Health and Human Services Board Meeting — Agenda Packet

Health and Human Services Board Agenda May 13, 2026 5:00 PM St. Croix County Government Center - Room 1400 Government Center - 1101 Carmichael Road, Hudson, Wisconsin Call to Order Roll Call Approval of Minutes 1. Minutes of Previous Meeting — March 18, 2026 Public Comment Business 1. Election of Chairperson 2. Election of Vice-Chair 3. Consideration of Establishing Regular Meeting Schedule 4. Financial Report for March 2026 5. Enhanced Efforts to Address Behavorial Health Needs Within the Criminal Justice System Request for Future Agenda Items Announcements Date of Next Meeting 1. Date of Next Meeting - To be determined Adjournment Reasonable efforts will be made to provide special accommodations for access to public meetings. To request a special accommodation, please contact the County Clerk’s Office at (715) 386-4600 at least two business days prior to the time of the meeting. For more information on St. Croix County's public meetings visit: sccwi.gov/meetings Page 1 of 37 Health and Human Services Board Minutes March 18, 2026 5:00 PM St. Croix County Government Center - Room 1400 Government Center - 1101 Carmichael Road, Hudson, Wisconsin Call to Order Health and Human Services (HHS) Board Chair Greg Tellijohn called the March 18, 2026, meeting of the HHS Board to order at approximately 5:01 PM. Roll Call PRESENT: Mike Barcalow, Deb Lindemann, Wayne Roen, Julie Smith, Greg Tellijohn ABSENT: Cathy Leaf, Kathleen Findlay, Lisa Lind Others in Attendance: Health and Human Services (HHS) Director Bob Rohret, County Administrator Ken Witt, HHS Deputy Director Shar Lopez, Fiscal Manager Fay Strenke, Children Services Supervisor Jessica Dodge, Behavioral Health Supervisor Shawn Post Priller, Public Health Environmental Health Specialist Ed Thurman, ADRC Administrator Kristin Newton, ADRC Supervisor Amy Roemhild, Public Information Officer Adam Kastonek Approval of Minutes 1. Minutes of Previous Meeting — January 21, 2026 Health and Human Services (HHS) Board Chair Greg Tellijohn asked the Board after reviewing the minutes from the January 21, 2026 HHS Board meeting if any editing was needed. With nothing noted, the minutes were accepted as submitted. Public Comment Health and Human Services (HHS) Board Chair Greg Tellijohn opened the meeting to public comment for items on or off the agenda. No public comment requests were submitted this evening. Business 1. Financial Report for February 2026 Fiscal Manager Fay Strenke reviewed the monthly Health and Human Services (HHS) financials with the HHS Board. Strenke informed that the financials in the packet are for February 2026. She went on to share that in Children Services (CS), Purchased Services are budgeted for $212,000 less than this time last year. This reduction is across several CS programs. At the Health Care Campus, it is shown that in 2025 they finished overall in the negative, though skilled nursing finished in a positive. Kitty Rhoades was only open for part of the year, and Orchard View appears in the negative due to the money paid back for debt service and depreciation. Cash-wise, they covered all of their expenses. Once Feb revenues are added, all will be at a positive balance. Strenke also reminded that the HHS 2025 numbers are still being adjusted as revenue continues to come in. We are showing a negative balance of $479,000, mainly due to out-of-home placements discussed throughout the year. 2. Children Aging Out of the Foster Care System — Children Services Supervisor Jessica Dodge Page 2 of 37 This agenda item came to the HHS Board per a request by a Board Member. Children Services Supervisor Jessica Dodge shared information regarding Children that are Aging Out of the Foster Care System. She informed on the numbers of youth aging out of the foster care system, the current supports available, and the risks they face as they move into adulthood, such as homelessness. SCC staff work hard to support these youth as they transition into adulthood, from independent living skills, to connecting them with community resources. Unfortunately, many of these resources aren't local. Discussion was had and questions asked. 3. Financial Exploitation Targeting Our Aging Population - Behavioral Health Supervisor Shawn Post Priller Behavioral Health Supervisor Shawn Post Priller shared a PowerPoint informing the HHS Board about the issues and concerns of Financial Exploitation Targeting Our Aging Population. She shared that 218 of their investigations in 2025 were initiated as financial exploitation. This is leading to significant financial losses for our aging population. She spoke of the various ways this happens, but one of the more significant ones is with cryptocurrency. She shared information on protecting yourself and your loved ones from these scams, as well as information on what to do if you think you've been scammed. Some questions asked and answered. 4. Consideration of Public Health Fee Schedule - Public Health Supervisor Laurie Diaby Environmental Health Specialist Ed Thurman reviewed the proposed 2026 Public Health licensing fees with the Board. The environmental health program has agent contracts with the Department of Agriculture and the Department of Safety and Professional Services. He shared that licenses and inspections is a fee-funded program within Public Health, which means they don't have a need for tax levy dollars. They are looking for approval of a 3% fee increase. This is enough of an increase to avoid using the tax levy. Discussion followed and questions answered. 5. Information Regarding the "Men's Shed" Programming- ADRC Administrator Kristin Newton and ADRC Supervisor Amy Roemhild HHS Board Chair Tellijohn had heard of this program and asked for more information about it. Aging and Disability and Resource Center(ADRC) Supervisor Amy Roemhild shared a PowerPoint regarding the Men's Shed program. She shared that the program started in Australia in the 1990's and moved to the U.S. in about 2017. It is based on the need for social activities for older men. It is a community-based model to connect men to improve their mental health and social engagement. Roemhild informed that some ADRC's are leading this and getting programs started. SCC ADRC has been meeting with other counties to see how they implemented their Men's Shed and what type of programming they have. The 2025 -2027 Aging Plan for SCC ADRC includes the concern of isolation and loneliness for the first time, so a Men's Shed program seems to fit with the Aging Plan. The plan is to run a peer-facilitated programming with social interaction, information, and include a snack option of some kind. The first meeting of the Men's Shed program for SCC is on Wednesday, May 6, 2026 from 1:00-3:00 P.M. at the Highway Department in Baldwin, WI. There will be a tour of the facility, a chance to meet some of the staff, and time to share stories. Discussion and questions followed. ADRC Administrator Kristin Newton shared some of the challenges that they may face in sustaining this program due to limited staff time and financial concerns. There is hope for some donations of food and space, as well as free will donations. Request for Future Agenda Items Health and Human Services (HHS) Board Chair Greg Tellijohn asked for any future agenda item requests. There were no requests tonight. If items come up, board members are encouraged to contact Chair Tellijohn or HHS Director Bob Rohret. Announcements Page 3 of 37 Health and Human Services (HHS) Board Chair Greg Tellijohn asked if anyone had announcements for tonight. HHS Director Rohret thanked the presenters for their time and effort tonight. He then announced: * Update on the SNAP funding (Foodshare) program. The AB180 funding to offset the loss of federal support for the SNAP program, which would be about $30 million the state would need to come up with. This bill passed the Senate, allowing the $30 million, another $20 million for an employment training program, and funding for additional state/consortia staff to help to keep error rates low. * Colleen Linder is retiring effective May 8th. This is her last HHS meeting. Many thanks to her for her years of service! Chair Tellijohn announced * Ruby's Pantry will be held next Thurs. from 4:30-6:30/7:30 at the Armory in New Richmond * Colleen Linder shared that the new staff has been hired to fill the position at the HHS location in Hudson. She is currently working 10:00-2:30 M-F. Feel free to stop in and meet her Date of Next Meeting 1. Date of Next Meeting - April 15, 2026 Adjournment Health and Human Services (HHS) Board Chair Greg Tellijohn called the March 18, 2026, meeting of the Health and Human Services Board adjourned at approximately 6:15 PM. Page 4 of 37 HHS Overview - Summary of Fund 225 FY24 FY25 Prior Year FY26 FY26 Actual Actual March Operating Budget March Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes 8,301,613 9,815,676 2,453,919 10,615,715 2,653,928 7,961,786 75.00% 43310: Other Federal Payment 765,802 309,118 80,669 150,000 12,377 137,623 91.75% 43510: State General Government Grant 22,487 30,594 - 12,600 - 12,600 100.00% 43550: State Health Grant 958,772 922,493 129,925 686,246 - 686,246 100.00% 43560: State Human Services Grant 8,292,735 8,272,041 748,213 8,075,042 258,320 7,816,722 96.80% 43610: State Payments for Municipal Services 86,579 97,533 25,482 87,000 27,736 59,264 68.12% 44310: Building Permits and Inspection Fees 287,708 290,257 5,339 290,000 4,937 285,063 98.30% 44910: Other Regulatory Permits and Fees 12,011 13,058 - 12,000 132 11,868 98.90% 45220: Judgments and Damages 972,241 232,034 - 228,413 - 228,413 100.00% 46510: Public Health Services 139,278 132,967 24,192 111,500 26,978 84,522 75.80% 46610: Human Services 5,165,817 4,812,269 220,808 5,718,794 205,685 5,513,109 96.40% 46630: AODA Non-IDP 52,584 40,546 10,374 50,000 2,851 47,149 94.30% 46633: AODA IDP Treatment Fees 57,735 48,602 7,853 40,000 10,794 29,206 73.01% 46635: AODA IDP Assessments 180,465 137,202 39,241 180,000 31,790 148,210 82.34% 46637: AODA DOC 200 5,583 - 2,000 557 1,443 72.17% 46639: AODA Inpt 8,530 3,807 275 10,000 887 9,113 91.13% 46640: MH Revenues 559,362 959,783 126,830 700,500 102,129 598,371 85.42% 46643: ACSS Revenues 107,166 107,881 18,388 137,000 29,936 107,064 78.15% 46644: MD Outpatient Revenue 98,449 89,270 12,985 85,000 13,237 71,763 84.43% 46650: YCSS Revenues 860,803 894,971 144,149 950,250 172,639 777,611 81.83% 46651: B-3 Revenues 136,301 147,918 21,304 162,254 29,659 132,595 81.72% 46660: Revenues F&C 169,757 139,664 24,002 160,000 17,834 142,166 88.85% 48110: Interest Revenue 191 1 - - - - - 48210: Rent Revenue 1,166 - - - - - - 48510: Donations & Contributions 309,816 302,177 47,095 291,800 46,196 245,604 84.17% 48610: Miscellaneous Revenue 61,908 45,874 1,684 32,600 6,884 25,716 78.88% 48710: Collection of Doubtful Accounts 16,461 40,994 7,865 35,000 7,476 27,524 78.64% 49410: Sales of General Fixed Assets 17,275 870 - - - - - Total Revenues 27,643,214 27,893,183 4,150,591 28,823,714 3,662,963 25,160,751 87.29% Total Wages 12,456,837 12,749,725 2,584,353 14,015,152 2,625,542 11,389,610 81.27 Total Fringes 4,755,106 5,034,950 1,168,765 5,732,562 1,180,898 4,551,663 79.40% 51599: Interdepartmental Wage & Fringe 2,292 12,510 - 38,000 6,022 31,978 84.15% Print Date April 29, 2026 Page 5 of 37 HHS Overview - Summary of Fund 225 FY24 FY25 Prior Year FY26 FY26 Actual Actual March Operating Budget March Balance Percent Final Final YTD Adopted YTD Remaining Remaining Net Wage & Fringe 17,209,651 17,797,185 3,753,118 19,785,714 3,812,462 15,973,251 80.73% 51910: Staff Development 61,534 38,232 2,298 34,529 5,378 29,151 84.43% 52110: Medical and Dental Services 19,102 12,270 913 4,050 - 4,050 100.00% 52113: Psychiatrist/Psychologist Consultant 281,925 297,145 52,088 316,000 45,550 270,450 85.59% 52116: Consultant Fees 200 - - - - - - 52117: Legal Services 27,512 11,206 3,013 30,000 250 29,750 99.17% 52119: Accounting Services 17,587 17,600 - 13,000 - 13,000 100.00% 52120: Volunteer Services Expense 2,655 2,386 - 2,700 - 2,700 100.00% 52122: Interpreter Services 2,951 3,845 1,068 2,050 120 1,930 94.13% 52125: Purchased Services 7,912,011 7,649,548 1,530,113 6,633,503 1,014,268 5,619,235 84.71% 52126: Chore Services 4,000 2,078 288 2,000 58 1,943 97.13% 52127: Personal Care Services 4,160 4,471 255 3,500 - 3,500 100.00% 52128: Homemaker Services 31,364 27,828 4,874 26,890 3,041 23,849 88.69% 52129: Respite Services 34,304 27,434 2,511 40,800 5,314 35,487 86.98% 52132: Transportation 67,659 67,120 4,768 65,200 38,855 26,345 40.41% 52133: Administration 1,500 - - - - - - 52135: Catered Food 476,835 461,133 73,451 425,000 59,023 365,977 86.11% 52136: Unprepared Food 18,390 18,507 3,427 17,000 2,552 14,448 84.99% 52140: Civil Process/Paper Fees 497 190 - - - - - 52151: Investigation Services 304 - - - - - - 52152: Bank Service Charges 6,323 5,895 1,092 6,000 1,186 4,814 80.23% 52190: Other Professional Services 81,824 129,436 14,820 142,406 29,934 112,472 78.98% 52240: Telephone/Dictaphone 5,417 - - 3,295 3,266 29 0.87% 52250: Cellular Phone Service 86,643 88,255 22,541 93,944 22,112 71,832 76.46% 52252: Internet Fees 1,574 - - - - - - 52410: Repair and Replacement 21,953 9,825 207 10,000 2,091 7,909 79.09% 52440: Misc. Repair & Maintenance 1,025 2,314 554 1,500 316 1,184 78.94% 52920: Computer Repair 11,222 4,735 - 7,150 4,393 2,757 38.56% 52990: Other Contractual Services 20,400 12,024 4,824 50,000 4,800 45,200 90.40% 53110: Postage 31,738 34,148 9,108 43,025 9,309 33,716 78.36% 53120: Copy Expense 8 5 3 25 - 25 98.56% 53130: Managed Print Costs - IT 24,088 24,449 5,670 24,250 7,828 16,422 67.72% 53190: Office Supplies 28,597 18,454 4,317 20,677 3,456 17,222 83.29% Print Date April 29, 2026 Page 6 of 37 HHS Overview - Summary of Fund 225 FY24 FY25 Prior Year FY26 FY26 Actual Actual March Operating Budget March Balance Percent Final Final YTD Adopted YTD Remaining Remaining 53210: Publications & Printing 6,089 475 52 290 334 (44) 15.06% 53211: Law Book Publications - - - 350 - 350 100.00% 53212: Outreach/Education 30,162 58,301 28,374 29,180 7,777 21,403 73.35% 53213: Program Development 2,119 1,073 - 2,106 1,026 1,080 51.28% 53220: Advertising/Promotion 500 - - - - - - 53230: Subscriptions 576 - - 300 - 300 100.00% 53240: Dues & Licenses 42,289 48,922 10,289 30,759 3,970 26,789 87.09% 53250: Software Subscriptions & Renewals 1,866 11,926 1,950 2,744 1,424 1,320 48.10% 53310: Employee Mileage 51,422 55,312 8,533 47,817 11,085 36,732 76.82% 53320: Employee Lodging 25,670 28,011 3,178 16,711 378 16,333 97.74% 53330: Employee Meal Expense 7,143 10,957 1,635 7,886 420 7,466 94.67% 53340: Employee Airfare 7,120 7,448 1,449 3,500 - 3,500 100.00% 53350: Employee Other Expenses 2,163 3,589 337 428 - 428 100.00% 53420: Medical Supplies 76,360 96,394 10,761 53,450 8,067 45,383 84.91% 53430: Provided Food Expense 893 2,090 247 450 1,235 (785) 174.49% 53440: Operating Supplies 66,051 51,903 6,667 44,082 25,908 18,173 41.23% 53450: Uniform Expense/Supplies 274 190 - - - - - 53460: Instructional Aids 6,591 1,962 - 500 - 500 100.00% 53470: Fuel Expenses 16,474 15,042 2,806 18,000 2,307 15,693 87.18% 53490: Other Operating Supplies 108 1,695 1,695 - - - - 53610: Other Repairs and Maintenance Supplies 840 255 255 250 - 250 100.00% 53910: Other Supplies and Expenses 13,268 6,320 1,075 1,550 2,349 (799) 51.54% 53920: Cell Phones & Accessories 788 - - - - - - 53930: Software Purchased 184,855 293,376 452 199,348 799 198,549 99.60% 53940: Equipment Purchased - Non Fixed Asset 26,551 25,168 6,298 1,600 - 1,600 100.00% 53995: Vehicle Operating Expenses 29,415 27,517 6,469 32,500 6,588 25,912 79.73% 55180: Liability Insurance 141,000 141,000 - 146,000 - 146,000 100.00% 55310: Rents and Leases 22,568 6,230 - 3,700 - 3,700 100.00% 57910: Other Grants, Contributions and Indemnities 376,005 376,005 376,005 376,005 376,005 - - Operating 10,424,460 10,241,691 2,210,730 9,038,000 1,712,773 7,325,228 81.05% Total Expenses 27,634,111 28,038,876 5,963,848 28,823,714 5,525,235 23,298,479 80.83% Report Total 9,103 (145,693) (1,813,256) - (1,862,272) - - Print Date April 29, 2026 Page 7 of 37 4110 - Public Health : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual March Operating Budget March Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes 840,386 1,061,301 265,325 1,013,268 253,317 759,951 75.00% 43510: State General Government Grant - 93 - - - - - 43550: State Health Grant 946,691 904,817 129,925 674,246 - 674,246 100.00% 44310: Building Permits and Inspection Fees 287,708 290,257 5,339 290,000 4,937 285,063 98.30% 44910: Other Regulatory Permits and Fees 12,011 13,058 - 12,000 132 11,868 98.90% 46510: Public Health Services 139,278 132,967 24,192 111,500 26,978 84,522 75.80% 48510: Donations & Contributions 2,209 1,773 375 - 625 (625) - Total Revenues 2,228,282 2,404,265 425,156 2,101,014 285,989 1,815,025 86.39% Total Wages 1,244,532 1,254,671 252,572 1,374,744 267,913 1,106,832 80.51% Total Fringes 487,454 482,977 108,632 533,087 126,124 406,963 76.34% 51599: Interdepartmental Wage & Fringe 188 76 - 2,500 1,660 4,160 166.41% Net Wage & Fringe 1,731,798 1,737,572 361,204 1,905,331 395,697 1,509,635 79.23% 51910: Staff Development 6,457 2,006 285 1,885 571 1,314 69.71% 52110: Medical and Dental Services 1,361 - - - - - - 52122: Interpreter Services 1,469 2,349 - 1,200 110 1,090 90.82% 52125: Purchased Services 4,259 2,779 64 695 414 281 40.45% 52190: Other Professional Services 3,401 66,686 2,067 84,088 13,707 70,381 83.70% 52250: Cellular Phone Service 2,418 1,920 549 1,128 137 991 87.82% 52920: Computer Repair 765 - - - 22 (22) - 53110: Postage 661 17 - 675 - 675 100.00% 53130: Managed Print Costs - IT 274 400 87 250 90 160 63.83% 53190: Office Supplies 6,561 772 697 477 - 477 100.00% 53212: Outreach/Education 5,294 1,333 286 880 200 680 77.27% 53230: Subscriptions 190 - - 300 - 300 100.00% 53240: Dues & Licenses 34,524 38,249 9,240 24,354 - 24,354 100.00% 53250: Software Subscriptions & Renewals 20 - - 244 - 244 100.00% 53310: Employee Mileage 9,989 8,753 1,687 6,716 1,710 5,006 74.54% 53320: Employee Lodging 4,021 2,213 - 3,703 - 3,703 100.00% 53330: Employee Meal Expense 1,603 933 227 1,375 127 1,248 90.76% 53340: Employee Airfare - 787 787 1,000 - 1,000 100.00% 53350: Employee Other Expenses 306 (294) - 253 - 253 100.00% Print Date April 29, 2026 Page 8 of 37 4110 - Public Health : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual March Operating Budget March Balance Percent Final Final YTD Adopted YTD Remaining Remaining 53420: Medical Supplies 54,951 53,839 8,411 38,750 7,545 31,205 80.53% 53430: Provided Food Expense - - - 100 - 100 100.00% 53440: Operating Supplies 12,649 15,928 1,874 10,582 1,683 8,899 84.10% 53610: Other Repairs and Maintenance Supplies 840 255 255 250 - 250 100.00% 53910: Other Supplies and Expenses 129 118 107 50 - 50 100.00% 53930: Software Purchased 21,419 22,381 - 14,948 - 14,948 100.00% 53940: Equipment Purchased - Non Fixed Asset 1,002 3,195 - 600 - 600 100.00% 55310: Rents and Leases 1,180 1,300 - 1,180 - 1,180 100.00% Operating 175,743 225,919 26,623 195,683 26,316 169,367 86.55% Total Expenses 1,907,541 1,963,491 387,827 2,101,014 422,013 1,679,002 79.91% Report Total 320,741 440,774 37,329 - (136,024) - - Print Date April 29, 2026 Page 9 of 37 4310 - Behavioral Health : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual March Operating Budget March Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes 1,966,643 2,295,299 573,825 2,499,076 624,769 1,874,307 75.00% 43310: Other Federal Payment 632,374 309,118 80,669 100,000 12,377 87,623 87.62% 43510: State General Government Grant - 9,759 - - - - - 43550: State Health Grant 12,081 17,676 - 12,000 - 12,000 100.00% 43560: State Human Services Grant 2,133,628 2,016,532 411,949 2,025,062 - 2,025,062 100.00% 43610: State Payments for Municipal Services 86,579 97,533 25,482 87,000 27,736 59,264 68.12% 45220: Judgments and Damages 972,241 232,034 - 119,416 - 119,416 100.00% 46630: AODA Non-IDP 52,584 40,546 10,374 50,000 2,851 47,149 94.30% 46633: AODA IDP Treatment Fees 57,735 48,602 7,853 40,000 10,794 29,206 73.01% 46635: AODA IDP Assessments 180,465 137,202 39,241 180,000 31,790 148,210 82.34% 46637: AODA DOC 200 5,583 - 2,000 557 1,443 72.17% 46639: AODA Inpt 8,530 3,807 275 10,000 887 9,113 91.13% 46640: MH Revenues 559,362 959,783 126,830 700,500 102,129 598,371 85.42% 46643: ACSS Revenues 107,166 107,881 18,388 137,000 29,936 107,064 78.15% 46644: MD Outpatient Revenue 98,449 89,270 12,985 85,000 13,237 71,763 84.43% 48510: Donations & Contributions 1,255 2,676 591 - 700 (700) - 48610: Miscellaneous Revenue - 1,335 - - - - - Total Revenues 6,869,294 6,374,635 1,308,462 6,047,054 857,763 5,189,291 85.82% Total Wages 2,313,431 2,156,516 468,819 2,256,273 432,303 1,823,970 80.84% Total Fringes 851,475 837,467 203,519 937,010 178,544 758,466 80.95% 51599: Interdepartmental Wage & Fringe 2,161 - - - - - - Net Wage & Fringe 3,162,745 2,993,983 672,338 3,193,283 610,847 2,582,436 80.87% 51910: Staff Development 38,922 9,344 1,028 10,250 873 9,377 91.48% 52110: Medical and Dental Services 6,000 349 - - - - - 52113: Psychiatrist/Psychologist Consultant 281,925 297,145 52,088 316,000 45,550 270,450 85.59% 52116: Consultant Fees 200 - - - - - - 52122: Interpreter Services 196 615 534 100 - 100 100.00% 52125: Purchased Services 2,206,937 3,159,763 555,292 2,008,500 313,640 1,694,860 84.38% 52132: Transportation 2,593 3,109 - 1,500 1,328 172 11.49% 52190: Other Professional Services 24,052 15,698 8,000 - 11,759 (11,759) - 52250: Cellular Phone Service 53 427 - - 137 (137) - Print Date April 29, 2026 Page 10 of 37 4310 - Behavioral Health : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual March Operating Budget March Balance Percent Final Final YTD Adopted YTD Remaining Remaining 52920: Computer Repair 3,497 706 - - 1,588 (1,588) - 52990: Other Contractual Services 20,400 12,024 4,824 50,000 4,800 45,200 90.40% 53110: Postage - 31 10 - - - - 53190: Office Supplies 1,262 692 204 - - - - 53212: Outreach/Education 100 1,300 1,300 3,000 4,888 (1,888) 62.93% 53220: Advertising/Promotion 500 - - - - - - 53230: Subscriptions 386 - - - - - - 53240: Dues & Licenses 2,336 4,800 500 1,300 730 570 43.85% 53250: Software Subscriptions & Renewals 1,206 1,868 1,315 1,000 1,093 (93) 9.33% 53310: Employee Mileage 7,679 5,429 515 3,575 51 3,524 98.57% 53320: Employee Lodging 12,268 15,462 1,982 3,350 - 3,350 100.00% 53330: Employee Meal Expense 2,891 4,897 702 2,341 38 2,303 98.38% 53340: Employee Airfare 4,051 3,951 662 - - - - 53350: Employee Other Expenses 132 1,386 329 - - - - 53420: Medical Supplies 21,278 37,945 747 7,600 106 7,494 98.60% 53440: Operating Supplies 14,952 3,929 397 2,150 18,754 (16,604) 772.29% 53450: Uniform Expense/Supplies 274 190 - - - - - 53460: Instructional Aids 6,591 1,962 - 500 - 500 100.00% 53490: Other Operating Supplies 108 44 44 - - - - 53910: Other Supplies and Expenses 11,221 829 632 - 121 (121) - 53930: Software Purchased 47,849 80,870 - 66,600 - 66,600 100.00% 53940: Equipment Purchased - Non Fixed Asset 10,830 2,244 2,159 - - - - 55310: Rents and Leases 16,588 1,300 - - - - - 57910: Other Grants, Contributions and Indemnities 376,005 376,005 376,005 376,005 376,005 - - Operating 3,123,283 4,044,314 1,009,268 2,853,771 781,463 2,072,308 72.62% Total Expenses 6,286,028 7,038,297 1,681,605 6,047,054 1,392,310 4,654,744 76.98% Report Total 583,267 (663,662) (373,143) - (534,547) - - Print Date April 29, 2026 Page 11 of 37 4320 - CCS : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual March Operating Budget March Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes - - - - - - 100.00% 46610: Human Services 4,935,031 4,599,163 199,887 5,593,794 193,110 5,400,684 96.55% 48610: Miscellaneous Revenue 13,085 2,122 (257) - - - - Total Revenues 4,948,116 4,601,285 199,630 5,593,794 193,110 5,400,684 96.55% Total Wages 2,352,178 2,457,026 510,976 2,343,460 476,208 1,867,251 79.68% Total Fringes 944,872 1,062,874 254,344 1,041,814 233,536 808,278 77.58% 51599: Interdepartmental Wage & Fringe - - - 361,142 - 361,142 100.00% Net Wage & Fringe 3,297,050 3,519,901 765,320 3,746,416 709,745 3,036,671 81.06% 51910: Staff Development 5,455 4,475 (225) 10,000 199 9,801 98.01% 52125: Purchased Services 1,644,601 1,198,746 168,823 1,250,000 215,084 1,034,916 82.79% 52190: Other Professional Services - - - 1,500 - 1,500 100.00% 52920: Computer Repair - - - 3,000 - 3,000 100.00% 53212: Outreach/Education - 1,496 - 1,500 - 1,500 100.00% 53240: Dues & Licenses 1,100 - - 550 - 550 100.00% 53310: Employee Mileage 8,059 10,032 2,264 11,000 3,651 7,349 66.81% 53320: Employee Lodging 466 - - 500 - 500 100.00% 53330: Employee Meal Expense 238 606 - 300 - 300 100.00% 53350: Employee Other Expenses - 139 - - - - - 53910: Other Supplies and Expenses - (12) - - - - - 53930: Software Purchased 45,913 92,311 44 68,400 - 68,400 100.00% 59200: Overhead - - - 500,628 - 500,628 100.00% Operating 1,705,832 1,307,792 170,907 1,847,378 218,934 1,628,444 88.15% Total Expenses 5,002,882 4,827,693 936,227 5,593,794 928,679 4,665,116 83.40% Report Total (54,766) (226,408) (736,597) - (735,569) - - Print Date April 29, 2026 Page 12 of 37 4410 - Economic Support : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual March Operating Budget March Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes 149,128 190,117 47,529 150,436 37,609 112,827 75.00% 43510: State General Government Grant 12,937 12,133 - 12,600 - 12,600 100.00% 43560: State Human Services Grant 1,190,213 1,270,872 - 1,145,908 - 1,145,908 100.00% 48610: Miscellaneous Revenue 4,200 2,000 800 - - - - Total Revenues 1,356,479 1,475,122 48,329 1,308,944 37,609 1,271,335 97.13% Total Wages 851,313 835,981 171,303 898,887 173,757 725,130 80.67% Total Fringes 374,785 347,740 79,259 395,936 85,835 310,101 78.32% Net Wage & Fringe 1,226,098 1,183,721 250,562 1,294,823 259,592 1,035,231 79.95% 52125: Purchased Services 3,363 4,625 1,188 5,908 963 4,946 83.71% 52190: Other Professional Services 3,019 2,460 1,000 3,318 240 3,078 92.77% 52240: Telephone/Dictaphone 2,761 - - 3,295 3,052 243 7.37% 52920: Computer Repair 305 - - 150 - 150 100.00% 53190: Office Supplies 169 10 - - - - - 53240: Dues & Licenses - 808 - - - - - 53250: Software Subscriptions & Renewals - 202 - - - - - 53310: Employee Mileage - - - 50 20 30 59.40% 53320: Employee Lodging - - - 300 - 300 100.00% 53330: Employee Meal Expense - - - 100 - 100 100.00% 53440: Operating Supplies 93 45 - 400 32 368 91.95% 53910: Other Supplies and Expenses 187 114 - - 76 (76) - 53930: Software Purchased - 3,123 - 600 - 600 100.00% 53940: Equipment Purchased - Non Fixed Asset - 56 - - - - - Operating 9,896 11,443 2,188 14,121 4,383 9,738 68.96% Total Expenses 1,235,994 1,195,164 252,750 1,308,944 263,975 1,044,969 79.83% Report Total 120,485 279,958 (204,421) - (226,366) - - Print Date April 29, 2026 Page 13 of 37 4510 - Children Services : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual March Operating Budget March Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes 3,592,768 4,165,595 1,041,399 4,900,486 1,225,121 3,675,365 75.00% 43510: State General Government Grant 9,550 8,610 - - - - - 43560: State Human Services Grant 2,448,666 2,546,196 108,290 2,465,158 50,000 2,415,158 97.97% 45220: Judgments and Damages - - - 108,997 - 108,997 100.00% 46610: Human Services 230,786 207,111 20,921 125,000 11,687 113,313 90.65% 46650: YCSS Revenues 860,803 894,971 144,149 950,250 172,639 777,611 81.83% 46651: B-3 Revenues 136,301 147,918 21,304 162,254 29,659 132,595 81.72% 46660: Revenues F&C 169,757 139,664 24,002 160,000 17,834 142,166 88.85% 48110: Interest Revenue 191 - - - - - - 48510: Donations & Contributions 2,738 1,913 - - 765 (765) - 48610: Miscellaneous Revenue - 2,497 - - - - - Total Revenues 7,451,561 8,114,474 1,360,065 8,872,145 1,507,706 7,364,439 83.01% Total Wages 3,110,158 3,350,891 650,028 4,069,554 710,255 3,359,299 82.55% Total Fringes 1,176,844 1,325,799 301,167 1,700,209 316,006 1,384,203 81.41% 51599: Interdepartmental Wage & Fringe 37,779 52,747 7,791 322,142 14,309 336,451 104.44% Net Wage & Fringe 4,324,781 4,729,437 958,986 5,447,621 1,040,571 4,407,051 80.90% 51910: Staff Development 7,284 19,875 960 8,100 2,565 5,535 68.34% 52110: Medical and Dental Services 11,741 11,921 913 4,050 - 4,050 100.00% 52117: Legal Services 27,512 11,206 3,013 30,000 250 29,750 99.17% 52122: Interpreter Services 1,163 138 - - 5 (5) - 52125: Purchased Services 4,015,351 3,224,812 779,913 3,262,400 460,661 2,801,739 85.88% 52132: Transportation 3,752 - - - - - - 52133: Administration 1,500 - - - - - - 52140: Civil Process/Paper Fees 497 190 - - - - - 52151: Investigation Services 304 - - - - - - 52190: Other Professional Services 44,157 29,303 2,843 45,500 108 45,392 99.76% 52920: Computer Repair 2,142 2,464 - - 1,323 (1,323) - 53110: Postage 327 80 70 100 - 100 100.00% 53130: Managed Print Costs - IT 179 63 28 - - - - 53190: Office Supplies 386 129 - - 20 (20) - 53210: Publications & Printing 335 100 52 200 334 (134) 66.84% Print Date April 29, 2026 Page 14 of 37 4510 - Children Services : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual March Operating Budget March Balance Percent Final Final YTD Adopted YTD Remaining Remaining 53211: Law Book Publications - - - 350 - 350 100.00% 53212: Outreach/Education 8,256 7,798 500 10,000 309 9,691 96.91% 53213: Program Development 288 - - - - - - 53240: Dues & Licenses - 730 - - - - - 53310: Employee Mileage 20,767 24,033 3,476 22,976 4,736 18,240 79.39% 53320: Employee Lodging 6,210 8,045 426 5,588 - 5,588 100.00% 53330: Employee Meal Expense 1,911 3,442 641 2,860 164 2,696 94.27% 53340: Employee Airfare 3,070 2,710 - 2,500 - 2,500 100.00% 53350: Employee Other Expenses 947 2,085 - - - - - 53420: Medical Supplies - 4,610 1,603 7,100 416 6,684 94.15% 53430: Provided Food Expense 22 996 30 - 1,235 (1,235) - 53440: Operating Supplies 1,465 - - 500 - 500 100.00% 53470: Fuel Expenses 55 39 - - - - - 53490: Other Operating Supplies - 1,651 1,651 - - - - 53910: Other Supplies and Expenses 531 4,943 100 1,500 2,052 (552) 36.78% 53920: Cell Phones & Accessories 788 - - - - - - 53930: Software Purchased 22,032 41,755 - 19,800 - 19,800 100.00% 53940: Equipment Purchased - Non Fixed Asset 3,948 13,690 - 1,000 - 1,000 100.00% 53995: Vehicle Operating Expenses - 27 - - - - - 55310: Rents and Leases - 1,530 - - - - - Operating 4,186,919 3,418,362 796,220 3,424,524 474,176 2,950,348 86.15% Total Expenses 8,511,700 8,147,799 1,755,206 8,872,145 1,514,747 7,357,398 82.93% Report Total (1,060,139) (33,325) (395,141) - (7,040) - - Print Date April 29, 2026 Page 15 of 37 4610 - Aging & Disability Resource Center : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual March Operating Budget March Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes 374,737 622,541 155,635 728,517 182,129 546,388 75.00% 43310: Other Federal Payment 133,428 - - - - - - 43560: State Human Services Grant 1,888,045 1,865,756 227,974 1,808,914 208,320 1,600,594 88.48% 46610: Human Services - 5,995 - - 889 (889) - 48510: Donations & Contributions 302,822 294,858 46,091 291,800 43,846 247,954 84.97% 48610: Miscellaneous Revenue 43,403 37,435 1,012 32,000 6,594 25,407 79.40% 49410: Sales of General Fixed Assets 17,275 870 - - - - - Total Revenues 2,759,709 2,827,455 430,711 2,861,231 441,778 2,419,453 84.56% Total Wages 1,391,678 1,487,433 294,091 1,611,823 299,968 1,311,855 81.39% Total Fringes 439,961 508,550 113,586 540,522 121,363 419,159 77.55% 51599: Interdepartmental Wage & Fringe 56 3,750 - 1,500 1,050 450 30.00% Net Wage & Fringe 1,831,696 1,999,733 407,677 2,153,845 422,381 1,731,464 80.39% 51910: Staff Development 2,249 1,897 250 1,794 1,085 709 39.52% 52119: Accounting Services 1,575 1,575 - - - - - 52120: Volunteer Services Expense 2,655 2,386 - 2,700 - 2,700 100.00% 52125: Purchased Services - 2,085 - - - - - 52126: Chore Services 4,000 2,078 288 2,000 58 1,943 97.13% 52127: Personal Care Services 4,160 4,471 255 3,500 - 3,500 100.00% 52128: Homemaker Services 31,364 27,828 4,874 26,890 3,041 23,849 88.69% 52129: Respite Services 34,304 27,434 2,511 40,800 5,314 35,487 86.98% 52132: Transportation 61,314 64,010 4,768 63,700 37,528 26,172 41.09% 52135: Catered Food 476,835 461,133 73,451 425,000 59,023 365,977 86.11% 52136: Unprepared Food 18,390 18,507 3,427 17,000 2,552 14,448 84.99% 52190: Other Professional Services 5,726 11,098 836 3,000 3,052 (52) 1.74% 52240: Telephone/Dictaphone 2,573 - - - - - - 52250: Cellular Phone Service 14,402 14,581 3,739 22,816 3,712 19,104 83.73% 52252: Internet Fees 1,574 - - - - - - 52410: Repair and Replacement 21,953 9,825 207 10,000 2,091 7,909 79.09% 52440: Misc. Repair & Maintenance 1,025 2,314 554 1,500 316 1,184 78.94% 52920: Computer Repair 3,261 - - - - - - 53110: Postage 5,429 4,883 1,425 6,250 1,239 5,011 80.18% Print Date April 29, 2026 Page 16 of 37 4610 - Aging & Disability Resource Center : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual March Operating Budget March Balance Percent Final Final YTD Adopted YTD Remaining Remaining 53120: Copy Expense 8 5 3 25 - 25 98.56% 53130: Managed Print Costs - IT - - - - 1 (1) - 53190: Office Supplies 1,532 1,432 608 1,200 108 1,092 90.98% 53210: Publications & Printing 5,717 337 - 50 - 50 100.00% 53212: Outreach/Education 16,512 41,587 26,289 13,800 2,380 11,420 82.75% 53213: Program Development 1,831 1,073 - 2,106 1,026 1,080 51.28% 53240: Dues & Licenses 1,119 1,076 340 1,305 230 1,075 82.38% 53310: Employee Mileage 3,601 5,109 519 2,000 608 1,392 69.62% 53320: Employee Lodging 1,543 1,218 306 1,770 - 1,770 100.00% 53330: Employee Meal Expense 381 900 39 710 - 710 100.00% 53350: Employee Other Expenses 45 22 8 - - - - 53430: Provided Food Expense 79 136 - 250 - 250 100.00% 53440: Operating Supplies 36,685 31,853 4,310 30,200 5,439 24,761 81.99% 53470: Fuel Expenses 16,418 15,003 2,806 18,000 2,307 15,693 87.18% 53910: Other Supplies and Expenses 803 177 152 - - - - 53940: Equipment Purchased - Non Fixed Asset 5,411 5,134 4,139 - - - - 53995: Vehicle Operating Expenses 496 447 - 500 - 500 100.00% 55180: Liability Insurance 6,000 6,000 - 6,000 - 6,000 100.00% 55310: Rents and Leases 4,800 2,100 - 2,520 - 2,520 100.00% Operating 795,771 769,713 136,102 707,386 131,108 576,278 81.47% Total Expenses 2,627,467 2,769,446 543,779 2,861,231 553,490 2,307,742 80.66% Report Total 132,242 58,009 (113,068) - (111,712) - - Print Date April 29, 2026 Page 17 of 37 4920 - Health & Human Services Administration : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual March Operating Budget March Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes 1,377,951 1,480,823 370,206 1,323,931 330,983 992,949 75.00% 43310: Other Federal Payment - - - 50,000 - 50,000 100.00% 43560: State Human Services Grant 632,182 572,685 - 630,000 - 630,000 100.00% 48110: Interest Revenue - 1 - - - - - 48210: Rent Revenue 1,166 - - - - - - 48510: Donations & Contributions 792 957 38 - 259 (259) - 48610: Miscellaneous Revenue 1,220 486 130 600 291 309 51.52% 48710: Collection of Doubtful Accounts 16,461 40,994 7,865 35,000 7,476 27,524 78.64% Total Revenues 2,029,773 2,095,947 378,238 2,039,531 339,009 1,700,523 83.38% Total Wages 1,193,547 1,207,207 236,564 1,460,411 265,138 1,195,273 81.84% Total Fringes 479,715 469,543 108,258 583,983 119,490 464,493 79.54% 51599: Interdepartmental Wage & Fringe 37,779 43,911 7,791 - 10,998 10,998 - Net Wage & Fringe 1,635,483 1,632,838 337,031 2,044,394 373,630 1,670,764 81.72% 51910: Staff Development 1,167 635 - 2,500 85 2,415 96.60% 52119: Accounting Services 16,012 16,025 - 13,000 - 13,000 100.00% 52122: Interpreter Services 123 744 534 750 5 745 99.33% 52125: Purchased Services 37,500 56,740 24,833 106,000 23,506 82,494 77.82% 52152: Bank Service Charges 6,323 5,895 1,092 6,000 1,186 4,814 80.23% 52190: Other Professional Services 1,470 4,190 74 5,000 1,068 3,932 78.64% 52240: Telephone/Dictaphone 83 - - - 214 (214) - 52250: Cellular Phone Service 69,770 71,328 18,254 70,000 18,125 51,875 74.11% 52920: Computer Repair 1,253 1,565 - 4,000 1,461 2,540 63.49% 53110: Postage 25,321 29,138 7,603 36,000 8,070 27,930 77.58% 53130: Managed Print Costs - IT 23,635 23,987 5,555 24,000 7,737 16,263 67.76% 53190: Office Supplies 18,687 15,420 2,809 19,000 3,328 15,672 82.49% 53210: Publications & Printing 37 38 - 40 - 40 100.00% 53212: Outreach/Education - 4,789 - - - - - 53240: Dues & Licenses 3,209 3,259 209 3,250 3,010 240 7.38% 53250: Software Subscriptions & Renewals 640 9,855 635 1,500 331 1,169 77.94% 53310: Employee Mileage 1,326 1,956 72 1,500 309 1,191 79.39% 53320: Employee Lodging 1,162 1,072 464 1,500 378 1,122 74.80% Print Date April 29, 2026 Page 18 of 37 4920 - Health & Human Services Administration : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual March Operating Budget March Balance Percent Final Final YTD Adopted YTD Remaining Remaining 53330: Employee Meal Expense 119 179 26 200 91 109 54.50% 53350: Employee Other Expenses 733 252 - 175 - 175 100.00% 53420: Medical Supplies 130 - - - - - - 53430: Provided Food Expense 792 957 217 100 - 100 100.00% 53440: Operating Supplies 206 147 86 250 - 250 100.00% 53910: Other Supplies and Expenses 398 150 84 - 100 (100) - 53930: Software Purchased 47,642 52,935 408 29,000 799 28,201 97.24% 53940: Equipment Purchased - Non Fixed Asset 5,361 850 - - - - - 53995: Vehicle Operating Expenses 28,918 27,043 6,469 32,000 6,588 25,412 79.41% 55180: Liability Insurance 135,000 135,000 - 140,000 - 140,000 100.00% 59200: Overhead - - - (500,628) - (500,628) 100.00% Operating 427,017 464,148 69,423 (4,863) 76,392 (81,255) 1,670.88% Total Expenses 2,062,500 2,096,987 406,454 2,039,531 450,022 1,589,509 77.94% Report Total (32,727) (1,040) (28,216) - (111,014) - - Print Date April 29, 2026 Page 19 of 37 4200 - Health Care Campus : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual March Operating Budget March Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes - - - - - - 100.00% 43510: State General Government Grant 95,738 51,174 - - 4,170 (4,170) - 43560: State Human Services Grant 241,434 336,031 218,302 - - - - 46520: Institutional Care 8,764,103 9,670,334 2,319,565 13,140,699 2,393,514 10,747,185 81.79% 46910: Other Public Charges for Services 189 60 - - - - - 48110: Interest Revenue 1,085 150 86 1,000 20 980 98.02% 48510: Donations & Contributions 14,441 11,010 1,098 3,600 3,072 528 14.68% 48610: Miscellaneous Revenue 31,877 26,972 2,796 24,000 1,695 22,305 92.94% 48710: Collection of Doubtful Accounts 2,679 - - - 1,435 (1,435) - 49240: Transfer from Capital Projects Fund 276,856 - - - - - - 49310: Fund Balance Applied - - - (259,415) - (259,415) 100.00% 49410: Sales of General Fixed Assets (6,691) - - - - - - Total Revenues 9,421,711 10,095,731 2,541,848 12,909,883 2,403,905 10,505,979 81.38% Total Wages 3,526,984 4,173,142 801,841 5,410,523 881,929 4,528,593 83.70% Total Fringes 1,290,045 1,620,399 377,983 2,422,486 388,068 2,034,418 83.98% 51599: Interdepartmental Wage & Fringe 161,929 201,820 38,333 232,388 49,329 183,059 78.77% Net Wage & Fringe 4,978,958 5,995,361 1,218,158 8,065,396 1,319,326 6,746,070 83.64% 51910: Staff Development 23,507 7,095 450 18,500 350 18,150 98.11% 51915: Nursing Professional & Education 2,369 7,105 1,052 3,500 935 2,565 73.28% 52111: Physician Consultant 7,500 9,000 2,250 9,000 2,250 6,750 75.00% 52112: Pharmacist Consultant 2,775 3,125 469 3,200 469 2,731 85.35% 52113: Psychiatrist/Psychologist Consultant 7,563 14,093 5,000 1,500 4,545 (3,045) 203.00% 52114: Dietary Consultant 11,164 14,157 2,910 18,000 1,826 16,174 89.85% 52116: Consultant Fees 400 700 - - - - - 52117: Legal Services 273 - - - - - - 52119: Accounting Services 22,355 34,993 - 30,000 - 30,000 100.00% 52124: Purchased Pool Staff 907,164 761,783 168,782 840,000 189,798 650,202 77.40% 52125: Purchased Services 588,090 642,542 147,662 962,183 166,726 795,457 82.67% 52132: Transportation 2,228 2,476 280 2,500 519 1,981 79.25% 52152: Bank Service Charges 345 340 340 500 425 75 15.00% 52170: Speech Therapy 25,492 21,307 622 16,000 7,102 8,898 55.61% Print Date April 29, 2026 Page 20 of 37 4200 - Health Care Campus : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual March Operating Budget March Balance Percent Final Final YTD Adopted YTD Remaining Remaining 52171: Occ Therapy 179,406 149,651 26,512 185,000 21,667 163,333 88.29% 52172: Physical Therapy 204,100 159,442 26,125 195,000 25,473 169,527 86.94% 52173: X-Ray 6,083 2,768 625 4,000 303 3,697 92.43% 52174: Labs 7,248 7,523 1,370 10,500 848 9,652 91.92% 52176: Pharmacy 67,797 77,410 8,055 78,000 7,281 70,719 90.66% 52177: Rented Equipment - 6,717 2,251 5,000 276 4,724 94.49% 52178: Misc Medicare A 2,923 6,730 1,206 7,000 1,597 5,403 77.18% 52190: Other Professional Services 4,741 4,982 1,530 5,000 1,371 3,629 72.58% 52210: Water & Sewer 27,001 42,553 10,423 43,000 6,722 36,278 84.37% 52220: Electricity 149,360 152,546 38,362 147,000 26,149 120,851 82.21% 52230: Gas for Heating 35,523 43,634 17,392 50,200 13,829 36,371 72.45% 52240: Telephone/Dictaphone - - - - 450 (450) - 52250: Cellular Phone Service 3,820 3,912 885 4,800 778 4,022 83.79% 52420: Grounds Maintenance 10,033 38,679 16,653 37,600 6,029 31,572 83.97% 52430: Building Maintenance 37,112 56,518 13,298 45,000 19,821 25,179 55.95% 52440: Misc. Repair & Maintenance 418 1,623 1,515 2,600 165 2,435 93.67% 52920: Computer Repair 10,406 202,397 201,379 2,500 7,879 (5,379) 215.15% 52930: Refuse Collection Services 22,557 23,426 5,959 22,700 6,165 16,536 72.84% 52990: Other Contractual Services 126,996 134,239 29,978 131,500 33,626 97,874 74.43% 53110: Postage 2,663 2,400 - 3,120 608 2,512 80.51% 53130: Managed Print Costs - IT 11,508 11,879 2,677 12,500 3,081 9,419 75.35% 53190: Office Supplies 2,854 2,926 707 2,550 187 2,363 92.67% 53210: Publications & Printing 1,124 893 - 1,000 - 1,000 100.00% 53212: Outreach/Education 11,596 8,686 7,731 1,000 150 850 85.00% 53220: Advertising/Promotion - 1,389 - 2,000 50 1,950 97.50% 53240: Dues & Licenses 20,534 16,464 1,527 24,215 2,237 21,978 90.76% 53250: Software Subscriptions & Renewals 43,950 69,441 5,657 122,700 6,042 116,658 95.08% 53310: Employee Mileage 3,464 1,225 - 2,000 - 2,000 100.00% 53320: Employee Lodging 8,558 4,131 - 4,700 - 4,700 100.00% 53330: Employee Meal Expense 1,194 603 - 900 - 900 100.00% 53340: Employee Airfare 1,916 389 - - - - - 53350: Employee Other Expenses 522 328 - - - - - 53420: Medical Supplies 1,816 3,517 506 2,300 666 1,634 71.04% 53421: Nursing Supplies - Med A 4,063 5,854 665 4,000 1,473 2,527 63.16% Print Date April 29, 2026 Page 21 of 37 4200 - Health Care Campus : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual March Operating Budget March Balance Percent Final Final YTD Adopted YTD Remaining Remaining 53422: Nursing Supplies - Non-Billable 75,424 81,449 21,177 99,000 22,771 76,229 77.00% 53423: Med A - IV Supplies 2,386 35,959 - 6,000 71 5,929 98.81% 53430: Provided Food Expense 15,826 17,428 6,084 24,000 340 23,660 98.58% 53440: Operating Supplies 79,217 91,223 57,898 50,660 10,996 39,664 78.29% 53450: Uniform Expense/Supplies - 45 - - - - - 53460: Instructional Aids 1,080 378 180 250 198 52 20.80% 53470: Fuel Expenses 1,048 185 - - 60 (60) - 53480: Wandergaurd Expense 1,552 2,556 - 1,500 - 1,500 100.00% 53481: OTC Drugs - Non-Billable 18,116 18,380 3,108 18,000 3,387 14,613 81.18% 53483: Therapy Supplies 670 2,115 154 1,500 322 1,178 78.54% 53485: Vaccine - Residents 16,581 54 - 4,000 - 4,000 100.00% 53490: Other Operating Supplies - 250 205 4,000 4,290 (290) 7.26% 53910: Other Supplies and Expenses 833 1,504 632 - 190 (190) - 53920: Cell Phones & Accessories 2,673 - - - - - - 53940: Equipment Purchased - Non Fixed Asset 10,138 3,360 1,955 12,000 116 11,884 99.03% 53950: Nursing Equipment < $1,000 68,233 15,411 8,728 500 701 (201) 40.24% 53995: Vehicle Operating Expenses 252 359 - 700 - 700 100.00% 54470: Plumbing Fixtures - 26 26 - - - - 55180: Liability Insurance 72,500 72,500 - 77,500 - 77,500 100.00% 55310: Rents and Leases 2,260 2,318 570 2,400 399 2,001 83.38% 55420: Depreciation - Land Improvements 1,480 2,544 636 1,480 - 1,480 100.00% 55430: Depreciation - Buildings 553,032 567,100 151,654 553,031 - 553,031 100.00% 55440: Depreciation - Fixed Equipment 43,836 86,226 23,080 43,835 - 43,835 100.00% 55450: Depreciation - Vehicles 14,864 29,735 7,434 14,863 - 14,863 100.00% 55910: Other Fixed Charges - 103,800 - 115,000 - 115,000 100.00% 57410: Losses 41,662 25,469 - - - - - 59400: WRS Pension Allocation (24,800) - - - - - - 59530: Transfer to Debt Service Fund - 500,000 500,000 750,000 187,500 562,500 75.00% Operating 3,611,374 4,423,965 1,536,321 4,844,487 801,210 4,043,277 83.46% 58110: New Vehicles 99,306 - - - - - - 58000: Capital Outlay 99,306 - - - - - - Total Expenses 8,689,638 10,419,326 2,754,478 12,909,883 2,120,536 10,789,348 83.57% Report Total 732,073 (323,594) (212,631) - 283,369 - - Print Date April 29, 2026 Page 22 of 37 4210 - Skilled Nursing Facility : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual March Operating Budget March Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes - - - - - - 100.00% 43510: State General Government Grant - - - - 4,170 (4,170) - 46520: Institutional Care 6,737,672 7,302,295 1,748,175 8,850,340 1,723,074 7,127,266 80.53% 46910: Other Public Charges for Services 189 60 - - - - - 48110: Interest Revenue 1,085 150 86 1,000 20 980 98.02% 48510: Donations & Contributions 14,441 11,010 1,098 3,600 3,072 528 14.68% 48610: Miscellaneous Revenue 14,717 21,614 1,157 15,000 1,195 13,805 92.04% 48710: Collection of Doubtful Accounts 2,679 - - - 1,435 (1,435) - 49240: Transfer from Capital Projects Fund 276,856 - - - - - - 49310: Fund Balance Applied - - - (82,554) - (82,554) 100.00% Total Revenues 7,047,640 7,335,129 1,750,517 8,787,386 1,732,965 7,054,421 80.28% Total Wages 2,568,227 2,848,481 520,047 3,558,752 593,984 2,964,768 83.31% Total Fringes 930,429 1,165,601 267,403 1,532,891 281,404 1,251,487 81.64% 51599: Interdepartmental Wage & Fringe 100,713 134,382 21,286 151,680 32,767 118,913 78.40% Net Wage & Fringe 3,599,369 4,148,465 808,736 5,243,324 908,156 4,335,168 82.68% 51910: Staff Development 2,185 4,429 450 15,500 350 15,150 97.74% 51915: Nursing Professional & Education 1,709 4,505 342 3,500 610 2,890 82.56% 52111: Physician Consultant 7,500 9,000 2,250 9,000 2,250 6,750 75.00% 52112: Pharmacist Consultant 2,775 3,125 469 3,200 469 2,731 85.35% 52113: Psychiatrist/Psychologist Consultant 7,563 5,081 - - 2,295 (2,295) - 52114: Dietary Consultant 11,164 14,157 2,910 18,000 1,826 16,174 89.85% 52116: Consultant Fees 400 700 - - - - - 52119: Accounting Services 22,355 34,993 - 30,000 - 30,000 100.00% 52124: Purchased Pool Staff 906,005 761,783 168,782 840,000 189,798 650,202 77.40% 52125: Purchased Services 304,943 378,879 72,726 588,960 80,592 508,368 86.32% 52132: Transportation 2,228 2,476 280 2,500 519 1,981 79.25% 52152: Bank Service Charges 345 340 340 500 425 75 15.00% 52170: Speech Therapy 25,492 21,307 622 16,000 7,102 8,898 55.61% 52171: Occ Therapy 179,406 149,651 26,512 185,000 21,667 163,333 88.29% 52172: Physical Therapy 204,100 159,442 26,125 195,000 25,473 169,527 86.94% 52173: X-Ray 6,083 2,768 625 4,000 303 3,697 92.43% Print Date April 29, 2026 Page 23 of 37 4210 - Skilled Nursing Facility : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual March Operating Budget March Balance Percent Final Final YTD Adopted YTD Remaining Remaining 52174: Labs 7,248 7,523 1,370 10,500 848 9,652 91.92% 52176: Pharmacy 67,797 77,410 8,055 78,000 7,281 70,719 90.66% 52177: Rented Equipment - 6,717 2,251 5,000 276 4,724 94.49% 52178: Misc Medicare A 2,923 6,730 1,206 7,000 1,597 5,403 77.18% 52190: Other Professional Services 4,741 4,982 1,530 5,000 1,371 3,629 72.58% 52210: Water & Sewer 11,070 17,447 4,273 17,000 2,756 14,244 83.79% 52220: Electricity 61,278 62,544 15,728 60,000 10,721 49,279 82.13% 52230: Gas for Heating 9,370 15,847 7,758 19,200 5,638 13,562 70.63% 52240: Telephone/Dictaphone - - - - 450 (450) - 52250: Cellular Phone Service 2,408 2,505 626 3,000 518 2,482 82.73% 52420: Grounds Maintenance 3,345 15,944 6,828 16,000 2,472 13,528 84.55% 52430: Building Maintenance 26,223 33,215 6,806 25,000 14,684 10,316 41.26% 52440: Misc. Repair & Maintenance 418 1,623 1,515 2,600 165 2,435 93.67% 52920: Computer Repair 6,927 1,018 - 1,500 4,058 (2,558) 170.56% 52930: Refuse Collection Services 17,615 17,227 3,254 15,000 4,943 10,057 67.05% 52990: Other Contractual Services 117,643 120,020 28,493 118,000 32,531 85,469 72.43% 53110: Postage 2,663 2,400 - 3,120 608 2,512 80.51% 53130: Managed Print Costs - IT 9,494 9,985 2,328 10,000 2,615 7,385 73.85% 53190: Office Supplies 1,690 2,352 528 2,000 168 1,832 91.59% 53210: Publications & Printing 865 893 - 1,000 - 1,000 100.00% 53212: Outreach/Education 3,745 960 240 500 150 350 70.00% 53220: Advertising/Promotion - 1,389 - 1,500 50 1,450 96.67% 53240: Dues & Licenses 15,856 14,252 1,101 20,600 1,773 18,827 91.39% 53250: Software Subscriptions & Renewals 28,991 47,330 2,181 79,800 2,288 77,512 97.13% 53310: Employee Mileage 2,831 1,225 - 2,000 - 2,000 100.00% 53320: Employee Lodging 1,948 3,901 - 3,500 - 3,500 100.00% 53330: Employee Meal Expense 699 603 - 800 - 800 100.00% 53340: Employee Airfare - 389 - - - - - 53350: Employee Other Expenses 217 328 - - - - - 53420: Medical Supplies 1,816 3,465 454 2,300 666 1,634 71.04% 53421: Nursing Supplies - Med A 4,063 5,854 665 4,000 1,473 2,527 63.16% 53422: Nursing Supplies - Non-Billable 64,801 75,378 20,028 90,000 20,747 69,253 76.95% 53423: Med A - IV Supplies 2,386 35,959 - 6,000 71 5,929 98.81% 53430: Provided Food Expense 15,826 17,181 6,084 24,000 340 23,660 98.58% Print Date April 29, 2026 Page 24 of 37 4210 - Skilled Nursing Facility : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual March Operating Budget March Balance Percent Final Final YTD Adopted YTD Remaining Remaining 53440: Operating Supplies 36,243 41,599 17,714 32,000 7,106 24,894 77.79% 53450: Uniform Expense/Supplies - 45 - - - - - 53460: Instructional Aids 1,080 378 180 250 198 52 20.80% 53470: Fuel Expenses 561 185 - - 60 (60) - 53480: Wandergaurd Expense 924 1,564 - 500 - 500 100.00% 53481: OTC Drugs - Non-Billable 17,222 17,131 2,772 18,000 2,500 15,500 86.11% 53483: Therapy Supplies 670 2,115 154 1,500 322 1,178 78.54% 53485: Vaccine - Residents 9,354 - - 4,000 - 4,000 100.00% 53490: Other Operating Supplies - 250 205 4,000 4,290 (290) 7.26% 53910: Other Supplies and Expenses 833 1,217 376 - 190 (190) - 53940: Equipment Purchased - Non Fixed Asset 316 2,894 1,805 12,000 116 11,884 99.03% 53950: Nursing Equipment < $1,000 10,921 6,739 314 - 701 (701) - 53995: Vehicle Operating Expenses 252 366 - 700 - 700 100.00% 55180: Liability Insurance 36,250 36,250 - 44,000 - 44,000 100.00% 55310: Rents and Leases 2,260 2,318 570 2,400 399 2,001 83.38% 55420: Depreciation - Land Improvements 1,480 2,544 636 1,480 - 1,480 100.00% 55430: Depreciation - Buildings 399,030 398,975 99,744 399,029 - 399,029 100.00% 55440: Depreciation - Fixed Equipment 34,216 57,454 15,143 34,216 - 34,216 100.00% 55450: Depreciation - Vehicles 9,907 9,907 2,477 9,907 - 9,907 100.00% 55910: Other Fixed Charges - 53,800 - 60,000 - 60,000 100.00% 57410: Losses 2,270 15,963 - - - - - 59400: WRS Pension Allocation (24,800) - - - - - - 59530: Transfer to Debt Service Fund - 250,000 250,000 375,000 131,250 243,750 65.00% Operating 2,720,139 3,068,925 817,822 3,544,062 602,071 2,941,991 83.01% Total Expenses 6,319,508 7,217,389 1,626,558 8,787,386 1,510,227 7,277,158 82.81% Report Total 728,132 117,740 123,960 - 222,738 - - Print Date April 29, 2026 Page 25 of 37 4230 - Kitty Rhoades (Dementia) : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual March Operating Budget March Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes - - - - - - 100.00% 43560: State Human Services Grant 241,434 336,031 218,302 - - - - 46520: Institutional Care - 205,514 16,900 1,806,750 115,218 1,691,532 93.62% 49310: Fund Balance Applied - - - (176,861) - (176,861) 100.00% Total Revenues 241,434 541,545 235,202 1,629,889 115,218 1,514,671 92.93% Total Wages 3,100 308,706 75,021 957,044 106,517 850,528 88.87% Total Fringes 1,020 120,319 26,996 566,374 49,842 516,532 91.20% 51599: Interdepartmental Wage & Fringe 4,466 13,385 2,586 6,000 1,814 4,186 69.77% Net Wage & Fringe 8,586 442,410 104,603 1,529,418 158,172 1,371,246 89.66% 51910: Staff Development 20,822 1,333 - 1,500 - 1,500 100.00% 52113: Psychiatrist/Psychologist Consultant - 9,012 5,000 1,500 2,100 (600) 40.00% 52125: Purchased Services 185 9,895 - 53,223 8,239 44,984 84.52% 52210: Water & Sewer 1,755 2,766 677 6,000 437 5,563 92.72% 52220: Electricity 9,704 9,916 2,494 12,000 1,700 10,300 85.84% 52230: Gas for Heating 340 794 457 1,000 271 729 72.90% 52250: Cellular Phone Service - - - 900 - 900 100.00% 52420: Grounds Maintenance 401 2,505 1,082 1,600 392 1,208 75.51% 52430: Building Maintenance 685 2,374 2,167 2,000 28 1,972 98.60% 52920: Computer Repair 1,759 201,221 201,221 - 170 (170) - 52930: Refuse Collection Services - - - 500 - 500 100.00% 52990: Other Contractual Services 155 2,035 27 1,500 27 1,473 98.18% 53130: Managed Print Costs - IT - 190 52 500 116 384 76.87% 53190: Office Supplies 666 63 - 50 - 50 100.00% 53210: Publications & Printing 259 - - - - - - 53212: Outreach/Education 7,821 7,491 7,491 - - - - 53240: Dues & Licenses 15 415 - 415 - 415 100.00% 53250: Software Subscriptions & Renewals - 6,149 1,738 3,500 1,877 1,623 46.37% 53310: Employee Mileage 633 - - - - - - 53320: Employee Lodging 6,610 - - - - - - 53330: Employee Meal Expense 495 - - - - - - 53340: Employee Airfare 1,916 - - - - - - Print Date April 29, 2026 Page 26 of 37 4230 - Kitty Rhoades (Dementia) : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual March Operating Budget March Balance Percent Final Final YTD Adopted YTD Remaining Remaining 53350: Employee Other Expenses 306 - - - - - - 53422: Nursing Supplies - Non-Billable 5,486 286 263 3,000 59 2,941 98.02% 53430: Provided Food Expense - 248 - - - - - 53440: Operating Supplies 28,593 37,530 37,256 3,660 195 3,465 94.67% 53910: Other Supplies and Expenses - 256 256 - - - - 53920: Cell Phones & Accessories 2,673 - - - - - - 53940: Equipment Purchased - Non Fixed Asset 9,823 467 150 - - - - 53950: Nursing Equipment < $1,000 55,992 8,101 8,101 - - - - 53995: Vehicle Operating Expenses - (7) - - - - - 54470: Plumbing Fixtures - 26 26 - - - - 55430: Depreciation - Buildings 602 602 151 602 - 602 100.00% 55440: Depreciation - Fixed Equipment 2,066 9,112 2,278 2,065 - 2,065 100.00% 55450: Depreciation - Vehicles 4,957 19,827 4,957 4,956 - 4,956 100.00% Operating 164,717 332,606 275,844 100,471 15,611 84,860 84.46% 58110: New Vehicles 99,306 - - - - - - 58000: Capital Outlay 99,306 - - - - - - Total Expenses 272,608 775,016 380,447 1,629,889 173,784 1,456,105 89.34% Report Total (31,174) (233,471) (145,245) - (58,566) - - Print Date April 29, 2026 Page 27 of 37 4240 - Orchard View : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual March Operating Budget March Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes - - - - - - 100.00% 43510: State General Government Grant 95,738 51,174 - - - - - 46520: Institutional Care 2,026,430 2,162,525 554,490 2,483,609 555,222 1,928,387 77.64% 48610: Miscellaneous Revenue 17,160 5,358 1,638 9,000 500 8,500 94.44% 49410: Sales of General Fixed Assets (6,691) - - - - - - Total Revenues 2,132,637 2,219,057 556,128 2,492,609 555,722 1,936,887 77.71% Total Wages 955,657 1,015,955 206,774 894,726 181,428 713,298 79.72% Total Fringes 358,597 334,478 83,584 323,221 56,822 266,399 82.42% 51599: Interdepartmental Wage & Fringe 56,750 54,052 14,461 74,708 14,748 59,960 80.26% Net Wage & Fringe 1,371,004 1,404,486 304,819 1,292,655 252,998 1,039,656 80.43% 51910: Staff Development 500 1,333 - 1,500 - 1,500 100.00% 51915: Nursing Professional & Education 660 2,600 710 - 325 (325) - 52113: Psychiatrist/Psychologist Consultant - - - - 150 (150) - 52117: Legal Services 273 - - - - - - 52124: Purchased Pool Staff 1,159 - - - - - - 52125: Purchased Services 282,962 253,768 74,935 320,000 77,895 242,105 75.66% 52210: Water & Sewer 14,175 22,340 5,472 20,000 3,529 16,471 82.35% 52220: Electricity 78,378 80,087 20,140 75,000 13,728 61,272 81.70% 52230: Gas for Heating 25,813 26,993 9,177 30,000 7,919 22,081 73.60% 52250: Cellular Phone Service 1,412 1,407 259 900 260 640 71.13% 52420: Grounds Maintenance 6,287 20,231 8,743 20,000 3,165 16,835 84.18% 52430: Building Maintenance 10,204 20,928 4,325 18,000 5,109 12,891 71.62% 52920: Computer Repair 1,720 158 158 1,000 3,650 (2,650) 265.01% 52930: Refuse Collection Services 4,942 6,199 2,705 7,200 1,222 5,978 83.03% 52990: Other Contractual Services 9,198 12,185 1,457 12,000 1,067 10,933 91.10% 53130: Managed Print Costs - IT 2,014 1,703 297 2,000 350 1,650 82.48% 53190: Office Supplies 498 510 179 500 19 481 96.23% 53212: Outreach/Education 30 235 - 500 - 500 100.00% 53220: Advertising/Promotion - - - 500 - 500 100.00% 53240: Dues & Licenses 4,663 1,798 426 3,200 464 2,736 85.52% 53250: Software Subscriptions & Renewals 14,959 15,962 1,738 39,400 1,877 37,523 95.24% Print Date April 29, 2026 Page 28 of 37 4240 - Orchard View : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual March Operating Budget March Balance Percent Final Final YTD Adopted YTD Remaining Remaining 53320: Employee Lodging - 230 - 1,200 - 1,200 100.00% 53330: Employee Meal Expense - - - 100 - 100 100.00% 53420: Medical Supplies - 52 52 - - - - 53422: Nursing Supplies - Non-Billable 5,138 5,786 886 6,000 1,965 4,035 67.26% 53440: Operating Supplies 14,380 12,094 2,929 15,000 3,695 11,305 75.37% 53470: Fuel Expenses 487 - - - - - - 53480: Wandergaurd Expense 628 992 - 1,000 - 1,000 100.00% 53481: OTC Drugs - Non-Billable 894 1,249 336 - 888 (888) - 53485: Vaccine - Residents 7,227 54 - - - - - 53910: Other Supplies and Expenses - 32 - - - - - 53950: Nursing Equipment < $1,000 1,320 572 314 500 - 500 100.00% 55180: Liability Insurance 36,250 36,250 - 33,500 - 33,500 100.00% 55430: Depreciation - Buildings 153,400 167,523 51,759 153,400 - 153,400 100.00% 55440: Depreciation - Fixed Equipment 7,554 19,659 5,659 7,554 - 7,554 100.00% 55910: Other Fixed Charges - 50,000 - 55,000 - 55,000 100.00% 57410: Losses 39,392 9,506 - - - - - 59530: Transfer to Debt Service Fund - 250,000 250,000 375,000 56,250 318,750 85.00% Operating 726,517 1,022,434 442,655 1,199,954 183,527 1,016,427 84.71% Total Expenses 2,097,522 2,426,920 747,474 2,492,609 436,525 2,056,084 82.49% Report Total 35,116 (207,863) (191,346) - 119,197 - - Print Date April 29, 2026 Page 29 of 37 4710 - Veterans Services : Department Overview FY24 FY25 Prior Year FY26 FY26 Actual Actual March Operating Budget March Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes 315,898 330,087 82,522 344,407 86,102 258,305 75.00% 43510: State General Government Grant 24,767 32,071 - 22,500 - 22,500 100.00% 48510: Donations & Contributions 641 3,194 728 - 100 (100) - 48610: Miscellaneous Revenue 69 - - - - - - Total Revenues 341,375 365,352 83,250 366,907 86,202 280,705 76.51% Total Wages 201,610 208,828 41,881 217,132 43,784 173,348 79.84% Total Fringes 98,854 107,268 25,288 113,082 26,200 86,882 76.83% Net Wage & Fringe 300,464 316,096 67,169 330,214 69,984 260,230 78.81% 51910: Staff Development 475 370 150 750 160 590 78.67% 52190: Other Professional Services 147 - - - - - - 52410: Repair and Replacement 1,347 1,428 - 1,347 - 1,347 100.00% 53110: Postage 989 1,303 1,303 1,150 - 1,150 100.00% 53130: Managed Print Costs - IT 930 891 240 1,000 240 760 76.01% 53190: Office Supplies 1,136 747 663 1,000 - 1,000 100.00% 53212: Outreach/Education 1,356 875 - 1,500 - 1,500 100.00% 53213: Program Development 11,435 11,705 1,920 10,700 1,860 8,840 82.62% 53240: Dues & Licenses 40 85 70 100 20 80 80.00% 53310: Employee Mileage 823 915 112 1,000 249 751 75.06% 53320: Employee Lodging 1,480 852 - 1,500 - 1,500 100.00% 53330: Employee Meal Expense 1,587 790 - 1,000 19 981 98.10% 53350: Employee Other Expenses - - - 50 - 50 100.00% 53440: Operating Supplies 3,773 1,983 - 3,395 - 3,395 100.00% 53490: Other Operating Supplies 600 - - - - - - 53910: Other Supplies and Expenses 155 - - - - - - 55180: Liability Insurance 1,701 1,875 - 2,201 - 2,201 100.00% 57110: Direct Relief to Indigents 5,248 9,869 549 10,000 356 9,644 96.44% Operating 33,222 33,687 5,007 36,693 2,904 33,789 92.09% Total Expenses 333,686 349,784 72,176 366,907 72,888 294,019 80.13% Report Total 7,689 15,568 11,073 - 13,314 - - Print Date April 29, 2026 Page 30 of 37 Enhanced Efforts to Address Behavorial Health Needs Within the Criminal Justice System Cover Memo To: Health and Human Services Board From: Ken Witt, County Administrator Bob Rohret, HHS Director Date: May 13, 2026 Agenda Item: Enhanced Efforts to Address Behavorial Health Needs Within the Criminal Justice System Background Information: The Health and Human Services Director and Deputy Director will provide an update on ongoing efforts to improve behavioral health care for individuals involved in the criminal justice system, including strategies focused on diversion, deflection, and expanded on-site service delivery. Deputy Director Lopez will also present progress on the development of a local Sequential Intercept Model (SIM), which serves as a strategic framework guiding and aligning these system-wide initiatives. Page 31 of 37 Health and Human Services 1752 Dorset Ln | New Richmond WI 54017 Telephone: 715-246-6991 | Fax: 715-246-8284 www.sccwi.gov St. Croix County: Sequential Intercept Model (SIM) Overview How People Move Through the System • The Sequential Intercept Model (SIM) illustrates how individuals move through the justice system. • Goal: Shift from a justice response to a health-centered response. Intercept 0–1: Community & First Response • Strengths: Crisis lines, CIT-trained officers, co-responder model. • Gaps: Law enforcement as default, limited after-hours care, no detox/sobering center. Intercept 2–3: Jail & Courts • Strengths: Diversion programs, treatment court, risk assessments. • Gaps: Standardized screening needs improvement, limited treatment, no MAT initiation. Intercept 4–5: Reentry & Community Supervision • Strengths: Some reentry coordination and peer support. • Gaps: Weak handoffs, housing barriers, medication gaps. Page 32 of 37 2 Key Insight • People enter the system too late—after crises escalate. • Opportunity: Intervene earlier and improve outcomes. Strategic Direction • Move Upstream: Expand crisis response and deflection. • Identify Earlier: Implement screening and expand services. • Ensure Continuity: Strengthen reentry and housing supports. Low-Hanging Fruit • Crisis staff in 911 dispatch – grant submitted. • Expanded co-responder model to 7 days / week with 3rd co-responder. • Alternative programming to address criminal thinking – grant submitted. • Additional jail social worker – grant submitted. • Enhanced reentry coordination – exploring grant opportunities. • Expanded peer support – current MA billing option, current grant options. • Creation of a data dashboard – exploring current grant opportunity. What This Means for the County • Individuals: Faster care and better outcomes. • Public Safety: Reduced repeat offenses and safer responses. • Resources: Reduced strain and long-term cost savings. Bottom Line • Earlier intervention leads to better outcomes and reduced justice involvement. Page 33 of 37 3 Current HHS Interventions Intersecting with Justice Services Intercept Intervention Intervention Goals 0-1 Substance Use Professional embedded in Children Services Opioid Settlement This program provides case management, substance use assessments, and treatment services for individuals involved with Child Protection whose children are at risk of out-of-home placement. The program focuses on building trust, reducing barriers to care, and supporting recovery to improve family stability, child safety, and reunification outcomes. 0-1 Family Treatment Court Grant Funded Family Treatment Court supports parents involved in the child welfare system who are struggling with substance use disorders. The program uses a collaborative, team-based approach to promote recovery, improve child safety, and strengthen family stability while working toward timely reunification whenever possible. 0-1 Suicide Prevention / Gun Violence Prevention State Crisis Intervention Program (SCIP) thru 9/30/26 This grant supports a countywide harm reduction initiative focused on promoting safe firearm storage throughout St. Croix County. The program combines public education through a media campaign with the distribution of safe gun storage devices at accessible community locations, including libraries, law enforcement agencies, and hospitals, to reduce suicide risk and improve community safety. 0-5 Peer Support State Opioid Response (SOR) grant thru 9/30/26 Peer support programming provides individuals and families with guidance, encouragement, and connection from trained peers who have lived experience with recovery, mental health, or system involvement. These services help reduce isolation, build trust, and support long-term recovery and stability through mentorship, advocacy, and resource navigation. 0-2,4-5 Recovery Housing State Opioid Response (SOR) grant thru 9/30/26 Recovery housing programs provide safe, substance-free living environments that support individuals in early recovery. These programs promote stability, accountability, and independent living while connecting residents to treatment, employment, peer support, and other recovery resources. 3-4 Jail Therapist State Crisis Intervention Program (SCIP) thru 9/30/26 The Jail Therapist provides integrated assessments for individuals in custody identified with serious mental illness. Services include transition planning, skill-building interventions, and coordination of care to support successful reentry, improve stability, and reduce future system involvement. 3-4 Jail Social Worker Opioid Settlement The Jail Social Worker provides daily in-custody mental health interventions, including crisis assessment, care coordination, and support services for individuals in custody. The role focuses on stabilizing mental health needs, connecting individuals to appropriate resources, and supporting continuity of care during incarceration and reentry planning. 0-1 Behavioral Health Technician, Adult Protective Services Office of Violence Against Women (OVW) Grant thru 9/30/28 The Behavioral Health Technician supports Adult Protective Services by providing education and additional support services to individuals age 50 and older who may be experiencing abuse, neglect, or self-neglect. A portion of this position is funded through the Office on Violence Against Women (OVW) grant to support victim services, safety, and intervention efforts for vulnerable adults. Page 34 of 37 4 Proposed HHS Interventions to Assist in SIM Identified Gaps Intercept Intervention Proposal Goals 1 Crisis Staff in the 911 Center BJA grant proposal Embeds crisis staff within the 911 center to identify mental health crises early, improve access to care, reduce law enforcement involvement, and support safer, more compassionate crisis response and intervention. 0-1 3rd Mental Health Co-responder Searching for grant funding Provides early crisis intervention and expanded behavioral health response coverage to increase diversion opportunities, reduce law enforcement strain, support de-escalation and treatment over arrest, and improve community safety and continuity of care. 1-2 Evidence Based Programming for Justice Involved Individuals TAP Grant 4/2026 submission Uses early identification, screening, and intervention to connect justice- involved individuals with behavioral health and substance use needs to appropriate treatment and supports, reducing recidivism, system strain, and deeper justice system involvement. 3 2nd Jail Social Worker BJA Grant Submitted 3/2026 Expands jail behavioral health services through a dedicated social worker to improve screening, in-custody care, reentry planning, and coordination of evidence-based supports, with the goal of reducing recidivism, system strain, and future behavioral health crises. All Data Dashboard for Justice Involved Individuals COSSUP Grant – Due 8/31/26 Develops a real-time data dashboard to improve coordination, data sharing, and informed decision-making across county partners, strengthening deflection, case management, and program outcome tracking through enhanced technology. Integrated Treatment (MH+SUD) vs. Criminogenic Interventions A common point of confusion is the assumption that therapy alone reduces reoffending. Research shows that while treatment improves health and functioning, criminogenic risk requires targeted interventions. Integrated Therapeutic Intervention RNR Model -Evidence Based Criminogenic Intervention Key Distinction Stabilize and heal so change is possible. Change behavior to reduce crime. Staffing Master Level Clinician or higher (LPC, LMFT, LCSW, Psychologist, Psychiatrist) No educational requirement for most but must be trained in providing the curriculum to efficacy (case manager, peer support, probation agent, etc.) Theoretical Framework DSM5 & ASAM level of care & treatment rec’s Risk-Need-Responsivity, CBT & Social Learning approaches as they apply to criminal thinking Page 35 of 37 5 Primary Goal / Targeted Outcomes Improve mental health and recovery (reduction of symptoms, improved functioning & quality of life) Reduce reoffending by addressing criminogenic needs based on a risk/need/responsivity model Target Population Those with clinical need (depression, anxiety, SUD, trauma, suicidality) Those with risk factors linked to crime (antisocial thinking/peers/patterns, family, work/school, SUD, leisure activities, lack of prosocial skills/attitudes) Examples of Interventions Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Accelerated Resolution Therapy, etc. Moral Reconation Therapy, Core Correctional Practices, Thinking for a Change, Contingency Mgt., & other psychoeducational criminogenic focused interventions Measurements / Assessment Tools Clinical interview, observation, client report, client measurement surveys, ASAM, individualized treatment plan, crisis events, engagement Validated risk assessment tool, curriculum driven intervention dosage to meet risk level, compliance to programming, skill practice, behavior change, new arrests (recidivism) Fidelity and QA Clinical supervision, licensing standards, notes, QA by med records and billing Reliance on fidelity to the curriculum Review of Risk Need Responsivity for non-Justice Involved Staff Understanding Reduce reoffending by focusing on the right people (risk), the right problems (need), and the right approach (responsivity). • Risk is assessed by COMPAS (Correctional Offender Management Profiling for Alterative Sanctions) assessment (may have overriding factors, as well) o High-risk individuals need more intensive intervention o Low-risk individuals should not be over-served • COMPAS assesses criminogenic Needs to include: o Criminal involvement o Antisocial personality traits o Criminal thinking o Antisocial peers o Substance use o Family/social support o Education/employment o Leisure/recreation • Responsivity includes indicators to inform: o Motivation o Stability o Barriers to engagement (cognitive impairment, diagnosis, etc.) Substance use is a criminogenic risk factor in the RNR model, but it is not “treatment.” • Treatment improves health and recovery. • RNR interventions change criminal behavior. Page 36 of 37 6 • High-risk individuals usually need both. Page 37 of 37