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HomeMy WebLinkAboutHealth and Human Services 10-19-06 Lois Burri will review vouchers. REVISED PLEASE NOTE DATE CHANGE NOTICE OF MEETING AND AGENDA ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD October 19, 2006 at 8:30 AM (Board Room, St. Croix County DHHS Building, New Richmond WI) CALL TO ORDER ROLL CALL REVIEW OF AGENDA CONSENT AGENDA APPROVAL OF MINUTES OF PREVIOUS MEETING - 09/13/06 and 09/20/06 DATE OF NEXT MEETING — 11/13/06 8:30 AM OLD AND NEW BUSINESS 1. Consideration of Claims and Vouchers 2. Financial Report 3. Program reports a. Nursing Home Report- Request for Proposal b. Surgeon General's Report Action c. Preparedness pandemic table top report 4. Personnel Issues 5. Long Term Support-Long Term Care Reform 6. Review of 2007 budget request 7. Barn lease update 8. Health and Human Services Governing Body By -laws Review 9. Farm land lease 10. Closed session pursuant to Wisconsin Statutes sec. 19.85(1)(c) to consider employment, promotion, compensation or performance evaluation data of specific public employees over which the Health and Human Services Board exercises responsibility. At the conclusion of the closed session, the board will reconvene in open session. ** ADJOURN (Items may be taken in different order) ** Additions /Changes /Corrections Items for County Board approval must be submitted to the County Clerk's office by Wednesday morning preceding a County Board meeting. 10/16/2006 10:03 AM ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD October 19, 2006 The St. Croix County Health and Human Services Board met on October 19, 2006 at the St. Croix County Health and Human Services /Health Center complex. MEMBERS PRESENT: Esther Wentz, Chair Gordon Awsumb Lois Burri Tom Caflisch Dr. Michael Kretz Linda Luckey Deb Rasmussen Ronald Troyer MEMBERS ABSENT: Leon Berenschot, excused STAFF PRESENT: Fred Johnson, Health and Human Services Director Jennifer Pempek, Accountant /Fiscal Manager Bill Van Offeren, Nursing Home Administrator Charlotte Sortedahl, Public Health Coordinator - Health Officer Geralyn Karl, Public Health Malva Berg, Secretary OTHERS PRESENT: Buck Malick, County Board Chair Chuck Whiting, Administrative Coordinator Bill Cranmer, County Board Tom Dowd, County Board Julie Speer, County Board Danielle Bazille, UWRF student Sheniece Alexander, UWRF student Lindsay Nelson, UWRF student Ruth Ann Richter Christian Community Home Dan Goodier, Christian Community Home Larry Lester, WIPFLI Chair Wentz called the meeting to order at 8:30 AM noting the meeting was properly and legally publicized. ANNOUNCEMENTS Rasmussen questioned the November meeting date change from the third Monday to second Monday of the month. Johnson indicated the October meeting was changed due to a conflict with Long Term Care Reform meeting. Discussion followed regarding meeting dates. A schedule for 2007 Board meeting dates will be developed for Board review. A Board of Health training was attended by Rasmussen, Kretz, Sortedahl, and Johnson on October 18 Kretz indicated it was a valuable training. Board members were encouraged to attend future trainings. A public meeting regarding underage drinking will be held at the River Falls Public Library from 6:00 PM to 8:00 PM on 10/24/06 and Board members were invited to attend. Johnson indicated social work students from UWRF were in attendance at today's meeting as part of their class. r St. Croix County Health and Human Services Board Page 2 October 19 2006 NEXT MEETING The next Health and Human Services Board meeting is scheduled for Monday, November 20, 2006 at 8:30 AM. Wentz will review November vouchers. AGENDA Motion A motion was introduced by Kretz, seconded by Troyer, and unanimously adopted: That the agenda be approved as circulated. MINUTES Motion A motion was introduced by Kretz, seconded by Burri, and unanimously adopted: That the minutes of the 09/13/06 and 09/20/06 Health and Human Services Board meeting approved as circulated. CONSIDERATION OF CLAIMS Health and Human Services Board member Burri reviewed the vouchers. Motion A motion was introduced by Burri, seconded by Troyer, and unanimously adopted: That the following vouchers be approved and be made a part of the supplemental minute book: Human Services vouchers 83899 through 83927, dated September 21, 2006 in the amount of $33,650.99. Human Services vouchers 84503 through 84505, dated September 28, 2006 in the amount of $13,233.00. Human Services vouchers 84899 through 84926, dated October 05, 2006 in the amount of $44,750.32. Human Services vouchers 85964 through 85967, dated October 12, 2006 in the amount of $13,233.00. Human Services and Nursing Home vouchers 83783 through 83898, dated September 21, 2006 in the amount of $342,245.36. Human Services and Nursing Home vouchers 84189 through 84368, dated September 28, 2006 in the amount of $388,480.14. Human Services and Nursing Home vouchers 84808 through 84898, dated October 05, 2006 in the amount of $227,364.78. Human Services and Nursing Home vouchers 85441 through 85620, dated October 12, 2006 in the amount of $97,155.12. Human Services and Nursing Home vouchers 85279 through 85440, dated October 12, 2006 in the amount of $141,315.80. Nursing Home voucher 85278, dated October 05, 2006 in the amount of $432.00. Nursing Home vouchers 85621 through 85673, dated October 12, 2006 in the amount of $72,495.26. Human Services, Workshop, Public Health, Social Services vouchers 529 through 558, dated September 19, 2006 in the amount of $345,698.07. Human Services, Workshop, Public Health, Social Services vouchers 559 through 590, dated October 03, 2006 in the amount of $347,243.84. Human Services and Nursing Home vouchers 584 through 615, dated September 22, 2006 in the amount of $182,692.98. St. Croix County Health and Human Services Board Page 3 October 19 2006 Human Services and Nursing Home vouchers 616 through 647, dated October 05, 2006 in the amount of $150,383.60. Workshop vouchers 109 through 114, dated September 19, 2006 in the amount of $11,583.72. Workshop vouchers 115 through 120, dated October 03, 2006 in the amount of $11,750.74. FINANCIAL REPORT Pempek distributed the following Health and Human Services financial report for January through August. Pempek reminded Board members the State will begin take backs from funding. Allocations are made to each county and the State begins reconciliations and take backs at this time of year. I St. Croix County Health and Human Services Board Page 4 October 19 2006 HEALTH AND HUMAN SERVICES - 2006 SUMMARY Total OFREVENUES Budget Jan - August Balance % Administration 925,134.00 1,008,151.45 (83,017.45) 109.0% AO DAServices 649,146.01 452,304.06 196,841.95 69.7% Long Term Support 17,542,262.00 12,451,868.03 5,090,393.97 71.0% Mental Health 2,909,086.00 2,119,696.66 789,389.34 72.9% Family & Children's 3,120,265.00 2,465,326.88 654,938.12 79.0% SEC! 216,000.00 291,488.26 (75.488.26) 134.9% Public Health 1,537,680.00 1,046,930.40 490,749.60 68.1% Economic Support 11010,360.00 716,906.22 293,453.78 71.0% General Relief 15,000.00 10,000.00 5,000.00 66.7% Coordinated Services 260,403.00 110,031.98 150,371.02 42.3% REVENUES HUMAN SERVICES PROGRAMS 28.185.336.01 20.672,703.94 7.512.632.07 73.3% SUMMARY Total OF EXPENDITURES Budget Jan - August Balance % Administration 925,134.00 661,222.11 263,911.89 71.5% Alcohol -Drug Abuse 649,146.01 440,176.45 208,969.56 67.8% Long Term Support 17,542,262.00 11,391,941.67 6,150,320.33 64.9% Mental Health 2,909,086.00 1,965,264.66 943,821.34 67.6% Family & Children's 3,120,265.00 1,915,409.19 1,204,855.81 61.4% SED 216,000.00 83,412.48 132.587.52 38.6% Public Health 1,537,680.00 1,012,433.13 525,246.87 65.8% Economic Support 1,010,360.00 679,693.33 330,666.67 67.3% General Relief 15,000.00 500.00 14,500.00 3.3% Coordinated Services 260,403.00 100,530.93 159,872.07 38.6% EXPENDITURES HUMAN SERVICES PROGRAMS 28,185,336.01 18,250,583.95 9,934,752.06 64.8% Excess Rev over Expenses ! 2,422.119.99 Percentage of Budget: 66.64 " WIMCR revenues recorded $ 2,422,119.99 Revenues above include state advances Jan - Aug 06 $ 2,422,119.99 Pempek distributed the following Nursing Home report for January through August. The census in the Nursing Home today is 61. The 2006 budget was prepared at a census of 66 and the average census for this month and last is 63. Staffing changes are made with changes in census. Pempek reported rate appeal monies were received in the amount of $12,515 and additional IGT monies were received in the amount of $188,070. Question arose as to how much is being spent for Pathways. Currently Pathways is providing a Director of Nursing and Nurse Manager. As of 10/19/06 $86,121.23 has been paid to Pathways and it is anticipated they will receive approximately $50,000 per month through the end of the year. The census trend has been downward due to the questions on the future of the nursing home and community concern. . , St. Croix County Health and Human Services Board Page 5 October 19 2006 ST CROIX HEALTH CENTER OPERATIONS REPORT Jan - August 2006 Jan- August 2006 BUDGET ACTUAL DIFFERENCE _a PPG CENSUS 66 63 1 OPERATING REVENUE: MEDICARE $ 629,623.05 $ 726,398.72 $ (96,775.67) 116% 7.52 MEDICAID $ 2,609,616.07 $ 1,321,262.54 $ 1,288,353.53 51% 44.29 PRIVATE PAY '" $ 547,475.00 $ 701,122.96 $ (153,647.96) 128% 13.58 RATE APPEALS - ACTUAL $ - 0% 0 ALL OTHER SOURCES' $ 220,453.00 $ 174,245.54 $ 46,207.46 79% 1.04 TRANSFER FROM CONTINGENCY $ - $ - $ - 0 TOTAL OPERATING REVENUE $ 4,007,167.12 $ 2.923,029.76 $ 1,084,137.36 73% 66.43 OPERATING EXPENSES: DAILY PATIENT SRVICES $ 3,363,410.47 $ 2,191,286.16 $ 1,172,124.31 65% 37.52 SPECIAL SERVICES $ 274,458.35 $ 161,862.30 $ 112,596.05 59% 2.76 GENERAL SERVICES $ 1,169,758.41 $ 697,198.32 $ 472,560.09 60% 11.94 ADMINISTRATIVE SERVICES $ 527,734.19 $ 377,972.53 $ 149,761.66 72% 6.46 UNASSIGNED: $ 0.00 DEPRECIATION( °OBASEG) $ - $ - $ - 0.00 OTHERS (INS -WC- CAP ITAL -UTIL) $ 373,372.00 S 922.53 $ 372,449.47 0% Utilities $ 86,077.25 Workers Comp, Computer Tech $ 993,020.95 Insurance $ 63,093.58 $ 343,034.31 TOTAL OPERATING EXPENSES $ 5,708,733.42 $ 3,771.353.62 $ 1,937,379.80 66% 58.68 NET FROM OPERATIONS $ - $ (848.323.86) (COST OF DOING BUSINESS PRIOR TO APPLYING LEVY & OUTSTANDING REV) EXTRAORDINARY REVENUES OUTSTANDING RATE APPEAL REV $ 14,824.00 $ 12,515.00 $ 2,309.00 84% 0.1 % OF OUTSTANDING IGT REV $ 377,000.00. $ 188,070.00 $ 188,930.00 50% 1.61 CO ALLO CATIONS (%BASED) $ 1,309,742.30 $ 870,360.00 $ 439,382.30 66% 7.45 TOTAL OUTSTANDING $ 1 $ 1,070,945.00 $ 630,621.30 NET FROM ALL SOURCES $ 222,621.14 67.84 PERCENTAGE SHOULD BE 66.64% Potential Salary Incfeeses: $16.856 - $50.567 annual projection Contract not settled The following updated report from January through July was distributed to the Board. A formula error in the report caused inflated numbers. St. Croix County Health and Human Services Board Page 6 October 19 2006 ST CROIX HEALTH CENTER OPERATIONS REPORT ""UPDATED JAN - JULY 2006 Jan - July 2006 BUDGET ACTUAL DIFFERENCE % PPD CENSUS 66 67 1 OPERATING REVENUE: MEDICARE $ 629,623.05 $ 617,720.33 $ 11,902.72 98% 5.52 MEDICAID $ 2,609,616.07 $ 1,149,368.48 $ 1,460,247.59 44% 48.32 PRIVATE PAY $ 547 ,475.00 $ 627 ,362.41 $ (79,887.41) 115% 12.39 RATE APPEALS - ACTUAL $ - $ - `# ALL OTHER SOURCESx $ 220,453.00 $ 147 ,921.58 $ 72,531.42 67% 1.04 TRANSFER FROM CONTINGENCY $ - $ - $ - 0 TOTAL OPERATING REVENUE $ 4,007,167.12 $ 2,542.372.80 $ 1,464,794.32 63% 67.27 OPERATING EXPENSES: DAILY PATIENT SRVICES $ 3,363,410.47 $ 1,813,749.00 $ 1,549,661.47 54% 20.16 SPECIAL SERVICES $ 274,458.35 $ 135,576.53 $ 138,881.82 49% 2.10 GENERAL SERVICES $ 1,169,758.41 $ 587,342.23 $ 582,416.18 50% 13.10 ADMINISTRATIVE SERVICES $ 527,734.19 $ 283,356.92 $ 244,377.27 54% 3.40 UNASSIGNED: $ - 0.00 DEPRECIATION( %BASED) $ - $ - $ - 0.00 OTHERS (INS -WC- CAPITAL -UTIL) $ 373,372.00 $ 325,054.74 $ 48,317.26 87% 3.27 Utilities $ 74,473.14 Workers Comp, Computer Tech $ 194,039.60 Insurance $ 56,542.00 $ 325,054.74 TOTAL OPERATING EXPENSES $ 5,708,733.42 $ 3.145.079.42 $ 2,563,654.00 55% NET FROM OPERATIONS $ $ (602.706.62) -6.61 (COST OF DOING BUSINESS PRIOR TO APPLYING LEVY & OUTSTANDING REV) EXTRAORDINARY REVENUES OUTSTANDING RATE APPEAL REV $ 14,824.00 $ - $ 14,824.00 0% % OF OUTSTANDING IGT REV $ 377,000.00 $ 188,070.00 $ 188,930.00 50% CO ALLOCATIONS( %BASED) $ 1,309,742.30 $ 761,565.00 $ 548,177.30 58% TOTAL OUTSTANDING $ 1,701,566.30 $ 949,635.00 $ 751,931.30 NET FROM ALL SOURCES $ 346.928.38 PERCENTAGE SHOULD BE 5831 % A brief update was given on Accounts Receivable status. Updates that were not previously installed have been added and reporting is being used. We are currently working with ECHO representatives as well as our IT department to attain a reconciliation report. This report would meet the needs of the agency and satisfy the auditor's requirement. SURGEON GENERAL'S REPORT ACTION The Board was given options to respond to the Surgeon General's report on secondhand smoke. The vision statement for St. Croix County reads: "We will provide for health, safety, and well being and • ' St. Croix County Health and Human Services Board Page 7 October 19 2006 encourage opportunities to live, work and prosper while preserving individual community heritages and natural resources. County government will deliver needed services in a productive and fiscally responsible manner." The Board has the power to make tobacco control changes in the County. In 1992 a resolution was passed to make County government buildings and passenger vehicles smoke free. Troyer questioned the exceptions in the resolution allowing smoking in any county -owned vehicles. Several chapters of the statutes outlining the duties of local health officials, local health departments and environmental health were cited. River Falls is the only municipality in St. Croix County with a smoking ordinance. Most public buildings in the county are smoke free but there is no law in Wisconsin mandating buildings be smoke free. Many employers are restricting smoking due to health care insurance. Karl reported Andersen Windows went smoke free 10/01/06. LaCrosse County has a dining ordinance regarding dining establishments being smoke free and is looking at making all buildings (workplaces) smoke free. There are no other movements in other areas of the state at this time. Kretz invited questions /concerns/ statements be submitted to him regarding protecting the public against secondhand smoke. Malick indicated a proposal should be put in writing and submitted to Corp. Counsel. The Board recessed from 9:50 to 10:00 AM. PREPAREDNESS PANDEMIC TABLE TOP REPORT A handout regarding the tabletop exercise held on 08/29/06 was distributed. The exercise was a successful, excellent experience and met goals and objectives set forth. Several school nurses attended the exercise as they track absenteeism. Working from home was explored as a result of the exercise. The Public Health Officer has the authority to quarantine and regulate public health situations but that is not always followed by health care providers. Public Health is proposing one hour of pandemic training for all County employees on preparedness. This training will start with the Highway Department next week as part of their safety program. Public Health will be conducting a public health preparedness functional exercise on 10/26/06 until 1:00 PM. There are several stages of the exercise. Board members were invited to attend between 9:15 to 11:15. There is a change in flu vaccines this year. The vaccine shipments have not been coming in. A notice will be placed on the County website and intranet when shipments arrive. Also, there will be a $25 charge for staff that do not have county insurance and County Board members who receive their vaccine through Public Health. Sortedahl recommended checking with your local clinic to receive the vaccine. PERSONNEL ISSUES The Board applauded Lindemann's and Karl's dedication and efforts regarding Wisconsin tobacco checks. Wisconsin is below the national average for both high school and middle school smokers and this can be attributed to not allowing underage persons access to tobacco. Deb Lindemann has resigned from Public Health after accepting a position in Eau Claire as Public Health Supervisor. Jennifer Hansen has moved to the full -time position vacated by Lindemann. A contract nurse has moved to the half -time position vacated by Hansen. BARN LEASE UPDATE Johnson sent a letter to Van Dyk earlier in October stating the cost estimates the County received for repair of the property, which is his responsibility, would equal or possibly exceed the cost of the items he submitted as total replacement equipment, which he could be entitled to remove. After reviewing with Corp. Counsel the resolution of issues relating St. Croix County Health and Human Services Board Page 8 October 19 2006 to the barn lease is that all equipment remains the County's property in exchange for the County assuming the responsibility for the cost of repairs. This would fulfill all obligations. Johnson has contacted John Schottler regarding emptying the pit. Schottler estimated it would cost approximately $4,600 to complete this. Straw is also needed on the floor of the barn to preserve the floor. No monies were budgeted for these items. Malick suggested requesting funds from the contingency fund. Motion A motion was introduced by Troyer, seconded by Rasmussen, and unanimously adopted: That the Board approves requesting $6,000 from the contingency fund to pump the manure pit empty and to put straw on the floor of the barn. FARM LAND LEASE Final revisions are being made on the, farm land lease. Don Anderson was awarded the lease for the farm land. The lease has a two year term. It is anticipated the lease will be finalized by the end of October. The hunting agreement for the County farm land by New Richmond is moving forward. LONG TERM SUPPORT -LONG TERM CARE REFORM Johnson strongly recommended Board members read the handout entitled: "Long Term Care Redesign Overview and Policy Decisions." At this time the recommended decision is to not be a part of the financial risk - bearing care management organization. Information regarding a Long Term Care Reform Meeting for County - Elected Officials to be held on November 9, 2006 at Kalahari Resort Convention Center was distributed to Board members. Johnson strongly encouraged Board members to attend this meeting. Deadline for registration is November 2, 2006. NURSING HOME REPORT - REQUEST FOR PROPOSAL The Nursing Home has 107 full and part time employees, 81 of which live in St. Croix County. Board members questioned the average length of service for employees in the Nursing Home. An announcement that Dan Goodier, Executive Director of Christian Community Home of Hudson, will speak and answer questions at the Hudson United Methodist Church on Sunday, October 22 at 9:00 a.m. and again at 10:30 a.m. about Christian Community Homes' interest in purchasing the St. Croix County Nursing Home facility has circulated in the Nursing Home. Concern was expressed if more than five Board members attended the gathering, an agenda would need to be issued so as not to violate open meeting laws. Lester gave a powerpoint presentation regarding operational changes (downsize, sale, lease or other options) for the Nursing Home. He said between the .property tax limitation and Medicaid funding deficit, the gap from Medicaid reimbursement and actual costs continue to grow. One short -term option would be to downsize the Nursing Home to 50 beds as the Nursing Home's Medicaid rate would increase. He said Rusk County is currently doing this. There are currently 47 empty beds in the county. Downsizing would happen by simply stopping admissions. Lester reviewed the differences in rates for Medicaid and Medicare if the facility downsized to 50 beds. Lester said a number of things go into evaluating a purchase price of a nursing home. He reported the state puts no value on the beds, only the structure. Lester indicated St. Croix County has a good location; however, is not affiliated with a hospital or assisted living. Lester indicated an offer of $3.5 million for St. Croix County Nursing Home is very unlikely but not completely out of the question depending on the parties interested in the property. The 3.5 million dollar estimate of value is based solely on Medicaid allowable reimbursement. St. Croix County Health and Human Services Board Page 9 October 19 2006 Lester said a lease could be a good short term option. The county would own the building and sell the nursing home license to another party. How the lease is allocated and how much is determined as a lease payment is important. However, it is extremely important if this option is pursued that an additional plan be in place when the lease ends or the county may be required to operate the nursing home after the lease period. Lester indicated closing the facility is not really an option due to lack of available beds in the County. It would have an impact on the county in terms of lost jobs, political concerns, increased workload on other county staff and programs, etc. If the county did decide the close the nursing home, all residents must be relocated in 120 days and if the residents are not relocated, the state will take over the building. There would be additional costs in closing the facility including unemployment, pension, health insurance (COBRA), payout of paid time off for employees, maintenance /demolition of current facility. Dr. Kretz left the meeting at 11:30 AM. In an effort to determine what other people have done and decide what would work for St. Croix County, Awsumb investigated a facility that was recently built in St. Peter, Minnesota. He distributed information regarding that facility, which included forecasted financial statements for the next five years. He also distributed a report that ranked St. Croix County nursing homes and their performance. Wentz indicated the time constraints and that there was not enough time to discuss all the options before the 10/31/06 County Board meeting. Options need to be evaluated and a recommendation may not be ready before early 2007. It was the Board consensus a RFP should be prepared. The RFP is not a commitment but would give members more information before a final decision is made. whiting is concerned the parent committee did not approve the budget for the Nursing Home before sending it to Finance and the County Board. It was the consensus of the Board that the Finance Committee approved the Nursing Home budget. Lester will present the powerpoint on the Nursing Home at the 10/31/06 County Board meeting. Slides will be added regarding possibly partnering in the RFP, not just the sale or lease of the Nursing Home. Discussion held on modifying the motion for a RFP to change the time frame, appointment of a small committee to study options, and to include partnering. Wipfli services will be requested to help with details needed to develop the RFP. The RFP's could come back in one of two ways, via proposal or via an interview process. Motion A motion was introduced by Troyer, seconded by Burri, and unanimously adopted: That the Board approves retaining the services of Wipfli to create the RFP. Motion A motion was introduced by Awsumb, seconded by Caflisch, and unanimously adopted: That the County Health and Human Services Board recommends a request be forwarded to the County Board for a request for proposal (RFP) to solicit private and nonprofit nursing home and /or assisted - living businesses to operate a facility at the County owned building. The RFP shall be open to purchase or lease options and /or a public - private partnership. Respondents may propose a facility which accommodates multiple campus uses. The Health and Human Services Board shall create a subcommittee consisting of Chairman Wentz, Dr. Kretz, Gordon Awsumb and staff to draft the St. Croix County Health and Human Services Board , Page 10 October 19 2006 RFP with the input of consultants and all other parties they deem appropriate. The RFP shall be issued by December 1, 2000 or as soon as practical thereafter and responses shall be due by February 15, 2007. Caflisch left the meeting at 12:40 PM. Van Offeren reported the Federal forfeiture violation CMP (Civil Money Penalty) was received at an amount of $10,000 for a recent violation. The forfeiture could be reduced by 35% if the county did not appeal the violation, thus $6,500 was paid. Motion A motion was introduced by Troyer, seconded by Burri, That the Board enter closed session per Wisconsin Statute 19.85 (1) (c)- to consider employment, promotion, compensation or performance evaluation data of specific public employees over which the Health and Human Services Board exercises responsibility. Roll call vote: Esther Wentz -yes Gordon Awsumb -yes Leon Berenschot- absent Lois Burri -yes Tom Caflisch- absent Dr. Kretz- absent Linda Luckey -yes Deb Rasmussen -yes Ronald Troyer -yes Six yes, three absent, motion passed. The Board entered closed session at 12:47 PM. Whiting remained in the meeting. Motion A motion was introduced by Rasmussen, seconded by Awsumb, and unanimously adopted: That the Board reconvene into open session per Wisconsin Statute 19.85 (2). The Board reconvened in open session at 1:13 PM. Wentz asked if there were any other issues to bring before the Board. Wentz adjourned the meeting. Time: 1:13 PM Chair: Attest: (Secretary)