HomeMy WebLinkAboutCommittee of The Whole 01-10-11 NOTICE OF COMMITTEE MEETING AND AGENDA
ST. CROIX COUNTY, WISCONSIN
COMMITTEE OF THE WHOLE
Monday, January 10, 2011— 9:00 A.M.
County Board Room
St. Croix County Government Center
1101 Carmichael Road, Hudson, Wisconsin
7:45 a.m. — Legislative Reception with State Senator Sheila Harsdorf, Representatives to the
Assembly — Dean Knudson, John Murtha and Erik Severson
9:00 a.m. — Committee of the Whole
CALL TO ORDER
ROLL CALL
ADOPTION OF AGENDA
DATE OF NEXT MEETING
APPROVAL OF MINUTES OF PREVIOUS MEETINGS — November 23, 2010
OLD AND NEW BUSINESS:
1. Discuss 2011 -2012 Legislative Agenda
2. Nursing home projections and proformas
ADJOURN
Items may be taken in different order.
*Additions /Changes /Corrections
• A quorum of County Board members may attend this meeting. In that event, this is also notice of a County Board meeting at
which members may obtain information on subjects listed above for use at future County Board meetings.
• Items for County Board approval must be submitted to the County Clerk's office by Tuesday preceding a County Board
meeting.
• Every effort will be made to honor requests for reasonable accommodation made by individuals with disabilities to attend this
meeting. If possible, make requests a week before the meeting. Direct requests to Cindy Campbell at 715.3864610.
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OFFICIAL MINUTES
COMMITTEE OF THE WHOLE
Tuesday, January 10, 2011— 9:00 A.M.
County Board Room, St. Croix County Government Center
7:45 a.m. — Legislative Reception with State Senator Sheila Harsdorf and Representatives to the Assembly —
Dean Knudson and John Murtha (Erik Severson was not present)
Chair Standafer announced Vice Chair Wentz could not be with us and held a moment of silence in
remembrance of Supr. Gene Ruetz who passed away on January 4, 2011.
Chair Standafer randomly selected the order for elected committees to present issues to the
representatives. Sheriff John Shilts spoke on issues regarding collection data requirements for traffic
stops. Supr. Hermsen spoke on behalf of the Community Development Committee expressing concerns
regarding medication collection and disposal, efforts combating invasive species, increased administration
costs of NR115, refine the Working Lands Initiative, subdivision standards in towns having none, and
transferring of Segregated Funds. Fred Johnson, Director of Health and Human Services expressed
concerns regarding reduction in revenue and the increase in administrative reporting requirements.
Nursing Home funding reviewed. Supr. Norton- Bauman, on behalf of the Administration Committee,
highlighted concerns regarding elections and implementing Voter ID requirement, income tax reciprocity,
various court- related issues, Veteran's Trust Fund and allowing a local optional sales tax to fund
economic development. Supr. Rebholz spoke on issues relating to the Highway Department including
prevailing wages, pothole liability, streamlining different agencies with the Department of Transportation,
and tax levy freeze for counties.
Chair Standafer concluded the legislative discussion and called the Committee of the Whole to order at
10:30 a.m.
Present: 17 members; absent: Supr. Wentz and one vacancy
No action taken on the minutes of November 23, 2010.
Old and New Business:
1. Discuss 2011 -2012 Legislative Agenda - Positive comments were received about continuing with
these types of sessions.
2. Nursing home projections and proformas. Chair Standafer indicated the purpose of this is to
have discussion regarding the Health Center in New Richmond. This is a result of the December 2010
Health and Human Services (HHS) Board meeting to discuss information which came of the additional
performas.
Fred Johnson reviewed handouts and introduced Trenton Fast of LarsonAllen. Fast reviewed projection
scenarios based on assumptions concerning the impact of key assumptions and strategies on future
financial performance of the Health Center. Assumptions reviewed with a 40 -bed and 72 -bed skilled
nursing facility. Planning dashboard reviewed and discussions regarding occupancy, percentages, IGT
funding, private pay and Medicare.
Committee of the Whole
January 10, 2011
Page 2 of 2
Fast fielded questions from the Supervisors and members of the public. Members of the public present
were Norm and Shirley Matzek of Hudson, Dan Hanson of New Richmond, Debbie Mealy of New
Richmond, Rick Prokash of Star Prairie, Katie K. and Dan Goodier of Christian Community Homes.
Johnson noted in 2005 and 2006 nursing home operation costs were $1.93 million to operate the facility.
Today, the nursing home is running under correct staffing levels, but he is seeing increases in costs which
escalate faster than revenue.
Fast indicated the assumptions on the handout assume IGT funds remain constant and that IGT funds are
based on the cost providing care.
Supr. Horne asked the difference in plans of successful county and private nursing homes compared to St.
Croix County's Nursing Home. Fast explained the St. Croix County Nursing Home Cost Per Day
Comparison reviewed comparing Larson Allen Median number (15 facilities reviewed) with 2009 St.
Croix County costs. Horne requested numbers be re -run with current numbers for the next HHS Board
meeting.
Discussion regarding resident payer mix. Johnson indicated the Nursing Home currently has 18 private
pay patients. Frank Robinson, Nursing Home Administrator, stated every nursing home budgets certain
percentages for each payer mix and tries to stay within those percentages.
Debbie Mealy noted the results of the November 2008 referendum in which St. Croix County residents
voted to continue operating the nursing home and asked the County Board to listen to the people of this
County.
Chair Standafer highlighted an article in the Hudson Star Observer which indicated a plan by Christian
Community Homes (CCH) to build a nursing home in Osceola. He also mentioned that Presbyterian
Homes is planning to build a nursing home connected to Westfield Hospital in New Richmond.
Supr. Marzolf demonstrated calculations of the minimal cost per taxpayer based on Nursing Home's levy
for 2008 and 2011.
Supr. Norton - Bauman read a statement on previous year nursing home budgets, consultant fees spent on
the Nursing Home and today's economic conditions.
Supr. Hermsen requested Fast provide cost per day for non - profit and profit homes and stated there is no
reason to continue to fund an enterprise that is so out -of- bounds with government work.
Shirley Matzek asked if there's a plan to sell the Nursing Home to Christian Community Homes. Dan
Goodier of Christian Community Homes indicated they have no interest in the County's Nursing Home.
Supr. Malick indicated he felt everyone has had an opportunity to speak on this topic and made a motion
to adjourn, 2nd by Supr. Brian Hurtgen. Carried unanimously.
Adjourned at 12:20 p.m.
Chair Daryl Standafer
Cindy Campbell, Recording Secretary