Health and Human Services Board Meeting — Agenda Packet

Health and Human Services Board Agenda January 21, 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 - December 17, 2025 Public Comment Business 1. Financial Report for December 2025 2. Family Treatment Court Update 3. Behavioral Health Transition and Program Updates 4. 2025 Summary of Rabies Prevention Activities and Outcomes Request for Future Agenda Items Announcements Date of Next Meeting 1. Date of Next Meeting - February 18, 2026 Adjournment Reasonable efforts will be made to provide special accommodations for access to public meetings. To request a special accommodation, please contact the County Clerk’s Office at (715) 386-4600 at least two business days prior to the time of the meeting. For more information on St. Croix County's public meetings visit: sccwi.gov/meetings Page 1 of 41 Health and Human Services Board Minutes December 17, 2025 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 December 17, 2025, meeting of the HHS Board to order at approximately 5:00 PM. Roll Call PRESENT: Mike Barcalow, Kathleen Findlay, Cathy Leaf, Deb Lindemann, Wayne Roen, Greg Tellijohn ABSENT: Lisa Lind, Julie Smith Others in Attendance: Health and Human Services (HHS) Director Bob Rohret, County Administrator Ken Witt, HHS Deputy Director Shar Lopez, Fiscal Manager Fay Strenke, Public Health Administrator/Health Officer Elle Klasen, Public Health Strategist, Genevieve Palazzolo, Public Information Officer Adam Kastonek Approval of Minutes Health and Human Services (HHS) Board Chair Greg Tellijohn asked the Board after reviewing the minutes from the November 19, 2025 HHS Board meeting if any editing was needed. With nothing noted, the minutes were accepted as submitted. 1. Minutes of Previous Meeting - November 19, 2025 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 tonight. Business 1. Financial Report for November 2025 Fiscal Manager Fay Strenke reviewed the monthly HHS financials with the HHS Board. Strenke informed that the financials in the packet are for November 2025. Strenke went on to highlight that things continue to trend the same. In comparing Nov. 2025 to Nov. 2024, things are still showing in the red, though a little less than last year. There will be revenues and expenses that will continue to be added through Feb. of 2026, that will be posted back to 2025, but we should finish similar to last year. The Health Care Campus is showing a positive balance and should finish the year that way. Some discussion followed. 2. Public Health Updates Public Health (PH) Administrator/Health Officer Elle Klasen shared information on some of the smaller projects that PH works on. She shared that the Reproductive Health program applied for a grant with Pierce County for what is called Vitamin Angels. This allows them to be able to provide prenatal vitamins to all those with a positive pregnancy test or those planning to become pregnant. Also, the Fit Families program had some unspent money, so WIC/Fit Families worked with the New Richmond School District and is assisting with their vegetable grow tower program. These funds helped provide education and equipment for 5 hydroponic grow towers. With this, they have been able to provide NR schools with lettuce for school lunches and the Backpack Program. Then Klasen went on to share that one of the big Page 2 of 41 changes in 2025 was the approval of the Public Health Strategist position. She then introduced our new Public Health Strategist, Genevieve Palazzolo. Public Health Strategist, Genevieve Palazzolo then reviewed some of the other things she and the Public Health staff are working on. She went on to explain where county residents can find the work being done on the Community Health Assessment and Improvement Plan, which is out on the St. Croix County website. Palazzolo also shared information on some grants she is working on and discussed the implementation of a survey for county residents to complete regarding Know Your Water. Some questions asked and answered. 3. HHS Legislative Education Committee Updates Health and Human Services (HHS) Director Rohret provided an overview of the HHS Legislative Education Committee; its reason for creation, their goals, and some of the legislative issues they are monitoring. ADRC Administrator Kristin Newton is the chair of this committee and has been involved with the County Ambassadors Program (CAP) in Madison, along with the HHS Director, County Administrator, and some County Board Members. The tangible things the committee is working on are one-page easily understood documents that better inform on what policies could affect the various service areas in HHS. Also, HHS would like to have a better working relationship with our state and local representatives so we can inform them on how policies may affect HHS. The plan is to begin inviting our local representatives to St. Croix County Services Center to discuss our issues and concerns face to face with them or their staffers, and to hear from them on activity at the Capital. The hope is that this will happen quarterly in 2026. Questions and discussion followed. 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 Health and Human Services (HHS) Board Chair Greg Tellijohn asked if there were any announcements tonight. *HHS Deputy Director Shar Lopez provided updates on grants received and how the funds are being used *HHS Director Rohret informed that Children Services received Like Kin grant funds to provide extra items to kids in foster care * Also announced was that HHS Board Member Dr. Kathleen Findley received the top provider of the year award from the Community of Baldwin. Congratulations! * HHS Board Chair Tellijohn shared that Ruby's Pop-up Pantry is back again tomorrow in New Richmond 4:30-7 Date of Next Meeting 1. Date of Next Meeting - January 21, 2026 Adjournment Health and Human Services (HHS) Board Chair Greg Tellijohn called this December 17, 2025 meeting of the Health and Human Services Board adjourned at approximately 5:30 PM. Happy Holidays to everyone! Page 3 of 41 Financial Report for December 2025 Cover Memo To: Health and Human Services Board From: Ken Witt, County Administrator Bob Rohret, HHS Director Date: January 21, 2026 Agenda Item: Financial Report for December 2025 Background Information: Fiscal Manager Fay Strenke will review the Health and Human Services (HHS) Monthly financials with the Board. Page 4 of 41 HHS Overview - Summary of Fund 225 FY23 FY24 Prior Year FY25 FY25 Actual Actual December Operating Budget December Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes 7,891,840 8,301,613 8,301,613 9,815,675 9,815,676 (1) - 43310: Other Federal Payment 562,756 765,802 765,802 220,000 212,226 7,774 3.53% 43510: State General Government Grant 19,335 22,487 22,487 15,000 19,985 (4,985) 33.23% 43550: State Health Grant 1,058,299 958,772 958,772 712,823 802,286 (89,463) 12.55% 43560: State Human Services Grant 7,697,587 8,292,735 8,292,735 7,863,701 7,337,849 525,852 6.69% 43610: State Payments for Municipal Services 78,656 86,579 86,579 80,000 97,533 (17,533) 21.92% 44310: Building Permits and Inspection Fees 263,966 287,708 287,708 275,000 289,517 (14,517) 5.28% 44910: Other Regulatory Permits and Fees 11,072 12,011 12,011 10,000 13,058 (3,058) 30.58% 45220: Judgments and Damages 101,970 972,241 972,241 219,637 232,034 (12,397) 5.64% 46510: Public Health Services 131,895 139,278 139,278 112,000 129,140 (17,140) 15.30% 46610: Human Services 5,764,410 5,165,817 5,165,817 6,062,729 4,447,272 1,615,457 26.65% 46630: AODA Non-IDP 42,653 52,584 52,584 50,000 38,230 11,770 23.54% 46633: AODA IDP Treatment Fees 43,144 57,735 57,735 60,000 44,622 15,378 25.63% 46635: AODA IDP Assessments 178,079 180,465 180,465 185,000 137,202 47,798 25.84% 46637: AODA DOC 2,465 200 200 - 3,809 (3,809) - 46639: AODA Inpt 25,196 8,530 8,530 15,000 3,757 11,243 74.95% 46640: MH Revenues 691,008 559,362 559,362 948,064 814,773 133,291 14.06% 46643: ACSS Revenues 72,235 107,166 107,166 90,000 106,767 (16,767) 18.63% 46644: MD Outpatient Revenue 106,350 98,449 98,449 100,000 84,836 15,164 15.16% 46650: YCSS Revenues 909,119 860,803 860,803 930,250 844,808 85,442 9.18% 46651: B-3 Revenues 114,473 136,301 136,301 130,000 137,718 (7,718) 5.94% 46660: Revenues F&C 160,395 169,757 169,757 174,000 132,431 41,569 23.89% 48110: Interest Revenue 184 191 191 - 1 (1) - 48210: Rent Revenue 2,775 1,166 1,166 - - - - 48510: Donations & Contributions 287,519 309,816 309,816 288,500 296,745 (8,245) 2.86% 48610: Miscellaneous Revenue 62,626 61,908 61,908 51,500 45,594 5,906 11.47% 48710: Collection of Doubtful Accounts 14,890 16,461 16,461 25,000 39,157 (14,157) 56.63% 49410: Sales of General Fixed Assets 1,300 17,275 17,275 - 870 (870) - Total Revenues 26,296,199 27,643,214 27,643,214 28,433,879 26,127,894 2,305,985 8.11% Total Wages 11,827,835 12,456,837 12,456,837 13,660,498 12,360,984 1,299,514 9.51 Total Fringes 4,800,591 4,755,106 4,755,106 5,672,774 4,977,864 694,911 12.25% 51599: Interdepartmental Wage & Fringe 7,972 2,292 2,292 - 10,837 10,837 - Print Date January 14, 2026 Page 5 of 41 HHS Overview - Summary of Fund 225 FY23 FY24 Prior Year FY25 FY25 Actual Actual December Operating Budget December Balance Percent Final Final YTD Adopted YTD Remaining Remaining Net Wage & Fringe 16,620,455 17,209,651 17,209,651 19,333,272 17,349,685 1,983,587 10.26% 51910: Staff Development 34,922 61,534 61,534 28,399 38,142 (9,743) 34.31% 52110: Medical and Dental Services 16,746 19,102 19,102 12,500 12,270 230 1.84% 52113: Psychiatrist/Psychologist Consultant 233,583 281,925 281,925 294,000 297,145 (3,145) 1.07% 52116: Consultant Fees - 200 200 500 - 500 100.00% 52117: Legal Services 25,937 27,512 27,512 25,000 11,206 13,794 55.18% 52119: Accounting Services 12,075 17,587 17,587 12,000 17,600 (5,600) 46.67% 52120: Volunteer Services Expense 2,548 2,655 2,655 2,900 2,386 514 17.74% 52122: Interpreter Services 2,886 2,951 2,951 900 3,835 (2,935) 326.16% 52125: Purchased Services 8,730,358 7,912,011 7,912,011 6,891,796 7,391,562 (499,766) 7.25% 52126: Chore Services 1,890 4,000 4,000 1,000 1,963 (963) 96.32% 52127: Personal Care Services 5,631 4,160 4,160 3,500 4,369 (869) 24.83% 52128: Homemaker Services 26,432 31,364 31,364 20,669 25,963 (5,294) 25.61% 52129: Respite Services 42,620 34,304 34,304 40,800 25,335 15,465 37.91% 52132: Transportation 58,403 67,659 67,659 64,700 64,704 (4) 0.01% 52133: Administration - 1,500 1,500 - - - - 52135: Catered Food 426,364 476,835 476,835 400,000 430,998 (30,998) 7.75% 52136: Unprepared Food 39,424 18,390 18,390 15,000 17,231 (2,231) 14.87% 52140: Civil Process/Paper Fees - 497 497 - 190 (190) - 52151: Investigation Services - 304 304 - - - - 52152: Bank Service Charges 5,311 6,323 6,323 6,000 5,895 105 1.76% 52156: Witness Fees 1,500 - - - - - - 52190: Other Professional Services 33,838 81,824 81,824 90,868 121,402 (30,534) 33.60% 52240: Telephone/Dictaphone 6,664 5,417 5,417 5,062 - 5,062 100.00% 52250: Cellular Phone Service 77,166 86,643 86,643 84,690 88,255 (3,565) 4.21% 52252: Internet Fees 1,505 1,574 1,574 - - - - 52410: Repair and Replacement 14,790 21,953 21,953 15,000 9,825 5,175 34.50% 52440: Misc. Repair & Maintenance 2,033 1,025 1,025 2,000 2,314 (314) 15.71% 52920: Computer Repair 19,922 11,222 11,222 10,488 4,735 5,753 54.85% 52990: Other Contractual Services 37 20,400 20,400 - 12,024 (12,024) - 53110: Postage 59,767 31,738 31,738 43,250 34,148 9,102 21.05% 53120: Copy Expense 8 8 8 25 5 20 81.28% 53130: Managed Print Costs - IT 26,606 24,088 24,088 25,550 24,449 1,101 4.31% Print Date January 14, 2026 Page 6 of 41 HHS Overview - Summary of Fund 225 FY23 FY24 Prior Year FY25 FY25 Actual Actual December Operating Budget December Balance Percent Final Final YTD Adopted YTD Remaining Remaining 53190: Office Supplies 25,986 28,597 28,597 22,887 18,118 4,769 20.84% 53210: Publications & Printing 10,957 6,089 6,089 5,650 475 5,175 91.60% 53211: Law Book Publications - - - 350 - 350 100.00% 53212: Outreach/Education 30,738 30,162 30,162 31,800 58,301 (26,501) 83.34% 53213: Program Development 1,472 2,119 2,119 2,008 1,073 935 46.54% 53220: Advertising/Promotion - 500 500 - - - - 53230: Subscriptions 900 576 576 720 - 720 100.00% 53240: Dues & Licenses 30,052 42,289 42,289 34,354 48,922 (14,568) 42.41% 53250: Software Subscriptions & Renewals 1,446 1,866 1,866 1,234 11,926 (10,692) 866.42% 53310: Employee Mileage 44,118 51,422 51,422 44,367 53,272 (8,905) 20.07% 53320: Employee Lodging 8,726 25,670 25,670 13,531 28,011 (14,480) 107.01% 53330: Employee Meal Expense 3,130 7,143 7,143 7,076 10,891 (3,815) 53.92% 53340: Employee Airfare 951 7,120 7,120 1,000 7,448 (6,448) 644.80% 53350: Employee Other Expenses 772 2,163 2,163 428 3,451 (3,023) 706.22% 53420: Medical Supplies 64,131 76,360 76,360 27,450 96,097 (68,647) 250.08% 53430: Provided Food Expense 1,175 893 893 500 2,061 (1,561) 312.10% 53440: Operating Supplies 57,065 66,051 66,051 39,200 49,836 (10,636) 27.13% 53450: Uniform Expense/Supplies 202 274 274 - 190 (190) - 53460: Instructional Aids 3,414 6,591 6,591 - 1,962 (1,962) - 53470: Fuel Expenses 16,652 16,474 16,474 18,000 14,106 3,894 21.64% 53490: Other Operating Supplies - 108 108 - 1,695 (1,695) - 53510: Repair and Maintenance Supplies 19 - - - - - - 53610: Other Repairs and Maintenance Supplies 112 840 840 250 255 (5) 1.90% 53910: Other Supplies and Expenses 1,334 13,268 13,268 - 6,320 (6,320) - 53920: Cell Phones & Accessories - 788 788 - - - - 53930: Software Purchased 249,430 184,855 184,855 197,060 197,924 (864) 0.44% 53940: Equipment Purchased - Non Fixed Asset 3,683 26,551 26,551 600 25,168 (24,568) 4,094.75% 53995: Vehicle Operating Expenses 29,522 29,415 29,415 32,500 27,517 4,983 15.33% 55180: Liability Insurance 135,000 141,000 141,000 141,000 141,000 - - 55310: Rents and Leases 9,631 22,568 22,568 6,040 6,230 (190) 3.15% 57910: Other Grants, Contributions and Indemnities 219,337 376,005 376,005 376,005 376,005 - - Operating 10,858,919 10,424,460 10,424,460 9,100,607 9,836,202 (735,595) 8.08% Total Expenses 27,479,374 27,634,111 27,634,111 28,433,879 27,185,887 1,247,992 4.39% Print Date January 14, 2026 Page 7 of 41 HHS Overview - Summary of Fund 225 FY23 FY24 Prior Year FY25 FY25 Actual Actual December Operating Budget December Balance Percent Final Final YTD Adopted YTD Remaining Remaining Report Total (1,183,175) 9,103 9,103 - (1,057,993) - - Print Date January 14, 2026 Page 8 of 41 4110 - Public Health : Department Overview FY23 FY24 Prior Year FY25 FY25 Actual Actual December Operating Budget December Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes 780,096 840,386 840,386 1,061,301 1,061,301 - - 43550: State Health Grant 1,051,080 946,691 946,691 697,823 802,286 (104,463) -14.97% 44310: Building Permits and Inspection Fees 263,966 287,708 287,708 275,000 289,517 (14,517) -5.28% 44910: Other Regulatory Permits and Fees 11,072 12,011 12,011 10,000 13,058 (3,058) -30.58% 46510: Public Health Services 131,895 139,278 139,278 112,000 129,140 (17,140) -15.30% 48510: Donations & Contributions 1,200 2,209 2,209 - 2,074 (2,074) - Total Revenues 2,239,309 2,228,282 2,228,282 2,156,124 2,297,376 (141,252) -6.55% Total Wages 1,355,372 1,244,532 1,244,532 1,397,612 1,214,636 182,976 13.09% Total Fringes 517,900 487,454 487,454 636,363 477,043 159,320 25.04% 51599: Interdepartmental Wage & Fringe 3,000 188 188 2,500 186 2,686 107.46% Net Wage & Fringe 1,870,272 1,731,798 1,731,798 2,031,475 1,691,865 339,610 16.72% 51910: Staff Development 9,440 6,457 6,457 2,861 2,006 855 29.89% 52110: Medical and Dental Services - 1,361 1,361 - - - - 52122: Interpreter Services - 1,469 1,469 400 2,349 (1,949) 487.34% 52125: Purchased Services 5,124 4,259 4,259 33,945 2,779 31,166 91.81% 52190: Other Professional Services 4,895 3,401 3,401 4,050 59,975 (55,925) 1,380.86% 52250: Cellular Phone Service 2,401 2,418 2,418 690 1,920 (1,230) 178.26% 52920: Computer Repair 186 765 765 - - - - 53110: Postage - 661 661 - 17 (17) - 53130: Managed Print Costs - IT 468 274 274 550 400 150 27.33% 53190: Office Supplies 5,652 6,561 6,561 1,087 772 315 28.95% 53212: Outreach/Education 8,639 5,294 5,294 1,150 1,333 (183) 15.87% 53230: Subscriptions 585 190 190 300 - 300 100.00% 53240: Dues & Licenses 21,850 34,524 34,524 28,464 38,249 (9,785) 34.38% 53250: Software Subscriptions & Renewals - 20 20 244 - 244 100.00% 53310: Employee Mileage 8,666 9,989 9,989 6,057 8,575 (2,518) 41.57% 53320: Employee Lodging 3,940 4,021 4,021 2,455 2,213 242 9.85% 53330: Employee Meal Expense 1,306 1,603 1,603 703 933 (230) 32.72% 53340: Employee Airfare 951 - - 1,000 787 213 21.30% 53350: Employee Other Expenses 255 306 306 253 (294) 547 216.26% 53420: Medical Supplies 46,931 54,951 54,951 26,850 53,839 (26,989) 100.52% Print Date January 14, 2026 Page 9 of 41 4110 - Public Health : Department Overview FY23 FY24 Prior Year FY25 FY25 Actual Actual December Operating Budget December Balance Percent Final Final YTD Adopted YTD Remaining Remaining 53430: Provided Food Expense - - - 150 - 150 100.00% 53440: Operating Supplies 14,300 12,649 12,649 6,350 15,928 (9,578) 150.84% 53610: Other Repairs and Maintenance Supplies 112 840 840 250 255 (5) 1.90% 53910: Other Supplies and Expenses 695 129 129 - 118 (118) - 53930: Software Purchased 25,302 21,419 21,419 5,000 22,381 (17,381) 347.62% 53940: Equipment Purchased - Non Fixed Asset 1,380 1,002 1,002 600 3,195 (2,595) 432.50% 55310: Rents and Leases 1,360 1,180 1,180 1,240 1,300 (60) 4.84% Operating 164,434 175,743 175,743 124,649 219,029 (94,380) 75.72% Total Expenses 2,034,707 1,907,541 1,907,541 2,156,124 1,910,895 245,229 11.37% Report Total 204,602 320,741 320,741 - 386,481 - - Print Date January 14, 2026 Page 10 of 41 4310 - Behavioral Health : Department Overview FY23 FY24 Prior Year FY25 FY25 Actual Actual December Operating Budget December Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes 1,313,151 1,966,643 1,966,643 2,295,299 2,295,299 - - 43310: Other Federal Payment 505,417 632,374 632,374 120,000 212,226 (92,226) -76.85% 43550: State Health Grant 7,219 12,081 12,081 15,000 - 15,000 100.00% 43560: State Human Services Grant 1,926,342 2,133,628 2,133,628 2,007,094 1,990,409 16,686 0.83% 43610: State Payments for Municipal Services 78,656 86,579 86,579 80,000 97,533 (17,533) -21.92% 45220: Judgments and Damages 101,970 972,241 972,241 219,637 232,034 (12,397) -5.64% 46630: AODA Non-IDP 42,653 52,584 52,584 50,000 38,230 11,770 23.54% 46633: AODA IDP Treatment Fees 43,144 57,735 57,735 60,000 44,622 15,378 25.63% 46635: AODA IDP Assessments 178,079 180,465 180,465 185,000 137,202 47,798 25.84% 46637: AODA DOC 2,465 200 200 - 3,809 (3,809) - 46639: AODA Inpt 25,196 8,530 8,530 15,000 3,757 11,243 74.95% 46640: MH Revenues 691,008 559,362 559,362 948,064 814,773 133,291 14.06% 46643: ACSS Revenues 72,235 107,166 107,166 90,000 106,767 (16,767) -18.63% 46644: MD Outpatient Revenue 106,350 98,449 98,449 100,000 84,836 15,164 15.16% 48110: Interest Revenue - - - - - - - 48510: Donations & Contributions 121 1,255 1,255 - 1,601 (1,601) - 48610: Miscellaneous Revenue 402 - - - 1,335 (1,335) - Total Revenues 5,094,407 6,869,294 6,869,294 6,185,094 6,064,431 120,663 1.95% Total Wages 1,901,815 2,313,431 2,313,431 2,552,934 2,094,767 458,167 17.95% Total Fringes 733,931 851,475 851,475 1,008,174 828,219 179,956 17.85% 51599: Interdepartmental Wage & Fringe 6,800 2,161 2,161 - - - - Net Wage & Fringe 2,628,946 3,162,745 3,162,745 3,561,108 2,922,986 638,122 17.92% 51910: Staff Development 9,211 38,922 38,922 5,375 9,344 (3,969) 73.85% 52110: Medical and Dental Services 2,286 6,000 6,000 - 349 (349) - 52113: Psychiatrist/Psychologist Consultant 233,583 281,925 281,925 294,000 297,145 (3,145) 1.07% 52116: Consultant Fees - 200 200 - - - - 52122: Interpreter Services - 196 196 - 615 (615) - 52125: Purchased Services 2,454,589 2,206,937 2,206,937 1,864,675 2,983,143 (1,118,468) 59.98% 52132: Transportation 969 2,593 2,593 1,000 3,109 (2,109) 210.95% 52190: Other Professional Services 7,757 24,052 24,052 - 15,698 (15,698) - 52250: Cellular Phone Service - 53 53 - 427 (427) - Print Date January 14, 2026 Page 11 of 41 4310 - Behavioral Health : Department Overview FY23 FY24 Prior Year FY25 FY25 Actual Actual December Operating Budget December Balance Percent Final Final YTD Adopted YTD Remaining Remaining 52920: Computer Repair 5,702 3,497 3,497 - 706 (706) - 52990: Other Contractual Services - 20,400 20,400 - 12,024 (12,024) - 53110: Postage - - - - 31 (31) - 53190: Office Supplies 89 1,262 1,262 - 692 (692) - 53212: Outreach/Education - 100 100 - 1,300 (1,300) - 53220: Advertising/Promotion - 500 500 - - - - 53230: Subscriptions 315 386 386 420 - 420 100.00% 53240: Dues & Licenses 3,702 2,336 2,336 1,050 4,800 (3,750) 357.14% 53250: Software Subscriptions & Renewals 1,002 1,206 1,206 840 1,868 (1,028) 122.43% 53310: Employee Mileage 1,791 7,679 7,679 2,700 4,717 (2,017) 74.70% 53320: Employee Lodging - 12,268 12,268 4,756 15,462 (10,706) 225.11% 53330: Employee Meal Expense 40 2,891 2,891 4,115 4,897 (782) 19.00% 53340: Employee Airfare - 4,051 4,051 - 3,951 (3,951) - 53350: Employee Other Expenses 42 132 132 - 1,386 (1,386) - 53420: Medical Supplies 17,186 21,278 21,278 600 37,945 (37,345) 6,224.16% 53440: Operating Supplies 12,332 14,952 14,952 3,650 3,929 (279) 7.64% 53450: Uniform Expense/Supplies 202 274 274 - 190 (190) - 53460: Instructional Aids 3,414 6,591 6,591 - 1,962 (1,962) - 53490: Other Operating Supplies - 108 108 - 44 (44) - 53910: Other Supplies and Expenses 223 11,221 11,221 - 829 (829) - 53930: Software Purchased 17,540 47,849 47,849 64,800 53,215 11,585 17.88% 53940: Equipment Purchased - Non Fixed Asset - 10,830 10,830 - 2,244 (2,244) - 53995: Vehicle Operating Expenses - - - - - - - 55310: Rents and Leases 3,401 16,588 16,588 - 1,300 (1,300) - 57910: Other Grants, Contributions and Indemnities - 376,005 376,005 376,005 376,005 - - Operating 2,775,376 3,123,283 3,123,283 2,623,986 3,839,328 (1,215,342) 46.32% Total Expenses 5,404,323 6,286,028 6,286,028 6,185,094 6,762,314 (577,220) 9.33% Report Total (309,915) 583,267 583,267 - (697,883) - - Print Date January 14, 2026 Page 12 of 41 4320 - CCS : Department Overview FY23 FY24 Prior Year FY25 FY25 Actual Actual December Operating Budget December Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes - - - - - - 100.00% 46610: Human Services 5,337,886 4,935,031 4,935,031 5,937,729 4,249,451 1,688,278 28.43% 48610: Miscellaneous Revenue - 13,085 13,085 - 2,122 (2,122) - Total Revenues 5,337,886 4,948,116 4,948,116 5,937,729 4,251,572 1,686,157 28.40% Total Wages 2,265,043 2,352,178 2,352,178 2,307,532 2,384,223 76,690 3.32% Total Fringes 955,031 944,872 944,872 990,412 1,052,074 61,662 6.23% 51599: Interdepartmental Wage & Fringe - - - 384,755 - 384,755 100.00% Net Wage & Fringe 3,220,074 3,297,050 3,297,050 3,682,699 3,436,296 246,403 6.69% 51910: Staff Development 6,769 5,455 5,455 10,000 4,475 5,525 55.25% 52116: Consultant Fees - - - 500 - 500 100.00% 52125: Purchased Services 2,118,875 1,644,601 1,644,601 1,890,000 1,134,836 755,164 39.96% 52190: Other Professional Services 820 - - 15,000 - 15,000 100.00% 52920: Computer Repair 1,166 - - 3,000 - 3,000 100.00% 53212: Outreach/Education - - - 1,500 1,496 4 0.28% 53240: Dues & Licenses 550 1,100 1,100 550 - 550 100.00% 53310: Employee Mileage 9,391 8,059 8,059 11,000 10,015 985 8.95% 53320: Employee Lodging - 466 466 500 - 500 100.00% 53330: Employee Meal Expense - 238 238 300 606 (306) 102.00% 53910: Other Supplies and Expenses - - - - (12) 12 - 53930: Software Purchased - 45,913 45,913 68,400 58,412 9,988 14.60% 59200: Overhead - - - 254,280 - 254,280 100.00% Operating 2,137,571 1,705,832 1,705,832 2,255,030 1,209,828 1,045,202 46.35% Total Expenses 5,357,645 5,002,882 5,002,882 5,937,729 4,646,124 1,291,605 21.75% Report Total (19,759) (54,766) (54,766) - (394,552) - - Print Date January 14, 2026 Page 13 of 41 4410 - Economic Support : Department Overview FY23 FY24 Prior Year FY25 FY25 Actual Actual December Operating Budget December Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes 140,789 149,128 149,128 190,117 190,117 - - 43510: State General Government Grant 19,335 12,937 12,937 15,000 11,375 3,625 24.17% 43560: State Human Services Grant 1,199,746 1,190,213 1,190,213 1,122,888 918,933 203,955 18.16% 48610: Miscellaneous Revenue 9,400 4,200 4,200 - 2,000 (2,000) - Total Revenues 1,369,270 1,356,479 1,356,479 1,328,005 1,122,425 205,580 15.48% Total Wages 823,178 851,313 851,313 882,268 810,380 71,889 8.15% Total Fringes 409,400 374,785 374,785 431,888 343,861 88,027 20.38% Net Wage & Fringe 1,232,578 1,226,098 1,226,098 1,314,157 1,154,240 159,916 12.17% 52125: Purchased Services 825 3,363 3,363 5,908 4,625 1,283 21.72% 52190: Other Professional Services 1,432 3,019 3,019 3,318 2,460 858 25.86% 52240: Telephone/Dictaphone 3,704 2,761 2,761 3,362 - 3,362 100.00% 52920: Computer Repair 8,207 305 305 150 - 150 100.00% 53190: Office Supplies 173 169 169 100 10 90 90.00% 53240: Dues & Licenses - - - - 808 (808) - 53250: Software Subscriptions & Renewals - - - - 202 (202) - 53320: Employee Lodging - - - 300 - 300 100.00% 53330: Employee Meal Expense - - - 100 - 100 100.00% 53440: Operating Supplies 282 93 93 250 45 205 82.00% 53910: Other Supplies and Expenses 92 187 187 - 114 (114) - 53930: Software Purchased - - - 360 3,123 (2,763) 767.59% 53940: Equipment Purchased - Non Fixed Asset 2,209 - - - 56 (56) - Operating 16,924 9,896 9,896 13,848 11,443 2,405 17.37% Total Expenses 1,249,502 1,235,994 1,235,994 1,328,005 1,165,683 162,321 12.22% Report Total 119,768 120,485 120,485 - (43,259) - - Print Date January 14, 2026 Page 14 of 41 4510 - Children Services : Department Overview FY23 FY24 Prior Year FY25 FY25 Actual Actual December Operating Budget December Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes 3,319,410 3,592,768 3,592,768 4,165,595 4,165,595 - - 43510: State General Government Grant - 9,550 9,550 - 8,610 (8,610) - 43560: State Human Services Grant 2,288,557 2,448,666 2,448,666 2,305,960 2,200,749 105,211 4.56% 46610: Human Services 426,524 230,786 230,786 125,000 192,332 (67,332) -53.87% 46650: YCSS Revenues 909,119 860,803 860,803 930,250 844,808 85,442 9.18% 46651: B-3 Revenues 114,473 136,301 136,301 130,000 137,718 (7,718) -5.94% 46660: Revenues F&C 160,395 169,757 169,757 174,000 132,431 41,569 23.89% 48110: Interest Revenue 183 191 191 - - - - 48510: Donations & Contributions 3,196 2,738 2,738 - 9,084 (9,084) - 48610: Miscellaneous Revenue - - - - 2,497 (2,497) - Total Revenues 7,221,858 7,451,561 7,451,561 7,830,805 7,693,824 136,982 1.75% Total Wages 2,784,188 3,110,158 3,110,158 3,605,419 3,240,367 365,052 10.13% Total Fringes 1,191,990 1,176,844 1,176,844 1,499,755 1,309,937 189,817 12.66% 51599: Interdepartmental Wage & Fringe 26,296 37,779 37,779 384,755 51,074 435,829 113.27% Net Wage & Fringe 4,002,474 4,324,781 4,324,781 4,720,419 4,601,379 119,040 2.52% 51910: Staff Development 5,065 7,284 7,284 5,700 19,785 (14,085) 247.10% 52110: Medical and Dental Services 14,460 11,741 11,741 12,500 11,921 579 4.63% 52117: Legal Services 25,937 27,512 27,512 25,000 11,206 13,794 55.18% 52122: Interpreter Services - 1,163 1,163 - 138 (138) - 52125: Purchased Services 4,086,222 4,015,351 4,015,351 2,941,268 3,213,923 (272,655) 9.27% 52132: Transportation - 3,752 3,752 - - - - 52133: Administration - 1,500 1,500 - - - - 52140: Civil Process/Paper Fees - 497 497 - 190 (190) - 52151: Investigation Services - 304 304 - - - - 52156: Witness Fees 1,500 - - - - - - 52190: Other Professional Services 14,665 44,157 44,157 60,500 27,981 32,519 53.75% 52920: Computer Repair - 2,142 2,142 - 2,404 (2,404) - 53110: Postage 30 327 327 - 80 (80) - 53130: Managed Print Costs - IT 32 179 179 - 63 (63) - 53190: Office Supplies 36 386 386 - 129 (129) - 53210: Publications & Printing - 335 335 200 100 100 50.07% Print Date January 14, 2026 Page 15 of 41 4510 - Children Services : Department Overview FY23 FY24 Prior Year FY25 FY25 Actual Actual December Operating Budget December Balance Percent Final Final YTD Adopted YTD Remaining Remaining 53211: Law Book Publications - - - 350 - 350 100.00% 53212: Outreach/Education 8,436 8,256 8,256 10,000 7,798 2,202 22.02% 53213: Program Development - 288 288 - - - - 53240: Dues & Licenses - - - - 730 (730) - 53310: Employee Mileage 19,862 20,767 20,767 22,200 22,964 (764) 3.44% 53320: Employee Lodging 1,785 6,210 6,210 2,750 8,045 (5,295) 192.54% 53330: Employee Meal Expense 962 1,911 1,911 1,118 3,376 (2,258) 201.99% 53340: Employee Airfare - 3,070 3,070 - 2,710 (2,710) - 53350: Employee Other Expenses 228 947 947 - 2,085 (2,085) - 53420: Medical Supplies - - - - 4,313 (4,313) - 53430: Provided Food Expense 205 22 22 - 996 (996) - 53440: Operating Supplies 364 1,465 1,465 - - - - 53470: Fuel Expenses - 55 55 - 39 (39) - 53490: Other Operating Supplies - - - - 1,651 (1,651) - 53910: Other Supplies and Expenses (260) 531 531 - 4,943 (4,943) - 53920: Cell Phones & Accessories - 788 788 - - - - 53930: Software Purchased - 22,032 22,032 28,800 27,482 1,318 4.58% 53940: Equipment Purchased - Non Fixed Asset - 3,948 3,948 - 13,690 (13,690) - 53995: Vehicle Operating Expenses - - - - 27 (27) - 55310: Rents and Leases - - - - 1,530 (1,530) - Operating 4,179,530 4,186,919 4,186,919 3,110,386 3,390,296 (279,910) 9.00% Total Expenses 8,182,004 8,511,700 8,511,700 7,830,805 7,991,675 (160,869) 2.05% Report Total (960,146) (1,060,139) (1,060,139) - (297,851) - - Print Date January 14, 2026 Page 16 of 41 4610 - Aging & Disability Resource Center : Department Overview FY23 FY24 Prior Year FY25 FY25 Actual Actual December Operating Budget December Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes 881,402 374,737 374,737 622,541 622,541 - - 43310: Other Federal Payment 57,339 133,428 133,428 - - - - 43560: State Human Services Grant 1,716,938 1,888,045 1,888,045 1,862,759 1,717,028 145,731 7.82% 46610: Human Services - - - - 5,490 (5,490) - 48510: Donations & Contributions 282,152 302,822 302,822 288,500 282,776 5,724 1.98% 48610: Miscellaneous Revenue 48,286 43,403 43,403 50,000 37,155 12,846 25.69% 49410: Sales of General Fixed Assets 1,300 17,275 17,275 - 870 (870) - Total Revenues 2,987,417 2,759,709 2,759,709 2,823,800 2,665,860 157,940 5.59% Total Wages 1,503,532 1,391,678 1,391,678 1,609,348 1,446,620 162,728 10.11% Total Fringes 491,316 439,961 439,961 526,539 502,704 23,835 4.53% 51599: Interdepartmental Wage & Fringe 1,828 56 56 2,500 3,488 988 39.50% Net Wage & Fringe 1,996,676 1,831,696 1,831,696 2,138,387 1,952,811 185,576 8.68% 51910: Staff Development 2,275 2,249 2,249 1,963 1,897 66 3.36% 52119: Accounting Services 1,575 1,575 1,575 - 1,575 (1,575) - 52120: Volunteer Services Expense 2,548 2,655 2,655 2,900 2,386 514 17.74% 52125: Purchased Services 17,442 - - - 2,085 (2,085) - 52126: Chore Services 1,890 4,000 4,000 1,000 1,963 (963) 96.32% 52127: Personal Care Services 5,631 4,160 4,160 3,500 4,369 (869) 24.83% 52128: Homemaker Services 26,432 31,364 31,364 20,669 25,963 (5,294) 25.61% 52129: Respite Services 42,620 34,304 34,304 40,800 25,335 15,465 37.91% 52132: Transportation 57,434 61,314 61,314 63,700 61,594 2,106 3.31% 52135: Catered Food 426,364 476,835 476,835 400,000 430,998 (30,998) 7.75% 52136: Unprepared Food 39,424 18,390 18,390 15,000 17,231 (2,231) 14.87% 52190: Other Professional Services 3,658 5,726 5,726 3,000 11,098 (8,098) 269.92% 52240: Telephone/Dictaphone 2,843 2,573 2,573 1,500 - 1,500 100.00% 52250: Cellular Phone Service 12,710 14,402 14,402 14,000 14,581 (581) 4.15% 52252: Internet Fees 1,505 1,574 1,574 - - - - 52410: Repair and Replacement 14,790 21,953 21,953 15,000 9,825 5,175 34.50% 52440: Misc. Repair & Maintenance 2,033 1,025 1,025 2,000 2,314 (314) 15.71% 52920: Computer Repair 1,364 3,261 3,261 2,338 - 2,338 100.00% 52990: Other Contractual Services 37 - - - - - - Print Date January 14, 2026 Page 17 of 41 4610 - Aging & Disability Resource Center : Department Overview FY23 FY24 Prior Year FY25 FY25 Actual Actual December Operating Budget December Balance Percent Final Final YTD Adopted YTD Remaining Remaining 53110: Postage 34,258 5,429 5,429 7,250 4,883 2,367 32.65% 53120: Copy Expense 8 8 8 25 5 20 81.28% 53190: Office Supplies 1,405 1,532 1,532 1,700 1,432 268 15.79% 53210: Publications & Printing 10,922 5,717 5,717 5,350 337 5,013 93.70% 53212: Outreach/Education 13,663 16,512 16,512 19,150 41,587 (22,437) 117.16% 53213: Program Development 1,472 1,831 1,831 2,008 1,073 935 46.54% 53240: Dues & Licenses 850 1,119 1,119 1,090 1,076 14 1.31% 53310: Employee Mileage 3,407 3,601 3,601 1,410 5,046 (3,636) 257.84% 53320: Employee Lodging 1,717 1,543 1,543 1,270 1,218 52 4.06% 53330: Employee Meal Expense 641 381 381 540 900 (360) 66.67% 53350: Employee Other Expenses 52 45 45 - 22 (22) - 53430: Provided Food Expense 120 79 79 250 107 143 57.04% 53440: Operating Supplies 28,444 36,685 36,685 28,700 29,786 (1,086) 3.78% 53470: Fuel Expenses 16,652 16,418 16,418 18,000 14,067 3,933 21.85% 53510: Repair and Maintenance Supplies 8 - - - - - - 53910: Other Supplies and Expenses 14 803 803 - 177 (177) - 53940: Equipment Purchased - Non Fixed Asset - 5,411 5,411 - 5,134 (5,134) - 53995: Vehicle Operating Expenses 930 496 496 500 447 53 10.59% 55180: Liability Insurance 5,000 6,000 6,000 6,000 6,000 - - 55310: Rents and Leases 4,870 4,800 4,800 4,800 2,100 2,700 56.25% 57910: Other Grants, Contributions and Indemnities 219,337 - - - - - - Operating 1,006,344 795,771 795,771 685,413 728,609 (43,196) 6.30% Total Expenses 3,003,020 2,627,467 2,627,467 2,823,800 2,681,420 142,379 5.04% Report Total (15,603) 132,242 132,242 - (15,561) - - Print Date January 14, 2026 Page 18 of 41 4920 - Health & Human Services Administration : Department Overview FY23 FY24 Prior Year FY25 FY25 Actual Actual December Operating Budget December Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes 1,456,992 1,377,951 1,377,951 1,480,823 1,480,823 - - 43310: Other Federal Payment - - - 100,000 - 100,000 100.00% 43560: State Human Services Grant 566,004 632,182 632,182 565,000 510,730 54,270 9.61% 48110: Interest Revenue 1 - - - 1 (1) - 48210: Rent Revenue 2,775 1,166 1,166 - - - - 48510: Donations & Contributions 851 792 792 - 1,209 (1,209) - 48610: Miscellaneous Revenue 4,538 1,220 1,220 1,500 486 1,014 67.60% 48710: Collection of Doubtful Accounts 14,890 16,461 16,461 25,000 39,157 (14,157) -56.63% Total Revenues 2,046,051 2,029,773 2,029,773 2,172,323 2,032,406 139,917 6.44% Total Wages 1,194,706 1,193,547 1,193,547 1,305,384 1,169,992 135,393 10.37% Total Fringes 501,023 479,715 479,715 579,644 464,027 115,617 19.95% 51599: Interdepartmental Wage & Fringe 26,296 37,779 37,779 - 43,911 43,911 - Net Wage & Fringe 1,669,434 1,635,483 1,635,483 1,885,028 1,590,107 294,920 15.65% 51910: Staff Development 2,163 1,167 1,167 2,500 635 1,865 74.62% 52119: Accounting Services 10,500 16,012 16,012 12,000 16,025 (4,025) 33.54% 52122: Interpreter Services 2,886 123 123 500 734 (234) 46.81% 52125: Purchased Services 47,280 37,500 37,500 156,000 50,172 105,828 67.84% 52152: Bank Service Charges 5,311 6,323 6,323 6,000 5,895 105 1.76% 52190: Other Professional Services 611 1,470 1,470 5,000 4,190 810 16.20% 52240: Telephone/Dictaphone 117 83 83 200 - 200 100.00% 52250: Cellular Phone Service 62,055 69,770 69,770 70,000 71,328 (1,328) 1.90% 52920: Computer Repair 3,297 1,253 1,253 5,000 1,625 3,375 67.49% 53110: Postage 25,478 25,321 25,321 36,000 29,138 6,862 19.06% 53130: Managed Print Costs - IT 26,106 23,635 23,635 25,000 23,987 1,013 4.05% 53190: Office Supplies 18,631 18,687 18,687 20,000 15,083 4,917 24.58% 53210: Publications & Printing 35 37 37 100 38 62 62.05% 53212: Outreach/Education - - - - 4,789 (4,789) - 53240: Dues & Licenses 3,100 3,209 3,209 3,200 3,259 (59) 1.84% 53250: Software Subscriptions & Renewals 444 640 640 150 9,855 (9,705) 6,470.12% 53310: Employee Mileage 1,002 1,326 1,326 1,000 1,956 (956) 95.58% 53320: Employee Lodging 1,284 1,162 1,162 1,500 1,072 428 28.54% Print Date January 14, 2026 Page 19 of 41 4920 - Health & Human Services Administration : Department Overview FY23 FY24 Prior Year FY25 FY25 Actual Actual December Operating Budget December Balance Percent Final Final YTD Adopted YTD Remaining Remaining 53330: Employee Meal Expense 181 119 119 200 179 21 10.50% 53350: Employee Other Expenses 195 733 733 175 252 (77) 44.25% 53420: Medical Supplies 13 130 130 - - - - 53430: Provided Food Expense 851 792 792 100 957 (857) 857.42% 53440: Operating Supplies 1,344 206 206 250 147 103 41.01% 53510: Repair and Maintenance Supplies 11 - - - - - - 53910: Other Supplies and Expenses 569 398 398 - 150 (150) - 53930: Software Purchased 206,589 47,642 47,642 29,700 33,310 (3,610) 12.15% 53940: Equipment Purchased - Non Fixed Asset 94 5,361 5,361 - 850 (850) - 53995: Vehicle Operating Expenses 28,592 28,918 28,918 32,000 27,043 4,957 15.49% 55180: Liability Insurance 130,000 135,000 135,000 135,000 135,000 - - 59200: Overhead - - - (254,280) - (254,280) 100.00% Operating 578,740 427,017 427,017 287,295 437,669 (150,374) 52.34% Total Expenses 2,248,174 2,062,500 2,062,500 2,172,323 2,027,776 144,547 6.65% Report Total (202,122) (32,727) (32,727) - 4,630 - - Print Date January 14, 2026 Page 20 of 41 4200 - Health Care Campus : Department Overview FY23 FY24 Prior Year FY25 FY25 Actual Actual December Operating Budget December Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes - - - - - - 100.00% 43510: State General Government Grant 27,128 95,738 95,738 - 51,174 (51,174) - 43560: State Human Services Grant - 241,434 241,434 - 336,031 (336,031) - 46520: Institutional Care 7,124,550 8,764,103 8,764,103 12,446,583 9,609,314 2,837,269 22.80% 46910: Other Public Charges for Services 138,730 189 189 - 60 (60) - 48110: Interest Revenue 1,849 1,085 1,085 1,000 150 850 85.02% 48510: Donations & Contributions 17,129 14,441 14,441 3,900 13,897 (9,997) -256.34% 48610: Miscellaneous Revenue 41,951 31,877 31,877 24,000 27,126 (3,126) -13.03% 48710: Collection of Doubtful Accounts - 2,679 2,679 - - - - 49240: Transfer from Capital Projects Fund 307,391 276,856 276,856 - - - - 49310: Fund Balance Applied - - - (1,255,693) - (1,255,693) 100.00% 49410: Sales of General Fixed Assets - (6,691) (6,691) - - - - Total Revenues 7,658,728 9,421,711 9,421,711 11,219,790 10,037,753 1,182,038 10.54% Total Wages 3,049,556 3,526,984 3,526,984 4,982,918 4,015,402 967,515 19.42% Total Fringes 1,231,966 1,290,045 1,290,045 2,353,902 1,599,195 754,707 32.06% 51599: Interdepartmental Wage & Fringe 170,560 161,929 161,929 200,598 188,889 11,709 5.84% Net Wage & Fringe 4,452,082 4,978,958 4,978,958 7,537,417 5,803,486 1,733,932 23.00% 51910: Staff Development 4,052 23,507 23,507 20,000 7,095 12,905 64.53% 51915: Nursing Professional & Education - 2,369 2,369 - 7,105 (7,105) - 52111: Physician Consultant 8,250 7,500 7,500 9,000 9,000 - - 52112: Pharmacist Consultant 2,408 2,775 2,775 3,200 2,881 319 9.96% 52113: Psychiatrist/Psychologist Consultant 9,125 7,563 7,563 9,000 14,093 (5,093) 56.59% 52114: Dietary Consultant 13,338 11,164 11,164 12,000 13,038 (1,038) 8.65% 52116: Consultant Fees - 400 400 - 700 (700) - 52117: Legal Services - 273 273 - - - - 52119: Accounting Services 21,635 22,355 22,355 20,000 34,993 (14,993) 74.96% 52124: Purchased Pool Staff 891,172 907,164 907,164 750,000 738,096 11,904 1.59% 52125: Purchased Services 573,438 588,090 588,090 844,320 653,660 190,660 22.58% 52132: Transportation 869 2,228 2,228 1,000 2,476 (1,476) 147.65% 52152: Bank Service Charges 300 345 345 500 340 160 32.00% 52170: Speech Therapy 21,219 25,492 25,492 38,000 18,523 19,477 51.26% Print Date January 14, 2026 Page 21 of 41 4200 - Health Care Campus : Department Overview FY23 FY24 Prior Year FY25 FY25 Actual Actual December Operating Budget December Balance Percent Final Final YTD Adopted YTD Remaining Remaining 52171: Occ Therapy 116,542 179,406 179,406 183,000 138,365 44,635 24.39% 52172: Physical Therapy 121,459 204,100 204,100 211,000 145,820 65,180 30.89% 52173: X-Ray 5,149 6,083 6,083 4,000 2,224 1,776 44.40% 52174: Labs 7,746 7,248 7,248 5,500 6,953 (1,453) 26.42% 52176: Pharmacy 59,651 67,797 67,797 78,000 75,221 2,779 3.56% 52177: Rented Equipment - - - - 6,717 (6,717) - 52178: Misc Medicare A 2,781 2,923 2,923 3,500 6,255 (2,755) 78.72% 52190: Other Professional Services 5,012 4,741 4,741 4,140 4,982 (842) 20.33% 52210: Water & Sewer 26,013 27,001 27,001 29,000 39,604 (10,604) 36.57% 52220: Electricity 157,238 149,360 149,360 147,000 139,707 7,293 4.96% 52230: Gas for Heating 33,038 35,523 35,523 55,700 36,362 19,338 34.72% 52240: Telephone/Dictaphone 257 - - - - - - 52250: Cellular Phone Service 6,050 3,820 3,820 6,328 3,912 2,416 38.18% 52420: Grounds Maintenance 41,760 10,033 10,033 41,600 21,483 20,117 48.36% 52430: Building Maintenance 36,642 37,112 37,112 32,000 56,298 (24,298) 75.93% 52440: Misc. Repair & Maintenance 933 418 418 2,600 1,623 977 37.59% 52920: Computer Repair 2,790 10,406 10,406 2,500 202,397 (199,897) 7,995.86% 52930: Refuse Collection Services 14,468 22,557 22,557 21,500 23,426 (1,926) 8.96% 52990: Other Contractual Services 134,961 126,996 126,996 32,400 134,239 (101,839) 314.32% 53110: Postage 2,560 2,663 2,663 3,370 2,400 970 28.77% 53130: Managed Print Costs - IT 9,378 11,508 11,508 10,500 11,879 (1,379) 13.13% 53131: IT - MANAGED PRINT CHARGEBACKS - - - 2,000 - 2,000 100.00% 53190: Office Supplies 2,181 2,854 2,854 2,300 2,926 (626) 27.21% 53210: Publications & Printing 736 1,124 1,124 1,000 893 107 10.70% 53212: Outreach/Education 7,339 11,596 11,596 500 8,686 (8,186) 1,637.17% 53220: Advertising/Promotion 137 - - 1,500 1,389 111 7.40% 53240: Dues & Licenses 16,605 20,534 20,534 123,665 16,464 107,201 86.69% 53250: Software Subscriptions & Renewals 34,686 43,950 43,950 119,200 69,441 49,759 41.74% 53310: Employee Mileage 1,458 3,464 3,464 2,000 1,225 775 38.76% 53320: Employee Lodging 4,261 8,558 8,558 4,700 4,131 569 12.10% 53330: Employee Meal Expense 883 1,194 1,194 900 603 297 33.00% 53340: Employee Airfare - 1,916 1,916 - 389 (389) - 53350: Employee Other Expenses 765 522 522 - 328 (328) - 53420: Medical Supplies 1,746 1,816 1,816 2,000 3,517 (1,517) 75.85% Print Date January 14, 2026 Page 22 of 41 4200 - Health Care Campus : Department Overview FY23 FY24 Prior Year FY25 FY25 Actual Actual December Operating Budget December Balance Percent Final Final YTD Adopted YTD Remaining Remaining 53421: Nursing Supplies - Med A - 4,063 4,063 4,000 5,854 (1,854) 46.36% 53422: Nursing Supplies - Non-Billable 53,257 75,424 75,424 69,000 81,449 (12,449) 18.04% 53423: Med A - IV Supplies 12,928 2,386 2,386 6,000 35,561 (29,561) 492.69% 53430: Provided Food Expense 14,797 15,826 15,826 14,000 17,124 (3,124) 22.32% 53440: Operating Supplies 45,798 79,217 79,217 40,000 92,754 (52,754) 131.88% 53450: Uniform Expense/Supplies - - - - 45 (45) - 53460: Instructional Aids 245 1,080 1,080 250 378 (128) 51.16% 53470: Fuel Expenses - 1,048 1,048 - 185 (185) - 53480: Wandergaurd Expense 2,967 1,552 1,552 5,000 2,556 2,444 48.89% 53481: OTC Drugs - Non-Billable 8,633 18,116 18,116 15,000 17,686 (2,686) 17.91% 53483: Therapy Supplies 285 670 670 500 2,115 (1,615) 323.05% 53485: Vaccine - Residents - 16,581 16,581 4,000 54 3,946 98.66% 53490: Other Operating Supplies 1,560 - - 4,000 250 3,750 93.75% 53910: Other Supplies and Expenses 209 833 833 - 1,504 (1,504) - 53920: Cell Phones & Accessories - 2,673 2,673 - - - - 53940: Equipment Purchased - Non Fixed Asset 869 10,138 10,138 800 3,306 (2,506) 313.23% 53950: Nursing Equipment < $1,000 8,063 68,233 68,233 - 15,411 (15,411) - 53995: Vehicle Operating Expenses 168 252 252 700 359 341 48.65% 54470: Plumbing Fixtures - - - - 26 (26) - 55180: Liability Insurance 70,000 72,500 72,500 72,500 72,500 - - 55310: Rents and Leases 2,246 2,260 2,260 2,400 2,318 82 3.42% 55420: Depreciation - Land Improvements 1,126 1,480 1,480 - 424 (424) - 55430: Depreciation - Buildings 571,087 553,032 553,032 - 105,520 (105,520) - 55440: Depreciation - Fixed Equipment 27,994 43,836 43,836 - 16,029 (16,029) - 55450: Depreciation - Vehicles 9,907 14,864 14,864 - 4,956 (4,956) - 55910: Other Fixed Charges - - - 103,800 103,800 - - 57410: Losses 58,672 41,662 41,662 - - - - 59400: WRS Pension Allocation 218,141 (24,800) (24,800) - - - - 59530: Transfer to Debt Service Fund - - - 500,000 500,000 - - Operating 3,509,984 3,611,374 3,611,374 3,682,373 3,754,022 (71,649) 1.95% 58110: New Vehicles - 99,306 99,306 - - - - 58000: Capital Outlay - 99,306 99,306 - - - - Total Expenses 7,962,066 8,689,638 8,689,638 11,219,790 9,557,508 1,662,282 14.82% Print Date January 14, 2026 Page 23 of 41 4200 - Health Care Campus : Department Overview FY23 FY24 Prior Year FY25 FY25 Actual Actual December Operating Budget December Balance Percent Final Final YTD Adopted YTD Remaining Remaining Report Total (303,337) 732,073 732,073 - 480,245 - - Print Date January 14, 2026 Page 24 of 41 4210 - Skilled Nursing Facility : Department Overview FY23 FY24 Prior Year FY25 FY25 Actual Actual December Operating Budget December Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes - - - - - - 100.00% 46520: Institutional Care 5,082,181 6,737,672 6,737,672 8,279,775 7,241,276 1,038,499 12.54% 46910: Other Public Charges for Services 138,730 189 189 - 60 (60) - 48110: Interest Revenue 1,849 1,085 1,085 1,000 150 850 85.02% 48510: Donations & Contributions 17,129 14,441 14,441 3,900 13,897 (9,997) -256.34% 48610: Miscellaneous Revenue 25,251 14,717 14,717 15,000 21,768 (6,768) -45.12% 48710: Collection of Doubtful Accounts - 2,679 2,679 - - - - 49240: Transfer from Capital Projects Fund 287,237 276,856 276,856 - - - - 49310: Fund Balance Applied - - - (893,325) - (893,325) 100.00% Total Revenues 5,552,378 7,047,640 7,047,640 7,406,350 7,277,151 129,199 1.74% Total Wages 2,195,395 2,568,227 2,568,227 3,292,912 2,741,526 551,386 16.74% Total Fringes 905,719 930,429 930,429 1,345,507 1,151,226 194,281 14.44% 51599: Interdepartmental Wage & Fringe 107,320 100,713 100,713 134,401 125,703 8,698 6.47% Net Wage & Fringe 3,208,435 3,599,369 3,599,369 4,772,820 4,018,455 754,365 15.81% 51910: Staff Development 2,540 2,185 2,185 15,000 4,429 10,571 70.47% 51915: Nursing Professional & Education - 1,709 1,709 - 4,505 (4,505) - 52111: Physician Consultant 8,250 7,500 7,500 9,000 9,000 - - 52112: Pharmacist Consultant 2,408 2,775 2,775 3,200 2,881 319 9.96% 52113: Psychiatrist/Psychologist Consultant 9,125 7,563 7,563 9,000 5,081 3,919 43.54% 52114: Dietary Consultant 13,338 11,164 11,164 12,000 13,038 (1,038) 8.65% 52116: Consultant Fees - 400 400 - 700 (700) - 52119: Accounting Services 21,635 22,355 22,355 20,000 34,993 (14,993) 74.96% 52124: Purchased Pool Staff 859,520 906,005 906,005 750,000 738,096 11,904 1.59% 52125: Purchased Services 257,001 304,943 304,943 411,720 390,047 21,673 5.26% 52132: Transportation 869 2,228 2,228 1,000 2,476 (1,476) 147.65% 52152: Bank Service Charges 300 345 345 500 340 160 32.00% 52170: Speech Therapy 21,219 25,492 25,492 38,000 18,523 19,477 51.26% 52171: Occ Therapy 116,542 179,406 179,406 183,000 138,365 44,635 24.39% 52172: Physical Therapy 121,459 204,100 204,100 211,000 145,820 65,180 30.89% 52173: X-Ray 5,149 6,083 6,083 4,000 2,224 1,776 44.40% 52174: Labs 7,746 7,248 7,248 5,500 6,953 (1,453) 26.42% Print Date January 14, 2026 Page 25 of 41 4210 - Skilled Nursing Facility : Department Overview FY23 FY24 Prior Year FY25 FY25 Actual Actual December Operating Budget December Balance Percent Final Final YTD Adopted YTD Remaining Remaining 52176: Pharmacy 59,651 67,797 67,797 78,000 75,221 2,779 3.56% 52177: Rented Equipment - - - - 6,717 (6,717) - 52178: Misc Medicare A 2,739 2,923 2,923 3,500 6,255 (2,755) 78.72% 52190: Other Professional Services 5,012 4,741 4,741 4,140 4,982 (842) 20.33% 52210: Water & Sewer 10,665 11,070 11,070 10,000 16,238 (6,238) 62.38% 52220: Electricity 64,467 61,278 61,278 60,000 57,280 2,720 4.53% 52230: Gas for Heating 9,682 9,370 9,370 19,200 13,721 5,479 28.54% 52240: Telephone/Dictaphone 257 - - - - - - 52250: Cellular Phone Service 3,973 2,408 2,408 3,000 2,505 495 16.51% 52420: Grounds Maintenance 17,314 3,345 3,345 20,000 8,894 11,106 55.53% 52430: Building Maintenance 23,432 26,223 26,223 20,000 33,170 (13,170) 65.85% 52440: Misc. Repair & Maintenance 933 418 418 2,600 1,623 977 37.59% 52920: Computer Repair 1,594 6,927 6,927 1,500 1,018 482 32.17% 52930: Refuse Collection Services 11,859 17,615 17,615 15,000 17,227 (2,227) 14.85% 52990: Other Contractual Services 120,432 117,643 117,643 16,000 120,020 (104,020) 650.12% 53110: Postage 2,560 2,663 2,663 3,120 2,400 720 23.06% 53130: Managed Print Costs - IT 7,892 9,494 9,494 8,500 9,985 (1,485) 17.47% 53190: Office Supplies 1,592 1,690 1,690 2,000 2,352 (352) 17.62% 53210: Publications & Printing 736 865 865 1,000 893 107 10.70% 53212: Outreach/Education 7,339 3,745 3,745 500 960 (460) 92.00% 53220: Advertising/Promotion 137 - - 500 1,389 (889) 177.79% 53240: Dues & Licenses 14,722 15,856 15,856 120,500 14,252 106,248 88.17% 53250: Software Subscriptions & Renewals 26,473 28,991 28,991 79,800 47,330 32,470 40.69% 53310: Employee Mileage 1,458 2,831 2,831 2,000 1,225 775 38.76% 53320: Employee Lodging 3,123 1,948 1,948 3,500 3,901 (401) 11.46% 53330: Employee Meal Expense 851 699 699 800 603 197 24.63% 53340: Employee Airfare - - - - 389 (389) - 53350: Employee Other Expenses 765 217 217 - 328 (328) - 53420: Medical Supplies 1,746 1,816 1,816 2,000 3,465 (1,465) 73.24% 53421: Nursing Supplies - Med A - 4,063 4,063 4,000 5,854 (1,854) 46.36% 53422: Nursing Supplies - Non-Billable 47,150 64,801 64,801 60,000 75,378 (15,378) 25.63% 53423: Med A - IV Supplies 12,928 2,386 2,386 6,000 35,561 (29,561) 492.69% 53430: Provided Food Expense 14,797 15,826 15,826 14,000 16,877 (2,877) 20.55% 53440: Operating Supplies 30,277 36,243 36,243 26,000 43,139 (17,139) 65.92% Print Date January 14, 2026 Page 26 of 41 4210 - Skilled Nursing Facility : Department Overview FY23 FY24 Prior Year FY25 FY25 Actual Actual December Operating Budget December Balance Percent Final Final YTD Adopted YTD Remaining Remaining 53450: Uniform Expense/Supplies - - - - 45 (45) - 53460: Instructional Aids 245 1,080 1,080 250 378 (128) 51.16% 53470: Fuel Expenses - 561 561 - 185 (185) - 53480: Wandergaurd Expense 1,766 924 924 500 1,564 (1,064) 212.82% 53481: OTC Drugs - Non-Billable 8,215 17,222 17,222 15,000 16,437 (1,437) 9.58% 53483: Therapy Supplies 285 670 670 500 2,115 (1,615) 323.05% 53485: Vaccine - Residents - 9,354 9,354 4,000 - 4,000 100.00% 53490: Other Operating Supplies 1,560 - - 4,000 250 3,750 93.75% 53910: Other Supplies and Expenses 209 833 833 - 1,217 (1,217) - 53940: Equipment Purchased - Non Fixed Asset 810 316 316 800 2,839 (2,039) 254.88% 53950: Nursing Equipment < $1,000 8,063 10,921 10,921 - 6,739 (6,739) - 53995: Vehicle Operating Expenses 81 252 252 700 366 334 47.71% 55180: Liability Insurance 35,000 36,250 36,250 41,500 36,250 5,250 12.65% 55310: Rents and Leases 2,246 2,260 2,260 2,400 2,318 82 3.42% 55420: Depreciation - Land Improvements 1,126 1,480 1,480 - 424 (424) - 55430: Depreciation - Buildings 417,689 399,030 399,030 - 66,496 (66,496) - 55440: Depreciation - Fixed Equipment 21,062 34,216 34,216 - 10,452 (10,452) - 55450: Depreciation - Vehicles 9,907 9,907 9,907 - 1,651 (1,651) - 55910: Other Fixed Charges - - - 53,800 53,800 - - 57410: Losses 23,672 2,270 2,270 - - - - 59400: WRS Pension Allocation 218,141 (24,800) (24,800) - - - - 59530: Transfer to Debt Service Fund - - - 250,000 250,000 - - Operating 2,703,731 2,720,139 2,720,139 2,633,530 2,602,148 31,382 1.19% Total Expenses 5,912,166 6,319,508 6,319,508 7,406,350 6,620,603 785,747 10.61% Report Total (359,788) 728,132 728,132 - 656,548 - - Print Date January 14, 2026 Page 27 of 41 4230 - Kitty Rhoades (Dementia) : Department Overview FY23 FY24 Prior Year FY25 FY25 Actual Actual December Operating Budget December Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes - - - - - - 100.00% 43560: State Human Services Grant - 241,434 241,434 - 336,031 (336,031) - 46520: Institutional Care - - - 1,898,000 205,514 1,692,486 89.17% 49240: Transfer from Capital Projects Fund 15,051 - - - - - - 49310: Fund Balance Applied - - - (198,201) - (198,201) 100.00% Total Revenues 15,051 241,434 241,434 1,699,799 541,545 1,158,254 68.14% Total Wages - 3,100 3,100 922,008 292,573 629,435 68.27% Total Fringes - 1,020 1,020 650,191 118,037 532,154 81.85% 51599: Interdepartmental Wage & Fringe 1,398 4,466 4,466 - 13,027 13,027 - Net Wage & Fringe 1,398 8,586 8,586 1,572,199 423,637 1,148,562 73.05% 51910: Staff Development - 20,822 20,822 3,000 1,333 1,667 55.57% 52113: Psychiatrist/Psychologist Consultant - - - - 9,012 (9,012) - 52125: Purchased Services - 185 185 87,600 9,895 77,705 88.70% 52210: Water & Sewer 1,691 1,755 1,755 6,000 2,574 3,426 57.10% 52220: Electricity 10,220 9,704 9,704 12,000 9,081 2,919 24.33% 52230: Gas for Heating 417 340 340 1,500 646 854 56.92% 52250: Cellular Phone Service 230 - - - - - - 52420: Grounds Maintenance 2,741 401 401 1,600 1,387 213 13.31% 52430: Building Maintenance 220 685 685 2,000 2,367 (367) 18.35% 52920: Computer Repair - 1,759 1,759 - 201,221 (201,221) - 52930: Refuse Collection Services - - - 500 - 500 100.00% 52990: Other Contractual Services 255 155 155 2,400 2,035 365 15.21% 53130: Managed Print Costs - IT - - - - 190 (190) - 53131: IT - MANAGED PRINT CHARGEBACKS - - - 2,000 - 2,000 100.00% 53190: Office Supplies - 666 666 - 63 (63) - 53210: Publications & Printing - 259 259 - - - - 53212: Outreach/Education - 7,821 7,821 - 7,491 (7,491) - 53240: Dues & Licenses 54 15 15 - 415 (415) - 53250: Software Subscriptions & Renewals - - - - 6,149 (6,149) - 53310: Employee Mileage - 633 633 - - - - 53320: Employee Lodging - 6,610 6,610 - - - - Print Date January 14, 2026 Page 28 of 41 4230 - Kitty Rhoades (Dementia) : Department Overview FY23 FY24 Prior Year FY25 FY25 Actual Actual December Operating Budget December Balance Percent Final Final YTD Adopted YTD Remaining Remaining 53330: Employee Meal Expense - 495 495 - - - - 53340: Employee Airfare - 1,916 1,916 - - - - 53350: Employee Other Expenses - 306 306 - - - - 53422: Nursing Supplies - Non-Billable - 5,486 5,486 3,000 286 2,714 90.48% 53430: Provided Food Expense - - - - 248 (248) - 53440: Operating Supplies - 28,593 28,593 3,000 37,530 (34,530) 1,151.01% 53480: Wandergaurd Expense - - - 3,000 - 3,000 100.00% 53910: Other Supplies and Expenses - - - - 256 (256) - 53920: Cell Phones & Accessories - 2,673 2,673 - - - - 53940: Equipment Purchased - Non Fixed Asset - 9,823 9,823 - 467 (467) - 53950: Nursing Equipment < $1,000 - 55,992 55,992 - 8,101 (8,101) - 53995: Vehicle Operating Expenses - - - - (7) 7 - 54470: Plumbing Fixtures - - - - 26 (26) - 55430: Depreciation - Buildings 100 602 602 - 100 (100) - 55440: Depreciation - Fixed Equipment 67 2,066 2,066 - 1,519 (1,519) - 55450: Depreciation - Vehicles - 4,957 4,957 - 3,305 (3,305) - Operating 15,996 164,717 164,717 127,600 305,689 (178,089) 139.57% 58110: New Vehicles - 99,306 99,306 - - - - 58000: Capital Outlay - 99,306 99,306 - - - - Total Expenses 17,394 272,608 272,608 1,699,799 729,326 970,474 57.09% Report Total (2,343) (31,174) (31,174) - (187,781) - - Print Date January 14, 2026 Page 29 of 41 4240 - Orchard View : Department Overview FY23 FY24 Prior Year FY25 FY25 Actual Actual December Operating Budget December Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes - - - - - - 100.00% 43510: State General Government Grant 27,128 95,738 95,738 - 51,174 (51,174) - 46520: Institutional Care 2,042,369 2,026,430 2,026,430 2,268,808 2,162,525 106,283 4.68% 48610: Miscellaneous Revenue 16,700 17,160 17,160 9,000 5,358 3,642 40.46% 49240: Transfer from Capital Projects Fund 5,102 - - - - - - 49310: Fund Balance Applied - - - (164,167) - (164,167) 100.00% 49410: Sales of General Fixed Assets - (6,691) (6,691) - - - - Total Revenues 2,091,299 2,132,637 2,132,637 2,113,641 2,219,057 (105,416) -4.99% Total Wages 854,161 955,657 955,657 767,998 981,304 213,306 27.77% Total Fringes 326,246 358,597 358,597 358,204 329,931 28,272 7.89% 51599: Interdepartmental Wage & Fringe 61,842 56,750 56,750 66,197 50,159 16,038 24.23% Net Wage & Fringe 1,242,249 1,371,004 1,371,004 1,192,398 1,361,394 (168,996) 14.17% 51910: Staff Development 1,512 500 500 2,000 1,333 667 33.35% 51915: Nursing Professional & Education - 660 660 - 2,600 (2,600) - 52117: Legal Services - 273 273 - - - - 52124: Purchased Pool Staff 31,652 1,159 1,159 - - - - 52125: Purchased Services 316,437 282,962 282,962 345,000 253,718 91,282 26.46% 52178: Misc Medicare A 42 - - - - - - 52210: Water & Sewer 13,657 14,175 14,175 13,000 20,792 (7,792) 59.94% 52220: Electricity 82,550 78,378 78,378 75,000 73,346 1,654 2.21% 52230: Gas for Heating 22,940 25,813 25,813 35,000 21,995 13,005 37.16% 52250: Cellular Phone Service 1,848 1,412 1,412 3,328 1,407 1,921 57.72% 52420: Grounds Maintenance 21,705 6,287 6,287 20,000 11,202 8,798 43.99% 52430: Building Maintenance 12,990 10,204 10,204 10,000 20,761 (10,761) 107.61% 52920: Computer Repair 1,195 1,720 1,720 1,000 158 842 84.20% 52930: Refuse Collection Services 2,609 4,942 4,942 6,000 6,199 (199) 3.31% 52990: Other Contractual Services 14,274 9,198 9,198 14,000 12,185 1,815 12.97% 53110: Postage - - - 250 - 250 100.00% 53130: Managed Print Costs - IT 1,486 2,014 2,014 2,000 1,703 297 14.83% 53190: Office Supplies 589 498 498 300 510 (210) 70.01% 53212: Outreach/Education - 30 30 - 235 (235) - Print Date January 14, 2026 Page 30 of 41 4240 - Orchard View : Department Overview FY23 FY24 Prior Year FY25 FY25 Actual Actual December Operating Budget December Balance Percent Final Final YTD Adopted YTD Remaining Remaining 53220: Advertising/Promotion - - - 1,000 - 1,000 100.00% 53240: Dues & Licenses 1,830 4,663 4,663 3,165 1,798 1,367 43.20% 53250: Software Subscriptions & Renewals 8,213 14,959 14,959 39,400 15,962 23,438 59.49% 53320: Employee Lodging 1,138 - - 1,200 230 970 80.84% 53330: Employee Meal Expense 32 - - 100 - 100 100.00% 53420: Medical Supplies - - - - 52 (52) - 53422: Nursing Supplies - Non-Billable 6,107 5,138 5,138 6,000 5,786 214 3.57% 53440: Operating Supplies 15,522 14,380 14,380 11,000 12,084 (1,084) 9.86% 53470: Fuel Expenses - 487 487 - - - - 53480: Wandergaurd Expense 1,201 628 628 1,500 992 508 33.90% 53481: OTC Drugs - Non-Billable 419 894 894 - 1,249 (1,249) - 53485: Vaccine - Residents - 7,227 7,227 - 54 (54) - 53910: Other Supplies and Expenses - - - - 32 (32) - 53940: Equipment Purchased - Non Fixed Asset 60 - - - - - - 53950: Nursing Equipment < $1,000 - 1,320 1,320 - 572 (572) - 53995: Vehicle Operating Expenses 87 - - - - - - 55180: Liability Insurance 35,000 36,250 36,250 31,000 36,250 (5,250) 16.94% 55430: Depreciation - Buildings 153,298 153,400 153,400 - 38,924 (38,924) - 55440: Depreciation - Fixed Equipment 6,864 7,554 7,554 - 4,058 (4,058) - 55910: Other Fixed Charges - - - 50,000 50,000 - - 57410: Losses 35,000 39,392 39,392 - - - - 59530: Transfer to Debt Service Fund - - - 250,000 250,000 - - Operating 790,257 726,517 726,517 921,243 846,186 75,057 8.15% Total Expenses 2,032,506 2,097,522 2,097,522 2,113,641 2,207,580 (93,938) 4.44% Report Total 58,793 35,116 35,116 - 11,478 - - Print Date January 14, 2026 Page 31 of 41 4710 - Veterans Services : Department Overview FY23 FY24 Prior Year FY25 FY25 Actual Actual December Operating Budget December Balance Percent Final Final YTD Adopted YTD Remaining Remaining 41110: General Property Taxes 312,745 315,898 315,898 330,088 330,087 1 - 43310: Other Federal Payment 16,875 - - - - - - 43510: State General Government Grant 40,278 24,767 24,767 21,000 32,071 (11,071) -52.72% 48510: Donations & Contributions - 641 641 - 3,194 (3,194) - 48610: Miscellaneous Revenue - 69 69 - - - - Total Revenues 369,897 341,375 341,375 351,088 365,352 (14,265) -4.06% Total Wages 190,548 201,610 201,610 207,732 202,366 5,366 2.58% Total Fringes 104,216 98,854 98,854 108,488 106,332 2,156 1.99% Net Wage & Fringe 294,764 300,464 300,464 316,221 308,698 7,522 2.38% 51910: Staff Development 725 475 475 750 370 380 50.67% 52190: Other Professional Services - 147 147 - - - - 52410: Repair and Replacement 1,347 1,347 1,347 1,347 1,428 (81) 6.00% 52920: Computer Repair 5,112 - - - - - - 53110: Postage 66 989 989 150 1,303 (1,153) 768.40% 53130: Managed Print Costs - IT 1,067 930 930 1,000 891 109 10.87% 53190: Office Supplies 640 1,136 1,136 1,000 747 253 25.33% 53212: Outreach/Education 29,594 1,356 1,356 1,500 875 625 41.67% 53213: Program Development 10,549 11,435 11,435 10,500 11,705 (1,205) 11.48% 53240: Dues & Licenses 20 40 40 100 85 15 15.00% 53310: Employee Mileage 670 823 823 1,000 915 85 8.51% 53320: Employee Lodging 784 1,480 1,480 1,200 852 348 29.03% 53330: Employee Meal Expense 410 1,587 1,587 800 790 10 1.25% 53340: Employee Airfare 3,416 - - - - - - 53350: Employee Other Expenses 700 - - 50 - 50 100.00% 53440: Operating Supplies 376 3,773 3,773 3,395 1,983 1,412 41.59% 53490: Other Operating Supplies - 600 600 - - - - 53910: Other Supplies and Expenses - 155 155 - - - - 55180: Liability Insurance 1,623 1,701 1,701 1,875 1,875 - - 57110: Direct Relief to Indigents 4,819 5,248 5,248 10,200 9,869 331 3.24% Operating 61,917 33,222 33,222 34,867 33,687 1,180 3.38% Total Expenses 356,682 333,686 333,686 351,088 342,386 8,702 2.48% Print Date January 14, 2026 Page 32 of 41 4710 - Veterans Services : Department Overview FY23 FY24 Prior Year FY25 FY25 Actual Actual December Operating Budget December Balance Percent Final Final YTD Adopted YTD Remaining Remaining Report Total 13,216 7,689 7,689 - 22,966 - - Print Date January 14, 2026 Page 33 of 41 Family Treatment Court Update Cover Memo To: Health and Human Services Board From: Ken Witt, County Administrator Bob Rohret, HHS Director Date: January 21, 2026 Agenda Item: Family Treatment Court Update Background Information: Children Services Supervisor, Jessica Dodge will provide an update regarding Family Treatment Court. Page 34 of 41 Behavioral Health Transition and Program Updates Cover Memo To: Health and Human Services Board From: Ken Witt, County Administrator Bob Rohret, HHS Director Date: January 21, 2026 Agenda Item: Behavioral Health Transition and Program Updates Background Information: HHS Deputy Director Shar Lopez and Behavioral Health Administrator Becky Kerr will provide an update regarding the changes within Behavioral Health. Page 35 of 41 Health and Human Services 1752 Dorset Ln. New Richmond WI 54017 Phone: 715-246-6991 • Fax: 715-246-8284 sccwi.gov 2025 YEAR END – Behavioral Health Overview Emergency Mental Health Services Supervisor, Stephanie Greier St. Croix County Emergency Mental Health Services is a multidisciplinary team that receives and responds to crisis calls, partners with law enforcement when needed, provides follow-up and connection to services, and supports individuals in the jail setting. Year-end data show a notable shift in 2025: emergency detentions decreased to 74 (a five-year low), while Winnebago Mental Health Institute (WMHI) days purchased increased to 865, above the five-year average of 636 days. At an average cost of $1,722 per day in 2025, WMHI utilization was also highly concentrated with 13 consumers with 20+ purchased days accounted for 682 days, totaling ~$1.17 million. At the same time, 23 consumers had short stays of 5 days or less (56 total days) approximately ~$100,000 and would likely have been better served in a local hospital if a bed had been available. Overall, the data suggests fewer detentions, but more costly, higher-acuity inpatient utilization for a smaller number of individuals, alongside continued gaps in local hospital capacity for short-stay stabilization. 2021 2022 2023 2024 2025 Emergency Detentions 97 92 107 85 74 97 92 107 85 74 0 20 40 60 80 100 120 Number of Emergency Detentions Yearly Emergency Detentions Emergency Detentions by Year 2021 2022 2023 2024 2025 WMHI Days Purchased 514 585 787 430 865 514 585 787 430 865 WMHI DAYS PURCHASED YEARLY PLACEMENT FOR WMHI WMHI DAYS PURCHASED BY YEAR Page 36 of 41 2 Jail Services The Jail Social Worker opened 308 service episodes in 2025. On average, each incarcerated individual is seen approximately 1–5 times per incarceration, providing timely intervention, support, and care coordination. This role also strengthens jail operations by giving custody staff a dedicated clinical resource when concerns are raised by incarcerated individuals. This position is funded through Opioid Settlement Funds. This year, St. Croix County utilized a State Crisis Intervention Program (SCIP) grant to contract a Jail Therapist. The therapist provides integrated assessment for incarcerated individuals who identify as, or are suspected of having, a serious mental illness, and supports release planning and connection to community resources. For individuals with longer stays, she also offers time-limited, targeted skill-building sessions to support stabilization and functioning. Adult Protective Services Supervisor, Shawn Post Priller Adult Protective Services (APS) is a critical safety net for adults at risk and older adults in St. Croix County. APS responds to reports of abuse, neglect, self-neglect, and financial exploitation, and coordinates with community partners, healthcare, law enforcement, and the courts to reduce harm and support safe, stable living situations. In 2025, APS received 738 referrals, a 64.7% increase since 2021 (448). This included 478 investigations, 140 guardianship/protective placement contacts, 218 financial exploitation cases, and 113 annual protective placement (WATTS) reviews. Emergency protective placements were used sparingly (4 total) and only when immediate safety concerns required urgent action. Total APS Activity 2025 2025 APS Monthly Total January Male 25 Female 25 50 February Male 30 Female 31 61 March Male 30 Female 25 55 April Male 39 Female 29 68 May Male 30 Female 40 70 June Male 16 Female 38 54 July Male 25 Female 35 60 August Male 41 Female 31 71 September Male 29 Female 34 63 October Male 41 Female 38 79 November Male 32 Female 30 62 December Male 21 Female 23, 1-unknown 45 2025 TOTAL 738 Financial Exploitation = 218 cases Page 37 of 41 3 St. Croix County recently surpassed 100,000 residents, and continued population growth, combined with an aging demographic is contributing to increased demand for Adult Protective Services. As baby boomers enter the older adult age group, the county is seeing a larger population at risk for issues such as neglect, self-neglect, cognitive decline, and financial exploitation. These demographic shifts are expected to continue to place upward pressure on APS referrals and service needs in the coming years. Office of Violence Against Women (OVW) Grant This area also oversees the Office on Violence Against Women (OVW) grant, which funds a 0.5 FTE position providing prevention and education to law enforcement and community providers on recognizing adult abuse and appropriate interventions. In 2026, the County approved a Behavioral Health Technician position to support OVW-related efforts and assist with completing WATTS reviews, strengthening capacity for timely protective oversight. This technician position is partially funded through the OVW grant for the next three years. Integrated Clinic Services Supervisor, Natalie Radich During the reporting year, the Integrated Clinic provided 970 total episodes of care across four primary service categories. The largest portion of clinic activity was related to Integrated Mental Health/Substance Use Disorder (MH/SUD) services, reflecting a strong demand for coordinated behavioral health and substance use support. Service Breakdown Service Category Episodes Percent of Total Integrated MH/SUD Services 466 48.0% Intoxicated Driver Program (IDP) 335 34.5% Psychiatric Services 124 12.8% Psychological Services 45 4.6% TOTAL 970 100% 2021 2022 2023 2024 2025 Total APS Referrals 448 521 583 680 738 448 521 583 680 738 0 100 200 300 400 500 600 700 800 Total Number of APS Referrals APS Referrals by Year Total APS Referrals Over 5 Years Page 38 of 41 4 Key Highlights • Integrated MH/SUD (466 episodes) accounted for nearly half of all clinic episodes (48%), making it the most utilized service • IDP services (335 episodes) represented over one-third of total activity (34.5%), indicating consistent engagement with intoxicated driver assessments. • Psychiatric services (124 episodes) made up 12.8%, reflecting ongoing need for medication management and psychiatric evaluation. • Psychological services (45 episodes) represented 4.6%, indicating a smaller portion of overall clinic service volume. Intensive Outpatient Program (IOP) Clarification The Integrated Clinic is not currently certified to provide Intensive Outpatient Program (IOP) services under Wisconsin DHS 75.51. Following updates to the DHS 75 Community Substance Use Service Standards in October 2022, the clinic explored offering an IOP level of care for a limited period. However, the certification and service delivery requirements associated with IOP were not feasible to sustain within a county operated clinic model. To ensure individuals continue to have access to appropriate levels of care, the clinic refers consumers who require IOP services to established providers within St. Croix County and surrounding counties (currently at least 6 providers). In addition, the clinic uses American Society for Addition Medicine (ASAM) level-of-care criteria in treatment planning, which allow for clinically appropriate alternatives when a recommended level of care is not reasonably available due to extenuating circumstances. This approach remains both acceptable under ASAM guidelines and consistent with person-centered treatment planning. Administrative Transition In 2026, Shar Lopez transitioned from serving as both Behavioral Health Administrator and Deputy Director to serving solely as Deputy Director. Becky Kerr transitioned from Administrator of Comprehensive Community Services to Administrator of all Behavioral Health, reflecting that the community-based programs are fully aligned within Behavioral Health. This realignment is intended to strengthen continuity across programs, improve coordination and movement between services, and provide a clearer point of contact for consumers seeking behavioral health support. Transition planning began in October 2025 and included biweekly meetings with all six supervisors across the two areas to ensure coverage, backup, and cross-program support were in place. This planning focused on maintaining strong clinical oversight while improving the consumer experience making it easier to start services and ensuring care feels more seamless across programs. Shar will support the transition through a warm handoff, completion of year-end reporting, and backup crisis clinical supervision and availability through March 2026. Page 39 of 41 2025 Summary of Rabies Prevention Activities and Outcomes Cover Memo To: Health and Human Services Board From: Ken Witt, County Administrator Bob Rohret, HHS Director Date: January 21, 2026 Agenda Item: 2025 Summary of Rabies Prevention Activities and Outcomes Background Information: Health and Human Services Director Bob Rohret will share some information on rabies activity in St. Croix County. Page 40 of 41 Public Health Services Center 1752 Dorset Lane | New Richmond WI 54017 Telephone: 715-246-8263 | Fax: 715-246-8367 www.sccwi.gov Dear Rabies Control Partners, As we conclude 2025, I would like to share a year-end summary of rabies prevention activities and outcomes across our partner agencies. Your continued collaboration plays a critical role in protecting the health and safety of St. Croix County residents. St. Croix County Activity • In 2025, county agents and law enforcement issued a total of 117 ten-day and sixty-day quarantine orders related to animal bites involving humans and/or pets (compared to 88 in 2024). Individuals affected by these incidents were appropriately informed about the recommended need for post- exposure prophylaxis (PEP). Animals involved were not euthanized or tested for rabies unless specifically required. • The Public Health Department and local veterinarians submitted 27 animal specimens for rabies testing (16 in 2024). One otter and one bat tested positive. The rabies-positive bat resulted in the quarantine of two dogs and involved exposures to three children and one adult. State and National Trends • As of December 2025, Wisconsin reported 34 rabies cases (32 in 2024), with two cases occurring in St. Croix County. Of these cases, 33 were associated with bats and one with an otter. • No human rabies deaths occurred in Wisconsin in 2025. Nationally, however, six human rabies deaths were reported (four in 2024). This increase is concerning, particularly given that only 17 total U.S. cases were documented between 2015 and 2025. Experts cite declining pet vaccination rates and increased human-animal contact as contributing factors. • In the Midwest, bats remain the most common rabies source, accounting for approximately 70% of cases, followed by other wildlife (20%), international exposures (8%), and domestic animals (2%). Public Health Impact • The estimated U.S. economic burden of rabies in 2024 ranged from $245–$510 million ($8.6 billion globally). Average PEP treatment costs range from $3,000–$7,000. In Wisconsin, legal settlements related to animal bites average $10,000–$30,000 for minor injuries, $50,000–$75,000 for moderate injuries, and may exceed $100,000 for severe cases. Thank you for your continued partnership in the St. Croix County Public Health Department’s rabies control program. Your timely response to quarantine orders and accurate incident reporting enabled us to effectively address 117 animal bite quarantine orders in 2025. We greatly appreciate your collaboration and look forward to working together in 2026. Sincerely, The St Croix County Public Health Environmental Health Team Page 41 of 41