Chair. Each Department Unit Manager will have direct access to the Board by recommending items for inclusion on the agenda, subject to the Board Chair's approval. (b) Special meeting of the Board shall be held at any time at the discretion of the Board Chair. ( c) A quorum must exist to transact Board business ( a quorum is defined as a simple majority of Board members). (d) Robert's Rules of order shall govern the conduct of business in all cases in which they are applicable at the ( discretion of the Board Chair) and not in conflict with these Bylaws. (2) Notices: (a) All Board meetings shall be open to the public unless authorized by law. The County Clerk shall ensure proper posting and notification of Board meetings as required by the Wisconsin Statues. (b) All Board members shall be notified and provided with an electronic copy of the Board agenda of all Board meetings at least 48 hours in advance. Board members may request a paper copy of a Board meeting agenda, which shall not be subject to 48 hour advance-notification. Board members will be provided with any updated agenda or agenda materials as soon as possible after the updated agenda or materials are completed. (3) Attendance: (a) All Board members shall be required to attend all meetings of the Board in person at the location posted on a Board meeting agenda unless excused by the Board Chair. (b) Three (3) consecutive unexcused absences shall be cause for termination. (4) Voting: Page 17 of 88 (a) Each Board member, with the exception of the Board Chair, shall be entitled to one (1) vote for each issue or motion before the Board. (b) The Chair shall be entitled to cast one (1) only to break a tie vote. ( c) The vote of a Board member shall be counted only if he/she is physically present at the time the issue or motion is presented before the Board. ( d) All voting shall be by voice, show of hands, or electronic tabulation, unless a Board member requests a roll call vote. ( e) Results of all votes shall be declared by the Board Chair. ARTICLE V: Power and Duties (1) The Board shall have all the powers and duties ascribed to it under Wis. Stats. Ch. 46 and Wis. Stats. Ch. 251, as well as any other related statutes, codes, administrative rules and local ordinances. Consistent with a board appointed pursuant to Wis. Stat. § 46.23, the Board shall: (a) Appoint committees consisting of County residents to advise the Board as the Board deems necessary. (b) Recommend program priorities and policies, identify unmet service needs and prepare short-term and long-term plans and budgets for meeting such priorities and needs. ( c) Prepare, with the assistance of the Department Director, proposed and final budgets as defined in Wis. Stat. § 46.23. ( d) Develop Board operating procedures. ( e) Comply with all state requirements. (f) Assist in aTI'anging cooperative working agreements with persons providing health, education, vocational or welfare services related to services provided under Wis. Stat.§ 46.23. (g) Assess public health needs and advocate for the provision of reasonable and necessary public health services. (h) Develop policy and provide leadership that fosters local involvement and commitment that emphasizes public health needs per Wis. Stat. § 251.04. (i) Assure that measures are taken to provide a healthy environment for individuals per Wis. Stat. § 251.04(7). Page 18 of 88 (j) Recommend appointment of a Health Officer to the County Administrator. The Health Officer must meet the qualifications set forth in Wisconsin State Statute §251.06. The appointment, made by the County Administrator requires confitmation by a simple majority vote of the County Board of Supervisors and is subject to the personnel policies and procedures established by the County Board of Supervisors. (k) Provide assistance to the Animal Control Program. (1) Keep informed on issues regarding County health and human services and function as a conduit for issues requiring County Board of Supervisors' action. (2) In addition to the duties set forth above, the Board may take additional actions deemed consistent with the terms of Wis. Stat. Ch. 46, Wis. Stat. Ch. 251, other applicable statutes, codes, administrative rules, ordinances, and these Bylaws. ARTICLE VI: Approval, Amendments These Bylaws shall become effective on the date they are approved by the County Board of Supervisors. These Bylaws may be amended at any regular meeting of the Board by a two-thirds vote of all Board members, provided that the amendment has been submitted in writing at the previous regular meeting. Any amendment to these Bylaws shall be approved by the County Board of Supervisors before the amendment becomes effective. These Bylaws have been adopted by the Sawyer County Health & Human Services Board on / - 8 ~ t '1 (date). The Sawyer County Health & Human Services Board recommends to the Sayer County Board of Supervisors that it adopts these Bylaws at its next regularly-scheduled Sawyer County Board of Supervisors meeting on l -:Ji·-\ '.\:date). Name: __ __,___,_~__,___,,,"-----\!-~--- Chairperson, Sawye th & Human Services Board These Sawyer County Health & Human Services Board Bylaws have been approved by the Sawyer County Board of Supervisors on / -- / J- / q; // , ....... ,.,.. Ci/ 4,./7 C . .,1;·./ / // _-:;:;.:;,··.r,: -·- ,.,/~~~~ '.. 7~ ~ecf Shuman V ·· Chairman, Sawyer County Board of Supervisors Page 19 of 88 HEALTH & HUMAN SERVICES ORG CHART Director Julia Lyons ADRC/LTC Division Behavioral Health Division Business Services Division Children, Youth & Families Division Economic Support Division Public Health Division Deputy Director Carrie Mann Administrator Mike Markgren Sawyer County Board of Supervisors Revised: 05/05/2026 Children, Youth & Families Division Aging & Disability Resource Center (ADRC) / Long Term Care (LTC) Division Behavioral Health Division Public Health Division Economic Support Division Business Services Division Youth Justice, Diversion & Truancy Department Sarah Inczauskis, Supervisor -Kim Lambert, YJ Case Worker -Jami Engebretson, YJ Case Worker -Melinda Hoyes, Diversion & Truancy Specialist -Amy Thompson, Foster Care Coordinator/Case Worker Contracted Service Journey’s Peer Support Child Welfare Season Westphal, Supervisor -Tysa Marlow, Intake Case Worker -Erika Prince, Ongoing Case Worker -Amy Rocio, Family Facilitator Children’s Support Services Hailey Sands, Supervisor Birth-to-3 -Jen Sarbeck, Service Coordinator Cheryl Churchill, SLP Sherry Maina, SLP Kori Kreyer, Teacher Donna Tveten, OT Marja Lietzan, PT Beth Hamus, OT Children Long Term Support (CLTS) -Ruth Anne Gillmor, Service Coordinator -Chelcy Nelson, Service Coordinator Aging & Disability Resource Center of the North (Sawyer County Branch) Carol Martin, Supervisor (50%) -Linda Seeger, Information & Assistance -Heather Bergman, Information & Assistance -Joanie Zecherle, Dementia Care Specialist / Regional Information & Assistance -Shannon Ewert, Elder Benefit Specialist Regional Shared Staff Melody Jorgenson, Disability Benefits Specialist Senior Resource Center Contract Julia Lyons, Contract Lead Adult Protective Services Carol Martin, Supervisor -Rebecca Erickson, Lead APS Specialist Carol Martin, APS Specialist (50%) Contracted Services Amy Nigbor, WATTS/APS Economic Support (ES)/ WHEAP (Energy Assistance) Shawna White, Supervisor -Melanie Bemis, ES Specialist -Libby Fandry, ES Specialist -Allison Larson, ES Specialist Tonya Richards, ES Specialist -Kim Christenson, ES Specialist / WHEAP Specialist -Emily Sumner, ES Specialist / WHEAP Specialist Northern Income Maintenance Consortium Shawna White, Resolution Coordinator Transitions Community- Based Residential Facility (CBRF) Amber Carter, House Manager Rhonda Hixson, Resident Assistant (RA) Jennifer Baumgart, RA James Simms, RA Katrina Grandadam, RA Open Positions Behavioral Health Alicia Carlson, Supervisor -Joe Bodo, Mental Health Clinician, OWI Assessor – Limited Term Employee -Alison Carlson, Coordinated Services Team (CST) Coordinator / Information & Referral Assistant North Central Region CCS Consortium Alicia Carlson, CCS Service Director Mental Health Julia Lyons, Contract Lead Northland Community Services Caitlan Myren, Northland Community Services Director Mobile Crisis Services Community Support Program (CSP) Thomas J. Duffy Attorney at Law LLC Joe Bodo, Chapter 51 Consultant Chapter 51 Consultation Mental Health Commitment Management Public Health (PH) Julie McCallum, Health Officer & Supervisor -Jessica Bjork, PH Nurse -Mary Slisz-Chucka, PH Nurse -Mary Johansen, Communicable Disease Limited Term Employee (LTE) Skylar Strenke, PH (AmeriCorps) Wild Rivers Women, Infant & Children (WIC) Julie McCallum, Contract Lead Cathy Becker, WIC Clerk Environmental Health (EH) Julie McCallum, Health Officer & Supervisor -Brian Becker, Sanitarian -Matt McKay, EH Technician -John Prohaska, EH Technician -Nathan Stafford, EH Technician (LTE) Chaz Olson, Ordinance Enforcement Officer Carrie Mann, Supervisor Admin Support Department -Brittney Carrol, Admin Assistant -Kelly Olson, Admin Assistant Nikki Paul, Admin Assistant -Tonya Richards, Admin Assistant Fiscal Services Department -Tanya Armsbury, Fiscal Lead -Jillian Kuczenski, Fiscal Clerk Health & Human Services Board Kay Wilson, Chair Chuck Van Etten, Supervisor Jeff Hoehne, Supervisor Jim Miller, Supervisor John Minto, Supervisor Lorraine Gouge, Tribal Liaison Pam Mueller, Community Member Dawn Petit, Community Member Dr. Sabrina Dunlap, Medical Rep Member Legend Light Blue = services that are directly contracted or shared with a consortium or another department Retiring/or gave notice Updated since last month Page 20 of 88 Mission Statement Vision Statement Budgeting & Finance Operational Efficiency & Innovation Workforce: Retention, Compensation, Culture & Staff Development Affordable/Workforce Housing Mental Health Top Five Areas of Focus County Goals Efficient Operations to Reduce Costs Budget Balancing/ Monitoring Responsible/ Sustainable Spending Innovative Solutions Customer Service Affordable Housing for Workers Address Homelessness Employee Retention Staff Development Cross Training Community Care Mental Health Substance Abuse Problems Page 21 of 88 Operational Efficiency & Innovation Workforce: Retention, Compensation, Culture & Staff Development Affordable/Workforce Housing Mental Health Department -Health and Human Services- Department Goals Increase revenue streams Budgeting & Finance Create efficient processes through the new electronic health record Improve employee engagement and retention Reduce mental health out-of- home costs Page 22 of 88 Department: Health and Human Services- Department Goal: Improve employee engagement and retention- Provide opportunities for all HHS staff to connect as group at least 2 times in 2026. Implement the 30, 90, 365 day check-in with new employees in 2026 and act on recommendations. Develop a 2026 staff appreciation plan that focuses on celebrating years of service, recognizing professional weeks/months, and recognize out- standing work through Blue Ribbon or other means of appreciation. Strategies Measurement Staff will have been given an opportunity to participate in at least 2 HHS staff events in 2026. Track that check-ins have occurred and document significant outcomes. Plan will be developed and tracked monthly throughout 2026. Page 23 of 88 Department: Health and Human Services- Department Goal: Create efficient processes through the new electronic health record Implement strategies using the new E.H.R. to reduce duplicate documentation and create one source of truth for client information & billing in 2026. Develop a centralized referral process to streamline the assessment process and duplication of tasks by end of Q1 2026. Strategies Measurement Track strategies implemented and report out on a quarterly basis. Centralized referral process will be implemented by end of Q1 2026. PDCA cycle will be used to assess and modify process as needed. Page 24 of 88 Department:_Health and Human Services- Department Goal: Reduce mental health out-of-home cost- Transition client focus at Transitions Residential Home to long-term clients under county commitment by Q2 2026 Update Transitions physical environment to meet client needs by end of Q1 2026. Hire additional staff and train all in DBT, borderline personality and other identified training to ensure competent staff and a safe living environment. To be completed by end of Q1 2026 Strategies Measurement Ongoing mental health out-of-home placement costs will be reduced by 25% Safety precautions will be in place by end of Q1 2026. Protocols will be established and staff will be signed off in competencies by end of Q1 2026. Page 25 of 88 Department:_Health and Human Services- Department Goal: Increase revenue streams Using the new centralized referral process, we will identify programs that best fit the client need while maximizing reimbursement. For referrals that have private insurance, we will try to become a preferred provider in order to bill and get paid at a higher rate. Identify and train specific HHS staff in CCS services for increased billing capacity. Strategies Measurement Track program caseloads and reimbursement on a monthly basis. Track private insurance plans that we are a preferred provider. Three HHS staff members will be able to bill under CCS services by April 2026. Page 26 of 88 Sawyer County Adult Long-Term Care Unit, Supervisor- Carol Mar�n Printed on: 2024-04-03 1-866-663-3607 We are a no-cost, single point of contact for information and assistance related to aging or adults living with a disability. We serve residents of Ashland, Bayfield, Iron, Price and Sawyer Counties, and members of the Bad River, Lac Courte Oreilles and Red Cliff Tribes. Our Mission: To provide choices to meet the challenges of life's journey. Our Purpose: To provide information and assistance on a broad range of programs and services for seniors and adults with disabilities. The ADRC helps people understand the various long-term care options available to them, serves as the access point for publicly funded long-term care, helps people apply for programs and benefits, and helps make connections to community resources. How We Can Help: ADRCs assist individuals age 60+ as well as adults with disabilities regardless of income. ADRC services are also available to family members, friends, caregivers and professionals working with these populations. We can help you sort through options available and make informed decisions about: • Maintaining your independence • Choices for long-term care and related services • Medicare and other health-related benefits • Social Security benefits • Support services and resources in your community We welcome you to contact us at 1-866-663-3607. By calling or stopping into one of our branch offices, you can connect with ADRC staff who will listen to your concerns, help clarify your options, and direct you to appropriate resources. Appointments are not necessary, but ensure someone is available at the time. Regional Information & Assistance Specialists The regional I&A specialists at the 866-663-3607 number “triage” incoming contacts. They gather a comprehensive picture of the situation through motivational interviewing, give out information/referral about resources in the community as appropriate, and refer cases for assignment to the ADRC-N branches. She also maintains Sawyer’s online resource directory and the resource walls/brochure racks at the Sawyer ADRC. Information & Assistance Specialists Once assigned a case, l&A staff provide support regarding the needs of a person with disabilities, older adult and/or their caregivers including what programs or services might meet those needs. They complete the adult long-term care functional screens for the state. They can collaborate with the person and, with permission, the person’s network on next steps. Dementia Care Specialist The mission of the DCS Program is to support people with dementia and their caregivers in order to ensure the highest quality of life possible while living at home. The DCS can help people who have dementia or are concerned they may have symptoms, people caring for someone with dementia and businesses interested in learning about dementia friendly communities. Elder Benefit Specialist An EBS works under a program attorney to help answer questions and solve problems for programs like Social Security, Medicare/Medicaid, health care insurance and other public and private benefits for older adults. They serve people ages 60 and over. EBS’ cannot take 3rd party referrals. Referrals need to be from direct contact with the elder. Disability Benefit Specialist A DBS works under a program attorney to assist people aged 17 ½ - 59 who have a disability. They can help with questions and applications related to Social Security Disability Insurance (SSDI), Supplemental Security Income (SSI), Medicaid, Food Share and other public and private benefits for adults with disabilities. Referrals are through the ADRC. Page 27 of 88 Adult Protective Services APS Intake Line 715-634-4806 Includes Investigations of Elder and Vulnerable Adults at Risk abuse, neglect and self-neglect. REPORT ELDER ABUSE AND NEGLECT: Contact Sawyer County APS intake at 715-634-4806 Monday through Friday from 8a-4p. After hours please contact Sawyer County Dispatch at 715-634-5213 or contact the Elder Abuse Hotline 24/7 at 833-586-0107; online at https://reportelderabusewi.org/. All information is confidential. Reporters may remain anonymous but may be contacted for additional information. Elder Adults-at-Risk: Reports of physical, emotional, financial abuse, neglect or self-neglect of individuals aged 60 or older are investigated. Vulnerable Adults-at-Risk: Reports of physical, emotional, financial abuse, neglect or self-neglect of individuals of vulnerable adults under the age of 60 are investigated. Cases will be assigned to an APS Specialist for investigation and discussion of next steps. The goal is to keep the individual at home whenever possible. Other Adult Protective Programs and Services include: • Community Education • Information regarding Guardianships and Protective Placements Who ya Gonna Call??? 1-866-663-3607 715-634-4806 1. A person calls for a friend and wants info about transportation in the area… 2. Someone is concerned about a disabled neighbor that they check in on who doesn’t seem able to care for themselves… 3. A person’s parent is turning 65 and wants to learn about Medicare choices… 4. A daughter asks you what services might be available for their mother who, she says, seems to be having some memory issues… 5. A son is calling to get information about how to get guardianship for their dad… 6. A person is having trouble keeping up with housekeeping… 7. A 25 year old has a medical condition and emails to see if they might be eligible for one of Social Security’s disability programs and about health insurance options… A P S Printed on: 2024-04-03 Sawyer County Adult Long-Term Care Unit, Supervisor- Carol Mar�n Page 28 of 88 715.634.4806 or 800.569.4162 Health Services Fax 715.634.3580 Human Services Fax 715.634.5387 HEALTH & HUMAN SERVICES Sawyer County Courthouse 10610 Main, Suite 224 Hayward, WI 54843 Behavioral Health Programs Report for April 30, 2026 Behavioral Health Outpatient Clinic Supervisor Carlson and Joe Bodo participate in a weekly Central Intake Meeting, held every Tuesday and coordinated by Director Ly- ons, to review all referrals received by the agency. This meeting provides an opportunity for interdisciplinary collaboration, allowing staff to share information, determine the most appropriate level of care, and assign responsibility for outreach to the referred client or family. Ongoing collaboration with Caitlan Myren of Northland Counseling continues to be an integral component of service coordination. This partnership is particularly valuable when discussing clients who are transitioning from higher levels of care, such as hospitalization, or preparing for discharge from treatment facilities. This consistent coordination has proven effective in supporting continuity of care and ensuring that both current and prospective clients are connected to appropriate services through Sawyer County Health and Human Services. Supervisor Carlson, Joe Bodo, and Alison Carlson met with a regional DQA surveyor on 04/22/2026 to obtain guidance regarding re- cent changes impacting administrative codes for certified programs, including Chapter 75.15 (Intervention Services), Chapter 36 (Com- prehensive Community Services), and Chapter 35 (Outpatient Mental Health). During the meeting, the team discussed documentation practices following implementation of the Patagonia EHR system last year. As not all required forms are currently housed within the EHR, clarification was sought regarding the use of a hybrid file system. The DQA surveyor confirmed that maintaining a hybrid model—utilizing both electronic records and paper files—is acceptable. It was also noted that many counties are currently operating under similar practices, with certain documentation maintained within their EHR systems and other materials retained in physical files. This guidance will assist the team in preparing for upcoming program reviews and ensur- ing compliance with applicable administrative standards. CCS Program (Comprehensive Community Services) Service Director Carlson continues to address ongoing barriers related to reinstating the CCS Program in Sawyer County and has been receiving continued guidance from Taylor County’s CCS Administrator. A joint meeting between Sawyer and Taylor Counties is scheduled for May 6, 2026, to review and collaborate on any updates to documentation, billing processes, and service delivery. Alison Carlson has successfully completed the initial 30 hours of required CCS training and will begin the second phase, consisting of an additional 20 hours. Upon completion, she will be rostered as Sawyer County’s CCS Service Facilitator. The anticipated completion date for all required training is mid-May 2026. Due to Joe Bodo’s retirement in 2024 and subsequent return to Sawyer County in 2026, he is required to undergo recredentialing as a Medicaid provider prior to billing for any services, including CCS and outpatient services. Until this process is complete, he is unable to provide billable services. Currently, CCS referrals are being managed by directing prospective clients to outpatient services as an interim support. Once Alison’s training is complete and Joe’s Medicaid provider status is reinstated, the team will begin conducting functional screens to determine CCS eligibility for referred clients. The ongoing collaborative support provided by the Division of Care and Treatment Services (DCTS), the Department of Health Services (DHS), and Taylor County has played a critical role in Sawyer County’s successful transition to future certification of employees. Their guidance included clarifying regulatory requirements, offering technical assistance, and sharing best practices to ensure Sawyer County’s operations align with updated state and federal standards. This partnership has facilitated timely resolution of compliance issues and improved staff training resources. By leveraging the expertise and resources provided by DCTS, DHS, and Taylor County, alongside the knowledge of experienced, long-standing county employees already providing Comprehensive Community Services (CCS), the Sawyer County CCS Program is optimally positioned to implement evidence-based practices, ensure regulatory compliance, and continuously improve service delivery. This collaborative approach supports the county’s commitment to providing safe, effective, and accessible care to its residents. Intoxicated Driver Program Assessor Bodo has successfully completed four OWI assessments this month without issue, despite recent staffing changes. Alison Carlson observed one of these assessments with prior client consent, as she plans to complete OWI Assessor Training once she meets the necessary prerequisites. This hands-on experience is expected to be beneficial in supporting her understanding of the assessment process. Page 29 of 88 The Department of Transportation (DOT) has resumed its monthly meetings, with the first session held on 04/28/2026. During this meeting, participants were informed of upcoming changes to the reporting system anticipated in 2027. Assessor Bodo and Supervisor Carlson will be reviewing and updating current policies and procedures in preparation for the program’s bi-annual recertification, ex- pected to occur this fall. CST Program (Coordinated Services Teams) Currently, there are six clients enrolled in the program, with no discharges and no referrals during this reporting period. Our next CST quarterly meeting will be held virtually on June 10, 2026. Respectfully, Alicia D. Carlson M.S., LPC, NCC, ICS, CSAC, CCTP, IDP-AT Behavioral Health Programs Clinic Supervisor/CCS Service Director/IDP Supervisor 715-638-3303 acarlson@sawyercounty.gov Page 30 of 88 Community Support Services (CSP) and Mobile Crisis March 2026 CSP: • 44 consumers engaged in CSP in the month of March • 9 consumers were on court orders for the program, the rest engaged voluntarily • Program staffing remains at 1 psychiatrist, 1 RN, 1 clinical coordinator (also has a case load), 1 mental health tech, and 4 case managers (1 on medical leave) MOBILE CRISIS: • 6 consultation calls were received • 4 Emergency Detentions were approved • 2 calls were resolved via phone and did not result in assessment • 1 Emergency Detention resulted in admission to Winnebago Mental Health Institute • Thank you, Caitlan Myren, MSW, LCSW Director of Northland Community Services Page 31 of 88 January February March April May June July August September October November December TOTAL Annual Projection: Assurance, REDI, Talon (MH Transports) - -$ 1,200.00$ 1,200.00$ 14,400.00$ Bayfield County for 2024 Regional MH Crisis Line 3,333.00$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ 3,333.00$ 3,333.00$ Helping Hands Family Services (guardian) $ 250.00 no invoice no invoice 250.00$ 2,700.00$ Limitless Possibilities (AFH) $1485/day - $ - -$ -$ -$ New Beginnings of Barron County (CBRF) $150/day no invoice no invoice $ 1,350.00 1,350.00$ 16,200.00$ Northland Community Support Program no invoice 133,515.47$ 90,941.60$ 224,457.07$ 2,693,484.84$ Northland Crisis Bed no invoice 29,070.30$ $ 43,072.05 72,142.35$ 865,708.20$ Northland Mobile Crisis & Crisis On Call no invoice 8,238.06$ $ 8,953.87 17,191.93$ 206,303.16$ TJ Duffy/Joe Bodo (Chapter 51 Coordination & Consultation Services) 3,120.00$ 3,120.00$ 3,120.00$ 9,360.00$ 112,320.00$ Tradewinds Residence Inc (CBRF) $184.25/day -$ -$ -$ -$ -$ Transitions-MH (CBRF) Net cost reported fluctuates with census and revenue received. 11,576.44$ 24,242.84$ 19,256.17$ 55,075.45$ 660,905.40$ Trempealeau County Health Care Center Net cost reported fluctuates with census and revenue received. $ 12,855.92 12,239.90$ 12,956.66$ 38,052.48$ 456,629.76$ Winnebago MHI Net cost reported fluctuates with census and revenue received. 140,509.00$ 93,857.00$ 83,370.33$ 317,736.33$ 332,946.00$ TOTAL by Month 171,644.36$ 304,283.57$ 264,220.68$ -$ -$ -$ -$ -$ -$ -$ -$ -$ 740,148.61$ 5,364,930.36$ check figure: $740,148.61 Total Annual Projection: $5,364,930.36 MENTAL HEALTH MONTHLY EXPENSE REPORT FOR HHS BOARD 2025 *Net Cost reported (Expense minus revenue collected from client, insurance, or Medical Assistance) *Number based on contract or daily rate *Based on average of past two years Page 32 of 88 Age Range Daily Rate for Placement Annual Placement Costs Winnebago Costs 2026 Client Ability to Pay Comments Client A 18-30 $180.00 $65,700.00 making payments; has Medicaid At risk of needing higher cost placement or crisis services Client B 18-30 $2,166.00 $790,590.00 $194,940.00 making payments; has Medicaid Unlikely to move to a less restrictive placement Client C 18-30 $180.00 $7,380.00 making payments; has Medicaid Moved out of county Client D 61-75 $380.00 $138,700.00 making payments; has Medicare & Medicaid. Unlikely to move to a less restrictive placement. We are determining the most appropriate placement, as this client will always need to live in a group home. Total annual placement costs: $1,002,370.00 Winnebago costs: $194,940.00 $1,197,310.00 Client B Possible new placement *Currently in Winnebago but we are working to move to Transitions. This will cost more than $180 per day as we need to add to the staffing ratio, but will be much less than the cost at Winnebago or through other placements that have been looked at. Page 33 of 88 715.634.4806 or 800.569.4162 Health Services Fax 715.634.3580 Human Services Fax 715.634.5387 HEALTH & HUMAN SERVICES Sawyer County Courthouse 10610 Main, Suite 224 Hayward, WI 54843 March 2026 Youth Justice Report March 2026 Total Referrals: 3 Pending Scheduled Intakes: 0 Counseled and Closed: 0 Recommended DPA: 1 Recommended DA File Petition: 0 Recommended Waiver to Adult Court: 0 Recommend Serious Juvenile Offender Program: 0 Jurisdiction in Different County/State -Sent Referral: 0 Handled Through Current Court Order: 0 Handled Through Diversion Program: 2 Current Out of Home Placements: 7 (2 discharged since last month) TPC (Temporary Physical Custody-JDC): 0 Serious Juvenile Offender Program: 0 Active Capias (warrant): 0 2026 Total Youth Justice Referrals: 6 Total YJ Cases: 29 Melinda Hoyos: 7 Ongoing Kim Lambert: 9 Ongoing | 1 Pending Court Jami Engebretson: 9 Ongoing Amy Thompson: 3 Ongoing Respectfully Submitted, Sarah Inczauskis, CSW Children, Youth, and Families Supervisor Page 34 of 88 Truancy/Diversion Update April 2026 Program Update Truancy and Diversion Page 35 of 88 2026 Program Overview 2 Description Number Total Referrals to Date Total Referrals this Quarter 34 6 Currently Enrolled 28 Pending Intake 1 Total Discharged Successful Unsuccessful 12 6 6 Page 36 of 88 3 100% 90% 80% 70% 60% 50% Under 50% Series 1 8 6 4 0 2 1 7 8 6 4 0 2 1 7 0 1 2 3 4 5 6 7 8 9 8 of the currently enrolled students are achieving 100% attendance Page 37 of 88 Ages of Students in the Program 4 Age Range Number Under 10 3 10 - 12 8 13 - 15 13 16 - 17 4 Page 38 of 88 Statistics ● 3 additional youth have had enough consistent attendance to be tested and determined to be eligible for services ● 6 youth have obtained employment ● 7 youth have been actively participating in mental health therapy that were not prior to diversion programming ● 3 Diversion Program families are engaged in Sawyer County’s new parenting groups 5 Page 39 of 88 In accordance with Federal law and U.S. Department of Agriculture policy, this institution is prohibited from discriminating on the basis of race, color, national origin, sex, age, religion, political beliefs, or disability. To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, Room 326-W, Whitten Building,1400 Independence Avenue, S.W., Washington, DC 20250-9410 or call (202) 720-5964 (voice and TDD). USDA is an equal opportunity provider and employer. Health and Human Services Public Health Fax 10610 Main Street, Suite 224 715-634-5019 Hayward, WI 54843 Human Services Fax 715-634-4806 or 800-569-4162 715-634-5387 Birth to 3 – March 2026 Jen Sarbeck: 20 enrolled 11 referrals Jen will start planning the Wilderness Walk Playgroup to take place in July. This is an opportunity for Birth to 3 families to connect and engage with others in a fun environment. Children’s Long-Term Support – March 2026 Ruth Anne Gillmor: 22 enrolled 5 referrals 1 discharged Chelcy Nelson: 24 enrolled 3 referrals Hailey Sands: 14 enrolled 1 referral Total children enrolled: 60 Total children eligible but not yet enrolled: 0 Sawyer County CLTS Program Enrollment Times: Average days from referral to becoming eligible: 29 days Average days from eligible to being enrolled: 11 days Average days from referral to being enrolled: 42 days Statewide CLTS Program Enrollment Times: Average days from referral to becoming eligible: 27 days Average days from eligible to being enrolled: 38 days Average days from referral to being enrolled: 56 days Respectfully, Hailey Sands, BA, BS, IDP-AT Children’s Supportive Services Supervisor Page 40 of 88 In accordance with Federal law and U.S. Department of Agriculture policy, this institution is prohibited from discriminating on the basis of race, color, national origin, sex, age, religion, political beliefs, or disability. To file a complaint of discrimi nation, write USDA, Director, Office of Civil Rights, Room 326 -W, Whitten Building, 1400 Independence Avenue, S.W., Washington, DC 20250 -9410 or call (202) 720-5964 (voice and TDD). USDA is an equal opportunity provider and employer. 715.634.4806 or 800.569.4162 Health Services Fax 715.634.3580 Human Services Fax 715.634.5387 HEALTH & HUMAN SERVICES Sawyer County Courthouse 10610 Main, Suite 224 Hayward, WI 54843 April 30, 2026 Economic Support Unit Update March 2026 Sawyer County FoodShare Cases – 1,085 FoodShare Recipients – 1,794 FoodShare Benefits Issued - $289, 366.00 BadgerCare Plus Cases – 1,337 Elderly, Blind, Disabled Cases – 243 Long Term Care Cases – 87 Child Care Families Served – 21 March 2026 Northern Income Maintenance Consortium Timeliness Performance Call Center Answer Rate: 6,917 Calls Answered, 95.43% Answer Rate, 39.44 Longest Wait Time (minutes) FoodShare Applications – 833 Applications Processed, Processed Timely 100% BadgerCare Plus Applications – 596 Applications, Processed Timely 100% Renewals Processed – 2,119 Renewals, Processed Timely 99.34% FoodShare Six-Month Report Forms Processed – 536, Processed Timely 99.04% Respectfully, Shawna K. White Resolution Coordinator Northern Income Maintenance Consortium Economic Support Supervisor Page 41 of 88 SAWYER COUNTY HEALTH AND HUMAN SERVICES BOARD PUBLIC HEALTH UPDATE – MAY 2026 05/04/2026 • Assessment & Surveillance • Community Partnership Development • Equity • Organizational Capabilities • Policy, Development & Support • Accountability & Performance Management • Communications • Emergency Preparedness & Response • • Communications PUBLIC HEALTH FOUNDATIONAL AREAS FOUNDATIONAL CAPABILITIES COMMUNICABLE DISEASE CONTROL: Assessment & Surveillance; Communications Respiratory Report Statewide respiratory illness levels are Very Low and decreasing. COVID-19 and Influenza activity are very low and low, respectively, and decreasing. RSV activity is low and decreasing. In the Northern Region, respiratory illness levels are low and stable. For state and regional data, visit Respiratory Virus Data | Wisconsin Department of Health Services CHRONIC DISEASE & INJURY PREVENTION: Assessment & Surveillance; Community Partnership Development; Communications Public health continues to lead the Child Death Review Team and Overdose Fatality Review Team, bringing together key community partners from law enforcement, medical and behavioral health, EMS, schools, and the medical examiner’s office. These teams meet monthly to review cases, collect data, and report to state and national systems. The information gathered helps guide prevention efforts and strategies to reduce future deaths in the community. Page 42 of 88 SAWYER COUNTY HEALTH AND HUMAN SERVICES BOARD PUBLIC HEALTH UPDATE – MAY 2026 05/04/2026 ACCESS TO & LINKAGE WITH CLINICAL CARE: Assessment & Surveillance; Community Partnership Development; Communications Public Health Update Twice monthly, Sawyer County Public Health hosts a call for our partners within the community to discuss communicable disease trends, health alerts, upcoming events, resources, training, and agency updates. Healthcare organizations, clinics, long-term care facilities, schools, EMS, emergency management, and health and human services are invited to attend. FOUNDATIONAL CAPABILITIES: Emergency Preparedness & Response; Communication; Accountability & Performance Management; Organizational Capabilities MRC April was National Volunteer Month. The Sawyer County Medical Reserve Corps (MRC) is a passionate group of clinical and non- clinical volunteers ready to support disasters and public health emergencies, as well as providing public health education to our community. We are grateful for our volunteers! Training In April, Sawyer County Public Health staff participated in the following trainings, meetings, and conferences: WIC training, WI Family Planning and Reproductive Health Meeting, WALHDAB EH Meeting, Transient Noncommunity Water Training, WALHDAB HO Meeting, and a 340B webinar. Page 43 of 88 PUBLIC HEALTH ANNUAL REPORT 2025 715-634-4806 Page 44 of 88 Contents 03 Message from the Health Officer 04 Our Organization 05 Foundational Public Health Services 06 Communicable Disease Control 08 Chronic Disease & Injury Prevention 13 Environmental Public Health 15 Maternal, Child, & Family Health 19 Access to and Linkage with Clinical Care 20 Foundational Capabilities 24 Contact Us Phot os cour t es y of Ha yw ar d Ar ea Chamber of Commer ce Page 45 of 88 It is my pleasure to present to you the 2025 Sawyer County Public Health Annual Report. This report highlights the work of a passionate group of individuals who work for the common goal of preventing disease as well as protecting and promoting health in Sawyer County. Using the Foundational Public Health Services framework as a guide, this document highlights programs, services, and capabilities provided to our community by our team. In the spring of 2025, Tamarack Health and Sawyer County published our 2026- 2028 Community Health Assessment and Community Health Improvement Plan, which can be found at https://sawyercounty.gov/cha-chip. Priority areas identified through this process include substance abuse, mental health, and basic needs, which are focal points for our community health work. I am grateful to all our partners, including schools, businesses, organizations, and individuals, who work to improve the health of all in our community. From identifying needs, reviewing data, promoting prevention, and investing in our public health, our stakeholders make a difference. May we continue to build on our partnerships to advance community health and wellness forward. Best, Julie McCallum, MPH, BSN, RN Health Officer/Public Health Supervisor Sawyer County Message from the Health Officer 3 Page 46 of 88 Our Organization Health and Human Services Board Members Kay Wilson, Chair County Board Supervisor Tweed Shuman, Vice Chair County Board Supervisor Marshal Savitski County Board Supervisor Chuck Van Etten County Board Supervisor Jeff Hoehne County Board Supervisor Bill Trepanier/Lorraine Gouge Lac Courte Oreilles Tribe Representative Dawn Petit Community Representative Carol Pearson Community Representative Sabrina Dunlap, MD Medical Advisor Representative Public Health Staff Julia Lyons HHS Director Julie McCallum Health Officer Jessica Bjork Mary Slisz-Chucka Public Health Nurses Brian Becker Matt McKay John Prohaska Chaz Ann Olson Dustin Brockway Environmental Health Joyce Knowlton Mary Johansen Public Health Specialists Cathy Becker WIC Lisa Nassar Jennifer Sarbeck Birth to 3 Brittany Perzichilli Jacob White Skylar Strenke AmeriCorps Members 4 Page 47 of 88 The Foundational Public Health Services framework was updated in 2022 to illustrate the responsibilities of governmental public health entities through foundational areas and capabilities. Foundational Areas The foundational areas encompass core public health functions, topic-specific programs, and services aimed at improving community health. These five areas represent the minimum level of service that should be available in all communities. In Sawyer County, we address each of these foundational areas through our public health services. Foundational Public Health Services 5 Page 48 of 88 Communicable Disease Control Monitoring Sawyer County Public Health staff monitor and investigate reports through the Wisconsin Electronic Disease Surveillance System (WEDSS) to control and prevent communicable diseases. In 2025, 430 communicable disease investigations were completed, an increase from 383 investigations completed in 2024. The largest number of reports were respiratory illnesses, vector-borne diseases, and sexually transmitted diseases. Measles cases were monitored closely with 36 cases reported statewide in 2025. Local public health staff worked with our health care partners to prepare our local response given the potential of measles. An increase in Powassan cases in Wisconsin opened an opportunity for staff to work with the Wisconsin Department of Health Services to collect ticks for this viral testing. Staff completed tick drags throughout the county to determine the prevalence of the Powassan virus in the local tick population. Inmate Health Services In the fall of 2025, Sawyer County Public Health collaborated with the Sawyer County Jail to provide education and vaccines to incarcerated individuals. Through this partnership, 13 inmates received vaccines, with a total of 18 vaccines administered. Public Health staff also worked with inmates to update their vaccine records, ensuring they have accurate and up-to-date immunization information. This collaboration reflects Sawyer County Public Health’s commitment to improving health access for all community members. 6 Page 49 of 88 Communicable Disease Control School-Based Influenza Vaccination Clinics Sawyer County Public Health partnered with Winter School and Hayward Schools to provide influenza vaccinations for students during parent-teacher conferences as well as during the school day. This collaboration helped make vaccination more convenient for families and increased access for students, while exercising our mass clinic plans for public health emergency preparedness. Members of the Medical Reserve Corps (MRC) assisted during the clinics by providing clerical support and helping administer vaccines. Education about the importance of the vaccine was also shared through flyers, social media, and local radio. Through these efforts, a total of 75 influenza vaccines were administered to students in 2025. Routine Immunization through Community Engagement (RICE) Grant In the fall of 2025, Sawyer County Public Health was awarded the Routine Immunization through Community Engagement (RICE) Grant, expanding efforts to provide childhood vaccines to residents across the county. Through this initiative, Public Health increased education about childhood vaccines through flyers, social media, local radio, and direct conversations with community members. Staff also worked with families to review and update immunization records. Sawyer County Public Health partnered with Winter and Hayward Schools, informing parents about available vaccines and the option to receive them at school to increase access with the Vaccine for Children program. 7 Page 50 of 88 Chronic Disease and Injury Prevention Overdose Awareness and Vaping Education In the spring of 2025, Sawyer County Public Health and Medical Reserve Corps (MRC) partnered with Winter and Hayward Schools and ForeverJoy to provide education on vaping and substance use to middle and high school students. Students participated in a survey assessing their knowledge and perceptions of vaping, THC, and related consequences. Key findings from the survey were shared with the broader community through flyers, social media, and local radio to raise awareness and inform prevention efforts. During the summer, staff and volunteers participated in the Musky Parade with Forever Joy, distributing 600 packets of information about fentanyl, vaping, THC and naloxone information to parade goers. To further engage students in prevention efforts, a poster contest was held for middle and high school students to illustrate the harms of vaping and promote healthy choices. The top-winning posters were displayed on local billboards, extending the reach of the message and reinforcing community-wide efforts to support healthy, substance-free lifestyles among youth. 8 Page 51 of 88 Chronic Disease and Injury Prevention Substance Use Prevention In the fall, during Red Ribbon Week, Sawyer County Public Health also partnered with local schools to provide vaping education coloring books to students. These books were designed to help younger students learn about the risks of vaping while encouraging discussions with teachers at school and trusted adults at home. Through school partnerships, community outreach, and youth engagement activities, Sawyer County Public Health continued to strengthen prevention efforts and promote healthier choices for youth across the community. 9 Page 52 of 88 Chronic Disease and Injury Prevention Child Death and Overdose Prevention Initiatives Public health lead Sawyer County’s Child Death Review Team and Overdose Fatality Review Team, bringing together key community partners from law enforcement, medical and behavioral health, EMS, schools, and the medical examiner’s office. These teams meet monthly to review cases, collect data, and report to state and national systems. The information gathered helps guide prevention efforts and strategies to reduce future deaths in the community. In addition, staff lead the Overdose Data, Trends, and Prevention (ODTAP) Meeting, which includes Public Health, Justice Point, law enforcement, the medical examiner, and medical providers. This group examines overdose data—including fatal and non- fatal cases—substance use, and mental health trends observed across the county. Insights from these discussions inform prevention strategies and support community-wide efforts to address substance use and related health challenges. Naloxone (NARCAN) Access and Training Sawyer County Public Health partnered with local organizations to provide community access to naloxone, a life-saving medication used to reverse opioid overdoses. Naloxone distribution locations include the Winter grocery store, the Sawyer County Sheriff’s Department breezeway, and expanded access to Namekagon Transit buses. In addition, Sawyer County Public Health continued to offer naloxone training for residents, equipping community members with the knowledge and skills to respond effectively in the event of an overdose. These efforts support Sawyer County’s ongoing commitment to reducing overdose deaths and promoting public safety. In 2025, a total of 4,142 naloxone boxes (2 doses per box) were distributed throughout the community. 10 Page 53 of 88 Chronic Disease and Injury Prevention Mental Health and Suicide Prevention Awareness In 2025, Sawyer County Public Health collaborated with local schools, including Lac Courte Oreilles School, Winter School, and Hayward School, to raise awareness about mental health and suicide prevention. Fall events were held in Winter and Hayward, where students created yard signs promoting resilience, hope, and inspiration for the community. Education about mental health resources was shared throughout the county via flyers, social media, and local radio. The walks offered an opportunity for community members to come together, support those affected by mental health challenges, and reinforce the message that no one is alone. Participation in 2025 included 40 participants in Winter and 162 in Hayward, compared with a combined total of 167 participants in 2024. The events also featured T-shirt sales, with all proceeds returned to the schools to fund ongoing mental health activities and programs. 11 Page 54 of 88 Chronic Disease and Injury Prevention Community Health Assessment & Community Health Improvement Plan Sawyer County Public Health and Tamarack Health Hayward Medical Center collaboratively conducted a Community Health Assessment providing the foundation to develop our Community Health Improvement Plan for 2026-2028. Both documents were published in 2025 and are available at https://sawyercounty.gov/cha-chip. Many individuals contributed to this process and gave feedback to direct the work to improve community health outcomes in Sawyer County. 12 Priority Areas The Healthier Together Steering Team identified the priority areas to address in the 2026-2028 Community Health Improvement Plan. The number of needs identified through the assessment process was significant and to give focus to the work priority areas were created. These areas of focus include substance use, mental health, and basic needs. Prioritizing areas and identifying strategies provided an opportunity to align goals within the implementation process. Page 55 of 88 Environmental Public Health Inspections and Licensing Sawyer County serves as an agent of the State through the Department of Agriculture, Trade and Consumer Protection (DATCP). This means that we have local inspectors who are responsible for issuing licenses for retail food establishments, lodging facilities, public pools, campgrounds, and summer camps. Our inspectors play a crucial role in ensuring food safety and public health by responding to complaints, investigating foodborne illness cases, assisting with food recalls, and promoting safe food handling practices. 880 Routine inspections 102 Pre-inspections Water Testing Sawyer County is home to a certified water lab that conducts onsite testing for coliform bacteria. In 2025, our lab tested 760 water samples from private homeowners and an additional 293 water samples from public water systems, partnering with the WI Department of Natural Resources (DNR) through the Safe Drinking Water Act. We collaborate with the Universities of Wisconsin in Oshkosh and Stevens Point to offer expanded testing for contaminants like nitrates, arsenic, and various metals—providing a more comprehensive picture of water quality. In 2025, an additional 328 water samples from Sawyer County were tested for additional contaminants at outside labs. 13 Page 56 of 88 Environmental Public Health CleanSweep In collaboration with UW-extension, WI DNR, Northwest Regional Planning Commission, Environmental Protection Agency, and DATCP, our annual CleanSweep event was held on September 16, 2025. Five public health staff, 1 MRC volunteer, and 1 sheriff deputy served 384 vehicles at the event. 230.6 lbs. of sharps and 96 lbs. of medication (7 lbs. controlled or unlabeled and 89 lbs. of other medication) were taken. Household hazardous waste was collected as in previous years, and electronics were accepted this year for the first time. 14 Page 57 of 88 S e x u a l H e a l t h C l in ic In 2 0 2 5 , p u b lic h e a lt h r e m a in e d c o m m it t e d t o in c r e a s in g a c c e s s t o c o n f id e n t ia l , h ig h - q u a l it y c a r e . L o c a t io n s t h r o u g h o u t t h e c o u n t y w e r e a v a ila b le t o e n s u r e t h o s e w h o r e q u e s t s e r v ic e s r e c e iv e c a r e in a c o n v e n ie n t a n d s u p p o r t iv e e n v ir o n m e n t . O u r n u r s e s p r o v id e d f a m ily p la n n in g s e r v ic e s , in c lu d in g s e x u a lly t r a n s m it t e d in f e c t io n s c r e e n in g a n d t r e a t m e n t , p r e g n a n c y t e s t in g , b ir t h c o n t r o l , a n d e m e r g e n c y c o n t r a c e p t io n . W e p r o m o t e d in t im a t e p a r t n e r s a f e t y t h r o u g h p e r s o n a liz e d c o n v e r s a t io n s a n d p r o v id e d r e f e r r a ls f o r f o llo w - u p a n d /o r s p e c ia liz e d c a r e w h e n n e e d e d . C o m m u n it y o u t r e a c h c o n t in u e d t h r o u g h s e a s o n a l e n g a g e m e n t a t t h e lo c a l f o o d s h e lf, w h e r e s e r v ic e s w e r e p r o m o t e d d u r in g t h e s p r in g a n d f a ll m o n t h s . S e x u a l h e a lt h k it s w e r e d is t r ib u t e d t o e n c o u r a g e e d u c a t io n a n d s u p p o r t in f o r m e d d e c is io n - m a k in g a r o u n d s e x u a l h e a l t h a n d r is k r e d u c t io n . C o lla b o r a t io n w it h t h e lo c a l ja il s t r e n g t h e n e d a c c e s s t o c a r e f o r in c a r c e r a t e d in d iv id u a ls . B y p r o v id in g o n s it e t e s t in g a n d t r e a t m e n t , p u b lic h e a lt h s t a f f s u p p o r t e d lo c a l c lin ic p r o v id e r s a n d e n s u r e d in m a t e s r e c e iv e d t im e ly c a r e , p a r t ic u la r ly w h e n o u t s id e p r o v id e r s w e r e u n a b le t o e n t e r t h e f a c ilit y. A t o t a l o f 7 0 c l ie n t s w e r e s e r v e d in 2 0 2 5 . T h e s t e a d y in c r e a s e in c lie n t s s e r v e d t h r o u g h o u t t h e y e a r r e f le c t s g r o w in g a w a r e n e s s o f a v a ila b le s e r v ic e s a n d c o n t in u e d c o m m u n it y t r u s t in t h e p r o g r a m . Maternal, Child, and Family Health 15 Page 58 of 88 Maternal, Child, and Family Health Prenatal Care Coordination Program In late 2025, Sawyer County Public Health expanded services by relaunching the Prenatal Care Coordination (PNCC) Program to support expecting mothers and families in our community. Prenatal Care Coordination is a Wisconsin Medicaid and BadgerCare Plus benefit that provides additional support during pregnancy and the postpartum period. The program connects pregnant individuals with medical care, community resources, and educational services to help reduce barriers and ensure they receive the care they need. By strengthening connections to healthcare providers, social supports, and essential services, PNCC aims to improve birth outcomes and promote healthy pregnancies. The addition of this program reflects Sawyer County Public Health’s continued commitment to supporting families from pregnancy through early parenthood. 16 Page 59 of 88 Maternal, Child, and Family Health WIC Women, Infants, and Children (WIC) is a nutrition program that helps families get the essential nutrients they need during critical times of growth and development. Participants receive breastfeeding support, food benefits to help purchase healthy food, individualized nutrition education, and referrals to health and community services. Sawyer County is a part of the Wild Rivers WIC program. The Wild Rivers WIC program serves income-eligible participants who are pregnant or have had a baby in the past six months, are breastfeeding a baby under one year of age, or are caring for a baby or child younger than five years old. In 2025, Wild Rivers WIC continued to show strong engagement across its service area. Participation in the program reached just over 1,200 individuals at its highest point, with Sawyer County contributing to that total. Overall appointment attendance also improved, with fewer missed visits compared to 2024. Wild Rivers WIC families redeemed a total of $798,368.70 in food benefits across all four participating counties, with Sawyer County accounting for $246,582.10 of that amount. The program’s breastfeeding incidence reached 84.7%, exceeding the statewide incidence of 75.9%. These outcomes reflect ongoing progress in ensuring that families have access to nutritional support and resources within the region. Birth to 3 Program The Birth to 3 Program is an early intervention special education program. It helps children under the age of three who have delays or disabilities. Services are provided in the home or other natural environments, such as in a daycare. We work to enhance the children's development and support families' knowledge, skills, and abilities as they interact with and raise their children. In 2025, 48 children were referred to the program, and 50 children received services. Of those, 38 had a 25% delay, 6 had a diagnosed condition, and 6 had atypical development. 17 Page 60 of 88 Maternal, Child, and Family Health Lead Public health continues to monitor the impact of lead exposure in the county, with 217 children receiving a blood lead test from a provider in 2025. Public health offers education and home visits for children with elevated lead levels. Education was also provided during public outreach events to promote blood lead testing in children and prevent exposure to common sources of lead in the home. The Wisconsin Lead-in-Water Testing and Remediation Initiative grant enabled water testing of Sawyer County childcare facilities. Public health staff worked closely with childcare facilities to offer this service, with 89% of eligible facilities in Sawyer County participating in the program by the end of 2025. Newborn Resources Sawyer County has resources to help families with parenting, child development, and perinatal mental health. In 2025, 130 resource packets were mailed to parents of newborns and follow-up phone calls provided additional outreach to families. 217 Blood Lead Tests 130 Resource Packets 18 Page 61 of 88 Access to and Linkage with Clinical Care LCO/Sawyer County Sexual Assault Response Team (SART) Public Health staff continued work with the LCO/Sawyer County SART meeting once a month. The team worked to create a brochure to raise awareness about sexual assault in the county of the multidisciplinary team. Training sessions on strangulation and sexual assault nursing were provided to law enforcement, judges, lawyers, EMT staff, advocates, and providers in 2025. Public Health Update Call and Provider Communication Public health holds a virtual meeting twice a month with healthcare stakeholders to facilitate communication among partners and inform them on public health matters. We share public health information on topics such as local communicable disease reports, respiratory data, measles, pertussis, upcoming local and regional events and trainings, health alerts, and awareness days. Healthier Together Resource Directory The Sawyer County Network of Care website serves as a valuable hub for residents seeking local health and wellness information. The Health and Wellness Resource Directory connects users to a broad range of community services and helps individuals navigate supports for varying needs such as behavioral health, family needs, housing, and more. The site also features a regularly updated Calendar of Events that highlights opportunities for education and community engagement through health and wellness-related events. Community members can add and update resources and events directly through the site, making it a dynamic tool for sharing information that benefits the community. In 2025, our Network of Care website averaged 56 page views per day, and 20 local events were added to the calendar. 19 Page 62 of 88 Foundational Capabilities The foundational capabilities are the cross-cutting skills and capacities needed to support basic public health protections and other programs and activities that are key to ensuring the community's health and achieving equitable health outcomes. While each capability is foundational in all our work, local examples from 2025 are highlighted below. Assessment and Surveillance Sawyer County Public Health staff monitor hospital emergency trends through the National Syndromic Surveillance Program ESSENCE. This surveillance provides real-time data on emergency room visits. The data informs staff on emerging illnesses and trends to help guide public health actions for outreach messaging. Staff in public health have completed presentations for the state ESSENCE users group detailing how this information guides public health response. Community Partnership Development Sawyer County Public Health hosted LCO University students pursuing their Associate Degree in Nursing for a clinical rotation. In addition, our agency was honored to host a student pursuing a Master of Science in Nursing degree in partnership with Saint Xavier University. Staff invested in the development of the health care workforce and value partnering with higher education organizations. 20 Page 63 of 88 Equity Sawyer County Public Health partnered with Hayward Community Food Shelf to provide public health resources to those attending the Monday outreach from May through October. The public health staff complete blood pressure checks and provide education regarding health behaviors. The resources Sawyer County provides are displayed during these events. With this partnership, the front desk staff in the Health and Human Services agency provided small boxes of food to clients who are in need. The food box contains additional resources to show where food is distributed in the county. Organizational Competencies Seven Public Health staff and two Medical Reserve Corps volunteers participated in a 2-day Crisis Intervention Partners training on April 1 and 2, 2025. Sessions included a mental illness overview, auditory hallucination simulation, suicide prevention, trauma-informed care, lived experience panel, and verbal de-escalation with active listening skills. The National Alliance on Mental Illness Wisconsin provided this certification course at no charge at the Lac Courte Oreilles Ojibwe University. Foundational Capabilities 21 Page 64 of 88 Foundational Capabilities Policy Development & Support In 2025, our Environmental Health Staff worked to implement the Chapter 14- Tourist Rooming Houses and Short-term Rentals local ordinance (approved October, 2024) with the 2025-2026 licensing year. This included stakeholder education and communication about the new local ordinance, working with Sawyer County Zoning staff to review septic requirements, recording maximum facility occupancy, documentation, and aligning inspection practices to ensure compliance. Accountability & Performance Management Our Chequamegon Environmental Health Consortium, which includes Sawyer and Ashland counties, serves as an Agent of the State through the DATCP to provide licensing for retail and recreational establishments. In 2025, we worked on program improvement through our local work plan. This process included a focused assessment of program management and oversight, evaluating workload, giving intentional focus on inspections of all facilities, reviewing documentation, increasing efficiency, and staffing plans. DATCP provided feedback thoughout the process. 22 Page 65 of 88 Emergency Preparedness & Response In our community health assessment, personal emergency preparedness was noted as an identified need in Sawyer County. Using these data to drive our outreach work, our Sawyer County Medical Reserve Corps gave personal preparedness information to 2,728 individuals at the Hayward Musky Fest on June 20-21. Added to the 378 individuals served at Winter Spring Fling, a total of 3,106 people were served. Sawyer County Public Health staff with Sawyer County Emergency Management facilitated a tabletop exercise which focused on widespread flooding as well as a broken water main with contamination impacting the community. The exercise included 41 participants from 14 agencies. The Sawyer County Medical Reserve Corps continues to meet regularly and participate in activities, ensuring we remain ready to respond effectively to future emergencies. Sawyer County MRC membership includes over 90 volunteers. Communications Sawyer County Public Health promoted key public health topics to the community using social media, flyers, radio, and quarterly billboards. Education focused on: Mental Health and Suicide Prevention Vaping Sober Living Fentanyl Awareness These efforts helped raise awareness, provide resources, and encourage healthy choices across the county, reinforcing the importance of prevention and community support. Foundational Capabilities 3,106 Individuals served 41 Participants 14 Agencies 90+ Volunteers 23 Page 66 of 88 Stay in Touch! 715-634-4806 715-634-5019 http://www.sawyercountygov.org/600/Public-Health 10610 Main Street, Suite 224 Hayward, WI 54843 Mission: Respond to the health and safety of Sawyer County residents and promote the self-sufficiency and general welfare of the individual and community. Purpose: It is our responsibility to protect the health of our residents through a wide variety of programs and services. From Community Health to Environmental Health and Public Health Emergency Preparedness, we provide prevention, inspection, licensure, health, safety, and wellness promotion services. 24 T h a n k Y o u ! Sawyer County Public Health PublicHealth@sawyercounty.gov Page 67 of 88 Adopted Budget Amended Current Month YTD YTD Budget - YTD % Used/ Account Account Description Budget Amendments Budget Transactions Encumbrances Transactions Transactions Rec'd Prior Year Total Fund 225 - Human Services REVENUE 41110 General Property Taxes 2,550,000.00 .00 2,550,000.00 212,500.00 .00 637,500.00 1,912,500.00 25 2,525,000.00 43650 St. Aid 3,860,375.00 .00 3,860,375.00 261,700.16 .00 311,685.16 3,548,689.84 8 3,880,115.12 46600 Client Collections-Medicaid 1,621,260.00 .00 1,621,260.00 67,339.75 .00 121,439.37 1,499,820.63 7 1,808,577.60 48500 Donations from Org./HHS 950,000.00 .00 950,000.00 91,551.68 .00 274,655.04 675,344.96 29 950,467.44 48600 Misc. General Revenue .00 .00 .00 1,000.00 .00 1,000.00 (1,000.00) +++ 4,077.50 49210 Transfer From General Fund 647,985.00 .00 647,985.00 53,998.75 .00 161,996.25 485,988.75 25 790,000.00 49300 Use of Fund Balance 300,000.00 .00 300,000.00 .00 .00 .00 300,000.00 0 1,812,663.00 REVENUE TOTALS $9,929,620.00 $0.00 $9,929,620.00 $688,090.34 $0.00 $1,508,275.82 $8,421,344.18 15% $11,770,900.66 EXPENSE 50111 Regular Salaries 2,249,806.00 .00 2,249,806.00 191,892.01 .00 536,015.50 1,713,790.50 24 2,272,930.15 50112 Salaries Overtime .00 .00 .00 1,784.11 .00 4,444.27 (4,444.27) +++ 7,186.75 50141 Committee Per Diems 1,200.00 .00 1,200.00 .00 .00 63.92 1,136.08 5 1,050.00 50144 Term Life Ins./Employer's Share 776.00 .00 776.00 66.84 .00 213.23 562.77 27 938.32 50147 Workers Comp 47,732.00 .00 47,732.00 2,679.91 .00 7,939.03 39,792.97 17 35,220.16 50151 FICA-Employer's Share 172,113.00 .00 172,113.00 14,040.39 .00 39,465.12 132,647.88 23 165,852.21 50152 Retirement-Employer's Share 157,100.00 .00 157,100.00 13,618.75 .00 38,234.22 118,865.78 24 153,654.05 50154 Hospital and Health Insurance 568,716.00 .00 568,716.00 41,323.72 .00 136,128.71 432,587.29 24 525,804.00 50155 Flex Administration Fees 2,041.00 .00 2,041.00 136.33 .00 490.48 1,550.52 24 2,157.89 50156 Health Reimb. Acct. 55,284.00 .00 55,284.00 .00 .00 53,201.82 2,082.18 96 54,870.79 50158 Unemployment Compensation .00 .00 .00 .00 .00 .00 .00 +++ 294.90 50218 Garbage 2,182.00 .00 2,182.00 33.40 .00 105.33 2,076.67 5 195.19 50220 Contracted Expenses 1,561,340.00 .00 1,561,340.00 18,823.55 .00 81,787.31 1,479,552.69 5 4,595,401.23 50221 Water and Sewer 2,160.00 .00 2,160.00 102.72 .00 334.35 1,825.65 15 140.13 50222 Electric 5,075.00 .00 5,075.00 483.02 .00 1,227.76 3,847.24 24 441.36 50224 Heating Fuels 1,425.00 .00 1,425.00 214.84 .00 526.37 898.63 37 220.26 50225 Telephone 28,588.00 .00 28,588.00 1,595.67 .00 6,670.35 21,917.65 23 26,802.33 50242 Repair & Maint. 275.00 .00 275.00 .00 .00 .00 275.00 0 253.00 50275 OBLIGATION TO STATE 138,680.00 .00 138,680.00 .00 .00 87,960.70 50,719.30 63 .00 50311 Postage 5,275.00 .00 5,275.00 313.17 .00 1,527.69 3,747.31 29 4,168.44 50312 Office Supplies 7,610.00 .00 7,610.00 506.13 .00 870.54 6,739.46 11 8,004.52 50313 Printing 17,311.00 .00 17,311.00 497.63 .00 1,422.86 15,888.14 8 9,807.86 50314 Small Items of Equipment 12,050.00 .00 12,050.00 735.95 .00 1,895.06 10,154.94 16 31,321.53 50321 Publications/Legal Notices 2,400.00 .00 2,400.00 .00 .00 .00 2,400.00 0 3,962.42 50324 Membership Dues 1,390.00 .00 1,390.00 .00 .00 1,137.00 253.00 82 5,735.00 50325 Registration Fees/Training 18,364.00 .00 18,364.00 5,485.17 .00 13,950.74 4,413.26 76 12,499.07 50329 Subscriptions 4,017.00 .00 4,017.00 143.35 .00 290.38 3,726.62 7 26,141.15 50331 Software, Licensing, Maint. Fees 48,623.00 .00 48,623.00 1,914.00 .00 7,012.29 41,610.71 14 34,902.36 50335 Meal Expenses 950.00 .00 950.00 11.00 .00 67.35 882.65 7 805.32 50339 Travel 19,230.00 .00 19,230.00 2,675.91 .00 5,069.82 14,160.18 26 24,230.92 Run by Tanya Armsbury on 05/01/2026 09:14:51 AM Page 1 of 3 Budget Performance Report Fiscal Year to Date 03/31/26 Only Show Rollup Account and Rollup to Account Page 68 of 88 Adopted Budget Amended Current Month YTD YTD Budget - YTD % Used/ Account Account Description Budget Amendments Budget Transactions Encumbrances Transactions Transactions Rec'd Prior Year Total Fund 225 - Human Services EXPENSE 50340 Operating Supplies 8,000.00 .00 8,000.00 1,823.22 .00 2,391.00 5,609.00 30 14,137.41 50344 Supplies .00 .00 .00 .00 .00 .00 .00 +++ 1,197.00 50373 Advertising/Marketing 2,850.00 .00 2,850.00 1,750.00 .00 1,750.00 1,100.00 61 12,553.04 50393 Client Expenses 3,988,678.00 .00 3,988,678.00 543,855.93 .00 1,048,624.81 2,940,053.19 26 2,330,292.46 50513 Public Liability Insurance 61,850.00 .00 61,850.00 .00 .00 .00 61,850.00 0 58,900.75 50945 Expenditure Transfer - Administration (84,630.00) .00 (84,630.00) (3,395.29) .00 (10,638.79) (73,991.21) 13 (68,862.38) 50946 Expenditure Transfer - Indirect Cost 821,159.00 .00 821,159.00 83,090.16 .00 251,819.74 569,339.26 31 845,347.11 59501 Refund Prior Year Revenue .00 .00 .00 .00 .00 .00 .00 +++ 2,304.69 EXPENSE TOTALS $9,929,620.00 $0.00 $9,929,620.00 $926,201.59 $0.00 $2,321,998.96 $7,607,621.04 23% $11,200,861.39 Fund 225 - Human Services Totals REVENUE TOTALS 9,929,620.00 .00 9,929,620.00 688,090.34 .00 1,508,275.82 8,421,344.18 15% 11,770,900.66 EXPENSE TOTALS 9,929,620.00 .00 9,929,620.00 926,201.59 .00 2,321,998.96 7,607,621.04 23% 11,200,861.39 Fund 225 - Human Services Totals $0.00 $0.00 $0.00 ($238,111.25) $0.00 ($813,723.14) $813,723.14 $570,039.27 Fund 258 - Agent of the State REVENUE 43650 St. Aid 45,000.00 .00 45,000.00 .00 .00 .00 45,000.00 0 35,940.00 46600 Public Charges for Services 543,000.00 .00 543,000.00 19,986.00 .00 39,261.94 503,738.06 7 534,915.06 REVENUE TOTALS $588,000.00 $0.00 $588,000.00 $19,986.00 $0.00 $39,261.94 $548,738.06 7% $570,855.06 EXPENSE 50111 Regular Salaries 220,500.00 .00 220,500.00 15,644.27 .00 41,034.44 179,465.56 19 212,055.24 50112 Salaries Overtime .00 .00 .00 .00 .00 .00 .00 +++ 72.39 50144 Term Life Ins./Employer's Share 74.00 .00 74.00 7.34 .00 19.93 54.07 27 94.85 50147 Workers Comp 6,222.00 .00 6,222.00 297.01 .00 885.68 5,336.32 14 4,134.74 50151 FICA-Employer's Share 16,779.00 .00 16,779.00 1,149.19 .00 3,027.22 13,751.78 18 15,602.33 50152 Retirement-Employer's Share 15,708.00 .00 15,708.00 1,126.38 .00 2,947.52 12,760.48 19 14,012.95 50154 Hospital and Health Insurance 49,303.00 .00 49,303.00 3,153.85 .00 9,953.35 39,349.65 20 45,444.62 50155 Flex Administration Fees 269.00 .00 269.00 11.72 .00 38.05 230.95 14 214.29 50156 Health Reimb. Acct. 4,829.00 .00 4,829.00 .00 .00 3,410.38 1,418.62 71 3,330.96 50220 Contracted Expenses 28,715.00 .00 28,715.00 .00 .00 .00 28,715.00 0 32,424.66 50225 Telephone 2,200.00 .00 2,200.00 132.84 .00 236.05 1,963.95 11 1,887.49 50275 OBLIGATION TO STATE 35,000.00 .00 35,000.00 .00 .00 .00 35,000.00 0 27,642.50 50311 Postage 3,200.00 .00 3,200.00 42.89 .00 240.37 2,959.63 8 4,253.09 50312 Office Supplies 400.00 .00 400.00 19.65 .00 24.64 375.36 6 187.07 50313 Printing 400.00 .00 400.00 .00 .00 .00 400.00 0 1,001.00 50314 Small Items of Equipment 4,200.00 .00 4,200.00 .00 .00 2,740.99 1,459.01 65 1,231.27 50324 Membership Dues 160.00 .00 160.00 .00 .00 90.00 70.00 56 .00 50325 Registration Fees/Training 2,600.00 .00 2,600.00 248.82 .00 248.82 2,351.18 10 1,224.74 50329 Subscriptions .00 .00 .00 .00 .00 .00 .00 +++ 120.00 Run by Tanya Armsbury on 05/01/2026 09:14:51 AM Page 2 of 3 Budget Performance Report Fiscal Year to Date 03/31/26 Only Show Rollup Account and Rollup to Account Page 69 of 88 Adopted Budget Amended Current Month YTD YTD Budget - YTD % Used/ Account Account Description Budget Amendments Budget Transactions Encumbrances Transactions Transactions Rec'd Prior Year Total Fund 258 - Agent of the State EXPENSE 50331 Software, Licensing, Maint. Fees 1,150.00 .00 1,150.00 289.77 .00 676.13 473.87 59 924.48 50335 Meal Expenses 350.00 .00 350.00 22.00 .00 22.00 328.00 6 74.20 50339 Travel 13,500.00 .00 13,500.00 597.98 .00 1,930.82 11,569.18 14 12,724.56 50340 Operating Supplies 5,100.00 .00 5,100.00 .00 .00 .00 5,100.00 0 7,916.81 50373 Advertising/Marketing .00 .00 .00 .00 .00 .00 .00 +++ 118.00 50945 Expenditure Transfer - Administration 64,301.00 .00 64,301.00 3,395.29 .00 10,638.79 53,662.21 17 68,862.38 50946 Expenditure Transfer - Indirect Cost 113,361.00 .00 113,361.00 8,461.52 .00 22,835.30 90,525.70 20 105,120.33 EXPENSE TOTALS $588,321.00 $0.00 $588,321.00 $34,600.52 $0.00 $101,000.48 $487,320.52 17% $560,674.95 Fund 258 - Agent of the State Totals REVENUE TOTALS 588,000.00 .00 588,000.00 19,986.00 .00 39,261.94 548,738.06 7% 570,855.06 EXPENSE TOTALS 588,321.00 .00 588,321.00 34,600.52 .00 101,000.48 487,320.52 17% 560,674.95 Fund 258 - Agent of the State Totals ($321.00) $0.00 ($321.00) ($14,614.52) $0.00 ($61,738.54) $61,417.54 $10,180.11 Grand Totals REVENUE TOTALS 10,517,620.00 .00 10,517,620.00 708,076.34 .00 1,547,537.76 8,970,082.24 15% 12,341,755.72 EXPENSE TOTALS 10,517,941.00 .00 10,517,941.00 960,802.11 .00 2,422,999.44 8,094,941.56 23% 11,761,536.34 Grand Totals ($321.00) $0.00 ($321.00) ($252,725.77) $0.00 ($875,461.68) $875,140.68 $580,219.38 Run by Tanya Armsbury on 05/01/2026 09:14:51 AM Page 3 of 3 Budget Performance Report Fiscal Year to Date 03/31/26 Only Show Rollup Account and Rollup to Account Page 70 of 88 Adopted Budget Amended Current Month YTD YTD Budget - YTD % Used/ Account Account Description Budget Amendments Budget Transactions Encumbrances Transactions Transactions Rec'd Prior Year Total Fund 225 - Human Services REVENUE 43650 St. Aid 550,499.00 .00 550,499.00 14,811.50 .00 14,811.50 535,687.50 3 554,081.00 46600 Client Collections 27,500.00 .00 27,500.00 2,183.50 .00 5,963.50 21,536.50 22 41,814.58 REVENUE TOTALS $577,999.00 $0.00 $577,999.00 $16,995.00 $0.00 $20,775.00 $557,224.00 4% $595,895.58 EXPENSE 50111 Regular Salaries 377,787.00 .00 377,787.00 29,506.73 .00 82,196.04 295,590.96 22 367,048.31 50144 Term Life Ins./Employer's Share 239.00 .00 239.00 16.82 .00 64.82 174.18 27 285.70 50147 Workers Comp 11,413.00 .00 11,413.00 543.91 .00 1,576.38 9,836.62 14 8,349.86 50151 FICA-Employer's Share 28,899.00 .00 28,899.00 2,111.69 .00 5,924.06 22,974.94 20 26,481.68 50152 Retirement-Employer's Share 26,520.00 .00 26,520.00 2,124.50 .00 5,919.99 20,600.01 22 25,521.88 50154 Hospital and Health Insurance 82,684.00 .00 82,684.00 6,532.65 .00 19,397.85 63,286.15 23 71,901.12 50155 Flex Administration Fees 373.00 .00 373.00 40.27 .00 120.74 252.26 32 406.49 50156 Health Reimb. Acct. 7,700.00 .00 7,700.00 .00 .00 7,787.43 (87.43) 101 7,683.76 50218 Garbage 382.00 .00 382.00 18.06 .00 89.99 292.01 24 195.19 50220 Contracted Expenses 141,800.00 .00 141,800.00 1,323.62 .00 10,625.74 131,174.26 7 117,476.34 50221 Water and Sewer 560.00 .00 560.00 34.00 .00 106.13 453.87 19 140.13 50222 Electric 1,475.00 .00 1,475.00 141.16 .00 534.37 940.63 36 441.36 50224 Heating Fuels 775.00 .00 775.00 104.34 .00 231.02 543.98 30 220.26 50225 Telephone 5,030.00 .00 5,030.00 412.33 .00 974.66 4,055.34 19 4,731.49 50275 OBLIGATION TO STATE 87,960.00 .00 87,960.00 .00 .00 87,960.70 (.70) 100 .00 50311 Postage 100.00 .00 100.00 .00 .00 .00 100.00 0 .00 50312 Office Supplies 1,350.00 .00 1,350.00 45.38 .00 106.13 1,243.87 8 3,863.26 50313 Printing 550.00 .00 550.00 217.56 .00 217.56 332.44 40 239.30 50314 Small Items of Equipment 2,150.00 .00 2,150.00 .00 .00 .00 2,150.00 0 4,741.54 50321 Publications/Legal Notices 1,100.00 .00 1,100.00 .00 .00 .00 1,100.00 0 500.00 50324 Membership Dues 140.00 .00 140.00 .00 .00 .00 140.00 0 .00 50325 Registration Fees/Training 1,750.00 .00 1,750.00 210.45 .00 281.66 1,468.34 16 498.32 50329 Subscriptions 1,025.00 .00 1,025.00 .00 .00 147.03 877.97 14 1,323.49 50331 Software, Licensing, Maint. Fees .00 .00 .00 265.40 .00 930.79 (930.79) +++ 1,823.34 50335 Meal Expenses 200.00 .00 200.00 .00 .00 .00 200.00 0 55.74 50339 Travel 3,750.00 .00 3,750.00 381.24 .00 590.39 3,159.61 16 2,645.95 50340 Operating Supplies 700.00 .00 700.00 .00 .00 .00 700.00 0 289.32 50373 Advertising/Marketing 1,350.00 .00 1,350.00 .00 .00 .00 1,350.00 0 276.54 50393 Client Expenses 300.00 .00 300.00 23,960.00 .00 55,537.75 (55,237.75) 18513 174,544.17 50945 Expenditure Transfer - Administration 100,110.00 .00 100,110.00 5,657.25 .00 20,105.83 80,004.17 20 106,393.33 50946 Expenditure Transfer - Indirect Cost 152,420.00 .00 152,420.00 14,098.63 .00 42,855.54 109,564.46 28 163,764.47 EXPENSE TOTALS $1,040,592.00 $0.00 $1,040,592.00 $87,745.99 $0.00 $344,282.60 $696,309.40 33% $1,091,842.34 Fund 225 - Human Services Totals REVENUE TOTALS 577,999.00 .00 577,999.00 16,995.00 .00 20,775.00 557,224.00 4% 595,895.58 Run by Tanya Armsbury on 05/01/2026 09:20:40 AM Page 1 of 2 ADRC/LTC Fiscal Year to Date 03/31/26 Only Show Rollup Account and Rollup to Account Page 71 of 88 Adopted Budget Amended Current Month YTD YTD Budget - YTD % Used/ Account Account Description Budget Amendments Budget Transactions Encumbrances Transactions Transactions Rec'd Prior Year Total EXPENSE TOTALS 1,040,592.00 .00 1,040,592.00 87,745.99 .00 344,282.60 696,309.40 33% 1,091,842.34 Fund 225 - Human Services Totals ($462,593.00) $0.00 ($462,593.00) ($70,750.99) $0.00 ($323,507.60) ($139,085.40) ($495,946.76) Grand Totals REVENUE TOTALS 577,999.00 .00 577,999.00 16,995.00 .00 20,775.00 557,224.00 4% 595,895.58 EXPENSE TOTALS 1,040,592.00 .00 1,040,592.00 87,745.99 .00 344,282.60 696,309.40 33% 1,091,842.34 Grand Totals ($462,593.00) $0.00 ($462,593.00) ($70,750.99) $0.00 ($323,507.60) ($139,085.40) ($495,946.76) Run by Tanya Armsbury on 05/01/2026 09:20:40 AM Page 2 of 2 ADRC/LTC Fiscal Year to Date 03/31/26 Only Show Rollup Account and Rollup to Account Page 72 of 88 Adopted Budget Amended Current Month YTD YTD Budget - YTD % Used/ Account Account Description Budget Amendments Budget Transactions Encumbrances Transactions Transactions Rec'd Prior Year Total Fund 225 - Human Services REVENUE 43650 St. Aid 223,218.00 .00 223,218.00 5,856.00 .00 5,856.00 217,362.00 3 232,315.00 46600 Client Collections-Medicaid 842,000.00 .00 842,000.00 22,750.57 .00 49,361.03 792,638.97 6 498,791.56 REVENUE TOTALS $1,065,218.00 $0.00 $1,065,218.00 $28,606.57 $0.00 $55,217.03 $1,010,000.97 5% $731,106.56 EXPENSE 50111 Regular Salaries 398,595.00 .00 398,595.00 24,987.21 .00 70,746.25 327,848.75 18 357,006.86 50112 Salaries Overtime .00 .00 .00 .00 .00 .00 .00 +++ 1,469.99 50144 Term Life Ins./Employer's Share 185.00 .00 185.00 11.79 .00 35.37 149.63 19 189.23 50147 Workers Comp 10,995.00 .00 10,995.00 423.99 .00 1,354.77 9,640.23 12 8,464.61 50151 FICA-Employer's Share 30,493.00 .00 30,493.00 1,834.28 .00 5,218.62 25,274.38 17 26,265.67 50152 Retirement-Employer's Share 27,702.00 .00 27,702.00 1,771.74 .00 5,067.16 22,634.84 18 22,906.93 50154 Hospital and Health Insurance 109,438.00 .00 109,438.00 4,763.97 .00 14,453.72 94,984.28 13 77,370.23 50155 Flex Administration Fees 364.00 .00 364.00 5.41 .00 51.73 312.27 14 341.07 50156 Health Reimb. Acct. 10,260.00 .00 10,260.00 .00 .00 5,169.44 5,090.56 50 7,812.27 50220 Contracted Expenses 612,516.00 .00 612,516.00 4,215.00 .00 14,868.00 597,648.00 2 1,952,443.69 50225 Telephone 5,186.00 .00 5,186.00 261.60 .00 523.20 4,662.80 10 3,617.36 50275 OBLIGATION TO STATE 35,720.00 .00 35,720.00 .00 .00 .00 35,720.00 0 .00 50312 Office Supplies 1,240.00 .00 1,240.00 184.14 .00 277.53 962.47 22 2,092.68 50313 Printing 1,900.00 .00 1,900.00 .00 .00 .00 1,900.00 0 206.00 50314 Small Items of Equipment 2,000.00 .00 2,000.00 .00 .00 .00 2,000.00 0 2,136.94 50321 Publications/Legal Notices .00 .00 .00 .00 .00 .00 .00 +++ 188.00 50324 Membership Dues .00 .00 .00 .00 .00 459.00 (459.00) +++ .00 50325 Registration Fees/Training 3,700.00 .00 3,700.00 .00 .00 .00 3,700.00 0 260.66 50329 Subscriptions 500.00 .00 500.00 .00 .00 .00 500.00 0 17,849.16 50331 Software, Licensing, Maint. Fees 1,100.00 .00 1,100.00 617.69 .00 1,776.65 (676.65) 162 2,770.03 50339 Travel 1,180.00 .00 1,180.00 124.82 .00 436.80 743.20 37 1,209.45 50393 Client Expenses 2,235,123.00 .00 2,235,123.00 301,495.69 .00 497,646.30 1,737,476.70 22 1,162,620.17 50513 Public Liability Insurance 2,500.00 .00 2,500.00 .00 .00 .00 2,500.00 0 2,369.00 50945 Expenditure Transfer - Administration 104,960.00 .00 104,960.00 9,706.38 .00 32,320.73 72,639.27 31 91,227.31 50946 Expenditure Transfer - Indirect Cost 159,802.00 .00 159,802.00 24,189.59 .00 69,239.74 90,562.26 43 139,334.34 59501 Refund Prior Year Revenue .00 .00 .00 .00 .00 .00 .00 +++ 2,304.69 EXPENSE TOTALS $3,755,459.00 $0.00 $3,755,459.00 $374,593.30 $0.00 $719,645.01 $3,035,813.99 19% $3,882,456.34 Fund 225 - Human Services Totals REVENUE TOTALS 1,065,218.00 .00 1,065,218.00 28,606.57 .00 55,217.03 1,010,000.97 5% 731,106.56 EXPENSE TOTALS 3,755,459.00 .00 3,755,459.00 374,593.30 .00 719,645.01 3,035,813.99 19% 3,882,456.34 Fund 225 - Human Services Totals ($2,690,241.00) $0.00 ($2,690,241.00) ($345,986.73) $0.00 ($664,427.98) ($2,025,813.02) ($3,151,349.78) Grand Totals REVENUE TOTALS 1,065,218.00 .00 1,065,218.00 28,606.57 .00 55,217.03 1,010,000.97 5% 731,106.56 Run by Tanya Armsbury on 05/01/2026 09:24:19 AM Page 1 of 2 AODA/MH Fiscal Year to Date 03/31/26 Only Show Rollup Account and Rollup to Account Page 73 of 88 EXPENSE TOTALS 3,755,459.00 .00 3,755,459.00 374,593.30 .00 719,645.01 3,035,813.99 19% 3,882,456.34 Grand Totals ($2,690,241.00) $0.00 ($2,690,241.00) ($345,986.73) $0.00 ($664,427.98) ($2,025,813.02) ($3,151,349.78) Run by Tanya Armsbury on 05/01/2026 09:24:19 AM Page 2 of 2 AODA/MH Fiscal Year to Date 03/31/26 Only Show Rollup Account and Rollup to Account Page 74 of 88 Adopted Budget Amended Current Month YTD YTD Budget - YTD % Used/ Account Account Description Budget Amendments Budget Transactions Encumbrances Transactions Transactions Rec'd Prior Year Total Fund 225 - Human Services REVENUE 43650 St. Aid 823,536.00 .00 823,536.00 49,988.18 .00 49,988.18 773,547.82 6 904,087.92 46600 Client Collections-Medicaid 41,400.00 .00 41,400.00 3,415.95 .00 3,653.29 37,746.71 9 35,357.54 REVENUE TOTALS $864,936.00 $0.00 $864,936.00 $53,404.13 $0.00 $53,641.47 $811,294.53 6% $939,445.46 EXPENSE 50111 Regular Salaries 185,860.00 .00 185,860.00 18,815.62 .00 52,517.92 133,342.08 28 297,063.99 50112 Salaries Overtime .00 .00 .00 .00 .00 .00 .00 +++ 3,703.27 50144 Term Life Ins./Employer's Share 18.00 .00 18.00 3.65 .00 10.28 7.72 57 68.92 50147 Workers Comp 5,810.00 .00 5,810.00 398.83 .00 1,183.09 4,626.91 20 7,358.88 50151 FICA-Employer's Share 14,218.00 .00 14,218.00 1,364.21 .00 3,844.05 10,373.95 27 22,127.71 50152 Retirement-Employer's Share 12,981.00 .00 12,981.00 1,354.73 .00 3,781.98 9,199.02 29 19,656.81 50154 Hospital and Health Insurance 42,308.00 .00 42,308.00 4,855.63 .00 15,047.10 27,260.90 36 57,291.48 50155 Flex Administration Fees 114.00 .00 114.00 13.25 .00 39.98 74.02 35 162.46 50156 Health Reimb. Acct. 4,324.00 .00 4,324.00 .00 .00 6,670.43 (2,346.43) 154 8,202.64 50220 Contracted Expenses 28,150.00 .00 28,150.00 4,015.00 .00 31,892.00 (3,742.00) 113 959,184.49 50225 Telephone 2,640.00 .00 2,640.00 218.68 .00 407.73 2,232.27 15 3,176.24 50311 Postage 150.00 .00 150.00 .00 .00 .00 150.00 0 50.02 50312 Office Supplies 100.00 .00 100.00 .00 .00 .00 100.00 0 116.71 50313 Printing 200.00 .00 200.00 .00 .00 313.00 (113.00) 156 5.00 50314 Small Items of Equipment 500.00 .00 500.00 19.69 .00 19.69 480.31 4 199.20 50321 Publications/Legal Notices 300.00 .00 300.00 .00 .00 .00 300.00 0 133.62 50325 Registration Fees/Training 2,500.00 .00 2,500.00 973.23 .00 1,277.27 1,222.73 51 3,333.99 50329 Subscriptions .00 .00 .00 .00 .00 .00 .00 +++ 50.00 50331 Software, Licensing, Maint. Fees 2,023.00 .00 2,023.00 48.62 .00 122.56 1,900.44 6 3,349.18 50335 Meal Expenses 100.00 .00 100.00 .00 .00 24.93 75.07 25 68.50 50339 Travel 5,000.00 .00 5,000.00 964.22 .00 2,044.24 2,955.76 41 9,668.70 50340 Operating Supplies 1,300.00 .00 1,300.00 243.03 .00 243.03 1,056.97 19 1,528.03 50373 Advertising/Marketing .00 .00 .00 .00 .00 .00 .00 +++ 221.58 50393 Client Expenses 714,500.00 .00 714,500.00 59,587.66 .00 123,062.30 591,437.70 17 327,499.48 50513 Public Liability Insurance .00 .00 .00 .00 .00 .00 .00 +++ 30.00 50945 Expenditure Transfer - Administration 83,531.00 .00 83,531.00 3,879.38 .00 13,209.79 70,321.21 16 85,407.18 50946 Expenditure Transfer - Indirect Cost 127,175.00 .00 127,175.00 9,667.92 .00 28,223.35 98,951.65 22 132,523.56 EXPENSE TOTALS $1,233,802.00 $0.00 $1,233,802.00 $106,423.35 $0.00 $283,934.72 $949,867.28 23% $1,942,181.64 Fund 225 - Human Services Totals REVENUE TOTALS 864,936.00 .00 864,936.00 53,404.13 .00 53,641.47 811,294.53 6% 939,445.46 EXPENSE TOTALS 1,233,802.00 .00 1,233,802.00 106,423.35 .00 283,934.72 949,867.28 23% 1,942,181.64 Fund 225 - Human Services Totals ($368,866.00) $0.00 ($368,866.00) ($53,019.22) $0.00 ($230,293.25) ($138,572.75) ($1,002,736.18) Grand Totals Run by Tanya Armsbury on 05/01/2026 09:25:50 AM Page 1 of 2 Child Welfare Fiscal Year to Date 03/31/26 Only Show Rollup Account and Rollup to Account Page 75 of 88 REVENUE TOTALS 864,936.00 .00 864,936.00 53,404.13 .00 53,641.47 811,294.53 6% 939,445.46 EXPENSE TOTALS 1,233,802.00 .00 1,233,802.00 106,423.35 .00 283,934.72 949,867.28 23% 1,942,181.64 Grand Totals ($368,866.00) $0.00 ($368,866.00) ($53,019.22) $0.00 ($230,293.25) ($138,572.75) ($1,002,736.18) Run by Tanya Armsbury on 05/01/2026 09:25:50 AM Page 2 of 2 Child Welfare Fiscal Year to Date 03/31/26 Only Show Rollup Account and Rollup to Account Page 76 of 88 Adopted Budget Amended Current Month YTD YTD Budget - YTD % Used/ Account Account Description Budget Amendments Budget Transactions Encumbrances Transactions Transactions Rec'd Prior Year Total Fund 225 - Human Services REVENUE 43650 St. Aid 481,783.00 .00 481,783.00 12,632.17 .00 12,632.17 469,150.83 3 540,641.09 REVENUE TOTALS $481,783.00 $0.00 $481,783.00 $12,632.17 $0.00 $12,632.17 $469,150.83 3% $540,641.09 EXPENSE 50111 Regular Salaries 327,525.00 .00 327,525.00 24,590.67 .00 69,550.62 257,974.38 21 310,091.61 50112 Salaries Overtime .00 .00 .00 .00 .00 212.40 (212.40) +++ 927.44 50144 Term Life Ins./Employer's Share 109.00 .00 109.00 11.23 .00 33.69 75.31 31 126.03 50147 Workers Comp 665.00 .00 665.00 39.50 .00 118.25 546.75 18 509.47 50151 FICA-Employer's Share 25,055.00 .00 25,055.00 1,796.59 .00 5,128.19 19,926.81 20 22,591.00 50152 Retirement-Employer's Share 22,896.00 .00 22,896.00 1,770.56 .00 5,022.32 17,873.68 22 21,445.04 50154 Hospital and Health Insurance 69,472.00 .00 69,472.00 4,653.06 .00 14,519.83 54,952.17 21 59,860.00 50155 Flex Administration Fees 317.00 .00 317.00 8.59 .00 46.64 270.36 15 227.41 50156 Health Reimb. Acct. 7,104.00 .00 7,104.00 .00 .00 5,237.25 1,866.75 74 5,553.51 50220 Contracted Expenses 71,204.00 .00 71,204.00 5,145.48 .00 7,204.12 63,999.88 10 61,641.05 50225 Telephone 530.00 .00 530.00 43.60 .00 87.20 442.80 16 519.51 50312 Office Supplies 250.00 .00 250.00 .00 .00 .00 250.00 0 80.18 50313 Printing .00 .00 .00 .21 .00 .21 (.21) +++ .00 50314 Small Items of Equipment 1,200.00 .00 1,200.00 47.27 .00 47.27 1,152.73 4 .00 50325 Registration Fees/Training 500.00 .00 500.00 166.00 .00 770.63 (270.63) 154 1,545.23 50331 Software, Licensing, Maint. Fees .00 .00 .00 .00 .00 .00 .00 +++ 1,166.50 50335 Meal Expenses 50.00 .00 50.00 .00 .00 .00 50.00 0 69.97 50339 Travel 100.00 .00 100.00 .00 .00 .00 100.00 0 19.01 50340 Operating Supplies 100.00 .00 100.00 .00 .00 .00 100.00 0 137.62 50945 Expenditure Transfer - Administration 95,575.00 .00 95,575.00 5,262.87 .00 18,492.98 77,082.02 19 97,998.94 50946 Expenditure Transfer - Indirect Cost 145,513.00 .00 145,513.00 13,115.77 .00 39,440.59 106,072.41 27 150,546.18 EXPENSE TOTALS $768,165.00 $0.00 $768,165.00 $56,651.40 $0.00 $165,912.19 $602,252.81 22% $735,055.70 Fund 225 - Human Services Totals REVENUE TOTALS 481,783.00 .00 481,783.00 12,632.17 .00 12,632.17 469,150.83 3% 540,641.09 EXPENSE TOTALS 768,165.00 .00 768,165.00 56,651.40 .00 165,912.19 602,252.81 22% 735,055.70 Fund 225 - Human Services Totals ($286,382.00) $0.00 ($286,382.00) ($44,019.23) $0.00 ($153,280.02) ($133,101.98) ($194,414.61) Grand Totals REVENUE TOTALS 481,783.00 .00 481,783.00 12,632.17 .00 12,632.17 469,150.83 3% 540,641.09 EXPENSE TOTALS 768,165.00 .00 768,165.00 56,651.40 .00 165,912.19 602,252.81 22% 735,055.70 Grand Totals ($286,382.00) $0.00 ($286,382.00) ($44,019.23) $0.00 ($153,280.02) ($133,101.98) ($194,414.61) Run by Tanya Armsbury on 05/01/2026 09:26:18 AM Page 1 of 1 Economic Support Fiscal Year to Date 03/31/26 Only Show Rollup Account and Rollup to Account Page 77 of 88 Adopted Budget Amended Current Month YTD YTD Budget - YTD % Used/ Account Account Description Budget Amendments Budget Transactions Encumbrances Transactions Transactions Rec'd Prior Year Total Fund 225 - Human Services REVENUE 43650 St. Aid 554,589.00 .00 554,589.00 64,129.64 .00 64,129.64 490,459.36 12 502,049.98 46600 Client Collections-Medicaid 18,500.00 .00 18,500.00 5,019.09 .00 15,707.09 2,792.91 85 19,224.17 REVENUE TOTALS $573,089.00 $0.00 $573,089.00 $69,148.73 $0.00 $79,836.73 $493,252.27 14% $521,274.15 EXPENSE 50111 Regular Salaries 246,829.00 .00 246,829.00 19,167.59 .00 55,896.63 190,932.37 23 201,002.13 50112 Salaries Overtime .00 .00 .00 83.31 .00 83.31 (83.31) +++ 1,074.05 50144 Term Life Ins./Employer's Share 79.00 .00 79.00 6.39 .00 19.83 59.17 25 86.75 50147 Workers Comp 7,822.00 .00 7,822.00 439.32 .00 1,318.34 6,503.66 17 5,171.08 50151 FICA-Employer's Share 18,883.00 .00 18,883.00 1,400.23 .00 4,108.00 14,775.00 22 14,950.70 50152 Retirement-Employer's Share 17,425.00 .00 17,425.00 1,386.04 .00 4,029.12 13,395.88 23 13,896.70 50154 Hospital and Health Insurance 43,872.00 .00 43,872.00 5,561.32 .00 16,740.23 27,131.77 38 35,025.26 50155 Flex Administration Fees 149.00 .00 149.00 11.90 .00 36.23 112.77 24 110.88 50156 Health Reimb. Acct. 4,484.00 .00 4,484.00 .00 .00 5,650.10 (1,166.10) 126 1,458.10 50220 Contracted Expenses 205,224.00 .00 205,224.00 3,000.00 .00 8,025.00 197,199.00 4 1,432,042.26 50225 Telephone 2,150.00 .00 2,150.00 177.12 .00 354.24 1,795.76 16 1,853.96 50312 Office Supplies 100.00 .00 100.00 .00 .00 .00 100.00 0 66.44 50313 Printing 150.00 .00 150.00 .00 .00 .00 150.00 0 .00 50314 Small Items of Equipment 1,000.00 .00 1,000.00 .00 .00 1,133.23 (133.23) 113 4,206.33 50325 Registration Fees/Training 2,514.00 .00 2,514.00 3,758.21 .00 10,658.90 (8,144.90) 424 3,325.61 50329 Subscriptions 192.00 .00 192.00 .00 .00 .00 192.00 0 97.66 50331 Software, Licensing, Maint. Fees .00 .00 .00 124.49 .00 609.41 (609.41) +++ 1,416.86 50335 Meal Expenses 400.00 .00 400.00 11.00 .00 42.42 357.58 11 366.15 50339 Travel 4,500.00 .00 4,500.00 873.59 .00 1,549.17 2,950.83 34 6,248.93 50340 Operating Supplies 900.00 .00 900.00 .00 .00 .00 900.00 0 536.42 50373 Advertising/Marketing .00 .00 .00 .00 .00 .00 .00 +++ 7,623.98 50393 Client Expenses 1,011,505.00 .00 1,011,505.00 156,854.58 .00 357,018.84 654,486.16 35 639,609.84 50945 Expenditure Transfer - Administration 66,324.00 .00 66,324.00 3,694.20 .00 13,400.21 52,923.79 20 54,002.63 50946 Expenditure Transfer - Indirect Cost 100,978.00 .00 100,978.00 9,206.42 .00 28,536.17 72,441.83 28 82,369.60 EXPENSE TOTALS $1,735,480.00 $0.00 $1,735,480.00 $205,755.71 $0.00 $509,209.38 $1,226,270.62 29% $2,506,542.32 Fund 225 - Human Services Totals REVENUE TOTALS 573,089.00 .00 573,089.00 69,148.73 .00 79,836.73 493,252.27 14% 521,274.15 EXPENSE TOTALS 1,735,480.00 .00 1,735,480.00 205,755.71 .00 509,209.38 1,226,270.62 29% 2,506,542.32 Fund 225 - Human Services Totals ($1,162,391.00) $0.00 ($1,162,391.00) ($136,606.98) $0.00 ($429,372.65) ($733,018.35) ($1,985,268.17) Grand Totals REVENUE TOTALS 573,089.00 .00 573,089.00 69,148.73 .00 79,836.73 493,252.27 14% 521,274.15 EXPENSE TOTALS 1,735,480.00 .00 1,735,480.00 205,755.71 .00 509,209.38 1,226,270.62 29% 2,506,542.32 Grand Totals ($1,162,391.00) $0.00 ($1,162,391.00) ($136,606.98) $0.00 ($429,372.65) ($733,018.35) ($1,985,268.17) Run by Tanya Armsbury on 05/01/2026 09:26:50 AM Page 1 of 2 Youth Justice Fiscal Year to Date 03/31/26 Only Show Rollup Account and Rollup to Account Page 78 of 88 Adopted Budget Amended Current Month YTD YTD Budget - YTD % Used/ Account Account Description Budget Amendments Budget Transactions Encumbrances Transactions Transactions Rec'd Prior Year Total Fund 225 - Human Services REVENUE 43650 St. Aid 296,750.00 .00 296,750.00 36,791.17 .00 86,776.17 209,973.83 29 368,405.13 46600 Client Collections-Medicaid 131,560.00 .00 131,560.00 17,698.96 .00 23,603.33 107,956.67 18 190,282.07 48600 Misc. General Revenue .00 .00 .00 1,000.00 .00 1,000.00 (1,000.00) +++ .00 REVENUE TOTALS $428,310.00 $0.00 $428,310.00 $55,490.13 $0.00 $111,379.50 $316,930.50 26% $558,687.20 EXPENSE 50111 Regular Salaries 317,939.00 .00 317,939.00 25,710.34 .00 74,832.39 243,106.61 24 343,628.01 50112 Salaries Overtime .00 .00 .00 .00 .00 .00 .00 +++ 12.00 50144 Term Life Ins./Employer's Share 105.00 .00 105.00 10.25 .00 34.43 70.57 33 123.67 50147 Workers Comp 8,776.00 .00 8,776.00 492.17 .00 1,349.16 7,426.84 15 7,774.94 50151 FICA-Employer's Share 24,326.00 .00 24,326.00 1,808.38 .00 5,336.57 18,989.43 22 24,354.21 50152 Retirement-Employer's Share 22,104.00 .00 22,104.00 1,743.29 .00 5,109.46 16,994.54 23 23,117.25 50154 Hospital and Health Insurance 118,658.00 .00 118,658.00 9,824.18 .00 28,901.57 89,756.43 24 115,755.80 50155 Flex Administration Fees 380.00 .00 380.00 33.90 .00 100.42 279.58 26 401.01 50156 Health Reimb. Acct. 11,284.00 .00 11,284.00 .00 .00 11,044.06 239.94 98 12,925.25 50158 Unemployment Compensation .00 .00 .00 .00 .00 .00 .00 +++ 16.20 50220 Contracted Expenses 158,985.00 .00 158,985.00 1,000.00 .00 9,000.00 149,985.00 6 72,361.69 50225 Telephone 3,852.00 .00 3,852.00 394.44 .00 795.03 3,056.97 21 4,854.89 50242 Repair & Maint. 275.00 .00 275.00 .00 .00 .00 275.00 0 253.00 50275 OBLIGATION TO STATE 15,000.00 .00 15,000.00 .00 .00 .00 15,000.00 0 .00 50311 Postage 775.00 .00 775.00 8.05 .00 729.11 45.89 94 1,044.38 50312 Office Supplies 270.00 .00 270.00 92.05 .00 129.73 140.27 48 62.86 50313 Printing 2,511.00 .00 2,511.00 .00 .00 330.00 2,181.00 13 1,248.29 50314 Small Items of Equipment 3,200.00 .00 3,200.00 169.00 .00 169.00 3,031.00 5 17,111.87 50321 Publications/Legal Notices .00 .00 .00 .00 .00 .00 .00 +++ 2,412.48 50324 Membership Dues 900.00 .00 900.00 .00 .00 35.00 865.00 4 5,735.00 50325 Registration Fees/Training 2,100.00 .00 2,100.00 117.28 .00 317.28 1,782.72 15 1,195.01 50329 Subscriptions 500.00 .00 500.00 143.35 .00 143.35 356.65 29 5,492.62 50331 Software, Licensing, Maint. Fees 1,500.00 .00 1,500.00 463.91 .00 2,405.15 (905.15) 160 3,745.73 50335 Meal Expenses 100.00 .00 100.00 .00 .00 .00 100.00 0 153.53 50339 Travel 2,650.00 .00 2,650.00 304.41 .00 390.85 2,259.15 15 2,949.78 50340 Operating Supplies 2,000.00 .00 2,000.00 331.71 .00 512.13 1,487.87 26 11,156.35 50344 Supplies .00 .00 .00 .00 .00 .00 .00 +++ 494.21 50373 Advertising/Marketing 1,500.00 .00 1,500.00 1,750.00 .00 1,750.00 (250.00) 117 3,429.94 50393 Client Expenses 2,600.00 .00 2,600.00 671.70 .00 10,780.38 (8,180.38) 415 26,013.00 50945 Expenditure Transfer - Administration 75,552.00 .00 75,552.00 4,489.43 .00 18,810.45 56,741.55 25 107,630.66 50946 Expenditure Transfer - Indirect Cost 115,028.00 .00 115,028.00 11,188.24 .00 39,668.09 75,359.91 34 165,253.36 EXPENSE TOTALS $892,870.00 $0.00 $892,870.00 $60,746.08 $0.00 $212,673.61 $680,196.39 24% $960,706.99 Fund 225 - Human Services Totals Run by Tanya Armsbury on 05/01/2026 09:27:34 AM Page 1 of 2 Public Health Fiscal Year to Date 03/31/26 Only Show Rollup Account and Rollup to Account Page 79 of 88 Adopted Budget Amended Current Month YTD YTD Budget - YTD % Used/ Account Account Description Budget Amendments Budget Transactions Encumbrances Transactions Transactions Rec'd Prior Year Total REVENUE TOTALS 428,310.00 .00 428,310.00 55,490.13 .00 111,379.50 316,930.50 26% 558,687.20 EXPENSE TOTALS 892,870.00 .00 892,870.00 60,746.08 .00 212,673.61 680,196.39 24% 960,706.99 Fund 225 - Human Services Totals ($464,560.00) $0.00 ($464,560.00) ($5,255.95) $0.00 ($101,294.11) ($363,265.89) ($402,019.79) Grand Totals REVENUE TOTALS 428,310.00 .00 428,310.00 55,490.13 .00 111,379.50 316,930.50 26% 558,687.20 EXPENSE TOTALS 892,870.00 .00 892,870.00 60,746.08 .00 212,673.61 680,196.39 24% 960,706.99 Grand Totals ($464,560.00) $0.00 ($464,560.00) ($5,255.95) $0.00 ($101,294.11) ($363,265.89) ($402,019.79) Run by Tanya Armsbury on 05/01/2026 09:27:34 AM Page 2 of 2 Public Health Fiscal Year to Date 03/31/26 Only Show Rollup Account and Rollup to Account Page 80 of 88 Adopted Budget Amended Current Month YTD YTD Budget - YTD % Used/ Account Account Description Budget Amendments Budget Transactions Encumbrances Transactions Transactions Rec'd Prior Year Total Fund 258 - Agent of the State REVENUE 43650 St. Aid 45,000.00 .00 45,000.00 .00 .00 .00 45,000.00 0 35,940.00 46600 Public Charges for Services 543,000.00 .00 543,000.00 19,986.00 .00 39,261.94 503,738.06 7 534,915.06 REVENUE TOTALS $588,000.00 $0.00 $588,000.00 $19,986.00 $0.00 $39,261.94 $548,738.06 7% $570,855.06 EXPENSE 50111 Regular Salaries 220,500.00 .00 220,500.00 15,644.27 .00 41,034.44 179,465.56 19 212,055.24 50112 Salaries Overtime .00 .00 .00 .00 .00 .00 .00 +++ 72.39 50144 Term Life Ins./Employer's Share 74.00 .00 74.00 7.34 .00 19.93 54.07 27 94.85 50147 Workers Comp 6,222.00 .00 6,222.00 297.01 .00 885.68 5,336.32 14 4,134.74 50151 FICA-Employer's Share 16,779.00 .00 16,779.00 1,149.19 .00 3,027.22 13,751.78 18 15,602.33 50152 Retirement-Employer's Share 15,708.00 .00 15,708.00 1,126.38 .00 2,947.52 12,760.48 19 14,012.95 50154 Hospital and Health Insurance 49,303.00 .00 49,303.00 3,153.85 .00 9,953.35 39,349.65 20 45,444.62 50155 Flex Administration Fees 269.00 .00 269.00 11.72 .00 38.05 230.95 14 214.29 50156 Health Reimb. Acct. 4,829.00 .00 4,829.00 .00 .00 3,410.38 1,418.62 71 3,330.96 50220 Contracted Expenses 28,715.00 .00 28,715.00 .00 .00 .00 28,715.00 0 32,424.66 50225 Telephone 2,200.00 .00 2,200.00 132.84 .00 236.05 1,963.95 11 1,887.49 50275 OBLIGATION TO STATE 35,000.00 .00 35,000.00 .00 .00 .00 35,000.00 0 27,642.50 50311 Postage 3,200.00 .00 3,200.00 42.89 .00 240.37 2,959.63 8 4,253.09 50312 Office Supplies 400.00 .00 400.00 19.65 .00 24.64 375.36 6 187.07 50313 Printing 400.00 .00 400.00 .00 .00 .00 400.00 0 1,001.00 50314 Small Items of Equipment 4,200.00 .00 4,200.00 .00 .00 2,740.99 1,459.01 65 1,231.27 50324 Membership Dues 160.00 .00 160.00 .00 .00 90.00 70.00 56 .00 50325 Registration Fees/Training 2,600.00 .00 2,600.00 248.82 .00 248.82 2,351.18 10 1,224.74 50329 Subscriptions .00 .00 .00 .00 .00 .00 .00 +++ 120.00 50331 Software, Licensing, Maint. Fees 1,150.00 .00 1,150.00 289.77 .00 676.13 473.87 59 924.48 50335 Meal Expenses 350.00 .00 350.00 22.00 .00 22.00 328.00 6 74.20 50339 Travel 13,500.00 .00 13,500.00 597.98 .00 1,930.82 11,569.18 14 12,724.56 50340 Operating Supplies 5,100.00 .00 5,100.00 .00 .00 .00 5,100.00 0 7,916.81 50373 Advertising/Marketing .00 .00 .00 .00 .00 .00 .00 +++ 118.00 50945 Expenditure Transfer - Administration 64,301.00 .00 64,301.00 3,395.29 .00 10,638.79 53,662.21 17 68,862.38 50946 Expenditure Transfer - Indirect Cost 113,361.00 .00 113,361.00 8,461.52 .00 22,835.30 90,525.70 20 105,120.33 EXPENSE TOTALS $588,321.00 $0.00 $588,321.00 $34,600.52 $0.00 $101,000.48 $487,320.52 17% $560,674.95 Fund 258 - Agent of the State Totals REVENUE TOTALS 588,000.00 .00 588,000.00 19,986.00 .00 39,261.94 548,738.06 7% 570,855.06 EXPENSE TOTALS 588,321.00 .00 588,321.00 34,600.52 .00 101,000.48 487,320.52 17% 560,674.95 Fund 258 - Agent of the State Totals ($321.00) $0.00 ($321.00) ($14,614.52) $0.00 ($61,738.54) $61,417.54 $10,180.11 Grand Totals REVENUE TOTALS 588,000.00 .00 588,000.00 19,986.00 .00 39,261.94 548,738.06 7% 570,855.06 Run by Tanya Armsbury on 05/01/2026 09:28:32 AM Page 1 of 2 Agent of the State Fiscal Year to Date 03/31/26 Only Show Rollup Account and Rollup to Account Page 81 of 88 EXPENSE TOTALS 588,321.00 .00 588,321.00 34,600.52 .00 101,000.48 487,320.52 17% 560,674.95 Grand Totals ($321.00) $0.00 ($321.00) ($14,614.52) $0.00 ($61,738.54) $61,417.54 $10,180.11 Run by Tanya Armsbury on 05/01/2026 09:28:32 AM Page 2 of 2 Agent of the State Fiscal Year to Date 03/31/26 Only Show Rollup Account and Rollup to Account Page 82 of 88 ADRC / EBS / Dementia Care 1,800.00 3% 1,752.72 Other 47.28 15.76 15.76 15.76 Legal Services - - - 1,800.00 1,752.72 47.28 15.76 15.76 15.76 - - - LTC / APS / Elder Abuse LTC BCA 105,000.00 18% 85,934.20 19,065.80 Residential Placements 17,670.00 - 17,670.00 - Legal Services - - - Other Expenses - LTC BCA 1,395.80 309.73 687.15 398.92 Elder Abuse - funds available (2,600.00) 2,600.00 - 1,300.00 1,300.00 AAR/APS 35,300.00 overspent (9,150.41) 44,450.41 Residential Placements 34,367.75 12,007.75 22,360.00 Other Expenses - APS 1,036.82 33.94 93.94 908.94 Legal Services 9,045.84 2,835.11 5,910.73 300.00 140,300.00 18% 29,733.38 110,566.62 15,186.53 25,661.82 25,267.86 - - - AODA/MH AODA/MH BCA 2,585,960.00 20% 2,080,148.83 505,811.17 Inpatient MH (Winnebago, Trempealeau) 178,561.48 12,855.92 12,239.90 153,465.66 Transports 1,200.00 - 1,200.00 Northland Counseling Crisis 15,031.93 - 7,158.06 7,873.87 Residential Placements 1,350.00 - 1,350.00 Northland Crisis Bed 72,142.35 - 29,070.30 43,072.05 AODA Hospitalization - - - Legal Services 9,610.00 3,370.00 3,120.00 3,120.00 Other AODA/MH BCA 3,458.34 3,333.00 125.34 - Community Support Program (CSP) 224,457.07 - 133,515.47 90,941.60 Northland On Call 14,040.00 15% 11,880.00 2,160.00 - 1,080.00 1,080.00 Transitions 367,811.00 17% 306,957.16 60,853.84 11,586.44 24,242.84 25,024.56 Prevention 12,516.00 0% 12,516.00 - - - CCS - funds available (15.00) 15.00 - 15.00 Other AODA/MH Grants* 93,198.00 0% 93,198.00 - - - 3,073,525.00 19% 2,504,684.99 568,840.01 31,145.36 210,551.91 327,142.74 - - - FAMILY SERVICES C&F BCA 450,000.00 24% 340,094.18 109,905.82 Foster Care 34,569.86 - 17,411.04 17,158.82 Group Home 29,181.40 - 15,332.60 13,848.80 RCC 32,466.20 - 14,984.40 17,481.80 Other C&F BCA 13,688.36 4,852.79 4,485.57 4,350.00 Kinship Benefit 67,500.00 15% 57,466.45 10,033.55 - 5,041.55 4,992.00 Foster Admin 40,000.00 30% 27,870.78 12,129.22 - 6,372.98 5,756.24 Other Family Services Grants* 150.00 funds available (20,372.00) 20,522.00 20,507.00 15.00 OHP Sex Trafficked Youth* 150,000.00 0% 150,000.00 - - - TSSF 7,000.00 10% 6,318.77 681.23 100.00 581.23 - Legal Services 28,000.00 6% 26,317.52 1,682.48 150.00 1,532.48 - 742,650.00 21% 587,695.70 154,954.30 25,609.79 65,741.85 63,602.66 - - - CST CST 775.00 4% 745.03 29.97 - 11.99 17.98 775.00 4% 745.03 29.97 - 11.99 17.98 - - - JAN FEB MAR APRIL MAY JUNEBUDGET % of Budget Used Budget Remaining Total Spent YTD 2026 HS Purchased Service Recap Page 83 of 88 JAN FEB MAR APRIL MAY JUNEBUDGET % of Budget Used Budget Remaining Total Spent YTD 2026 HS Purchased Service Recap Family Support CLTS 125,000.00 3% 120,772.57 4,227.43 550.00 231.38 3,446.05 Children's COP 16,150.00 4% 15,575.10 574.90 414.30 32.12 128.48 141,150.00 3% 136,347.67 4,802.33 964.30 263.50 3,574.53 - - - Youth Aids Youth Aids 1,000,000.00 33% 668,418.85 331,581.15 Foster Care - - - - Group Home 18,290.00 - 9,610.00 8,680.00 RCC 217,772.72 - 105,154.48 112,618.24 Foster Admin - - - - Other Youth Aids 35.68 17.68 18.00 - Secure Detention/Corrections 94,543.00 17,825.00 47,162.00 29,556.00 Transports - - - - Electronic Monitoring 939.75 644.40 232.70 62.65 Legal Services - - - - YJ AODA* 3,547.00 0% 3,547.00 - - - - YJ Community Intervention Program* 10,958.00 3% 10,658.00 300.00 - 300.00 - Positive Youth Development* - funds available (23,010.99) 23,010.99 19,200.00 - 3,810.99 YJ Innovation* - 0% 0.00 - - - - CP Diversion YJ* 202,224.00 0% 192,072.30 10,151.70 - 5,025.00 5,126.70 1,216,729.00 30% 851,685.16 365,043.84 37,687.08 167,502.18 159,854.58 - - - ES Wood County Incentives (pass through) 5,000.00 4% 4,807.56 192.44 - 192.44 - Other - 0% 0.00 - - - - 5,000.00 4% 4,807.56 192.44 - 192.44 - - - - Fraud Fraud Contract* 50,000.00 11% 44,680.01 5,319.99 - 958.84 4,361.15 50,000.00 11% 44,680.01 5,319.99 - 958.84 4,361.15 - - - Daycare Contracted - Daycare Certification 13,204.00 13% 11,512.31 1,691.69 317.52 589.84 784.33 Day Care Fraud* 3,000.00 0% 3,000.00 - - - - 16,204.00 10% 14,512.31 1,691.69 317.52 589.84 784.33 - - - PH - Public Health 66,985.00 13% 57,985.00 9,000.00 PH Misc. 9,000.00 1,000.00 7,000.00 1,000.00 Legal Services - - - - Interpreter Services - - - - Water Program 9,000.00 0% 9,000.00 - - - - Sanitarian 8,215.00 0% 8,215.00 - - - - County TRH 11,500.00 0% 11,500.00 - - - - Other PH Grants - 0.00 0.00 - - - - 95,700.00 9% 86,700.00 9,000.00 1,000.00 7,000.00 1,000.00 - - - Reproductive Health* Cert Language - 0% 0.00 - - - - Wi State Lab - 0% 0.00 - - - - - 0% 0.00 - - - - - - - Page 84 of 88 JAN FEB MAR APRIL MAY JUNEBUDGET % of Budget Used Budget Remaining Total Spent YTD 2026 HS Purchased Service Recap Immunizations 0% 0.00 - - - - - 0% 0.00 - - - - - - - Preparedness - 0% 0.00 - - - - 0% 0.00 - - - - - - - Birth to Three Birth - Three 94,600.00 11% 83,819.62 10,780.38 6,238.64 3,870.04 671.70 94,600.00 11% 83,819.62 10,780.38 6,238.64 3,870.04 671.70 - - - Agency Other - overspent (1.45) 1.45 - - 1.45 background checks/drug tests 300.00 0% 300.00 - - - - 300.00 0% 298.55 1.45 - - 1.45 - - - Grand Totals 5,578,733.00 22% 4,347,462.70 1,231,270.30 118,164.98 482,360.17 586,294.74 - - - * Cost neutral due to 100% reimbursement Page 85 of 88 % OF TOTAL BUDGET BUDGET RECEIVED JAN FEB MAR APRIL MAY JUNE ADRC / EBS / DCS 225-61-54107 508,925.00 0% - State Receipt - - - DCS Sponsorship 0% - - - Elder Abuse 225-626-54114 12,136.00 0% - Elder Abuse - State Receipt 626-43650 - - - Long Term Care 225-627-54114 27,500.00 36% 9,847.18 LTC Assessment - - - Guardianship 2,225.67 - 923.50 1,302.17 NW Counseling Rent/Utilities 7,621.51 1,260.00 2,520.00 1,260.00 2,581.51 Elder Abuse - Client 0% - - - 1,260.00 2,520.00 2,183.50 3,883.68 - - AODA/MH 225-650-54108 560,300.00 22% Medicaid: 106,051.65 CSP MA 72,204.60 - - - 72,204.60 CSP WIMCR - - - - AODA MA - - - - I & R MH MA - - - - NORTHLAND MOBILE CRISIS (OP) MA 33,847.05 - 3,275.89 7,957.38 22,613.78 CRISIS WIMCR - - - 3,275.89 7,957.38 94,818.38 - - Client Collection: 15,596.65 AODA CLIENT - - - - OWI CLIENT 4,400.00 650.00 1,700.00 1,000.00 1,050.00 TRANSITION HOUSE 4,128.39 10.00 - 3,968.39 150.00 IDP 2,809.18 - 420.48 484.91 1,903.79 INPATIENT AODA CLIENT - - - - I & R MH Client 300.00 300.00 - - INPT MH CLIENT 3,361.00 150.00 2,761.00 450.00 MH Purchased - CLIENT 598.08 248.08 125.00 100.00 125.00 NORTHLAND CRISIS CLIENT - - - - 1,208.08 2,395.48 8,314.30 3,678.79 - - Insurance: - AODA INSURANCE - - - - - I & R MH Insurance - - - - - NORTHLAND MOBILE CRISIS (OP) Insurance - - - - - - - - - - - CCS 225-656-54108 CCS MA 412,000.00 0% - - - - - CCS client - 0% - - - - - - - - - - - 2026 HS RECEIPT RECAP Page 86 of 88 % OF TOTAL BUDGET BUDGET RECEIVED JAN FEB MAR APRIL MAY JUNE 2026 HS RECEIPT RECAP FAMILY SERVICES 225-700-54109 41,400.00 19% 7,989.80 3561 FOSTER 3,689.06 112.34 75.00 953.50 2,548.22 3561 GROUP HOME - - - - - 3561 RCC - - - - - FOSTER ADMN - - - - - Other - client 81.00 30.00 20.00 31.00 - CPS Case Management MA 2,882.06 - - 1,689.91 1,192.15 TSSF Case Management MA - - - - - SSF Case Management MA 1,337.68 - - 741.54 596.14 142.34 95.00 3,415.95 4,336.51 - - Kinship 225-705-54109 - over 6,479.15 - - - 6,479.15 - - - 6,479.15 - - Family Support Children's COP MA 225-707-54109 - 0% - - - - - CLTS Client 225-708-54109 - 0% - - - - - Medicaid: CLTS MA 225-708-54109 430,000.00 12% 350.00 - 350.00 - - CLTS Case Management MA 52,056.02 - 26,260.46 22,750.57 3,044.99 - 26,610.46 22,750.57 3,044.99 - - Juv Justice 225-750-54116 18,500.00 81% 14,896.00 Other 6,044.00 918.00 918.00 2,104.00 2,104.00 366 FOSTER - - - - - 366 GROUP HOME - - - - - 366 RCC 8,852.00 - 8,852.00 - - Youth Aids Case Management - MA - over 5,662.95 - 2,915.09 2,747.86 918.00 9,770.00 5,019.09 4,851.86 - - PH 225-65-54111 Public Health 5,700.00 76% 4,324.00 40.25 3,020.25 1,157.75 105.75 Lead MA 360.00 0% - - - - - PNCC MA 12,000.00 over 203.67 - - 167.73 35.94 40.25 3,020.25 1,325.48 141.69 - - Reproductive Health 225-75-54121 RH MA 49,000.00 8% 4,109.80 - - 2,995.03 1,114.77 RH Client 1,000.00 over 120.96 - - 120.96 - RH Insurance - 0% - - - - - - - 3,115.99 1,114.77 - - Immunizations 225-76-54122 Imm MA - 0% - - - - - Imm Client - 0% - - - - - Imm Insurance - 0% - - - - - - - - - - - Page 87 of 88 % OF TOTAL BUDGET BUDGET RECEIVED JAN FEB MAR APRIL MAY JUNE 2026 HS RECEIPT RECAP Agent of the State 258-65 Sanitarian 438,000.00 12% 40,572.94 3,485.00 2,246.94 12,031.00 22,810.00 County TRH 75,000.00 10,920.00 1,500.00 600.00 2,250.00 6,570.00 PH Water Testing 16,000.00 60% 9,664.00 615.00 2,219.00 2,940.00 3,890.00 TNC Water Testing 14,000.00 86% 12,005.00 1,340.00 7,220.00 2,815.00 630.00 6,940.00 12,285.94 20,036.00 33,900.00 - - Birth to Three 225-67-54113 Medicaid: BIRTH - THREE CASE MGMT - MA 45,000.00 18% 3,591.14 - 1,315.79 661.55 1,613.80 BIRTH - THREE THERAPIES - MA 4,390.07 - 1,528.08 241.95 2,620.04 BIRTH - THREE CLIENT 3,000.00 5% 150.00 - - - 150.00 BIRTH - THREE INSURANCE 3,500.00 0% - - - - - BIRTH - THREE WIMCR 12,000.00 0% - - - - - - 2,843.87 903.50 4,383.84 - - Admn 225-60-54106 - Copies - 0% - - - - - Other - - - - - - - - - - - Revolving Cash or Restitution Other - over 80.00 - 80.00 - - - 80.00 - - - - State Receipts GEARS payments DHS 1,607,148.00 15% 88,069.44 49,985.00 14,338.17 23,746.27 *Winnebago expense removed from payment figure 156,994.00 - 122,368.00 34,626.00 SPARC payments DCF 1,189,109.00 24% 288,809.81 - 112,679.34 176,130.47 *DCF Fees removed from payment figure - - DOJ Payments 0% - - - Economic Support 365,000.00 13% 48,503.00 - - 48,503.00 Fraud 50,000.00 0% - - - Daycare Fraud 3,000.00 0% - - - WHEAP Outreach *not calendar yr 26,030.00 26% 6,763.23 - 6,763.23 WHEAP Weather *not calendar yr 24,549.00 23% 5,551.42 - 5,551.42 WIC 74,478.00 17% 12,353.96 - 12,353.96 TNC Water 45,000.00 19% 8,600.25 - 8,600.25 Sanitarian *Ashland Co. - - Lead Testing in Daycares - 0% - - 3,384,314.00 49,985.00 - 274,054.12 291,605.99 - - Grand Totals $6,069,635.00 15% $924,706.09 $60,493.67 $62,896.89 $349,075.88 $452,239.65 $0.00 $0.00 Page 88 of 88