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Home My WebLink About03-31-2015 Committee of the Whole Minutes MEETING MINUTES COMMITTEE OF THE WHOLE March 31, 2015 9:00 AM County Board Room-Government Center County Board Room - 1101 Carmichael Road, Hudson, Wisconsin CALL TO ORDER ROLL CALL Attendee Name Organization Title Status Arrived Travis Schachtner St. Croix County Supervisor Present Agnes Ring St. Croix County Supervisor Present Christopher Babbitt St. Croix County Supervisor Present Howard Novotny St. Croix County Supervisor Present Roy Sjoberg St. Croix County Supervisor Absent Stephen Nielsen St. Croix County Supervisor Present Chris Kilber St. Croix County Supervisor Absent Scott Nelson St. Croix County Supervisor Present Jill Ann Berke St. Croix County Supervisor Present Dave Ostness St. Croix County Vice Chair Present Roger Larson St. Croix County Chair Present Daniel Hansen St. Croix County Supervisor Present Ron Kiesler St. Croix County Supervisor Absent Andy Brinkman St. Croix County Supervisor Absent David Peterson St. Croix County Supervisor Present Paulette Anderson St. Croix County Supervisor Present Judy Achterhof St. Croix County Supervisor Present Shaela Leibfried St. Croix County Supervisor Present William Peavey St. Croix County Supervisor Present APPROVAL OF MINUTES 1. Committee of the Whole – Work Session – October 21, 2014 1:00 PM RESULT: ACCEPTED PUBLIC COMMENT* No public comments. BUSINESS ITEMS 1. Design Presentation by Horty Elving County Administrator Patrick Thompson provided a background of the project to date. Thompson introduced Rick Moore of Horty Elving & Associates, Inc. Moore reviewed the latest drawing plan of the health center complex. Nielsen requested additional information on the existing building for the CBRF. Moore reviewed the current plan of the existing building noting some walls will be removed. All rooms will have updated bathrooms, new electrical, heating and cooling, windows and a new roof. Discussion regarding updates on building. RESULT: DISCUSSED 2. Budget Review by Market & Johnson Thompson introduced Kevin Renly, construction manager from Market & Johnson. Renly reviewed the Design Development (DD) budget. Renly noted modifications made to the DD budget since the last ad hoc committee meeting. He reviewed the proposed plan changes for cost savings, highlighted potential tax saving fees and reviewed fees for professional services and allowances. Total DD base $20,119,515. Review of alternates not included in the estimate including the therapy pool addition ($402,913), adult day care remodel ($85,758), geothermal heating and cooling ($640,000), solar water heating and solar electric (no estimates at this time). Review of DD budget by area and cost by square foot. Discussion regarding geothermal systems, up front costs and energy savings and future pay back. Moore recommended a geothermal system as it reduces the number of backup boilers needed. Babbitt expressed concerns on the potential impact on St. Croix Industries and ESR during the construction period. Thompson reported the impact during construction will be minimal for ESR operations. Impact issues will need to be addressed as well as potential long term access issues which need to be addressed with the City of New Richmond. Renly reviewed the proposed construction schedule. Discussion regarding public information sessions regarding the Heath Center. Thompson reported the ad hoc committee has formed a subcommittee to organize public information communications. Schachtner suggested County Board members also be responsible to inform their constituents. RESULT: DISCUSSED 3. Updated Market Study by Wipfli Wipfli CPAs and Consultants Mike Edwin, Director of Wipfli Healthcare Practice - Senior Living Team reviewed the executive summary of the market study purpose and process. Edwin summarized study results specific to assisted living, dementia specific CBRF, skilled nursing facility, adult day care and therapy pool. Discussion regarding clarifying dementia specific CBRF and the regional need. Review of skilled nursing facility and adult day care and evaluation to include a therapy pool. RESULT: DISCUSSED 4. Financial Examination Forecast by Wipfli Wipfli CPAs and Consultants Larry Lester, Partner of Wipfli Healthcare Practice - Senior Living Team reviewed projected income for the replacement nursing home, crisis stabilization unit and renovated CBRF. Lester highlighted the revenue scenarios for payer mix including private pay, Medicare and Medicaid. Key assumptions for expenses reviewed including staff salaries and benefits for each unit type. Review of other expenses forecasted based on history including nurse consultants and social services, supplies, activities, dietary and laundry, maintenance, administrative Medicare Part A and B. All expenses are inflated 2% annually. Also forecasted are bad debts and utility costs. Lester reviewed the forecasted statement of operations from 2015 through 2019 including revenue and expenses. Debt service reviewed based on options. Lester indicated the forecast does not include Adult Day Care and Therapy Pool. Discussion regarding therapy pool and costs. Thompson stated estimates for health insurance costs are higher than the historical rates. Lester indicated the numbers would be firmed up with each budget cycle. Thompson reviewed the proposed schedule in which the Administration Committee will meet on April 15th and will have a resolution for the final design of the Health Center. The ad hoc committee will meet on April 28th to review geothermal and final budget numbers. The Committee of the Whole (COTW) will meet on April 30th to review a draft of the bonding resolution. The bonding resolution will be presented to the County Board at its May 5th meeting and the Administration Committee will meet before May 5th County Board meeting. RESULT: DISCUSSED ANNOUNCEMENTS & CORRESPONDENCE ADJOURN 12:02 p.m. DATE OF NEXT MEETING - APRIL 30, 2015 1:00 PM