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Home My WebLink AboutSCC Health & Human Services Board 09-10-97Tos Robert Boche, Chairman St, Croix County Board PROM: Robert Stephens (aohn Borup 246-8223) COMMITTEE TITLE: St. Croix County Health and Human Board DATE: 09/10/97 services TZMBs 8:00 a.m, LOCATIOg: St. Croix County Health and Human Services Complex, New Richmond XOLL CALL kDOPTION OF AGENDA DATE OF NEXT KEETINGem 09125197 1kCTIOW ON PREVIOUS KINUTESO 08/28/97 WNOUNCzXZNTS �TE1� 8U8INE88 ; 1, Consideration of Claims and Vouchers 2. Financial Report 3, Personnel Issues 4, Health and Human Services/Nursing Home Report 5. Conservation Reserve Program (CRP) Participation and County Farm Land 6. Discussion of Building Garage for St. Croix Industries' Vehicles ANNOUNCEMENTS a CORRESPONDENCE Ub N r� - - ADJ'CIIBNILE T (Agenda aot aeaossarily SUBMITTED BY: aohn M. Borup DATE: Se tember 2, 1997 To CROIX COUNTY1 HUMAN SERVICES• / The St. Croix County Health and Human Services Board met on September 10, 1997, at St. Croix County Health and Human Services complex in New Richmond, Wisconsin. PRESENT: Jack Dowd, Vice Chair Leon Berenschot Chris Bethke Einar Horne Fern Johnson Allen Limberg Mary Louise Olson George Sinclear MEMBERS ABSENT: Robert Stephens STAFF PRESENT: John Borup, Health and Human Services Director Carolyn Krieger, Nursing Home Administrator Fred Johnson, Family & Children's Supervisor Kathy Dunlap, Family & Children's Supervisor Ron Eichstaedt, St. Croix Industries Director Malva Berg, Secretary OTHERS PRESENT: none Vice Chair Dowd called the meeting to order at 8:00 a.m., noting the meeting was properly and legally publicized. NEXT MEETING: The next Health and Human Services Board meeting is scheduled for Thursday, September 25, 1997 at 6:30 p.m. at the St. Croix County Health and Human Services/Nursing Home complex. AGENDA: Motion: A motion was introduced by Bethke, seconded by Johnson, and unanimously adopted: That the agenda be approved as circulated. MINUTES: Motion: A motion was introduced by Berenschot, seconded by Bethke, and unanimously adopted: That the minutes of the 08/28/97 Health and Human Services Board meeting be approved with the following corrections: page two, paragraph six, should read as follows: . Horne asked, "On 12/31/98, where are we going to be with the fund balance--$200,000 or less?". and page three, paragraph six, should read as follows: Borup and Ziegler stated the "rough" estimate of Health and Human Services fund balance for 12/31/98 would be $225,000 based on guessing and estimation and if all the grants and revenues are the same. . Discussion followed regarding cash flow for Health and Human Services. Horne said he is bothered that the cash balance on 01/01/96 was approximately $1.15 million and on 12/31/98 will be approximately $225,000. He said we are not controlling our spending and Health and Human Services is in trouble as the $168,000 puBorup ts the cash flow balance under $300,000s moniessal and this is the fifth year with no increases in County levy Health and Human Services have absorbed salary increases and clients have increased. He said key management positions have been eliminated and there have been program cuts. Horne said that more money ii s needed to keep the business running. Olson sad a case needs to be made to the County Board that the dollars involve human issues and the Health and Human Services Board is responsible to the people in. the County. Dowd encouraged Board,emem�be rs er to attend the 9/29 and Sort Comm ttee will als be inittee vited to Finance attend. and the Long Term Supp CONSIDERATION OF CLAIMS: Borup diibuted the following reports: str cash report and transfer of funds report, fixed assets purchased, unemployment report for April, May, June and July. Bete, reviewed the Health and Human Services Board ember,ed he following you hers•August vouchers and question HOME HEALTH: 9868: St. Croix County Human Services, $23, 000.58, collections payback. Human Services portion of a Medicare check containing reimbursement for both Home Health and Human monthly Services clients. This i5 a recurring transaction. HEALTH AND HUMAN SERVICES: 9376• Airtouch Cellular, $12.64, telephone. Monthly cost for a Long Term Support client. 9385: Fairway Lawn Service, $420.00, Long Term Support expense for two COP clients. 94500 Moffat Personnel Services, $808.96, pool staff. Cost of temporary staff in Nursing Home bookkeeping department and laundry/housekeeping staff person. 9630: City Utilities, $1,671.36, utilities. Monthly water and sewer bill from the City of New Richmond for the entire complex. 9644• Cramer Building Service, $41824.01, maintenance expense. m This company overhauled an air conditioning pump for the y 1974 building. 9661• Midwest Chemical Supply, $liesOfor, maintenance the Health andpHuman We purchase cleaning supp Services building from this company. 3 Motion: A motion was introduced by Bethke, seconded by Olson, and unanimously adopted: The following vouchers be approved and be made a part of the supplemental minute book pages 862 through 9020 Home Health vouchers 9847 through 9810, dated August 31, 1997, in the amount of $28,895.780 Human Services vouchers 9376 through 9419, dated August 14, 1997, in the amount of $23,850.350 Human Services vouchers 9420 through 9466, dated August 21, 1997, in the amount of $95,936.36. Human Services vouchers 9467 through 9505, dated August 28, 1997, in the amount of $37,101.530 Human Services vouchers 9507 through 9583, dated August 30, 1997, in the amount of $178,169.170 Human Services vouchers 9584 through 9812, dated September 10, 1997, in the amount of $75,309.36. Human Services vouchers 9621 through 9845, dated September 10, 1997, in the amount of $61,153.63. Nursing Home vouchers 523 through 532, dated August 14, 1997, in the amount of $5,678.54. Nursing Home vouchers 540 through 593, dated September 10, 1997, in the amount of $94,932.88. Human Services vouchers 1096 through 1125, dated August 20, 1997, in the amount of $246,505.97. Social Services and Human Services vouchers 276 through 290, dated August 12, 1997, in the amount of $120,499.24. Human Services and Nursing Home vouchers 1126 through 1153, dated September 03, 1997, in the amount of $291,256.62. Social Services and Human Services vouchers 291 through 309, dated August 20, 1997, in the amount of $79,193.68. Social Services and Human Services vouchers 310 through 328, dated September 03, 1997, in the amount of $95,766.57. FINANCIAL REPORT: Krieger said the Nursing Home census is 108. Thielfollowing financial report was distributed and discussed. Motion: A motion was introduced by Bethke, seconded by Berenschot, and unanimously adopted: That the Financial Report be approved as distributed. PLEASE SEE NEXT PAGE. ST. CROIX COUNTY HUMAN SERVICES BOARD FINANCIAL SUMMARIES FOR THE PERIOD O1/01/97 THROUGH 07/31/97 NURSING HOME Reconciled Cash Balance 07/31/97 $431,597.41 Add: Accounts Receivable, 07/31/97 Private Pay ($30,000.89) Medicare $224,425.89 Medicaid $220,135.51 General $231.29 Accounts Payable-07/31/97 ($326,881.41) Net Current Items, 07/31/97 $519,507.80 1997 Revenue Recorded through 07/31/97 $2,665,882.24 Includes Allocations of Anticipated Revenues 1997 Expenses Recorded through 07/31/97 $2,826,688.64 Includes Allocations of Expected Expenses Add or Deduct any nursing home related items not recorded on nursing home books: 1997 bond principle $246,794.50 (93,13% of total 1997 bond principle of $265,000) NH97sum * Operations = $306,652.16 Capital Acquisitions = 124,945.25 * HUMAN SERVICES - 1997 SUMMARY Tot a 1 OF REVENUES Jan. -July Budget Balance Administration 364,305.06 508,055.00 143,749.94 71,7% AODA Services 230p652.17 365,476.00 134,823.83 63.1% Long Term Support 4,259,728.86 8,036,806.00 3,777,077.14 53.0% Ir Mental Health 1,089,440.84 11620F643.00 531,202.16 67,2% Family & Children's 1,352,347.48 2,076,775.00 724,427.52 65.1% Economic Support 469,104.33 1,309,495.00 840,390967 35.8% General Relief 18,431.55 42,124.00 23,692.45 43.8% TOTAL REVENUES ALL PROGRAMS 7,784,010.29 13,959,374.00 6,175,363.71 55.8% SUMMARY Total OF EXPENDITURES Jan. -July Budget Balance % Administration 274,877.49 508,055.00 233,177.51 54.1% Alcohol -Drug Abuse 155,248.84 365,476.00 210,227.16 42.5% Long Term Support 4,192,340.71 8,036,806.00 3,844,465.29 52,2% Economic Support 526,990.76 1,309,495.00 782,504.24 40.2% Mental Health Services 840,486.78 1,620,643.00 780,156.22 51.9% Family & Children's 981,264.29 2,076,775.00 lf095?510.71 47,2% General Relief 7,754.27 42,124.00 34,369.73 18.4% TOTAL 1997 HUMAN SERVICES BUDGET 6,978,963.14 13,959,374.00 6,980,410.86 50.0% hs97-sum HOME HEALTH Total Jan. -July Budget Balance $* ** 182,284.75 531,636.00 349,351.25 34.3% TOTAL REVENUES TOTAL EXPENDITURES 272,319.61 531,636.00 259,316.39 51.2$ **6 months oef revenue=50%1, 7 months of expense=58.33% PUBLIC HEALTH (12 month programs) Total Budget Balance Jan. -July $* 388 270.48 54.1% TOTAL REVENUES 457,435.52 845,706.00 r memo TOTAL EXPENDITURES 489,115.41 845,706.00 356,590.59 57.8$ Memnon Memnon Memo *TO BE ON BUDGET, PERCENTAGE SHOULD BE 5g•33$ ph97-sum 7 Dowd gave a glowing report on the Nursing Home. He said he has had occasion to be here two times a day and has never seen better care anywhere. Dowd complimented Krieger and the Nursing Home staff regarding the care given at the facility. Krieger said families are the largest resource available to gauge how the Nursing Home is doing. --- --- - ------ ---- -- - Land: Borup said there are two fields in CRP --one 17 acres and one 8.8 acres. Both fields have been approved for payments of approximately $42..75/acre but no money will be received for the 17 acres due to Federal fund shortages. Due to this, Borup has requested the field be removed from the program so the County can pursue other uses for this land. Discussion followed. Motion: A motion was introduced by Berenschot, seconded by Johnson, and unanimously adopted: That the Board agrees to remove the 17 acres from CRP and give Bethke, Borup and Stephens authority to make an agreement with John Schottler to lease this parcel. Discussion of Building Garacje for St Croix Industries' Vehicles: St. Croix Industries (SCI) has a fleet of seven vehicles. Over the years van drivers have expressed interest in the County providing a garage for the vehicles, eliminating the need to scrape windows, etc: County Board Chairman Bob Boche came to Borup's office indicating that a van driver had made the request to him to have a garage built. Discussion followed. Board questioned where the monies to build this building would come from as monies are needed for services to serve the people. Van drivers are paid for the time it takes to have all the windows of the vans cleared of ice and snow before they go on the road. Olson questioned if there have been injuries to van drivers while cleaning off the vans. Horne said if a building is to be built, space should be included to house the six county cars also. Discussion was held regarding the possibility of the farm account financing a portion or all of this building. Borup said the priority for Health and Human Services is for direct services to the people, although the building is an excellent concept. Motion: A motion was introduced by Bethke, seconded by Berenschot, and is I adopted: That Sinclear and another person of h choice look into building a garage, study it and present back to the Board. Also, to look to Boche to see where to get the monies to build the garage. Dowd asked if there were any other issues to bring before the Board. Motion: A motion was introduced by Berenschot, seconded by Bethke, and unanimously adopted: that the meeting be adjourned. Time: 9:30 a.m. Chairman: Attest: (secretary)