1
00:00:01,120 --> 00:00:08,000
need to order. And the first item is to
review and approve the agenda. Is

2
00:00:06,400 --> 00:00:11,000
everyone had a chance to take a look at
that?

3
00:00:11,200 --> 00:00:17,520
» Okay, I need a motion to approve.
>> I'll make that motion.

4
00:00:16,640 --> 00:00:20,880
» I'll second.
>> Have a motion, a second. Any other

5
00:00:19,119 --> 00:00:27,359
discussion?
All in favor say I.

6
00:00:23,119 --> 00:00:33,840
» Opposed. Motion carries. Next item is
the approval of the minutes of the June

7
00:00:30,320 --> 00:00:38,000
2nd, 2026 meeting.
Is everyone had a chance to take a look

8
00:00:36,079 --> 00:00:44,320
at that? Are there any additions or
corrections to the June 2nd, 2026

9
00:00:41,680 --> 00:00:50,239
meeting?
Okay, hearing none, I will put those

10
00:00:46,800 --> 00:00:56,399
minutes on file.
Next is citizen comments. I don't think

11
00:00:52,879 --> 00:01:02,079
anybody is online
and there was no one here in person

12
00:00:58,480 --> 00:01:08,000
unless somebody from the
committee has any comments.

13
00:01:04,720 --> 00:01:12,159
Okay, next item is the rehab update.
Jessica environmental health concerns,

14
00:01:10,320 --> 00:01:16,320
food safety and recreation license
program update and the water program

15
00:01:14,560 --> 00:01:20,000
update.
>> I will start with June.

16
00:01:19,600 --> 00:01:23,600
» Yes.
>> Yeah.

17
00:01:20,479 --> 00:01:29,040
» Okay. Um, so the highlights for June,
um, was

18
00:01:25,680 --> 00:01:32,880
quite a few rabies, um, quarantine
animals that came through, a couple

19
00:01:30,880 --> 00:01:38,640
specimens tested, but all of them turned
up negative, and only a few unvaccinated

20
00:01:36,640 --> 00:01:43,280
animals that were uh, had to be
quarantined that were part of the

21
00:01:40,960 --> 00:01:48,960
quarantine requirements.
As far as environmental hazards, the

22
00:01:46,240 --> 00:01:53,360
Duck Creek Lane in Westfield, there was
a complaint regarding garbage not being

23
00:01:51,200 --> 00:02:01,439
contained and scattered around the
property. Updatement orders were written

24
00:01:55,920 --> 00:02:08,399
and were to be completed by July 9th. Um
and as you will see that did not occur

25
00:02:03,360 --> 00:02:14,000
in July but um this property is under a
taxdeed

26
00:02:10,000 --> 00:02:19,760
um situation. So it is being dealt with
in other ways also. Law enforcement had

27
00:02:17,280 --> 00:02:25,120
called and requested some information
regarding a ne neglect case on some

28
00:02:22,560 --> 00:02:30,080
tortoises. And so it was mostly just
discussion that was had with the officer

29
00:02:27,440 --> 00:02:35,280
that was on scene um while the humane
officer was out uh not on duty that day.

30
00:02:33,360 --> 00:02:42,000
Um but he was the one to follow up with
that situation and uh take care of it.

31
00:02:38,080 --> 00:02:47,120
So no orders were written upon that.
Uh we created a handout for mold for our

32
00:02:45,040 --> 00:02:52,319
citizens only because there's lots of
places you can get information but ours

33
00:02:49,200 --> 00:02:57,280
was to provide a very centralized area
of the most asked for information. As

34
00:02:54,800 --> 00:03:01,440
you can see down below we got a call
again that month but previous months

35
00:02:59,680 --> 00:03:05,280
kind of it's the time of the year we get
a lot of calls for mold and questions

36
00:03:03,599 --> 00:03:10,319
about how to deal with it. What should
they do? Who can they contact? Should

37
00:03:07,680 --> 00:03:15,200
they test for it? So, we put all that
information together. Um, I don't

38
00:03:13,120 --> 00:03:18,560
believe it's up on our website yet, but
it will be under the environmental

39
00:03:16,959 --> 00:03:22,720
health stuff so that it's easily
accessible for individuals to get that.

40
00:03:21,120 --> 00:03:25,519
But whenever we get a call, that is
something that we provide out to them.

41
00:03:24,319 --> 00:03:28,640
Now,
>> a question. Um, do you know what

42
00:03:27,120 --> 00:03:32,879
buildings they were? What kind of
buildings they were? Were they house

43
00:03:30,879 --> 00:03:36,799
» a housing? Usually, it's always housing
complexes or a just a a single family

44
00:03:36,159 --> 00:03:41,360
dwelling.
>> Oh, okay.

45
00:03:39,120 --> 00:03:46,080
Um there was an apartment complex in
Montello that um Amber had received a

46
00:03:44,159 --> 00:03:50,560
complaint regarding cockroaches in the
unit when she had contacted the landlord

47
00:03:48,879 --> 00:03:53,840
and maintenance individual. They were
already aware of the issue. They've been

48
00:03:52,080 --> 00:03:59,120
dealing with a professional pest control
person already prior to this complaint

49
00:03:56,959 --> 00:04:04,080
had somebody in there, but they're also
working unit by unit to get services in

50
00:04:01,680 --> 00:04:09,280
each unit. And so for that to happen,
the tenants have to let them in and

51
00:04:06,400 --> 00:04:14,879
prepare their unit for the service to be
done. Um so no orders were written upon

52
00:04:12,799 --> 00:04:20,239
that.
And in June, we attended the dairy

53
00:04:17,759 --> 00:04:25,360
breakfast or I guess I did um providing
some information on water testing,

54
00:04:22,079 --> 00:04:32,080
ticks, um disease and gave out tick kits
and then harm reduction resources

55
00:04:28,560 --> 00:04:36,440
for food and safety um or food safety
and recreational licing or FSRL.

56
00:04:38,400 --> 00:04:45,199
Um we completed our 100% of our
inspections. So June is the end of our

57
00:04:42,880 --> 00:04:52,320
licensing year coming to July 1st is the
start. Um this is the first time for our

58
00:04:48,880 --> 00:04:58,160
program since the 2018 2019 licensing
year. Um when we were previously Tri

59
00:04:54,479 --> 00:05:03,919
County, we have not completed 100% since
then. Um so that's a pretty big

60
00:05:00,560 --> 00:05:11,680
achievement um for us and hopefully to
continue that. Um we did a mandatory

61
00:05:08,160 --> 00:05:17,120
webinar uh Jamie and I attended for our
evaluation updates from the from DACAP

62
00:05:14,720 --> 00:05:20,960
that required us to sit through and just
talk about what they are going to

63
00:05:18,400 --> 00:05:24,960
require from us um all the documents
that they need when they do their audit

64
00:05:22,560 --> 00:05:29,919
in the fall each year um for self
assessments and information. So, because

65
00:05:28,080 --> 00:05:35,759
they've updated that, we all had to
attend that. And then we provided a

66
00:05:32,720 --> 00:05:39,600
proctor exam for one of our operators um
so that they could get their certified

67
00:05:37,199 --> 00:05:43,199
food manager certificate for their
facility. And as you can see, we

68
00:05:41,199 --> 00:05:48,960
followed up with quite a few inspections
to round out that 100%

69
00:05:45,919 --> 00:05:56,800
um for all of our facilities, but that
did get everybody taken care of.

70
00:05:52,720 --> 00:06:03,120
And then for as far as the water lab, um
we had um a few more private well

71
00:06:01,520 --> 00:06:07,360
samples. Wow, that really messed up,
didn't it? Um so the ones that are kind

72
00:06:05,759 --> 00:06:13,840
of staggered way to the left, those are
the the um transient wells that we are

73
00:06:10,639 --> 00:06:19,520
contracted through the DNR for. Um so we
did 26 of those um were bacteria and

74
00:06:16,639 --> 00:06:24,240
nitrates. And then on the the left side
that are in that column, it is privates.

75
00:06:21,520 --> 00:06:27,840
And so 32 bacteria and 31 nitrates.
There is some people that they just want

76
00:06:25,919 --> 00:06:32,160
to have their bacteria done or they just
want to have nitrates done. So that's a

77
00:06:29,919 --> 00:06:38,560
little bit why you see discrepancy with
that. Um and as far as the TNC sanitary

78
00:06:36,639 --> 00:06:46,479
assessments, those are done every five
years and is required by the DNR. Um so

79
00:06:42,000 --> 00:06:53,600
we do uh more complex uh inspection of
the well unit um the well head its pumps

80
00:06:50,160 --> 00:06:57,280
um the pressure tanks as as long as well
as sample the water for testing and

81
00:06:55,919 --> 00:07:02,560
stuff like that and then we submit that
to the DNR for them to review and also

82
00:07:00,240 --> 00:07:08,639
the operator or the facility owner gets
that um also if we don't do a five-year

83
00:07:06,080 --> 00:07:14,000
assessment they get an annual assessment
and that we did 23 of them that month.

84
00:07:11,919 --> 00:07:20,400
Um, a lot of times in June that is a lot
of our um, campgrounds or facilities

85
00:07:17,840 --> 00:07:24,080
that close down and shut their walls off
so they are seasonal and have to start

86
00:07:22,080 --> 00:07:32,199
them back up. So that's why we get a lot
of them about that time of year.

87
00:07:27,360 --> 00:07:32,199
Okay. Um, for July,

88
00:07:34,080 --> 00:07:39,680
uh, still quite a bit of quarantine
orders issued. This is kind of the

89
00:07:37,759 --> 00:07:45,520
typical thing for summertimes as people
are out and about. We did have one um

90
00:07:42,560 --> 00:07:52,960
specimen submitted again negative um for
rabies. I have joined a workg group that

91
00:07:50,080 --> 00:07:58,800
Waldab has put together
um that's looking for creative ways to

92
00:07:57,199 --> 00:08:06,319
um
address the ongoing issue of limited or

93
00:08:03,039 --> 00:08:10,479
nearly none of having quarantine
facilities anymore. So there's a lot of

94
00:08:08,400 --> 00:08:16,160
agencies out there, they don't have a
dog pound or a shelter that helps them

95
00:08:14,240 --> 00:08:20,720
with quarantine as we do here in
Marquette County. So in that case, they

96
00:08:19,039 --> 00:08:25,280
don't have vets that have quarantine
options. And so a lot of times they're

97
00:08:23,120 --> 00:08:33,120
quarantined at home which is against the
statutes and does leave a lot of legal

98
00:08:29,759 --> 00:08:37,360
issues to be um if the dog were to get
out and escape and we can't follow up on

99
00:08:35,440 --> 00:08:43,440
or if it would bite or scratch somebody
else again there's another like setback

100
00:08:39,919 --> 00:08:51,120
to that of a longer quarantine. So this
work group is is working with DHS um the

101
00:08:47,440 --> 00:08:56,959
state vets um epidemiologists and other
agencies to create um when you do home

102
00:08:55,120 --> 00:09:01,440
quarantine what are the guidelines you
have to use to make it so that we're

103
00:09:00,000 --> 00:09:05,519
trying to make it as safe as possible
when these facilities don't have this

104
00:09:03,680 --> 00:09:11,040
even though it's still not following the
statutes and we have been well told that

105
00:09:09,040 --> 00:09:16,560
um the state vets don't support it
because it's outside of the statutes and

106
00:09:12,880 --> 00:09:23,680
the limits. Um hopefully we'll be able
to um Wald wants to lobby for changing

107
00:09:19,920 --> 00:09:30,080
some of those statutes and verbiage. But
until that happens, we do need to

108
00:09:26,080 --> 00:09:33,680
require our animals to be quarantined
when they're unvaccinated versus

109
00:09:32,080 --> 00:09:37,839
quarantined at home when they're
vaccinated. Even if we do quarantine at

110
00:09:36,000 --> 00:09:42,160
home, there still is specific guidelines
in the statute that you need to follow.

111
00:09:40,080 --> 00:09:47,120
And so some of these guidelines help
with that.

112
00:09:44,480 --> 00:09:51,680
Um,
Environmental Freedom Road in Oxford,

113
00:09:49,839 --> 00:09:56,640
they re we received a complaint on
garbage being scattered about. Um, so

114
00:09:54,160 --> 00:10:04,240
vacant orders were written and due in
August and you will see they completed

115
00:09:58,640 --> 00:10:08,399
those in Montello. It was the um,
uh, complaints regarding pigeon

116
00:10:05,839 --> 00:10:13,760
infestation of a rental affecting their
individual's house. um that individual

117
00:10:11,040 --> 00:10:20,480
had been diagnosed with
um a disease that is directly affected

118
00:10:17,680 --> 00:10:27,200
by being coming into contact with this
dust from the feces of pigeons and other

119
00:10:24,079 --> 00:10:33,040
birds and vermin. So, I did contact and
collaborate with DHS and BEOH, which is

120
00:10:30,000 --> 00:10:38,399
the Bureau of Environmental Occupational
Health, um, to gather some information

121
00:10:36,160 --> 00:10:43,200
about testing needs, like do we need to
test the excrement? Um, because the

122
00:10:40,800 --> 00:10:47,120
landlord was taking care of it, but we
also want to know, is this truly where

123
00:10:45,120 --> 00:10:52,560
she was getting the exposure from, the
individual work from home, so they're

124
00:10:49,440 --> 00:10:59,120
there all the time and don't go other
places, so it's assumed yes. Um,

125
00:10:55,680 --> 00:11:04,160
however, they still um did not recommend
testing. They just would also assume

126
00:11:02,399 --> 00:11:09,760
that that is because they didn't want
her to be um exposed to it anymore and

127
00:11:07,600 --> 00:11:14,800
gave me more information on how to
contain the exposure and clean up

128
00:11:11,839 --> 00:11:19,040
afterwards for that individual and and
um let the landlord know how long this

129
00:11:17,440 --> 00:11:23,360
individual needed to be outside of the
unit and what needed to happen to clean

130
00:11:20,880 --> 00:11:30,560
it up. So, no orders were written. the
landlord was very um immediate to

131
00:11:27,680 --> 00:11:34,399
respond to the issue and get it cleaned
up and and things like that. So, and

132
00:11:32,800 --> 00:11:39,120
more than willing to take the
precautions needed. So, um I just help

133
00:11:36,959 --> 00:11:44,079
them work through that. The apartment
complex in Montello, we got another

134
00:11:41,040 --> 00:11:48,240
concern or complaint regarding the
cockroaches. However, management is

135
00:11:46,640 --> 00:11:53,120
still working with the professional.
They had been doing more of the

136
00:11:50,800 --> 00:11:57,200
abatements. However, not all of the
tenants we were finding out are being as

137
00:11:55,279 --> 00:12:02,640
accommodating to the process and so
that's leading to um the abatement

138
00:12:00,959 --> 00:12:09,440
taking a little longer. So, we did have
some conversations with those tenants.

139
00:12:07,040 --> 00:12:16,240
We provided information at Baby 101 and
attended on water testing, radon, and

140
00:12:12,320 --> 00:12:24,240
lead testing and that went really well.
Um, as far as the FSRL report, we I did

141
00:12:22,160 --> 00:12:28,800
provide some information to our food
facilities regarding the obviously, as

142
00:12:27,360 --> 00:12:33,279
you guys probably heard on the news, the
big cycllospora outbreak um with lettuce

143
00:12:31,600 --> 00:12:37,440
and things like that. So, a lot of them
were asking information and so I wanted

144
00:12:35,519 --> 00:12:41,440
to keep them updated with where it was
coming from because at the beginning

145
00:12:39,200 --> 00:12:46,000
they weren't they hadn't pinpointed, you
know, the distributor or what

146
00:12:43,680 --> 00:12:49,920
information and the type of lettuce and
stuff. So, or what it even was. They

147
00:12:48,160 --> 00:12:54,720
didn't know if it was lettuce, tomatoes
or any other type of greens. So,

148
00:12:52,959 --> 00:12:59,440
provided them that information just so
that they could take as much action as

149
00:12:57,040 --> 00:13:04,959
they needed to on the products that they
serve and the best way they could. um

150
00:13:03,200 --> 00:13:10,399
provided the second quarter newsletter
to all of our licensed facilities. This

151
00:13:07,040 --> 00:13:16,560
is a newsletter that gives information
to each types of operator, food,

152
00:13:13,200 --> 00:13:22,240
lodging, tattoos, campgrounds, wrecked.
So, it's something specific that's kind

153
00:13:18,880 --> 00:13:26,880
of going on with that time of year um to
give them some useful up-to-date

154
00:13:23,920 --> 00:13:31,760
information and um help them improve
their facilities. Sometimes operators

155
00:13:29,360 --> 00:13:38,160
ask for a certain thing. Otherwise, if
we see certain violations popping up, we

156
00:13:34,560 --> 00:13:43,440
kind of um navigate to pinpoint
information on that topic. Dakota Road

157
00:13:41,120 --> 00:13:48,800
in Westfield, we received a complaint
about an operation of an unlicensed

158
00:13:46,480 --> 00:13:54,240
campground and tourist rooming house. So
we did issue a cease and desist cease

159
00:13:51,760 --> 00:13:58,800
and desist letter for both of those
facilities and informed zoning because

160
00:13:56,720 --> 00:14:02,320
they also license the tourist room
houses.

161
00:14:00,320 --> 00:14:07,519
Owner removed all the advert
advertisements and is not going to

162
00:14:04,639 --> 00:14:12,560
continue um to operate those and
continue or wants to does not want to

163
00:14:10,079 --> 00:14:18,079
license them. So no further action. It's
been considered closed.

164
00:14:15,199 --> 00:14:23,600
Um a few attended webinars that we got
to um attend is about smoked fish at

165
00:14:21,199 --> 00:14:29,600
retail and religion culture with food.
And then I attended a FDA assessment and

166
00:14:27,040 --> 00:14:35,199
verification workshop. This is a program
that DACA um quote unquote says is

167
00:14:33,440 --> 00:14:41,279
voluntary, but it is more like
volunttold that we need to do. And it it

168
00:14:38,399 --> 00:14:47,279
helps us provide
um a written documented way to show our

169
00:14:44,240 --> 00:14:53,680
operators and you guys and the community
that we are following a policy and

170
00:14:51,040 --> 00:14:58,320
procedure to do things in a certain way
that we're um checking each other's

171
00:14:56,639 --> 00:15:05,279
reports that making sure that we're
being um

172
00:15:02,000 --> 00:15:09,920
» consistent and that if we need to
collaborate with the state or the FDA

173
00:15:07,760 --> 00:15:14,399
that we're doing that. So, there's nine
different standards that you have to go

174
00:15:12,079 --> 00:15:19,839
through and assess off of your policies
and procedures to see if you are doing

175
00:15:17,120 --> 00:15:24,959
all these things and submit it to them.
And so, um part of that is we wrote we

176
00:15:22,720 --> 00:15:29,920
wrote for a grant and got approved for
that to do that so we can do that work

177
00:15:27,040 --> 00:15:35,519
to show that we're we are following.
I've not completed the assessment yet um

178
00:15:33,120 --> 00:15:39,519
for all nine. That is due by March of
next year. So hopefully that will be

179
00:15:37,680 --> 00:15:44,399
something we work as a group to go
through and do um to find out where the

180
00:15:42,480 --> 00:15:49,120
deficiencies are in our policies so we
can buff those up and um make sure that

181
00:15:47,199 --> 00:15:56,000
we're doing the best and help support
our program to be better in any way

182
00:15:52,720 --> 00:15:59,759
possible. Um quite a few inspections as
the start of the year. That's a lot of

183
00:15:57,680 --> 00:16:06,000
campgrounds wreckads those seasonal
pools um that we got to get to before

184
00:16:02,720 --> 00:16:11,040
they close down for the season. And then
for the well inspection,

185
00:16:09,440 --> 00:16:16,800
have to deal with something with this.
Um, so we lost power during one of the

186
00:16:14,399 --> 00:16:22,240
few storms that we had after we had just
collected a bunch of samples. So, um,

187
00:16:20,160 --> 00:16:29,600
our incubator had went down. So, because
of that, we had to deem all those 16

188
00:16:26,079 --> 00:16:35,440
samples invalid and recollect them. Um,
so we did talk with Danny and um

189
00:16:32,639 --> 00:16:40,399
procured a battery backup pack for that
unit and it's already installed. They

190
00:16:37,360 --> 00:16:43,920
did it immediately pretty much um so
that we don't have that risk. And what

191
00:16:42,160 --> 00:16:50,959
the problem is is even though we have
the generators, it's that um short blips

192
00:16:48,880 --> 00:16:55,839
of the generator turning on that it
resets that whole unit unfortunately. So

193
00:16:53,519 --> 00:16:59,920
the battery backup is just to hold it so
it doesn't and then gets power back from

194
00:16:58,000 --> 00:17:03,920
the generator. So we don't have that
fluctuation. There's only one degree

195
00:17:02,399 --> 00:17:09,039
fluctuation you can have in the
incubator during these sampling periods.

196
00:17:06,079 --> 00:17:14,319
So it's pretty darn small. Um and
anytime it reads outside of that, we

197
00:17:11,600 --> 00:17:20,799
have to deem it invalid.
Um so we had not as many private well

198
00:17:18,640 --> 00:17:26,959
samples. We only had 11 bacteria, 12
nitrates. Um, we did have a few

199
00:17:24,480 --> 00:17:34,720
confirmed positives. That's meaning that
they had tested and it was positive and

200
00:17:30,640 --> 00:17:40,480
retested and and still positive um not
from a contamination of collection. And

201
00:17:38,320 --> 00:17:45,520
so then we had one individual that had
nitrates higher than 10 milligrams per

202
00:17:43,200 --> 00:17:50,400
liter, which is the EPA limit of
nitrates that we want to have. For the

203
00:17:47,679 --> 00:17:55,120
TNC's, we did 37 bacteria. And you see
the jump because of the extra bacteria

204
00:17:52,559 --> 00:18:00,000
we had to do for sampling. We count each
one of them no matter what because we do

205
00:17:56,880 --> 00:18:06,000
have to use packets um to make those
work. And um we only had one nitrate

206
00:18:03,600 --> 00:18:10,160
sample that came back high. This indivi
this individual facility already knows

207
00:18:08,160 --> 00:18:16,400
that they have a high nitrate. And we
did have a positive that we worked with

208
00:18:13,039 --> 00:18:22,320
them to um ensure that we they
chlorinated and got rid of a deadend um

209
00:18:19,440 --> 00:18:30,120
pipe in their their well system. But we
did a couple of sanitary surveys and a

210
00:18:25,440 --> 00:18:30,120
lot of the assess annual assessments.

211
00:18:30,240 --> 00:18:34,360
And then finally for August,

212
00:18:34,799 --> 00:18:43,200
not as many quarantines, but we still
had one specimen submitted. Um, this was

213
00:18:40,640 --> 00:18:47,679
for sure a bat. I know I remember from
last month. So, it's also that time of

214
00:18:45,840 --> 00:18:53,039
year, um, where we're going to start
seeing some more bats being out. So,

215
00:18:49,840 --> 00:18:57,440
that's not uncommon. We had an open
records request regarding an animal bike

216
00:18:55,600 --> 00:19:03,600
history on a specific animal, and so
that was um provided to the uh,

217
00:19:00,720 --> 00:19:07,360
insurance agency that requested it. And
then

218
00:19:05,200 --> 00:19:13,039
um
the wellwater kit, the two um tests that

219
00:19:10,799 --> 00:19:18,400
these are tests that are done for
individuals that have a pregnant mom in

220
00:19:16,320 --> 00:19:24,400
the house, a baby under one or an
infant. Um and they their test both came

221
00:19:22,720 --> 00:19:27,840
back with higher nitrate levels. So we
provide them in education information

222
00:19:26,080 --> 00:19:33,679
about that. And then one had bacteria.
So they are resampling to ensure that it

223
00:19:30,640 --> 00:19:39,840
was contamination from sampling and
collection not a true contamination.

224
00:19:37,600 --> 00:19:45,760
As far as for environmental
um Freedom Road that uh we conducted an

225
00:19:43,120 --> 00:19:52,400
on-site visit and all the garbage
removed, so we released that order and

226
00:19:48,960 --> 00:19:56,640
Duck Creek Lane. Um we did have a
meeting with multiple department heads

227
00:19:54,400 --> 00:20:02,000
and administration to discuss next steps
on that property. Um

228
00:19:59,760 --> 00:20:08,480
I will be issuing
um condemning orders for that property

229
00:20:04,400 --> 00:20:14,640
due to a failed septic um that has been
uh confirmed by zoning department and

230
00:20:11,520 --> 00:20:20,640
then um an on-site investigation will be
also happening at some point. the former

231
00:20:17,840 --> 00:20:26,080
Lions building and the former Nifty
Thrifty in Pacwocki. We've received

232
00:20:23,360 --> 00:20:31,679
complaints on kind of shortly within
each other's uh regarding the

233
00:20:28,320 --> 00:20:36,960
deterioration of the buildings and
requesting if we would did an inspection

234
00:20:34,320 --> 00:20:41,039
for these facilities um because they
were concerned about health hazards and

235
00:20:39,039 --> 00:20:50,080
being dilapitated.
Um we were in um informed that DSPS has

236
00:20:46,240 --> 00:20:53,919
already been um contacted and a formal
complaint has been submitted and I have

237
00:20:52,240 --> 00:20:59,120
reached out to them. However, I've not
heard back with them yet as if there's

238
00:20:56,000 --> 00:21:04,640
any collaboration required. Um but it
sounds like a lot of this is structural

239
00:21:00,960 --> 00:21:11,039
things. So most likely DSPS is going to
have to do that and um on-site

240
00:21:08,080 --> 00:21:16,080
investigation. if they want, we can do
more if they can provide us um

241
00:21:13,200 --> 00:21:22,080
information that it is
uh structurally unsound. However, nobody

242
00:21:19,280 --> 00:21:27,360
lives in the line building, Lions Club
building, the former one, but the Nifty

243
00:21:24,640 --> 00:21:31,280
Thrifty, there's a residential area in
the side or back, I guess, however you

244
00:21:29,440 --> 00:21:38,000
want to look at it. So, that might be
something that we could get involved

245
00:21:32,559 --> 00:21:42,720
with if needed to. Um, Dakota Lane
had multiple contacts with law

246
00:21:40,400 --> 00:21:47,919
enforcement regard regarding if this
property has a kennel license, which

247
00:21:44,880 --> 00:21:53,919
does. It's had one since 2022,
and there hasn't been any um violations

248
00:21:51,200 --> 00:22:02,240
to the kennel license or charges that
would affect that license. Um, so no

249
00:21:57,840 --> 00:22:07,360
action has been taken at this time.
Um I we participated in the 140 review

250
00:22:05,520 --> 00:22:14,400
for the health department and that went
really well I believe. Um as far as our

251
00:22:10,240 --> 00:22:19,520
FSRL report for the month. Um Third A
and Endeavor received a complaint

252
00:22:16,880 --> 00:22:26,400
submitted to DACAP regarding an illegal
farm baking good stand. Um we did an

253
00:22:23,280 --> 00:22:31,200
on-site visit and we provided some
educational information there. However,

254
00:22:29,360 --> 00:22:35,600
um the complaint was that they were
providing

255
00:22:32,799 --> 00:22:40,960
goods that are not allowed in that
cottage baking law, which is goods that

256
00:22:38,400 --> 00:22:46,880
should be kept under refrigeration or
isn't made in a dry chamber such as an

257
00:22:44,000 --> 00:22:50,320
oven. Um during our visit, we didn't see
any of those there, so we just left the

258
00:22:48,480 --> 00:22:54,880
education information and our contact
information um and let them know why we

259
00:22:52,799 --> 00:23:01,039
were there because nobody was available
around the stand. So that's all that we

260
00:22:58,080 --> 00:23:05,200
did for that. Um we submitted our annual
reimbursement to DAC CAP and this year I

261
00:23:03,520 --> 00:23:09,760
believe that reimbursement was 13%
right. Okay.

262
00:23:06,799 --> 00:23:14,559
» Um so that is all done. And then as you
can see still rounding up some of those

263
00:23:12,240 --> 00:23:20,960
seasonal facilities. Lots of inspections
being done and followed up on. And then

264
00:23:17,919 --> 00:23:26,559
lastly for a well report, we had one
individual that called us asking about

265
00:23:23,600 --> 00:23:32,400
um lake the lake water testing and
safety of the lakes. So we obviously

266
00:23:29,760 --> 00:23:36,559
don't do any lake testing here. There is
some specialty testing that you can do

267
00:23:34,080 --> 00:23:41,679
for lakes. It is offered at the wheel
lab in Stevens Point. Um, so we did give

268
00:23:39,360 --> 00:23:45,840
them that information, but also the DNR
does have information on their website

269
00:23:43,679 --> 00:23:50,240
about monitoring and what they're
looking for in each lake and how often

270
00:23:47,679 --> 00:23:55,520
it gets monitored, but that is more of
like a a citizen monitoring. It's it's

271
00:23:53,360 --> 00:24:01,520
voluntarily done. It's not required to
be done by anybody. So,

272
00:23:58,559 --> 00:24:05,440
um, they were just wondering if that
particular lake, and I'm not entire even

273
00:24:03,600 --> 00:24:10,159
entirely sure which lake it was, was
safe to swim in or or recreation in. and

274
00:24:08,080 --> 00:24:16,320
stuff. So,
um, again, a few private wells, 15 for

275
00:24:13,200 --> 00:24:23,279
bacteria, 13 for nitrates, and then for
the TNC wells, 29 bacteria, and 20

276
00:24:21,120 --> 00:24:28,720
nitrates. And you see a few extra
bacterias because each quarter we may

277
00:24:26,080 --> 00:24:35,200
have to do quarterly testing on some and
that is um for those facilities. And

278
00:24:31,360 --> 00:24:39,279
also we had um a confirmed positive and
so that's where those four positives

279
00:24:36,960 --> 00:24:43,600
come from is so after you get one
confirmed positive which you seen in the

280
00:24:40,880 --> 00:24:49,600
last month's review you have to go back
and do follow-up testing and those were

281
00:24:46,720 --> 00:24:54,240
still positive um after a chlorination
and removing. So they need to do another

282
00:24:52,000 --> 00:24:59,039
chlorination and flushing of that well
and we'll go back out as the DNR

283
00:24:56,400 --> 00:25:02,039
requires to do another collection of
that.

284
00:25:02,159 --> 00:25:10,240
» That's it,
right?

285
00:25:07,360 --> 00:25:15,200
Jessica.
>> Yeah, I just had a few quick questions

286
00:25:12,960 --> 00:25:20,080
here regarding the power backup that
caused problems for the incubator. I

287
00:25:17,440 --> 00:25:25,600
know that uh the health department also
keeps refrigerated items that are

288
00:25:23,039 --> 00:25:29,679
potentially problematic if they they
lose that. Are they not as sensitive?

289
00:25:29,200 --> 00:25:33,840
Okay,
>> they're not as sensitive, but the other

290
00:25:31,120 --> 00:25:38,480
issue is that the equipment itself our
our vaccine cooler is able to handle

291
00:25:36,240 --> 00:25:42,799
short blips and interruptions in the
electrical or the power grid. The

292
00:25:40,480 --> 00:25:45,760
incubator is not able to handle that. if
there is any sort of blip in the

293
00:25:44,159 --> 00:25:51,279
electrical current then it will
completely reset and if it resets it's

294
00:25:49,039 --> 00:25:54,480
not at the standards and temps that that
the program requires. So

295
00:25:52,640 --> 00:25:58,240
» it resets on that heating element that
it takes time for it to heat back up and

296
00:25:56,799 --> 00:26:04,400
that's the part that resets and
unfortunately because that degree is

297
00:26:00,880 --> 00:26:10,400
only one that we get to play with. It's
set at a very um it doesn't take long

298
00:26:08,080 --> 00:26:14,799
for it to go back down and not power
back up right away and start heating and

299
00:26:12,320 --> 00:26:19,360
maintaining that temp.
>> Are you do you feel confident that

300
00:26:17,039 --> 00:26:23,279
that's fixed now with the backup that
you have?

301
00:26:20,559 --> 00:26:28,320
» Yes, we I've watched them um in the
mornings when maintenance does their

302
00:26:25,440 --> 00:26:34,159
testing of the generators and turns down
and powers those up. I've seen it not

303
00:26:31,200 --> 00:26:38,320
affect it anymore. So, I'm hoping that
means as long as the generator comes

304
00:26:36,880 --> 00:26:43,679
back on when it's supposed to, as
quickly as it usually does, always has,

305
00:26:40,960 --> 00:26:47,600
um, that it won't affect those.
>> Then, a question about animal control.

306
00:26:46,320 --> 00:26:51,039
This has come up in a number of
different meetings that it's becoming

307
00:26:49,039 --> 00:26:56,320
increasingly difficult to deal with
animal issues.

308
00:26:53,679 --> 00:27:00,799
Few couple questions on that. Does the
Department of Health generally deal with

309
00:26:58,240 --> 00:27:05,120
animal welfare issues or is that kind of
an anomaly that you'd be talking about a

310
00:27:03,039 --> 00:27:09,919
a tortoise with the
>> It's more of an anomaly and the only

311
00:27:07,760 --> 00:27:15,200
reason I think this individual law
enforcement called me was because of my

312
00:27:13,200 --> 00:27:19,520
um previous background as a certified
vette and so they knew of that and had

313
00:27:18,000 --> 00:27:23,360
called and made a conversation with me
because that humane officer on otherwise

314
00:27:21,360 --> 00:27:28,480
it is typically the humane officer that
deals with them. Then regarding the

315
00:27:26,400 --> 00:27:34,000
quarantines that happen with the rabies
animals and the difficulty of finding

316
00:27:30,240 --> 00:27:38,400
places to to do that, does anyone have a
background of the history of how this

317
00:27:35,840 --> 00:27:42,559
used to work and what's changed and why
has it changed?

318
00:27:39,919 --> 00:27:48,640
» Um, it's been working the same way for a
long time. The statutes has not changed.

319
00:27:44,559 --> 00:27:54,960
However, um, fewer and fewer veterary
clinics provide quarantine, if not none

320
00:27:51,679 --> 00:27:58,880
of them don't anymore. Um, and we're
seeing less and less shelters, which

321
00:27:56,559 --> 00:28:03,440
used to help out with quarantine. And
same thing with like dog pounds or

322
00:28:01,039 --> 00:28:11,279
quarantine facilities themselves.
They're just not substaining. um so that

323
00:28:07,919 --> 00:28:18,320
they're no longer available um in
Appleton and

324
00:28:14,559 --> 00:28:24,480
um out of Gy County and over in that
area um Fox Valley area, they don't have

325
00:28:22,480 --> 00:28:28,880
places and so a lot of them are just
quarantined at home and we've been told

326
00:28:26,559 --> 00:28:33,919
by the state that that if we tell them
they can quarantine at home or the

327
00:28:30,559 --> 00:28:39,279
officer does that we or that officer
could be held legally liable for if

328
00:28:35,840 --> 00:28:44,399
anything happens. like the dog goes um
vanishes or gets loose and now we can't

329
00:28:41,760 --> 00:28:49,440
find out did it die? Did it is it okay?
And this individual, whoever the victim

330
00:28:46,320 --> 00:28:54,399
is, would possibly have to go through
the prophylactics or any other care.

331
00:28:52,720 --> 00:29:00,960
» So, what you're saying is vets used to
do it, now they're not. There used to be

332
00:28:57,200 --> 00:29:04,159
um shelters that are closing, so they
can't do it either. Mhm.

333
00:29:02,480 --> 00:29:09,440
» So I mean rabies is something that's
been around forever and it probably will

334
00:29:06,080 --> 00:29:14,880
continue to be. So this is an issue that
not necessarily the board of health but

335
00:29:11,840 --> 00:29:21,039
it needs to be dealt with somehow. So it
just has me thinking what the solution

336
00:29:17,200 --> 00:29:28,000
could be on this. And I know Waldab is
um working really hard to lobby against

337
00:29:24,640 --> 00:29:32,399
some changes in the statutes um because
there is other states that provide

338
00:29:30,559 --> 00:29:39,200
different things than our Wisconsin
statutes. Um so that is something that

339
00:29:35,760 --> 00:29:43,600
they're trying to get changed um but
it's to get it changed by the lawmakers.

340
00:29:41,919 --> 00:29:48,559
And as far as board of health goes, what
your a potential involvement might be is

341
00:29:45,840 --> 00:29:53,279
that if you know, Waldab is advocating
to Wisconsin DHS to make some changes to

342
00:29:51,600 --> 00:29:58,720
statute to make it a little bit easier
for people to quarantine at home versus

343
00:29:55,440 --> 00:30:01,919
having to find a licensed or legal
quarantine facility. That might be

344
00:30:00,720 --> 00:30:06,480
something where we would come to board
of health and say, "Hey, can you please

345
00:30:03,600 --> 00:30:10,080
pass a resolution that supports their
efforts in doing this? We would really

346
00:30:08,080 --> 00:30:15,600
like to see these statutory changes made
so that things can be done safely and

347
00:30:12,399 --> 00:30:20,000
legally. Um, but you're right, outside
of advocating for something that we find

348
00:30:18,000 --> 00:30:25,840
important in Marquette County, there's
there's very limited influence that we

349
00:30:22,799 --> 00:30:29,919
would have at this local level.
We just do the best we can with

350
00:30:27,840 --> 00:30:37,120
resources that they have.
I guess my question would be on the

351
00:30:32,399 --> 00:30:41,360
quarantine is um the vets seem to be the
logical place to have it. They have the

352
00:30:39,440 --> 00:30:47,039
facilities, they have the everything
there available. What's the hurdle of

353
00:30:44,559 --> 00:30:54,960
why or what's the obstacle why they
don't want to do it besides money? Uh

354
00:30:51,120 --> 00:30:59,279
staffing because you need 24hour um or
staffing and facilities. A lot of them

355
00:30:56,880 --> 00:31:05,039
don't have runs or able to kennel them
for 10 days. Um, having staff to care

356
00:31:02,960 --> 00:31:10,399
for them outside of their regular
clinics hours um that can handle, you

357
00:31:09,039 --> 00:31:15,760
know, making sure the dog is being
monitored for some signs and symptoms.

358
00:31:12,960 --> 00:31:20,559
And um a lot of times it is a facilities
or the caring of the animals themselves

359
00:31:18,880 --> 00:31:26,240
because a lot of vets don't have
groomers on hand or do doggy boarding,

360
00:31:23,679 --> 00:31:31,840
daycare or animal boarding of any
facilities. They just provide veterary

361
00:31:28,399 --> 00:31:38,960
care um or emergency care.
>> So I agree with John. It's becoming a

362
00:31:34,799 --> 00:31:46,399
bigger issue statewide, I think, and
something has to be done because we've

363
00:31:42,159 --> 00:31:51,760
got that situation right here. So, Gary,
>> um, you said that you don't water test

364
00:31:49,200 --> 00:31:55,840
lakes. Understandable. What does the
city of Montel uh, is your service

365
00:31:54,000 --> 00:32:00,000
available to them now for their city
water system or do they still have to

366
00:31:57,679 --> 00:32:04,000
use some other private
>> Yes and no. for water testing for the

367
00:32:02,240 --> 00:32:08,240
public water of the city.
>> They could use us for bacteria and

368
00:32:05,519 --> 00:32:15,840
nitrates, but that's it. Um the rest of
their testing would have to be sent out

369
00:32:10,480 --> 00:32:20,640
as for nitrites and um arsenic fluoride
um and any other kind of heavy metals or

370
00:32:18,640 --> 00:32:25,120
inorganics would be sent out because
we're only certified for the bacteria

371
00:32:22,480 --> 00:32:29,760
and nitrates. I'm only asking in in case
there would be a little budget break for

372
00:32:26,799 --> 00:32:36,080
the city by working through you.
>> And same thing with um

373
00:32:33,440 --> 00:32:40,399
any well drillers or um pumped
installers, they can also bring them

374
00:32:37,760 --> 00:32:44,159
here. We're certified to do those um
tests as they need to. So, we have

375
00:32:42,480 --> 00:32:48,480
provided that information out there to
them just so that if they don't already

376
00:32:46,559 --> 00:32:52,559
work with a lab or have a contract with
a lab that they can do that they can

377
00:32:51,120 --> 00:32:56,880
bring them here locally instead of
driving. But sometimes they have a lot

378
00:32:54,240 --> 00:32:59,600
more sampling to do and it's feasible
for them.

379
00:32:58,080 --> 00:33:03,600
» Thank you.
>> And speaking with Montello, they didn't

380
00:33:01,440 --> 00:33:07,600
think that bacteria would probably ever
be an option just because when they have

381
00:33:05,440 --> 00:33:11,039
to do their bacterial sampling, they're
testing for all of these other things

382
00:33:09,120 --> 00:33:14,399
that Jessa just talked about and it's
easier just to make one big package,

383
00:33:12,559 --> 00:33:18,240
send it off where it goes. But for
nitrates, there's a potential for more

384
00:33:16,559 --> 00:33:23,279
conversation. So,
>> it is something also if we ever have

385
00:33:20,640 --> 00:33:27,679
like a flood or a natural disaster,
something we could um it's something

386
00:33:25,679 --> 00:33:33,279
that's being put into our coupe plan now
is that we could use the lab for doing

387
00:33:30,320 --> 00:33:37,120
testing to make sure private wells or
community wells are okay to be used

388
00:33:35,360 --> 00:33:41,039
instead of having boil water noses
because we can turn them around in 18

389
00:33:38,640 --> 00:33:47,200
hours.
>> Any other questions?

390
00:33:43,519 --> 00:33:51,600
Thanks, Jessica. Right. On to new
business, the highdose flu vaccine fee

391
00:33:49,840 --> 00:33:59,039
increase. Jamie.
>> Yes. So, um, we are asking for the board

392
00:33:56,480 --> 00:34:04,320
of health to approve an increase for our
highdosese flu vaccinations this year.

393
00:34:02,240 --> 00:34:09,760
Um, it should be noted before we get
into the dollars and cents of it all

394
00:34:05,919 --> 00:34:16,000
that this is a Medicaid reimburseable
service that we have. So, it's $0 out of

395
00:34:12,399 --> 00:34:20,720
pocket to the client always. Um, but
when we go to bill for those services,

396
00:34:18,639 --> 00:34:26,320
you can only bill what your fee schedule
says. So, we can't bill for more than

397
00:34:22,480 --> 00:34:31,359
what it is our our fees say. Um, so our
current

398
00:34:27,839 --> 00:34:36,240
um fee for the highdosese flu is 112,
but we have recently seen an increase in

399
00:34:33,839 --> 00:34:41,599
what we're able to bill for
reimburseable services. And so we're

400
00:34:38,079 --> 00:34:49,280
asking for an increase to to $150. So
from 112 to 150. This will have a net

401
00:34:45,760 --> 00:34:55,520
zero impact on out-ofpocket costs to our
customers. It's just that again we can't

402
00:34:52,560 --> 00:35:01,119
bill more than $112
to the state if our fee isn't higher

403
00:34:58,480 --> 00:35:07,800
than $112. So this will help with with
reimbursement to the county and improve

404
00:35:03,839 --> 00:35:07,800
upon our revenues.

405
00:35:08,240 --> 00:35:15,200
And we have these we have a couple um
fees that we're asking for approval for.

406
00:35:13,520 --> 00:35:20,160
We do have them broken up separately,
but you guys can decide if you need to

407
00:35:16,960 --> 00:35:26,400
finagle that.
Questions?

408
00:35:23,119 --> 00:35:34,839
Then a motion will be in order
to increase the highdosese flu vaccine

409
00:35:29,359 --> 00:35:34,839
fee from $112 to $150.

410
00:35:37,040 --> 00:35:40,000
I'll make a motion.
>> Okay.

411
00:35:39,440 --> 00:35:44,359
» Second.
>> Motion a second. Any other discussion?

412
00:35:44,880 --> 00:35:49,920
» All in favor say I.
>> I.

413
00:35:47,119 --> 00:35:54,160
» Opposed. Motion carries.
>> Foot clinic fee increase.

414
00:35:52,320 --> 00:35:57,280
» Yes. And before we jump into that, I
just want to point out because we do

415
00:35:55,359 --> 00:36:01,119
have, for those of you who have either
been on our board or have been paying

416
00:35:59,119 --> 00:36:05,760
attention to what we're our offerings
are at the health department, we are not

417
00:36:03,359 --> 00:36:09,599
asking for an increase for our standard
dose this year, but what it is that

418
00:36:07,839 --> 00:36:12,960
we're charging currently should still
get us a good turnaround on

419
00:36:10,880 --> 00:36:17,839
reimbursement, and it's about as much as
we're able to ask for. So, we're not

420
00:36:14,560 --> 00:36:23,280
asking for that this year. Okay. So, on
to foot clinic. Um, we did look at an

421
00:36:21,200 --> 00:36:28,560
evaluation of how much time it is that
we're spending offering these services.

422
00:36:25,520 --> 00:36:32,480
Um, I did have Melissa go through and do
an evaluation of how much we're spending

423
00:36:30,400 --> 00:36:39,520
on the supplies. So, the glutalahhide,
the Dremels, all of the the sanitation

424
00:36:35,760 --> 00:36:44,079
um, equipment that we have. And there
there is a slight increase in what it's

425
00:36:41,440 --> 00:36:48,800
been costing us. And so, the last time
that we had asked for an increase for

426
00:36:46,160 --> 00:36:54,079
this item was 11 years ago. it was when
I first started as health officer. And

427
00:36:50,640 --> 00:36:59,119
so, um, we're asking today for an
increase of $5 to the cost of that

428
00:36:56,320 --> 00:37:05,440
service. So, it would go from $30 a
visit up to 35. Um, our current fee

429
00:37:02,800 --> 00:37:10,160
schedule is set up such that a firsttime
visit is a little bit more expensive

430
00:37:07,359 --> 00:37:14,000
than, you know, your maintenance visits.
and we did away with that just to have

431
00:37:11,680 --> 00:37:17,280
it consistently be 35 for every
appointment, whether it's your first

432
00:37:15,280 --> 00:37:21,280
appointment or the fifth time you've
seen us this year. So, we're trying to

433
00:37:19,040 --> 00:37:25,760
keep it simple for people, but the cost
of offering that service has gone up a

434
00:37:23,040 --> 00:37:29,880
little bit with cost of supplies and and
all of that fun stuff. So,

435
00:37:30,320 --> 00:37:43,480
questions, comments?
Okay. Motion is in order to increase the

436
00:37:37,200 --> 00:37:43,480
fee for the foot clinic from $30 to $35.

437
00:37:44,000 --> 00:37:51,280
» I'll make the motion.
>> Motion second. Is there a second?

438
00:37:49,280 --> 00:37:58,320
Any further discussion regarding that
motion? This is a good program. Um it

439
00:37:54,800 --> 00:38:04,960
does generate revenue and it's not just
a matter of increasing the fee

440
00:38:01,599 --> 00:38:10,400
$5 just to increase fees. Um I think
that this has been very well received

441
00:38:07,839 --> 00:38:17,119
and I don't know how much time it takes
to do um each one of these patients, but

442
00:38:14,320 --> 00:38:23,040
uh I don't think a $5 increase is
unreasonable for this case.

443
00:38:20,480 --> 00:38:28,320
Anything
else? Okay, we have a motion, a second.

444
00:38:25,920 --> 00:38:37,119
All in favor say I.
>> Opposed? The motion carries.

445
00:38:31,760 --> 00:38:41,920
Okay. 2027 health department budget.
Yes. Um, and before we jump into that, I

446
00:38:40,079 --> 00:38:46,400
just want to give the board a heads up
about um some some of our fees moving

447
00:38:45,040 --> 00:38:51,359
forward that we're not asking for
approval for right now, but that will be

448
00:38:48,079 --> 00:38:56,160
coming down the pipeline. Um, many of
you are aware that we also have our

449
00:38:53,359 --> 00:39:02,079
rehab program, but the the fiscal year
for that program is July through June.

450
00:38:59,040 --> 00:39:06,560
And so we tend to wait until February,
March to approve the full fee schedule

451
00:39:04,160 --> 00:39:10,400
for that program. So that'll be coming
down the pipeline in a few months. We're

452
00:39:08,960 --> 00:39:15,520
trying to get everything else covered
now, but that that will be later in the

453
00:39:12,720 --> 00:39:20,960
year. Um, and since we're already going
to have to come to you for some fee

454
00:39:17,440 --> 00:39:26,400
changes potentially, um, we are also
looking at the potential of either

455
00:39:23,040 --> 00:39:32,240
increasing the fees for B vaccination
services or eliminating that program

456
00:39:28,640 --> 00:39:37,599
altogether. The um the cost of just the
raw materials, the actual vaccines

457
00:39:34,079 --> 00:39:42,240
themselves have skyrocketed. And so it's
not quite as popular of a program as it

458
00:39:39,520 --> 00:39:45,280
used to be. We haven't quite we still
have vaccine available. So, we're going

459
00:39:44,000 --> 00:39:49,119
to relook at it when we're getting
closer to needing to reorder, but I just

460
00:39:47,920 --> 00:39:53,760
want you to know that that's something
that's in process and we may have to

461
00:39:50,880 --> 00:39:56,880
bring up again in um February time
frame.

462
00:39:55,920 --> 00:40:00,240
» John,
>> how many different kinds of vaccines do

463
00:39:58,720 --> 00:40:05,200
you currently offer?
>> All sorts. Do you have a plan exactly?

464
00:40:02,720 --> 00:40:10,320
» I don't have. We do a lot through the
VFC program, which is where we're

465
00:40:07,839 --> 00:40:16,720
limited to who we can offer them to. We
do purchase like the flu, the HEP, the

466
00:40:13,920 --> 00:40:24,320
TB. We don't purchase out of our own
pocket as many. It's mostly the program,

467
00:40:20,240 --> 00:40:28,960
the BFC and the BFA program.
Mel, who usually is in here, is our

468
00:40:26,960 --> 00:40:33,599
vaccine coordinator, and she would have
exact amounts for you, which we can get

469
00:40:32,160 --> 00:40:36,560
if you need them.
>> I was just wondering.

470
00:40:34,720 --> 00:40:41,119
» Yeah, but we do we do have to keep them
separately even if we have the exact

471
00:40:38,880 --> 00:40:44,960
same vaccine that's part of the state
funded program and we have some that are

472
00:40:42,960 --> 00:40:50,720
private pay. They have to be tracked
separately, kept separately. So, as much

473
00:40:48,480 --> 00:40:54,320
as you know, we may have 20 different
types of vaccines, sometimes they're

474
00:40:52,560 --> 00:40:59,040
split into different programs, different
storage requirements, different

475
00:40:55,839 --> 00:41:02,480
reporting requirements, and so um and of
course, obviously, some vaccines come as

476
00:41:00,640 --> 00:41:09,440
multi-doses. Some of them we also have
as single doses. Um it's just what what

477
00:41:06,400 --> 00:41:13,880
people need and what they're able to uh
you know, pass for at that time. So,

478
00:41:16,160 --> 00:41:26,880
so then
moving on to health budget.

479
00:41:23,520 --> 00:41:32,480
So, um I am not going to I'm sure board
of health members, you guys saw board of

480
00:41:28,720 --> 00:41:38,000
health orientation um presentation in
your materials and we're like not again,

481
00:41:34,640 --> 00:41:43,040
right? Um we're we're we're not doing it
again. I just wanted it to be I know I

482
00:41:40,480 --> 00:41:47,760
know guys as fascinating as it was. It's
a long that's a long meeting. Um but I

483
00:41:46,400 --> 00:41:53,119
did want to make sure that it was
readily accessible to you if um anything

484
00:41:51,200 --> 00:42:00,920
came up while we were going through the
materials. But what I am going to start

485
00:41:55,839 --> 00:42:00,920
with for you guys is

486
00:42:01,599 --> 00:42:11,200
um
is to start with

487
00:42:06,000 --> 00:42:15,359
the budget support document. So
this document does reference board of

488
00:42:13,440 --> 00:42:20,319
health orientation information which is
the again the only reason why I included

489
00:42:17,440 --> 00:42:26,160
that document in your um in your packets
for this month. Um, but I wanted to make

490
00:42:22,960 --> 00:42:32,319
sure that everyone knew exactly where to
find where our statutory mandates were.

491
00:42:28,800 --> 00:42:38,880
Um, obviously in the orientation
um, PowerPoint that's covered on slides

492
00:42:36,160 --> 00:42:43,200
12, 13, and 14. And then the programs
that are offered are also on there.

493
00:42:40,800 --> 00:42:47,440
That's an overview of our foundational
public health capabilities.

494
00:42:45,520 --> 00:42:50,880
I'm not going to go over this. I just
want to make sure that you all know

495
00:42:48,640 --> 00:42:55,359
where they are and and where that can be
referenced if you want to look at it

496
00:42:52,560 --> 00:43:00,800
later,
but I do have all of our mandates listed

497
00:42:58,319 --> 00:43:05,440
here in a very brief overview. So, if
anybody needs anything more um more

498
00:43:04,160 --> 00:43:09,920
complex or wants to talk more
specifically, we can do that. But so

499
00:43:08,400 --> 00:43:14,079
then what I wanted to talk to you guys
about going into this budget season is

500
00:43:12,400 --> 00:43:19,280
how it is that we hold ourselves
accountable for our programs and whether

501
00:43:16,560 --> 00:43:24,000
or not we should be having them or not.
The the health department does have a

502
00:43:21,440 --> 00:43:27,920
policy. It is within our strategic plan
that we are evaluating all of our

503
00:43:25,760 --> 00:43:34,000
programs for whether or not they are
required or we should be offering them

504
00:43:30,240 --> 00:43:37,920
at all. So annually, third quarter each
year, we go through each of our programs

505
00:43:36,319 --> 00:43:41,839
and we look at whether they are
mandated, which means that they would be

506
00:43:39,839 --> 00:43:46,240
either a statutory or an administrative
code requirement, whether they are a

507
00:43:44,240 --> 00:43:53,200
CHIP priority, which is our community
health improvement plan. Um, the CHIP

508
00:43:50,240 --> 00:43:58,560
process is mandated. However, the things
that the projects, the efforts that come

509
00:43:56,160 --> 00:44:03,359
out of it may not be, but they are still
required as part of that CHIP process.

510
00:44:01,359 --> 00:44:07,359
So, if they're a CHIP priority, they're
listed. If they are part of our

511
00:44:05,119 --> 00:44:12,079
strategic plan, which is also a mandate,
but again, the specific things that come

512
00:44:08,960 --> 00:44:16,079
out of it may not be. So, we, you know,
pull those things out separately so

513
00:44:13,599 --> 00:44:22,000
people can see which ones those are. And
then we have another category which we

514
00:44:18,400 --> 00:44:28,960
call a criteria match. And basically
what that is is programs that and and

515
00:44:25,680 --> 00:44:33,839
the programs that are in this this uh
category are often the only programs

516
00:44:32,000 --> 00:44:38,800
that are bringing in funding to the
health department for non-mandated

517
00:44:35,760 --> 00:44:43,440
programs. But a criteria match is one
that meets all of the following

518
00:44:40,800 --> 00:44:47,760
criteria. We have to have the time and
capacity for it. Generally for us that

519
00:44:46,000 --> 00:44:51,920
means that it ties into something we're
already required to do, something that's

520
00:44:49,359 --> 00:44:57,520
important for us to be working on. There
has to be funding tied to it. Um so no

521
00:44:55,920 --> 00:45:00,480
matter how important it is, no matter
how much we think it's something we

522
00:44:58,800 --> 00:45:06,079
should be doing, if there isn't funding
tied to it, it's automatically a no. And

523
00:45:03,359 --> 00:45:09,599
then um it has to have requisite partner
engagement. So, if it's something that

524
00:45:08,240 --> 00:45:12,640
we think is really cool, but we're going
to be banging our heads against a wall

525
00:45:11,040 --> 00:45:15,760
because we just don't have enough own
from either the community or the

526
00:45:14,400 --> 00:45:19,680
partners we would need to be working
with or say for instance, board of

527
00:45:18,000 --> 00:45:23,599
health is like that's a loser. We don't
want that. If we don't have that kind of

528
00:45:21,839 --> 00:45:29,040
support, then that's automatically a no
as well. So, all of our programs go

529
00:45:26,640 --> 00:45:35,040
through this on an annual basis and then
we categorize them in a spreadsheet,

530
00:45:32,319 --> 00:45:38,640
which again, this is this is in that
document that I have for you. I'm not

531
00:45:36,720 --> 00:45:42,720
going to go through each one. Some of
these meet multiple

532
00:45:41,200 --> 00:45:50,480
different categories. Some of them may
be a chip priority. They may also be um

533
00:45:46,480 --> 00:45:55,040
a a category or criteria match program.
I generally put the one that is most

534
00:45:53,119 --> 00:45:59,839
required if you have to just select one
reason for it to be on there. But we did

535
00:45:57,359 --> 00:46:04,800
use this process to go through and
determine which programs we were going

536
00:46:01,520 --> 00:46:10,800
to drop um when we lost staff people a
few years back. And so again, we

537
00:46:07,680 --> 00:46:14,960
utilized this as sort of the strategic
process in determining what stays, what

538
00:46:13,040 --> 00:46:19,359
goes, and what we can continue to
support in public health.

539
00:46:17,440 --> 00:46:24,480
So again, just to make sure that you're
familiar, this is part of something that

540
00:46:21,040 --> 00:46:28,480
we do annually and we do try to be
accountable and have a way of showing

541
00:46:26,160 --> 00:46:32,720
that.
And I'm sorry guys, whenever you um put

542
00:46:31,119 --> 00:46:38,800
documents on SharePoint, the formatting
gets a little bit weird, but I wanted to

543
00:46:35,040 --> 00:46:44,960
as part of this process for budgeting to
show you where our um our public health

544
00:46:41,920 --> 00:46:50,079
contracts are coming from. We have two
that we um that we have had for now

545
00:46:47,520 --> 00:46:54,960
decades at this point. Optum, which is
$32 a month, and that is the program

546
00:46:52,079 --> 00:46:58,640
that we require in order to bill MA for
our services. You have to have some kind

547
00:46:56,880 --> 00:47:05,599
of billing platform to do that. Optimum
is the one that we use. Um I have been

548
00:47:02,319 --> 00:47:10,960
doing this in this position for 11
years. It has been $32 a month for 11

549
00:47:08,720 --> 00:47:18,160
years. So we've been fortunate that we
haven't seen hike um a hike in rates for

550
00:47:13,680 --> 00:47:21,520
that. Um the other contract that we have
through public health is through our FEP

551
00:47:20,000 --> 00:47:27,280
consortium which is public health
emergency preparedness. Um the emergency

552
00:47:24,319 --> 00:47:35,359
preparedness program is a mandate. This
consortium is not necessarily. However,

553
00:47:31,359 --> 00:47:40,960
what this group does for us is they
create they generate all of our all

554
00:47:38,160 --> 00:47:45,440
hazards plans. So, public health is
required to maintain hundreds of pages

555
00:47:43,280 --> 00:47:50,560
of plans for how we would deal with any
kind of hazard that may happen from

556
00:47:47,839 --> 00:47:58,400
chemical warfare to you know public
health um diseases spreading to having

557
00:47:55,920 --> 00:48:06,160
wildfires and tornadoes whatever it may
be. there are public health aspects to

558
00:48:02,640 --> 00:48:10,800
recovery um an initial way of responding
to those things. This consortium goes

559
00:48:08,800 --> 00:48:17,119
through and creates all of those plans
for us. It is a heavy lift and so we

560
00:48:14,880 --> 00:48:20,800
have a grant that covers it. Again,
we've been part of that consortium for

561
00:48:18,720 --> 00:48:26,480
probably 15 years at this point. They
have not increased our monthly fee for

562
00:48:22,960 --> 00:48:30,400
that. Um there is no levy impact. it is
covered by a grant and then the

563
00:48:27,839 --> 00:48:35,200
remainder of that grant pays for one of
our nurses to make sure that those

564
00:48:33,680 --> 00:48:38,640
things are being integrated within
Marquette County. Working with our

565
00:48:36,800 --> 00:48:43,760
partners, making sure that you know
people are on board participating in the

566
00:48:41,760 --> 00:48:47,119
activities and exercises and then
obviously making sure that our public

567
00:48:45,680 --> 00:48:54,400
health department is compliant with what
the state requires. So again, something

568
00:48:50,640 --> 00:48:59,280
that we've had for several years, it
makes it so that Sarah can do something

569
00:48:56,480 --> 00:49:04,960
other than just work on policies, which
has been really helpful to us because we

570
00:49:02,000 --> 00:49:11,680
utilize her for a lot of um preparations
and planning related to FAB.

571
00:49:08,559 --> 00:49:18,319
» Okay. Um and then I don't know that I
have it on this sheet. However,

572
00:49:14,720 --> 00:49:23,440
um I know as part of this process, um
administration and the board had asked

573
00:49:20,640 --> 00:49:28,880
if we could present to you our capital
expenses plan since we don't have any

574
00:49:26,720 --> 00:49:33,040
incoming or pending capital expenses
anticipated. I didn't put them on there,

575
00:49:31,200 --> 00:49:38,559
but I did want to call out the fact that
there are a few items that would

576
00:49:36,640 --> 00:49:42,319
typically fall into that category.
They've just been replaced recently

577
00:49:40,160 --> 00:49:46,079
enough that they're not on a replacement
track. One of them is our vaccine

578
00:49:44,319 --> 00:49:50,800
cooler, which actually died during a
board of health meeting last year. So,

579
00:49:48,960 --> 00:49:53,440
um, that's just been replaced. It's
actually still under manufacturer

580
00:49:52,000 --> 00:49:58,079
warranty. So, here's hoping we don't
have to replace that in the next couple

581
00:49:55,119 --> 00:50:04,000
years. Um, and then our spectr
photoometer, which is the equipment we

582
00:50:00,400 --> 00:50:07,119
utilize to process our nitrate samples.
It's a fairly expensive piece of

583
00:50:05,359 --> 00:50:12,000
equipment, but again, we've we purchased
it in February of 2026. Still under

584
00:50:10,000 --> 00:50:16,319
manufacturer warranty. Should definitely
last more than a couple years. So,

585
00:50:14,559 --> 00:50:21,440
something to keep in mind, but nothing
that's going to come up in terms of

586
00:50:18,800 --> 00:50:27,760
expenses. The other thing is is that we
do try to plan for these things. We do

587
00:50:23,680 --> 00:50:34,079
have a fund 11 account that um we
collect very slowly. it it grows at a

588
00:50:31,280 --> 00:50:37,680
very very slow rate, but we do collect
that funding in case we don't have any

589
00:50:36,000 --> 00:50:42,720
other way to pay for a vaccine cooler if
it died. So, we've got some backup

590
00:50:39,200 --> 00:50:49,280
funding there. And then um with the
Spectro, again, thankfully having

591
00:50:45,359 --> 00:50:53,040
partnerships for the EH program. Um
we've been very fortunate. We've been

592
00:50:50,640 --> 00:50:57,680
able to use grants to cover that. Um we
certainly could use our equipment loan

593
00:50:54,480 --> 00:51:02,000
closet if we needed to. And if we get to
a point where we clear out at the end of

594
00:50:59,280 --> 00:51:06,400
the year, any money that was brought in
at our food safety and recreational

595
00:51:03,680 --> 00:51:11,119
programming is required to stay in that
account that can't be put back into

596
00:51:08,240 --> 00:51:15,920
levy. It's required to stay for that
purpose. So if there is any rollover,

597
00:51:14,319 --> 00:51:19,760
which we try to avoid, we try to have it
be pretty close zero to zero, right? But

598
00:51:18,079 --> 00:51:25,359
if there's anything left, that funding
can go to support food safety,

599
00:51:22,000 --> 00:51:30,079
recreational, water programming. So, um,
again, when we get to that point,

600
00:51:26,720 --> 00:51:33,520
hopefully we have options for spending.
Um,

601
00:51:32,160 --> 00:51:36,079
I'm not going to go into a great deal
about this because again, we did talk

602
00:51:34,960 --> 00:51:39,680
about it during board of health
orientation, but there are a number of

603
00:51:38,160 --> 00:51:44,559
programs that we offer that we're
required to offer that we are not

604
00:51:41,359 --> 00:51:49,599
allowed to charge for. Um, or if we are
allowed to charge for them, we are

605
00:51:46,559 --> 00:51:55,520
allowed to charge $5 for them. These are
things that are listed in statute. um

606
00:51:53,040 --> 00:52:01,520
and can can make it sort of complex to
budget um for a program.

607
00:51:58,880 --> 00:52:07,040
» And then funding sources, I listed out
each of our um our standard grants, the

608
00:52:04,720 --> 00:52:14,079
ones that we generally see renew each
year and then also called out a few of

609
00:52:10,800 --> 00:52:20,480
the project um grants that we had this
past year. So, um, for instance, the

610
00:52:16,800 --> 00:52:23,839
DOJ, we had a harm reduction grant,
which is a oneanddone, but it certainly

611
00:52:22,559 --> 00:52:30,800
did bring some funding into the
department. The DNR, um, is it accounts

612
00:52:28,640 --> 00:52:36,079
for the majority of what it costs for us
to offer our water testing and

613
00:52:33,200 --> 00:52:40,400
inspection program. And then, um,
American Heart Association, if you guys

614
00:52:38,079 --> 00:52:45,040
recall, we had Libraries with Heart
funding was for that. And then the fees

615
00:52:43,440 --> 00:52:50,400
that we're able to charge as a health
department are for programs like um

616
00:52:48,240 --> 00:52:56,640
environmental health, flu vaccines,
water tests, and then food safety and

617
00:52:52,319 --> 00:53:06,800
recreational licensing fees. So then
that brings us to the overunder on the

618
00:53:01,040 --> 00:53:12,800
public health budget. Um, now rehab, I
continue to tinker with that throughout

619
00:53:08,319 --> 00:53:17,680
the year because we bill and charge for
almost 100% of the money that we get for

620
00:53:15,119 --> 00:53:23,280
that program before that license year
even starts. So,

621
00:53:20,720 --> 00:53:28,880
we put out all of it's probably 90% of
our funding. We send all of the invoices

622
00:53:25,119 --> 00:53:34,400
out in the May before that program
starts July 1.

623
00:53:31,359 --> 00:53:37,760
um we can only estimate how many
facilities we'll have. We can only

624
00:53:36,000 --> 00:53:42,960
estimate how much turnover there will
be. Um and so as we get a little bit

625
00:53:41,119 --> 00:53:46,400
more of a handle on how many facilities
we'll truly have, how many inspections

626
00:53:44,559 --> 00:53:51,680
we're doing, I can tinker with those
numbers, get something a little bit more

627
00:53:48,800 --> 00:53:57,920
um accurate and fine-tuned. But for
right now, what we're looking at for the

628
00:53:54,079 --> 00:54:03,280
calendar year budget is about $37
$37,000 for REIA. And then program

629
00:54:01,280 --> 00:54:06,559
revenue, again, we're always trying to
fine-tune it to make sure that we're

630
00:54:04,720 --> 00:54:12,720
bringing in exactly what it is that it
costs. Um, obviously, we would rather

631
00:54:10,079 --> 00:54:16,880
come over, you know, in terms of revenue
by a couple hundred or thousand dollars

632
00:54:14,880 --> 00:54:20,640
rather than coming in under. And so I do
try to be a little bit conservative with

633
00:54:18,319 --> 00:54:27,920
my numbers, but we are always looking
for for one to one, which is required by

634
00:54:23,760 --> 00:54:32,480
DACA cap statute. Um
then looking at the overall public

635
00:54:30,240 --> 00:54:39,200
health budget, we are looking at
593,000. These are rounded numbers. Um

636
00:54:36,880 --> 00:54:43,920
then a grant revenue estimation of about
$150,000,

637
00:54:40,960 --> 00:54:49,760
$150,000, which is about 25% of the
overall budget. and then program

638
00:54:45,920 --> 00:54:54,640
revenues of about 40,000. And um we will
go into the actual line by line of the

639
00:54:52,319 --> 00:54:59,599
budget. I just want to point out that
when you look at grant revenue, we are

640
00:54:57,599 --> 00:55:03,599
seeing reductions in what the state is
now offering. Um we were really

641
00:55:01,760 --> 00:55:10,720
benefiting from a lot of those COVID era
grants and those are starting to retire.

642
00:55:06,000 --> 00:55:14,079
Um so there is that. But then um as far
as program revenue, we've seen a

643
00:55:12,480 --> 00:55:21,040
decrease in the number of people who are
utilizing our flu clinics. So we've seen

644
00:55:16,319 --> 00:55:24,800
reduced revenue there. And um so we're
seeing some reductions in those areas,

645
00:55:22,720 --> 00:55:29,520
but we're hoping that a the fee
increases with the flu shots as well as

646
00:55:28,079 --> 00:55:36,400
foot clinic will help make up the
difference for that as well. So, we're

647
00:55:31,200 --> 00:55:40,160
coming in level, but um just know that
we're seeing shifts in how our services

648
00:55:38,240 --> 00:55:44,559
are being utilized. We are making sure
that our to the best of our abilities

649
00:55:42,240 --> 00:55:51,680
that our fees are making up that
difference. So then as a whole

650
00:55:48,799 --> 00:55:55,440
um for all of all of public health reha
and the public health department

651
00:55:53,040 --> 00:56:04,040
combined we're looking at about $900,000
and a total revenue of um 497,000

652
00:56:00,319 --> 00:56:04,040
so about 55.2%.

653
00:56:04,400 --> 00:56:09,520
Now
does does anybody have any questions

654
00:56:07,680 --> 00:56:12,839
before I go to the line by line of the
actual budget?

655
00:56:13,680 --> 00:56:20,960
All right. So,
I'm going to bring that up for you guys.

656
00:56:17,920 --> 00:56:25,680
And just so you know though, if you want
to follow along with what I'm going or

657
00:56:23,520 --> 00:56:30,559
what I'm looking at here, I'm going to
be looking at what's called the cover

658
00:56:28,319 --> 00:56:35,520
letter. It's listed as number one, cover
letter. So, I'll be going through that,

659
00:56:33,280 --> 00:56:43,760
but we'll be talking about the budget
spreadsheet, which is up here. So, okay.

660
00:56:40,000 --> 00:56:49,200
So, in going through
um line by line in our budget, you can

661
00:56:46,720 --> 00:56:54,720
see obviously the top what is that five
or six lines are the personnel expenses.

662
00:56:52,960 --> 00:56:59,200
Obviously, we're going to see increases
in those line items because the cost of

663
00:56:57,200 --> 00:57:04,799
having employees and having health
insurance for employees consistently

664
00:57:01,280 --> 00:57:08,960
goes up each year. Um the difference in
salaries is a little bit less than it

665
00:57:06,720 --> 00:57:13,680
typically would be, but we did have some
turnover with a staff person. Um and

666
00:57:12,000 --> 00:57:17,520
then obviously the incoming person is
making a lower wage. So that makes up a

667
00:57:15,839 --> 00:57:22,720
little bit of that that difference that
we would probably see in a typical year.

668
00:57:20,079 --> 00:57:27,920
Um FICA, Medicare, retirement, we don't
really have any any say over that. They

669
00:57:25,520 --> 00:57:32,799
just increase from year to year. Um the
health insurance premiums are obviously

670
00:57:30,880 --> 00:57:38,720
going up in a pretty significant way. I
believe 11% is that correct that we're

671
00:57:35,200 --> 00:57:44,960
anticipating for Okay. Um this is for
the public health budget and the public

672
00:57:41,760 --> 00:57:49,680
health budget is not um is not looking
at any qualifying events for staff. So

673
00:57:47,440 --> 00:57:57,599
that $15,194
it's increasing is only because of that

674
00:57:53,920 --> 00:58:04,720
11% increase to fees or to uh the health
insurance costs.

675
00:57:59,839 --> 00:58:09,760
» Okay. So then going down the line to our
other items. Um Yep.

676
00:58:07,440 --> 00:58:16,720
» Before we continue on,
>> explain to me under salaries it shows

677
00:58:14,000 --> 00:58:18,480
400,86.
Yes.

678
00:58:17,200 --> 00:58:22,480
» For your staff.
>> Yes.

679
00:58:18,880 --> 00:58:26,160
» And then I go to the last page.
>> Yes.

680
00:58:22,799 --> 00:58:30,520
» For the subtotal for all of those wages.
And it shows

681
00:58:27,520 --> 00:58:30,520
» $599,882.

682
00:58:31,119 --> 00:58:38,480
So explain that to me. Absolutely.
>> To the group so we understand the team.

683
00:58:35,839 --> 00:58:44,240
» Okay. So
because our rehab programming is

684
00:58:41,200 --> 00:58:49,680
required to stay in a fund 11 type
situation which means a rollover

685
00:58:46,160 --> 00:58:54,240
account. It means whatever money we
utilize or collect in the offering of

686
00:58:52,319 --> 00:58:58,880
those programs has to stay in that
program. All of the expenses and

687
00:58:57,200 --> 00:59:06,720
revenues
are accounted for in a fund 11 account.

688
00:59:03,040 --> 00:59:11,920
So when you are looking at the breakdown
on page three of all of our staff

689
00:59:09,119 --> 00:59:17,359
people, it is looking at every staff
person whether they are in the public

690
00:59:14,079 --> 00:59:24,000
health budget or the rehab budget.
When you are looking at these numbers,

691
00:59:20,720 --> 00:59:30,079
this is only the public health budget.
Rehaw is accounted for in our fund 11

692
00:59:26,559 --> 00:59:36,400
accounts. So when you look down here at
REI, you can see our revenues and you

693
00:59:33,200 --> 00:59:40,799
can see the summary of expenses
and so all of the the salaries,

694
00:59:39,119 --> 00:59:47,280
personnel,
um mileage, all of that is all accounted

695
00:59:44,240 --> 00:59:56,400
for in those line items. I have a very
detailed rehab budget um that we utilize

696
00:59:51,599 --> 01:00:01,359
to to come up with these numbers. But um
as far as the overall

697
00:59:59,359 --> 01:00:05,599
health department budget, it's supposed
to be money in, money out. That's how we

698
01:00:03,760 --> 01:00:10,720
are supposed to be budgeting for that
program. So that is why it's in a fund

699
01:00:08,480 --> 01:00:14,880
11 and that's why it looks a little bit
different when you're looking at the

700
01:00:12,319 --> 01:00:20,079
personnel um section of the public
health budget versus the itemized list

701
01:00:17,760 --> 01:00:26,079
of staff people. Does that make sense?
There are three staff people whose um

702
01:00:23,599 --> 01:00:29,680
expenses are all covered under REIHA and
so that is where they are accounted for

703
01:00:27,839 --> 01:00:35,200
in our budget is in that fund 11
account.

704
01:00:31,920 --> 01:00:41,520
» You lost me on where
where it is accounted for. I see

705
01:00:38,240 --> 01:00:46,480
» on rehab the income
on page two. I don't see the expense. Is

706
01:00:45,200 --> 01:00:52,480
that the 306?
>> Maybe just go back. Yep. Right there. Um

707
01:00:48,640 --> 01:01:00,799
above it. right here under her expense.
>> Yeah. So the expenses and the revenues

708
01:00:56,319 --> 01:01:06,640
are budgeted as equal because that is
how the the program is intended to be

709
01:01:02,960 --> 01:01:14,640
operated. Um
but then these numbers come from the

710
01:01:12,079 --> 01:01:22,799
rehab budget which we have board of
health approve in um February Marchish.

711
01:01:20,559 --> 01:01:29,359
Is there a better way to break this out
than to do it like this? Because this I

712
01:01:26,240 --> 01:01:34,480
mean when when you first look at it you
go 400,000

713
01:01:31,760 --> 01:01:37,880
401 and then you go to the end and you
see 600,000.

714
01:01:38,160 --> 01:01:43,839
» Yeah.
>> Is there a better way to do this so that

715
01:01:41,920 --> 01:01:49,040
we can see that you're pretty much
talking two different programs?

716
01:01:47,440 --> 01:01:55,119
» I mean Stacy and I have talked about
this. I you know we can modify if we

717
01:01:52,799 --> 01:02:00,000
have to. I can find that. So, I'll just
not to interrupt you, Jamie, but I can

718
01:01:56,880 --> 01:02:04,640
add more lines to her budget here.
>> It's going to obviously make hers more

719
01:02:01,839 --> 01:02:09,839
than three pages, but you're literally
just going to see

720
01:02:06,799 --> 01:02:12,880
um rural environmental health salaries
and then all the benefits and then

721
01:02:11,680 --> 01:02:17,599
you're just going to have one other
single line with all the other stuff.

722
01:02:15,119 --> 01:02:24,640
» I certainly can do that if you want, but
>> yeah. Um, I was going to suggest that

723
01:02:20,400 --> 01:02:29,440
maybe on page three that um, yes, these
are the department totals, but then

724
01:02:27,200 --> 01:02:32,799
maybe you could have lines how much of
it's going up above.

725
01:02:31,599 --> 01:02:41,040
» So, would you rather
>> top and then another line that shows how

726
01:02:35,599 --> 01:02:45,200
much of it is a portion of that 306831.
So you you could have notate there's

727
01:02:42,880 --> 01:02:48,480
room on page three for some additional
notations and and so on and that might

728
01:02:47,839 --> 01:02:53,520
take care of it.
>> So I guess then I I would recommend that

729
01:02:51,119 --> 01:02:55,599
we I'll pull out those three Oh, go back
Jamie.

730
01:02:54,079 --> 01:02:59,680
» Sorry. I'll pull out those three
positions as its own section and then

731
01:02:57,920 --> 01:03:03,359
it'll have her board of health as a
section and then we'll have the total

732
01:03:01,680 --> 01:03:07,680
and then at the top if you scroll up
Jamie

733
01:03:05,040 --> 01:03:12,559
» where we have her single line um I'll
just kind of break it out and just if

734
01:03:10,240 --> 01:03:16,240
you don't mind so it's not a bazillion
pages longer. I could just do salaries

735
01:03:14,400 --> 01:03:20,079
and benefits as one line and then break
out so you can see what the additional

736
01:03:18,480 --> 01:03:23,680
costs are for the rest of the program.
Does that work?

737
01:03:22,000 --> 01:03:26,559
That was kind of my thought the way I
was reading an eye.

738
01:03:25,839 --> 01:03:30,400
» And at any given
>> I think as long as we could compare

739
01:03:28,640 --> 01:03:32,720
between the two that would help.
>> Okay.

740
01:03:30,799 --> 01:03:37,599
» It would work then if we had that on
page three separately.

741
01:03:35,359 --> 01:03:43,200
» And at any given time if you are wanting
to see the the very detailed breakdown

742
01:03:40,960 --> 01:03:48,640
of how REIA is budgeted for, we can
always do that. Just know that they're

743
01:03:45,839 --> 01:03:52,400
not going to be apples to apples because
RIHA is a fiscal year. This is a

744
01:03:51,119 --> 01:03:57,599
calendar year, so we're kind of trying
to average two budgets to come up with

745
01:03:54,240 --> 01:04:03,280
this number. But um but they are always
available. It's just that we passed that

746
01:04:00,000 --> 01:04:07,359
already in in February, March. So yeah,
but I yeah, if if it helps to break it

747
01:04:05,359 --> 01:04:10,799
down, Stacy and I have gone back and
forth on this. How do we make it simple,

748
01:04:09,119 --> 01:04:16,799
but then how do we make sure that it's
available and easy to read? And yeah,

749
01:04:13,599 --> 01:04:21,280
your um your suggestions. I mean, I
think I think that'll help with

750
01:04:19,839 --> 01:04:24,280
splitting it down a little bit more
specifically.

751
01:04:24,319 --> 01:04:29,839
Okay.
But yes, thank you. Thank you for

752
01:04:28,160 --> 01:04:35,520
bringing that up because they're they're
truly it

753
01:04:32,480 --> 01:04:40,000
the personnel sections are accounted for
in two different areas which is a little

754
01:04:37,359 --> 01:04:48,000
bit unique in terms of county budgets.
So,

755
01:04:41,599 --> 01:04:51,599
okay. So then moving on to our Do you
guys want to talk about every section

756
01:04:49,839 --> 01:04:55,400
that didn't change or just the ones
where we made some modifications?

757
01:04:55,440 --> 01:05:00,880
» Well, I had a couple questions. Uh, for
example, purchase services.

758
01:05:00,400 --> 01:05:04,400
» Yeah.
>> We're projecting a 26,000 expenditure

759
01:05:03,680 --> 01:05:07,440
this year.
>> Yeah.

760
01:05:04,960 --> 01:05:10,240
» And we're reducing that to a 20,000
budget item for next year.

761
01:05:09,200 --> 01:05:15,680
» Yes.
uh do we not plan on spending as much?

762
01:05:13,839 --> 01:05:22,079
What's what's the difference?
>> Yeah. So, purchase services is it's kind

763
01:05:18,799 --> 01:05:27,200
of a catchall for whenever we receive
grants and they require us to contract

764
01:05:24,400 --> 01:05:33,119
out for something related to that grant.
It goes in that line item. And so the

765
01:05:30,079 --> 01:05:38,079
26,000 is because we had received a DOJ
grant which required us to purchase

766
01:05:35,119 --> 01:05:43,599
billboards throughout the county. And so
we had a contract then with layers and

767
01:05:41,200 --> 01:05:48,720
that's the line item that that came out
of. Um

768
01:05:46,000 --> 01:05:53,359
unless we know we're going to have
specific grants that raise those items,

769
01:05:51,280 --> 01:05:57,440
what I budget for are the things that I
know we're going to do from year to

770
01:05:54,880 --> 01:06:02,160
year. So for instance, that $500 a year
or sorry, $500 for the FET contract that

771
01:06:00,480 --> 01:06:06,559
comes out of purchase services. We know
we're doing that. We budget for it and

772
01:06:04,160 --> 01:06:09,520
it's grant funded. Um, I'm trying to
think. There are a number of other

773
01:06:07,680 --> 01:06:11,039
things that we just every year and we
know we're doing it. So, we budget for

774
01:06:10,720 --> 01:06:15,920
that.
>> So, your anticipation is there'll be

775
01:06:12,640 --> 01:06:20,319
less grants next year.
>> My anticipation is that there's no way

776
01:06:18,079 --> 01:06:29,119
for us to know. We will always apply for
them, but we do not always get them. So,

777
01:06:24,400 --> 01:06:32,960
I mean, we can we can always inflate
revenues

778
01:06:30,720 --> 01:06:38,640
at the will of the board if you would
like us to anticipate that we would

779
01:06:35,359 --> 01:06:44,480
receive grants.
I my my personal preference is to go

780
01:06:40,880 --> 01:06:47,599
with what we know. Um, and some years
were more successful than other years in

781
01:06:46,160 --> 01:06:51,440
getting grants. I know that we're in the
process of applying for a few right now.

782
01:06:49,440 --> 01:06:55,839
If we get the immunization one that
we're working on, it'll be an additional

783
01:06:53,039 --> 01:06:59,200
$35,000, which would be great, but it is
very competitive. We didn't get it the

784
01:06:57,359 --> 01:07:06,480
last time we applied for it.
>> So, um, you know, that's

785
01:07:03,839 --> 01:07:10,880
it will probably from year to year be a
little bit higher than what I budget

786
01:07:08,240 --> 01:07:14,480
just because oftentimes our grants do
pull from that line item if we're having

787
01:07:12,640 --> 01:07:18,720
to purchase something because of a
grant. Um,

788
01:07:16,960 --> 01:07:20,400
» and a similar thought on office
supplies.

789
01:07:20,000 --> 01:07:26,079
» Yes,
>> we're projecting 7,000 for 2026. We've

790
01:07:23,760 --> 01:07:28,480
already spent 5,300.
>> Yeah.

791
01:07:26,559 --> 01:07:34,960
» And we're dropping our budget back to
45.

792
01:07:29,359 --> 01:07:38,559
» Yes. Um, so here we had um while we were
still trying to figure out our

793
01:07:36,400 --> 01:07:42,400
accounting for rehab,
we were trying to figure out how do we

794
01:07:40,079 --> 01:07:47,839
expense items for that program? How do
we make that work with a fund 11? How

795
01:07:44,400 --> 01:07:51,440
are we? We have also found that in some
instances,

796
01:07:49,520 --> 01:07:57,039
we already have accounts as a public
health department. It would be a big

797
01:07:53,920 --> 01:08:02,240
pain to have to create new accounts just
for rehab. So, we'll spend it out of a

798
01:07:59,359 --> 01:08:07,200
line item that we already have. Instead
of having to, you know, transfer money

799
01:08:04,480 --> 01:08:11,520
from this program to this line item to
wherever, we just we'll do it within the

800
01:08:09,520 --> 01:08:15,200
line items that we have. So on what
Stacy was talking about on editing page

801
01:08:14,480 --> 01:08:18,239
three
>> y

802
01:08:16,000 --> 01:08:22,719
» uh or basically what rolls up to page
two we would see a line for

803
01:08:21,440 --> 01:08:28,239
» salaries
>> for personnel and a line for other

804
01:08:25,359 --> 01:08:32,159
» and then if there were any supplies etc
etc that would be in the that would be

805
01:08:30,640 --> 01:08:36,080
in that rollup line.
>> Yes in that other line. I mean, I can

806
01:08:34,400 --> 01:08:42,640
definitely break it out, but it's just
not when we when she during the year as

807
01:08:39,759 --> 01:08:48,640
she's doing the program, we don't have
like office supply line, postage,

808
01:08:46,239 --> 01:08:52,560
training, etc. because they make sure in
their description when they're hitting

809
01:08:50,480 --> 01:08:55,440
that fun 11 account that they put
training for Melissa or

810
01:08:55,040 --> 01:08:57,600
» right
>> postage. So, like,

811
01:08:57,040 --> 01:09:00,880
» yeah,
>> the details there. It's just not broke

812
01:08:59,359 --> 01:09:07,440
out in the budget, per se,
>> right? If we see that there's 10,000 in

813
01:09:03,600 --> 01:09:09,520
expense there and we're over 2,000 here
for supplies.

814
01:09:08,719 --> 01:09:13,759
» Y
>> that's a good, you know,

815
01:09:11,759 --> 01:09:21,199
» however, if the numbers were reversed
and we show 2,000

816
01:09:16,000 --> 01:09:24,880
» under RIHA and 10,000 up in supplies,
then then we've got the issue health,

817
01:09:24,319 --> 01:09:27,600
not
>> correct. Yeah,

818
01:09:26,960 --> 01:09:31,920
» I
>> I don't need the to me I don't need the

819
01:09:30,719 --> 01:09:33,600
» line by line.
>> Yeah.

820
01:09:32,319 --> 01:09:39,040
» Below
>> and truly at any point because the um

821
01:09:35,839 --> 01:09:42,799
and I think we sent around the um
schedule of vouchers. Um if there's

822
01:09:41,279 --> 01:09:49,679
anything that comes up, it's kind of
just weird or unusual. Um I usually do

823
01:09:45,440 --> 01:09:53,520
bring it up. Um but yeah, we Melissa and
I try to track that pretty closely.

824
01:09:51,679 --> 01:09:58,640
Every purchase that we make, which line
item it goes in. Is this cell phones? Is

825
01:09:56,560 --> 01:10:02,719
this um office supplies? Is this
mileage? Um it's just that yeah, this

826
01:10:01,040 --> 01:10:07,280
budget would be a very long budget if we
had to do two separate ones. So

827
01:10:05,280 --> 01:10:11,520
» that's fine. Just so we can track.
>> Yeah. Yeah. Absolutely. So I I think

828
01:10:09,440 --> 01:10:17,440
you've already answered this. One of the
questions that I had was for travel

829
01:10:14,880 --> 01:10:21,360
under your health department expenses
and that my question was going to be

830
01:10:19,440 --> 01:10:26,480
will that cover because we have more
staff, we have Green Lake, we have

831
01:10:24,000 --> 01:10:30,640
Marquette, different employees from
different areas, there will be a lot

832
01:10:28,159 --> 01:10:36,640
more travel, but you've got that
included over in this budget. Yes.

833
01:10:33,199 --> 01:10:42,000
because over here your travel decreased
but yet um we're going to have more

834
01:10:39,600 --> 01:10:47,280
travel because of re So that's that
question got answered for me. Um

835
01:10:45,440 --> 01:10:51,199
» yeah, the line bylines that you get here
are the public health budget. The rehal

836
01:10:49,600 --> 01:10:55,360
line items are the ones that we all
approved in February.

837
01:10:52,800 --> 01:11:00,159
» And also environmental health, which is
under the health department expenses,

838
01:10:58,000 --> 01:11:05,440
that's $23,000.
Yes. So environmental health is separate

839
01:11:03,840 --> 01:11:06,480
from rehab.
>> It is.

840
01:11:06,000 --> 01:11:12,080
» Okay.
>> Yes. And let me explain that to the

841
01:11:08,800 --> 01:11:18,800
group too. So for as long as we have had
an environmental health consortium um we

842
01:11:15,360 --> 01:11:22,960
have had to pay a portion of tax levy to
to have those services because there are

843
01:11:21,280 --> 01:11:30,239
portions of environmental health that
are unfunded mandates. And so we have

844
01:11:26,880 --> 01:11:34,000
always paid whether it was washer county
or put that money towards our own

845
01:11:31,920 --> 01:11:38,719
programming, we have always had a line
item where we are accounting for the

846
01:11:36,719 --> 01:11:43,920
environmental health complaints and
tracking and all of that enforcement

847
01:11:40,719 --> 01:11:49,520
side of it. So when you're looking at
the public health budget, the

848
01:11:46,239 --> 01:11:54,000
environmental health line item is our
portion. It's the Marquette County

849
01:11:51,199 --> 01:12:00,239
portion to pay for the unfunded mandates
of the environmental health program. Um,

850
01:11:57,440 --> 01:12:04,560
this line item hasn't changed a whole
lot over the years. I did put an

851
01:12:02,080 --> 01:12:09,679
anticipated increase of about $500 for
next year just to keep up with

852
01:12:05,760 --> 01:12:14,239
inflation, but um that is something that
like I said, we have had to chip in as

853
01:12:12,480 --> 01:12:20,719
long as we've had these programs because
there are un unfunded portions of the

854
01:12:17,920 --> 01:12:25,280
rehab program. And again, when we when
we go through and do our rehab budget,

855
01:12:23,280 --> 01:12:29,920
that is a section when we talk about the
funding for environmental health

856
01:12:27,199 --> 01:12:33,280
complaints that is listed specifically.
There is a line item where it comes from

857
01:12:31,520 --> 01:12:37,199
us, Marquette County, as well as from
Green Lake County. They cover their

858
01:12:34,800 --> 01:12:40,480
portion as well.
John,

859
01:12:38,960 --> 01:12:46,120
» yeah, if you could go back to that
example of office supplies and

860
01:12:46,159 --> 01:12:56,159
» Yes.
>> So, yeah, that's that's right. Um,

861
01:12:50,640 --> 01:13:01,760
so $7,000 expected expense, 4500 budget.
Where does that difference of that 7,000

862
01:12:58,400 --> 01:13:06,000
where does that end up in the
environmental health program is does it

863
01:13:03,920 --> 01:13:11,199
show where that ends up? So what had
happened here is again when we when we

864
01:13:08,560 --> 01:13:16,239
first started Reha up there was there
was an amount of infrastructure supplies

865
01:13:13,280 --> 01:13:19,520
that we needed to purchase right and as
time goes on that's pretty minimal from

866
01:13:18,080 --> 01:13:22,880
year to year right it's not that
expensive to replace paper clips but

867
01:13:21,280 --> 01:13:28,480
when you have to get paper paper paper
clips uh laptops laptop bags all the

868
01:13:25,760 --> 01:13:34,480
supplies they need for um for the
program for three new staff people

869
01:13:31,840 --> 01:13:40,159
we didn't quite have a sense of how we
were going to

870
01:13:36,880 --> 01:13:43,360
account for rehab being separate within
this budget.

871
01:13:41,280 --> 01:13:47,679
» So those initial purchases, a lot of
them were put under office supplies

872
01:13:45,040 --> 01:13:52,080
because we had to make the purchases and
they had to go somewhere. It was the

873
01:13:49,040 --> 01:13:56,719
most logical place. Now what we did then
is once we determined, you know what,

874
01:13:54,400 --> 01:14:00,880
this has to be a fund 11 account. Now we
have account numbers, we work with Stacy

875
01:13:58,480 --> 01:14:06,880
to make sure that we, you know, situated
our accounting practices. Then REIHA

876
01:14:04,000 --> 01:14:12,080
will the REIHA account will reimburse
the public health account

877
01:14:08,640 --> 01:14:17,520
» and is that shown somewhere here?
>> I mean not a specific line item. No, but

878
01:14:14,159 --> 01:14:21,600
it would show up in um uh revenues
health department revenue and it would

879
01:14:19,199 --> 01:14:25,600
show up as a rehaw expense.
>> Okay, I get it.

880
01:14:23,360 --> 01:14:28,960
» So
So yeah, in the beginning we had to kind

881
01:14:27,520 --> 01:14:32,320
of finagle things around while we were
trying to figure out the best way to do

882
01:14:30,560 --> 01:14:36,159
the accounting.
So, health department revenue then that

883
01:14:34,320 --> 01:14:39,760
line item that we were just looking at.
Yep.

884
01:14:36,719 --> 01:14:42,000
» That would include some inter account
transfers,

885
01:14:40,239 --> 01:14:45,920
» interdep departmental transfers
>> only that one time when she was starting

886
01:14:44,080 --> 01:14:47,840
the right the reh stuff.
>> Yeah.

887
01:14:46,320 --> 01:14:53,360
» Now, going forward that health
department revenue, correct me if I'm

888
01:14:49,840 --> 01:14:57,920
wrong, Jamie, is your um your other
program.

889
01:14:54,640 --> 01:15:01,600
» Yeah. I want to say foot those are I
think your top two. That's what goes

890
01:14:59,679 --> 01:15:05,760
into that health department revenue.
>> Yes.

891
01:15:02,560 --> 01:15:11,600
» If it was a transfer between her funds,
you would see a transfer line in there.

892
01:15:09,520 --> 01:15:15,120
» So that health department revenue is
what you were talking about if some

893
01:15:13,199 --> 01:15:19,440
piece of equipment goes down that you
have that money available for that.

894
01:15:17,840 --> 01:15:24,960
» Hang on here.
>> No, that's this guy.

895
01:15:22,880 --> 01:15:27,040
» This one or this one? Right, Jamie?
>> Property abatement.

896
01:15:25,760 --> 01:15:29,360
» It's equip. There we go. Here we go.
Yep. health equipment revenue. This one

897
01:15:28,880 --> 01:15:32,000
right here,
>> fund 11.

898
01:15:30,159 --> 01:15:36,480
» It's the fund 11 account. Yeah. So, that
was the revenues. Now, where that comes

899
01:15:34,320 --> 01:15:41,120
from is we have our equipment loan
closet. And so, when people, you know,

900
01:15:38,480 --> 01:15:43,120
they spend $5 to rent a walker.
>> Yeah.

901
01:15:41,520 --> 01:15:47,360
» Every month, the money that we receive
from that goes into the fund 11. And you

902
01:15:45,040 --> 01:15:50,719
can see up above what the balance is for
that. Uh where's our equipment outlay?

903
01:15:49,679 --> 01:15:54,800
Here we go.
>> This is This is your amount.

904
01:15:53,440 --> 01:15:59,920
» Sorry. I'm sorry. I don't want to make
you jump. This is your amount that is

905
01:15:57,679 --> 01:16:04,800
spent each year through y
>> through each. Now there's a piece that I

906
01:16:02,239 --> 01:16:10,880
don't necessarily show all the time,
>> but there's a balance that is in down a

907
01:16:08,880 --> 01:16:15,280
little bit more.
>> It's not on here, but here would be

908
01:16:12,560 --> 01:16:19,440
another section that would show her fund
11 and what her balances are at.

909
01:16:17,280 --> 01:16:26,400
» That's what I'm asking. when you said,
"Well, you go over by that that month,

910
01:16:24,080 --> 01:16:31,840
» you know, the
>> equipment revenue." Well, there $220 or

911
01:16:30,400 --> 01:16:35,920
$470.
>> It adds up,

912
01:16:33,679 --> 01:16:43,560
» but how much is there really?
>> There's in there. So

913
01:16:40,000 --> 01:16:43,560
she has

914
01:16:43,840 --> 01:16:53,040
projected to ending balance of for
123126 about $12,000 is sitting in there

915
01:16:51,440 --> 01:16:58,159
and that's about what she kind of
carries over every

916
01:16:54,960 --> 01:17:02,560
» if you're looking at this it's under
outlay. Where are we?

917
01:17:00,080 --> 01:17:07,280
» Health department project outlay. So it
says 11,512

918
01:17:04,640 --> 01:17:08,080
in the um administration report that you
have.

919
01:17:07,679 --> 01:17:11,600
» Yes.
>> So yeah, we're able to keep track of

920
01:17:09,360 --> 01:17:16,560
that and we we spend very little out of
it. But if a wheelchair breaks or we

921
01:17:14,239 --> 01:17:21,040
have to replace a tire or um we have to
buy new um tennis balls to go on the

922
01:17:19,040 --> 01:17:26,640
bottoms of our walkers, like that's what
comes out of. But then the idea is that

923
01:17:23,600 --> 01:17:30,560
if our cooler were to ever die, if we
have a grant that we can strategically

924
01:17:28,400 --> 01:17:36,239
utilize, we'll do that. But if we don't,
we have this balance that has has

925
01:17:33,679 --> 01:17:39,679
accumulated very slowly over time that
would allow us to allow us to cover that

926
01:17:39,280 --> 01:17:44,000
cost.
>> Yeah. Because when you talked about that

927
01:17:41,199 --> 01:17:50,239
initially, you said you had that that
fund 11 and I wasn't seeing where that

928
01:17:48,400 --> 01:17:51,120
money was available or how much there
was.

929
01:17:50,800 --> 01:17:53,760
» Yeah.
>> Okay.

930
01:17:51,920 --> 01:17:58,719
» Yep. And they question
>> do show up on the monthly reports. It

931
01:17:56,880 --> 01:18:04,320
just so happens it isn't on the actual
budget for this. Yeah.

932
01:18:01,920 --> 01:18:07,280
» Okay. I got to figure out where we left
off here.

933
01:18:04,960 --> 01:18:10,320
» I had a question also on travel.
>> Yeah.

934
01:18:07,920 --> 01:18:18,640
» Uh
we're at 1206, but I noted in the August

935
01:18:16,000 --> 01:18:22,800
detail of of expenses, we've got over
2,000 in travel reimbursement.

936
01:18:22,159 --> 01:18:28,719
So,
>> so that'll bring us up to 3,200 plus is

937
01:18:25,920 --> 01:18:33,199
what we're talking about at 3500 enough
to get us through the end of the year.

938
01:18:30,880 --> 01:18:39,360
» That is if you look that is under
Jessica's expenses and Jessica's a rehab

939
01:18:36,000 --> 01:18:43,840
employee and so um those expenses will
be attributed to the rehab budget and

940
01:18:42,320 --> 01:18:47,520
thankfully and the only reason that she
got to go to this training was because

941
01:18:45,760 --> 01:18:54,640
it was a grant-f funed opportunity for
her. So, um, but yeah, so that funding

942
01:18:51,840 --> 01:18:58,719
will come out of the reha expense
account and then we'll be reimbursed by

943
01:18:56,719 --> 01:19:03,920
the grant which is the FDA program
standards.

944
01:19:00,000 --> 01:19:08,560
» Okay. So, Kyle and Amber are also rehy
and Amber and and their job is literally

945
01:19:06,480 --> 01:19:13,440
to drive around and do all these things.
>> Kind of what I was figuring is okay and

946
01:19:10,880 --> 01:19:14,880
if we're doing 400 bucks a month for
them,

947
01:19:14,480 --> 01:19:18,000
» yeah,
>> we're not going to hit it with what

948
01:19:16,480 --> 01:19:22,080
we're budgeting. So,
>> no, this this budget would definitely

949
01:19:20,159 --> 01:19:29,280
not be able to support the environmental
health program, but this is the the EH

950
01:19:25,440 --> 01:19:32,960
program has a much a much healthier
um budget for that reason because their

951
01:19:31,199 --> 01:19:36,560
job is to go to different facilities.
So,

952
01:19:34,640 --> 01:19:42,080
» and would it make sense that we have a
car? I hate to bring that up, but

953
01:19:39,679 --> 01:19:48,480
» we've we've talked about it. The problem
is is that in order for them to get all

954
01:19:45,440 --> 01:19:53,920
of their work done, they should all be
doing inspections most days.

955
01:19:51,440 --> 01:19:57,120
So, we would need three cars. And we
have a staff person that's also

956
01:19:55,199 --> 01:20:02,239
stationed in Green Lake primarily to
again cut down on mileage and whatever.

957
01:19:59,120 --> 01:20:07,360
But so, we'd have to have a vehicle
stationed there.

958
01:20:04,719 --> 01:20:10,960
We've talked about it, but I don't I
don't know that that's

959
01:20:09,360 --> 01:20:14,480
» I don't either. That's why I asked the
question. So, as long as we're looking

960
01:20:12,560 --> 01:20:17,840
at it and keeping our eye on it, if I
mean

961
01:20:15,120 --> 01:20:23,760
» expenses get to the point where we're
looking at four 6,000 a year, it may be

962
01:20:21,679 --> 01:20:27,360
beneficial for us to have something, but
>> I'd have to defer to our administrator

963
01:20:25,760 --> 01:20:30,000
here on whether that's a conversation to
have.

964
01:20:27,760 --> 01:20:33,360
» I have a lead on a 1973
>> Pinto.

965
01:20:31,280 --> 01:20:36,960
» Awesome.
>> Just don't, you know, sit in the back.

966
01:20:35,760 --> 01:20:43,280
But,
>> Right. Right. I mean, we we can evaluate

967
01:20:40,239 --> 01:20:49,040
that in a more um intentional way if you
would like us to. Um at this point, like

968
01:20:46,159 --> 01:20:54,159
if if we were able to work it such that
all three of them were able to utilize

969
01:20:51,360 --> 01:20:57,280
one vehicle that actually you could
probably make that work, but the way

970
01:20:55,760 --> 01:21:01,360
that their schedules are and to get it
all done, they're pretty much all out

971
01:20:59,199 --> 01:21:04,320
and about every day. It would be hard to
coordinate that

972
01:21:02,239 --> 01:21:09,360
» and I I get that. But when I'm looking
at travel and 3500 a year, I was like,

973
01:21:07,280 --> 01:21:12,480
well, we're running those expenses
monthly.

974
01:21:10,719 --> 01:21:17,440
» It's not going to work. But so the bulk
of those are rehab. So it's in a

975
01:21:14,640 --> 01:21:21,280
different spot. It'll reflect in what
what Stacy's going to give us in total.

976
01:21:20,719 --> 01:21:24,320
» Yeah.
>> But we could pull that up if we asked.

977
01:21:24,000 --> 01:21:28,960
And
>> 100%

978
01:21:25,040 --> 01:21:30,880
» travel mileage and in that fund 11 would
be X a year.

979
01:21:30,560 --> 01:21:35,199
» Yes.
>> Gotcha. I'm good. And I was going to

980
01:21:33,040 --> 01:21:39,520
say, and if you'd like to after this, we
can go through and do the rehab budget

981
01:21:36,880 --> 01:21:42,560
overview, too.
>> Okay.

982
01:21:40,239 --> 01:21:47,360
» If Stacy and Ron are good with it, it
works. I just want to understand it.

983
01:21:44,560 --> 01:21:52,080
» Yeah. Yeah. Abs. I know it's We tried to
keep it simple by having them in two

984
01:21:49,360 --> 01:21:55,280
line items, but that makes it hard for
you guys to pull apart and see which

985
01:21:54,159 --> 01:21:58,560
parts were what, right?
>> Yeah. It took several meetings, Chuck,

986
01:21:56,880 --> 01:22:03,520
for me to even wrap my head around it
with Jamie to sit down and figure just

987
01:22:01,520 --> 01:22:08,000
what we have here.
>> And I I get it. And if you know, if I'm

988
01:22:06,159 --> 01:22:10,320
being redundant on questions, that's
okay. But

989
01:22:08,880 --> 01:22:14,960
» yeah, that's fine.
>> I'm trying to get there with you guys.

990
01:22:12,400 --> 01:22:19,679
» Yeah, I was going to say it's it's a
beautifully color-coded um spreadsheet

991
01:22:17,679 --> 01:22:24,760
if you're ever looking for something to
do on an afternoon. We'll go through it

992
01:22:21,760 --> 01:22:24,760
together.

993
01:22:24,800 --> 01:22:30,639
Are you bringing popcorn?
>> You know what? If if you're coming, I

994
01:22:29,520 --> 01:22:32,560
will I will bring popcorn.
>> Awesome.

995
01:22:31,120 --> 01:22:36,000
» I'll even pick it up from downtown. Get
you something fancy.

996
01:22:34,480 --> 01:22:38,159
» It's an expense.
>> Yeah.

997
01:22:36,320 --> 01:22:41,840
» Yeah, that's quite the expense, but
okay.

998
01:22:38,639 --> 01:22:47,440
» It would be a special meeting.
>> Okay. All right. So, um, anything else

999
01:22:46,080 --> 01:22:52,800
before we start getting to where the
changes are in line items? I had a

1000
01:22:49,920 --> 01:22:56,560
question on revenues if you are ready
for revenue discussion.

1001
01:22:54,960 --> 01:23:01,120
» Well, I was going to say let's let's go
through the um the line items up here

1002
01:22:59,760 --> 01:23:02,719
and then we'll get down to where our
revenues are.

1003
01:23:02,000 --> 01:23:07,360
» Perfect.
>> Okay. So, for telephone, we had an

1004
01:23:05,360 --> 01:23:10,800
increase of $500. That's just a
trajectory based on what we've been

1005
01:23:08,880 --> 01:23:17,440
seeing with the cost of our individual
lines, cell phones, things like that. Um

1006
01:23:14,000 --> 01:23:23,280
dues, we had a reduction of $250. That's
because we dropped our Wisconsin Public

1007
01:23:19,920 --> 01:23:29,520
Health Association fee. Um, we were
finding that we weren't really going to

1008
01:23:26,960 --> 01:23:35,360
enough of their trainings that being a
part of the association was saving us

1009
01:23:31,360 --> 01:23:38,880
any money. And Waldab is a a far more
advantageous

1010
01:23:36,880 --> 01:23:42,880
partner in terms of being in an
association. They save us a lot of

1011
01:23:40,880 --> 01:23:46,239
money, a lot of time. They offer us a
lot of great resources. So, we

1012
01:23:44,239 --> 01:23:50,800
maintained that one, got rid of the
public health association one. That's

1013
01:23:48,000 --> 01:23:54,320
the difference of 250. Um, and that's
something that's happening across the

1014
01:23:52,400 --> 01:24:00,080
state. That's not just Marquette County
going rogue. It's uh there's a lot more

1015
01:23:57,600 --> 01:24:07,040
value to us in Waldab.
Um, in terms of travel, mileage, other

1016
01:24:03,679 --> 01:24:13,280
and training, those were reduced by our
budget team. However, um

1017
01:24:10,800 --> 01:24:18,880
that, you know, based on trajectories,
it does make sense. I don't see it being

1018
01:24:16,080 --> 01:24:23,760
too terribly different from what we're
looking at for the budget this year. The

1019
01:24:22,159 --> 01:24:27,920
only reason that I had maintained the
levels the way that I had for this

1020
01:24:25,280 --> 01:24:32,159
coming year is because once those CO era
grants go away,

1021
01:24:30,000 --> 01:24:37,440
then the state starts passing those fees
back along towards us. So instead of you

1022
01:24:35,360 --> 01:24:40,960
know providing us stipens for trainings
and whatever those things will go back

1023
01:24:39,199 --> 01:24:44,480
to being full cost but I don't
anticipate that happening this year. I

1024
01:24:43,199 --> 01:24:50,320
had just sort of maintained it because
it's easier to keep it in a budget than

1025
01:24:46,480 --> 01:24:58,159
to try to get it back. But um but for
2027 that's probably pretty accurate. Um

1026
01:24:55,280 --> 01:25:03,040
then looking at pharmaceutical and
medical supplies things cost more but

1027
01:25:00,320 --> 01:25:08,080
we're ordering fewer of them. So, for
instance, our flu shots, um, we don't

1028
01:25:05,840 --> 01:25:13,120
order nearly as many because we aren't
providing as many. So, even though they

1029
01:25:10,719 --> 01:25:18,719
cost more, we're not going to increase
the expense side of that. Um, for

1030
01:25:16,560 --> 01:25:21,760
equipment, that may be accurate, too.
Um,

1031
01:25:20,320 --> 01:25:25,600
you know, sometimes you have things that
have to be replaced. Um, oftentimes

1032
01:25:23,840 --> 01:25:29,760
that's, you know, laptops for new
programs. We don't necessarily have

1033
01:25:28,000 --> 01:25:35,360
anything upcoming where we would have to
purchase it. At this point, we're on the

1034
01:25:31,360 --> 01:25:41,040
rotation with MIS. So, um, again, pro
probably accurate for 2027.

1035
01:25:37,840 --> 01:25:46,320
Um, for TB and immunizations,
we are, oh, sorry, I lied to you guys.

1036
01:25:44,400 --> 01:25:50,000
The pharmaceutical and medical supplies,
we are ordering fewer of some of those

1037
01:25:48,080 --> 01:25:56,400
things and that is where that sort of
washes out. But in TB and immunizations,

1038
01:25:53,679 --> 01:26:01,920
um the reduction in the number of flu
shots that we are given is reflected in

1039
01:25:59,440 --> 01:26:06,239
that $5,000 decrease. And again, that's
that's based on projections, based on

1040
01:26:04,000 --> 01:26:11,120
what we've seen the last couple years.
We're not buying as many. We're not

1041
01:26:08,080 --> 01:26:15,760
giving as many. You know, why budget for
the expense? And

1042
01:26:13,920 --> 01:26:19,920
» just the what we're seeing there with
the 20,000 in pharmaceutical medical of

1043
01:26:18,960 --> 01:26:23,360
actual
>> I assume there's an offset or a transfer

1044
01:26:22,000 --> 01:26:27,840
that happens there.
>> Yeah. So um like when you see here if

1045
01:26:25,760 --> 01:26:31,760
we're looking at our 2026 budget how we
anticipated that it would be about

1046
01:26:29,360 --> 01:26:35,199
20,000. So this is another one of those
where we received a grant and we were

1047
01:26:33,440 --> 01:26:40,000
able to purchase COVID and flu test
kits. And so, you know, obviously we

1048
01:26:38,400 --> 01:26:43,679
received the money. It comes into our
revenue section, but you have to expense

1049
01:26:41,840 --> 01:26:48,400
it out of somewhere. And we didn't know
we were going to be getting that grant,

1050
01:26:45,360 --> 01:26:52,239
so we didn't budget for it, but um when
we made those purchases, they came out

1051
01:26:50,080 --> 01:26:56,719
of that line item, which is why it's
higher than it typically would be. But

1052
01:26:54,080 --> 01:26:58,880
since that grant expires this month,
>> it did last.

1053
01:26:57,440 --> 01:27:02,960
» Yeah, I was going to say it's very soon,
if not already. Um obviously, we're not

1054
01:27:01,760 --> 01:27:07,520
going to have it next year. So, we
didn't budget for that.

1055
01:27:05,440 --> 01:27:13,360
And then for environmental health,
again, this is the um the unfunded

1056
01:27:11,679 --> 01:27:19,360
portion of our environmental health
program, which we increased by about

1057
01:27:15,040 --> 01:27:25,920
$500 just to keep up with um inflation.
But in general, our um

1058
01:27:23,840 --> 01:27:31,120
we've we've made a fairly significant
reduction in the non-personnel expense

1059
01:27:28,320 --> 01:27:35,360
side of public health. So, we were
hoping you would forgive us the 500 for

1060
01:27:33,120 --> 01:27:43,040
environmental
Um, okay. So then coming into

1061
01:27:40,000 --> 01:27:48,000
our fund 11s, I generally with the
exception of rehab budget these all at

1062
01:27:45,280 --> 01:27:51,760
zero because unfortunately when the
spreadsheets get to them, it counts

1063
01:27:49,920 --> 01:27:58,800
against what levy would look like. even
though they don't get put back to levy

1064
01:27:54,719 --> 01:28:04,000
if we, you know, say for instance
make a bunch of money in the health

1065
01:28:01,199 --> 01:28:09,040
equipment outlay that doesn't go to
levy. So I just budgeted a zero so it

1066
01:28:07,120 --> 01:28:16,080
doesn't affect our our overunder in the
full budget. Um, in REIA when we budget

1067
01:28:12,719 --> 01:28:20,800
for it, um, we make it same in, same
out. Even though, you know, when we come

1068
01:28:18,800 --> 01:28:26,880
in at the end of the year, it might be
more likely

1069
01:28:22,719 --> 01:28:30,400
came in under budget by $1,500, I still
we're supposed to be budgeting for net

1070
01:28:28,320 --> 01:28:37,840
zero. So, that is what I put into here.
It's what I try for. Um, in terms of our

1071
01:28:34,480 --> 01:28:42,000
state aids, I did keep them the same for
this. Oh, wait.

1072
01:28:40,000 --> 01:28:49,360
Yeah, I kept them the same for this year
going into 2027. Um, we do still have a

1073
01:28:46,320 --> 01:28:53,920
few of those lingering COVID era grants
and um, we've tried to be really smart

1074
01:28:51,679 --> 01:28:58,639
about expending these. A lot of our
public health partners used them right

1075
01:28:57,040 --> 01:29:03,440
away when they got them. Some of these
grants we've had for now five years

1076
01:29:00,880 --> 01:29:08,239
plus. We've really tried to say we're
only going to spend $20,000 a year every

1077
01:29:06,560 --> 01:29:12,320
year until this grant is gone. We're
only going to spend 50,000 a year each

1078
01:29:10,560 --> 01:29:18,239
year of this grant so that we could
stretch it as long as possible. This

1079
01:29:15,040 --> 01:29:24,960
2027 is the last year of those grants.
They all sunset after that point. That

1080
01:29:21,040 --> 01:29:30,400
would bring us closer to a um estate aid
revenue between 90,000 and $100,000 a

1081
01:29:27,920 --> 01:29:37,600
year. That's about where our typical
revolving program grants are sitting

1082
01:29:34,080 --> 01:29:41,760
right now. Um, obviously again, we
continue to apply for more

1083
01:29:38,880 --> 01:29:47,360
opportunities. That's just I, you know,
full disclosure to my board. That's what

1084
01:29:43,840 --> 01:29:50,639
we're what we're looking at. Um, and I
know we talked about this a little bit

1085
01:29:48,800 --> 01:29:55,280
before, but in terms of the health
department revenue, we are seeing

1086
01:29:53,120 --> 01:30:01,040
decreases in the utilization of some
services. However, with the increased

1087
01:29:58,239 --> 01:30:05,920
revenue that we can collect by um by
increasing the fees for our flu clinics,

1088
01:30:03,040 --> 01:30:10,639
that should make up the difference in um
the vaccinations that we're not giving.

1089
01:30:07,920 --> 01:30:15,120
And again, that's a a net zero impact
out of pocket for our consumers because

1090
01:30:13,040 --> 01:30:19,280
this is billing the state funding
programs, not um they're not out of

1091
01:30:17,760 --> 01:30:23,120
pocket
fees.

1092
01:30:21,040 --> 01:30:26,960
» Did that answer your question, Chuck, or
>> No.

1093
01:30:23,760 --> 01:30:29,280
» Okay. But I like everything you said.
>> Okay.

1094
01:30:27,280 --> 01:30:34,480
» I was just looking at state aid for this
year. We've only received through 6

1095
01:30:31,840 --> 01:30:39,040
months 59,000.
>> We're expecting to get 140. So we're

1096
01:30:37,280 --> 01:30:44,560
under half.
>> Um it and I was looking at human

1097
01:30:42,480 --> 01:30:48,880
services budgets and I know their state
aid kind of comes in more late than

1098
01:30:47,760 --> 01:30:52,159
early.
>> So I didn't know if yours was the same.

1099
01:30:51,920 --> 01:30:57,679
Yeah.
>> And that's why we're looking for 140 at

1100
01:30:55,120 --> 01:31:02,320
this year because it's more of a timing
issue than a steady monthby-month

1101
01:31:01,440 --> 01:31:07,360
number.
>> That's that's pretty typical. And a lot

1102
01:31:04,960 --> 01:31:13,120
of what we find in and poor Melissa can
can vouch for me on this. We get

1103
01:31:11,199 --> 01:31:16,560
we have to wait until our contracts are
fully executed before we can start

1104
01:31:14,719 --> 01:31:20,800
billing on our grants. And
unfortunately, sometimes we're waiting

1105
01:31:18,320 --> 01:31:25,440
three, four, seven months for the
contracts to be executed before. So

1106
01:31:23,920 --> 01:31:29,199
there are some things where we're doing
the program, we're tracking it, we're

1107
01:31:27,040 --> 01:31:33,840
billing against the grant to the state,
but they won't reimburse us until they

1108
01:31:31,679 --> 01:31:37,920
send the contracts through. We just kind
of have to wait. Once I get them, I'll

1109
01:31:35,920 --> 01:31:41,199
get them read and signed, you know,
within a couple days, but sometimes we

1110
01:31:39,840 --> 01:31:43,040
have to wait a while for them those to
come through as well.

1111
01:31:41,760 --> 01:31:47,600
» So it's more of a timing thing.
>> It's definitely a timing thing. probably

1112
01:31:45,360 --> 01:31:51,199
have like three major grants right now
where it's multiple months we're going

1113
01:31:49,520 --> 01:31:55,440
to be we're waiting for pays.
>> Okay.

1114
01:31:51,760 --> 01:31:59,679
» Yeah. So it will show hopefully next
month.

1115
01:31:57,360 --> 01:32:04,159
» Just kind of stuck out to me. So
>> absolutely. And and these are our June

1116
01:32:01,280 --> 01:32:08,000
numbers. So So yeah, even
>> even if we were to take a snapshot of

1117
01:32:06,080 --> 01:32:12,480
right now, it would be obviously greater
than what's in our projections here. So

1118
01:32:10,800 --> 01:32:22,320
» great. Got it.
>> Okay. So then um I guess rolling back to

1119
01:32:19,040 --> 01:32:28,800
our sheet here, the um I guess just the
overall

1120
01:32:24,320 --> 01:32:36,320
budget um situation that we're in. Sorry
guys. We will be we're expecting to

1121
01:32:32,560 --> 01:32:41,199
return approximately $9,749
to the general fund. That is um

1122
01:32:39,280 --> 01:32:45,760
partially because of some grants that
we've been able to do. um

1123
01:32:44,320 --> 01:32:51,360
you know we've been able to fund some
people's time with the other thing we've

1124
01:32:47,760 --> 01:32:55,040
been able to do is um I shouldn't say
we've been able to do but we had some

1125
01:32:52,960 --> 01:32:59,040
staff changes so there was a little bit
of time in there where we weren't paying

1126
01:32:56,639 --> 01:33:04,800
for as much salary so that accounts for
most of that. Um we anticipate going

1127
01:33:02,800 --> 01:33:10,040
into 2027
a net increase of about 11,789.

1128
01:33:11,120 --> 01:33:17,199
Um but given the fact that the health
insurance increases alone were over

1129
01:33:15,520 --> 01:33:23,040
15,000
um you know that's it's not worst case

1130
01:33:20,080 --> 01:33:29,199
scenario but that was an increase of
about $20,000 in personnel expenses and

1131
01:33:25,600 --> 01:33:37,239
a decrease of 8,250 in non-personnel
expenses. So that's that's where we

1132
01:33:32,080 --> 01:33:37,239
equal out in the end.

1133
01:33:38,159 --> 01:33:46,080
Okay. My question to you is, is this a
realistic budget

1134
01:33:44,480 --> 01:33:50,719
for your department?
>> I mean, I

1135
01:33:49,040 --> 01:33:55,920
it's always hard to know, but I mean,
based based on projections, based on how

1136
01:33:54,000 --> 01:34:00,000
things have been from year to year to
year,

1137
01:33:58,080 --> 01:34:04,400
I
factoring out any potential grants. Like

1138
01:34:02,000 --> 01:34:06,719
I said, we apply for them non-stop. You
never know what you're going to get. I

1139
01:34:05,600 --> 01:34:13,600
don't I don't think this is
unreasonable. I really don't like I said

1140
01:34:09,600 --> 01:34:18,880
the end the only part where um I called
out that it that something may change in

1141
01:34:16,400 --> 01:34:22,639
the future is in the section that the
the budget team had made some

1142
01:34:20,960 --> 01:34:29,840
adjustments on but I still think it
would be fairly accurate for this year.

1143
01:34:24,639 --> 01:34:33,520
it's just going into 28 29. Um if the
state's not receiving those COVID era

1144
01:34:31,600 --> 01:34:37,280
grants, they can't pass along those
savings to us. And so we end up

1145
01:34:35,760 --> 01:34:42,239
traveling more, paying for more
trainings. Um you know, we'll do what we

1146
01:34:40,719 --> 01:34:46,480
can to have them covered by grants where
we can. Obviously, we try to be creative

1147
01:34:44,080 --> 01:34:51,120
where we can be, but for 2027, I think
that's

1148
01:34:48,480 --> 01:34:57,040
because my position is, you know, I want
a realistic budget. Number one, we've

1149
01:34:54,080 --> 01:35:04,159
seen and it's gotten better over the
years throughout the county that we've

1150
01:35:00,400 --> 01:35:10,960
seen um overestimating expenses and
underestimating revenue. And again, I

1151
01:35:08,320 --> 01:35:18,239
Gary knows this going back to years ago
when I would always say that when we

1152
01:35:13,199 --> 01:35:22,560
would be at the um budget hearings that
let's make them more realistic. And I

1153
01:35:20,719 --> 01:35:29,760
understand you can't anticipate if
you're going to get a $20,000 grant or

1154
01:35:26,000 --> 01:35:34,639
but you have to go with trends and
that's what I see here. And if it's

1155
01:35:32,080 --> 01:35:40,639
realistic and it's attainable, I don't
have an issue with it. If it's not

1156
01:35:37,120 --> 01:35:44,320
realistic, then let's address what needs
to be done. Whether there needs to be an

1157
01:35:42,800 --> 01:35:48,960
increase or a decrease. And I know
that's a terrible thing to say, an

1158
01:35:45,920 --> 01:35:52,960
increase, but if it's realistic, I'm
okay with it.

1159
01:35:51,199 --> 01:36:00,000
» Yeah. I mean, certainly there are areas
where we did increase our anticipated

1160
01:35:54,960 --> 01:36:03,600
expenses based on projections. Um,
like I said, I we we can't know about

1161
01:36:01,840 --> 01:36:08,480
our grants,
but barring that, this is

1162
01:36:07,120 --> 01:36:13,679
I don't I don't think there's anything
that's too too fluffed up or too

1163
01:36:11,440 --> 01:36:18,719
deflated that it wouldn't be close to
what we should expect.

1164
01:36:16,239 --> 01:36:24,880
» The budget team that we did, aside from
the changes that were made, we did agree

1165
01:36:21,440 --> 01:36:29,520
that this was a good this budget's very
hard to do compared to other because

1166
01:36:27,199 --> 01:36:34,960
that five-year trend analysis that we
had usually applied uh we're still

1167
01:36:32,400 --> 01:36:40,480
factoring in some of this COVID stuff
and public health all it takes is a

1168
01:36:37,600 --> 01:36:45,360
crisis like Ebola or swine flu or
something then all of a sudden you see a

1169
01:36:42,000 --> 01:36:51,440
great interest the money flows in then
it trickles out and sometimes doing this

1170
01:36:48,159 --> 01:36:56,719
trend analysis is very difficult so I'm
inclined to take you know year three and

1171
01:36:53,280 --> 01:37:00,239
four of the co years and just throw them
Are there outliers?

1172
01:36:58,800 --> 01:37:03,800
» But that doesn't mean something else
isn't going to happen.

1173
01:37:04,560 --> 01:37:11,119
» Anything else from the committee?
>> Well, and then I'll point out too that

1174
01:37:08,639 --> 01:37:15,760
the health insurance that can really
wobble a budget. It can flip-flop

1175
01:37:13,440 --> 01:37:20,320
numbers very quick. All you need is one
employee to leave who was on a family

1176
01:37:18,080 --> 01:37:24,000
plan. The next employee comes in and
their spouse works somewhere else that

1177
01:37:22,159 --> 01:37:29,119
has great insurance. They don't take the
county's insurance. And that department

1178
01:37:26,080 --> 01:37:34,400
looks like a winner because their budget
just went way down.

1179
01:37:32,560 --> 01:37:39,280
» Meanwhile, the next department over
hires a newbie and they take the family

1180
01:37:37,040 --> 01:37:43,840
plan where maybe before they had a
single person in that job and all of a

1181
01:37:41,360 --> 01:37:47,840
sudden that one takes a big hit. So
budgets can wobble big time with the

1182
01:37:46,239 --> 01:37:52,480
health insurance. And it looks like
yours wobbled a little bit. Something

1183
01:37:50,560 --> 01:37:58,239
happened there that you jumped from 35
to 50. But um

1184
01:37:55,280 --> 01:38:02,400
» one of your staff took one took the
single didn't have it or

1185
01:38:00,480 --> 01:38:06,400
» got married or something.
>> But

1186
01:38:03,679 --> 01:38:10,719
» u that's part of it and it and like I
say some departments will come off

1187
01:38:08,159 --> 01:38:14,719
looking great because they lose somebody
that was on a family plan and the next

1188
01:38:13,040 --> 01:38:18,320
one doesn't take it or takes a single
plan. So

1189
01:38:16,800 --> 01:38:22,320
» and that is a fair point. I guess I
didn't consider that when I was talking

1190
01:38:19,760 --> 01:38:27,440
to you about this, but um because
obviously she works here this year. So

1191
01:38:24,719 --> 01:38:32,639
to me that was already factored into our
insurance situation. But yeah, this year

1192
01:38:30,400 --> 01:38:38,239
we had a new employee start that took a
single plan where that previous employee

1193
01:38:34,719 --> 01:38:42,239
did not. Um
so that that would factor

1194
01:38:39,600 --> 01:38:46,080
» that explains a portion of the 50 plus
>> portion of it. Yeah. Yeah. from what

1195
01:38:43,920 --> 01:38:49,520
over what we had budgeted for 2026
because for 26 we didn't realize we'd

1196
01:38:47,840 --> 01:38:53,679
have a different employee at that time.
So yeah,

1197
01:38:51,360 --> 01:38:56,719
that is true. But then the rest of it is
that 11% increase. Just

1198
01:38:55,520 --> 01:39:01,440
» the basic
>> Yeah.

1199
01:38:58,560 --> 01:39:07,520
Okay.
Anything else from the committee?

1200
01:39:03,520 --> 01:39:15,199
Thoughts, concerns, questions?
Because the next step in this process is

1201
01:39:11,360 --> 01:39:22,320
either approve or deny this proposed
budget. And if we do um decide to make a

1202
01:39:19,760 --> 01:39:27,199
motion to approve it, it would be moving
forward with the executive finance

1203
01:39:24,239 --> 01:39:30,800
committee.
>> I would like to ask just one more

1204
01:39:28,719 --> 01:39:35,119
question. Um I don't want to take too
much time though since I might be the

1205
01:39:32,800 --> 01:39:40,800
only one interested in this, but I would
like to understand again going back to

1206
01:39:37,520 --> 01:39:46,719
that um pharmaceutical medical supplies
expense where it's budgeted at 3,700. We

1207
01:39:43,840 --> 01:39:50,880
expect the uh total to be 20,000 from
this year. There's going to be some kind

1208
01:39:48,400 --> 01:39:55,440
of a transfer to bring that back to
where it where we'd expect it to be. I'm

1209
01:39:53,920 --> 01:40:00,080
just not seeing where that's coming
from. What what other line item where

1210
01:39:58,320 --> 01:40:06,239
would that come from?
>> So where that where you'll see um the

1211
01:40:03,520 --> 01:40:11,199
the difference made up is in that state
aid area. And obviously it's not broken

1212
01:40:08,800 --> 01:40:15,760
down by every single deposit that we
make from state aid,

1213
01:40:13,040 --> 01:40:21,440
» but um within pharmaceutical and medical
supplies, we had that grant was 25

1214
01:40:19,520 --> 01:40:25,280
27,000
um and we were able to use a small

1215
01:40:23,679 --> 01:40:29,920
amount of that to cover the time to
administer the program, but otherwise it

1216
01:40:27,119 --> 01:40:36,880
was truly purchasing COVID test kits and
flu test kits. That was split over two

1217
01:40:32,480 --> 01:40:42,400
years. So it was split in 2026.
um and 2025.

1218
01:40:39,920 --> 01:40:48,239
And so you're not seeing that full
$25,000 reflected in our um in our

1219
01:40:46,800 --> 01:40:53,520
projections just because we'd already
spent a portion of it. But after we make

1220
01:40:51,119 --> 01:40:59,199
that expense, we then build state and
that funding would come in here in that

1221
01:40:56,000 --> 01:41:07,520
state aid line.
So that is accounted for in the

1222
01:41:03,360 --> 01:41:10,520
um 140,000 that we're anticipating.
>> Okay.

1223
01:41:13,760 --> 01:41:17,679
» Thank you.
>> John, you have something else?

1224
01:41:16,880 --> 01:41:20,480
» That's all.
>> Gary,

1225
01:41:18,480 --> 01:41:24,480
» um I guess my only other question that
I've asked different departments uh that

1226
01:41:22,639 --> 01:41:27,360
I've gone to meetings, uh your full-time
equivalency did not change. Is that

1227
01:41:26,400 --> 01:41:31,040
correct on
>> correct? Yeah, we um I mean the health

1228
01:41:30,480 --> 01:41:32,880
department is
>> Yeah, the overall

1229
01:41:32,080 --> 01:41:35,600
» where we're at right now.
>> Status qual.

1230
01:41:33,600 --> 01:41:39,360
» Yep. As I say, we we had one staff
person turn over, but in terms of the

1231
01:41:37,360 --> 01:41:43,159
number of individuals we employ here,
same.

1232
01:41:40,159 --> 01:41:43,159
» Okay.

1233
01:41:46,800 --> 01:41:53,159
» Okay. What's the wishes of the committee
regarding the budget?

1234
01:41:56,560 --> 01:41:59,920
Approve it.
>> What's that?

1235
01:41:58,800 --> 01:42:06,000
» I'll approve it.
>> Okay. You are you making a motion to

1236
01:42:02,639 --> 01:42:10,960
approve the current the proposed budget
and um move it to executive finance?

1237
01:42:08,960 --> 01:42:14,719
» Yes.
>> There is a motion on the floor.

1238
01:42:13,760 --> 01:42:17,600
Is there a second?
>> I'll second it.

1239
01:42:15,679 --> 01:42:21,000
» Okay. There's a motion and a second. Any
further discussion?

1240
01:42:21,199 --> 01:42:24,199
Anybody?

1241
01:42:24,239 --> 01:42:27,920
All right. All in favor say I.
>> I.

1242
01:42:26,880 --> 01:42:32,480
» I.
>> Opposed.

1243
01:42:29,600 --> 01:42:38,719
» Motion carries.
>> All right. Next item

1244
01:42:35,520 --> 01:42:45,360
on the agenda is the introduction to the
county health rankings.

1245
01:42:42,400 --> 01:42:49,119
So, I think the county health rankings
are a really cool thing and I was hoping

1246
01:42:47,679 --> 01:42:53,920
to be able to spend a little bit of time
on this. That was probably wishful

1247
01:42:50,800 --> 01:42:59,199
thinking, but it is fairly user
friendly. And so, um, I think I'm just

1248
01:42:57,440 --> 01:43:02,639
going to show you what it is and show
you a little bit of how you can maneuver

1249
01:43:01,040 --> 01:43:05,520
in it. And if you ever find yourself
with a couple extra minutes and you want

1250
01:43:04,080 --> 01:43:13,119
to poke around and see what's going on
in Marquette County, um, then please do.

1251
01:43:10,480 --> 01:43:17,440
Um, but I just I felt that this was
important to talk about because when you

1252
01:43:15,360 --> 01:43:22,159
look at the mandates of public health,
there's so much about assessment,

1253
01:43:19,520 --> 01:43:25,920
surveillance, tracking, monitoring, and
the work that we do is generally

1254
01:43:24,400 --> 01:43:29,199
speaking required to have an evidence
base, right? We have to be able to show

1255
01:43:27,600 --> 01:43:31,840
that there's a true need that's
measurable. We have to be able to show

1256
01:43:30,560 --> 01:43:38,960
that there are outcomes that are
measurable. And one of the tools that we

1257
01:43:35,440 --> 01:43:43,360
utilize to measure that is a a website
that's called the county health rankings

1258
01:43:40,480 --> 01:43:48,320
and road mapaps. And so if you were to
go to Google and just type in county

1259
01:43:46,000 --> 01:43:52,639
health rankings, you will get this
website here.

1260
01:43:50,880 --> 01:43:58,520
And what you're going to want to do is
scroll down a little ways and say find

1261
01:43:54,960 --> 01:43:58,520
data by location.

1262
01:43:59,440 --> 01:44:07,040
And um you can you can search by state,
county, or zip code. However, I tend to

1263
01:44:04,400 --> 01:44:12,159
just type in Marquette. You have to be
careful. They do include Michigan. This

1264
01:44:09,119 --> 01:44:20,719
is a nationwide um tool, so everybody's
in it. Um and the cool thing about this

1265
01:44:18,400 --> 01:44:25,280
is that they show what's going on in
Marquette County. They show what's been

1266
01:44:22,880 --> 01:44:31,440
going on in Marquette County over the
years. So you can see you can look back

1267
01:44:27,119 --> 01:44:36,239
at reports back to 2011. Now they will
say and there are disclaimers if you

1268
01:44:34,000 --> 01:44:39,840
look in the data it will say these are
not apples to apples. Sometimes the

1269
01:44:38,400 --> 01:44:47,360
tools that they're using to measure
these things become more robust. They

1270
01:44:42,639 --> 01:44:51,199
become um you know they might start
looking at different types of data but

1271
01:44:49,679 --> 01:44:55,360
it still gives you a fairly decent
picture of how things are changing in

1272
01:44:52,719 --> 01:44:59,520
your area. I'm going to stick with with
uh 2025 for right now. But then they

1273
01:44:58,239 --> 01:45:03,840
give you sort of an overview. You can
see Marquette County is considered

1274
01:45:00,880 --> 01:45:09,520
rural. We are 100% rural in Marquette
County. We have a low population

1275
01:45:05,360 --> 01:45:16,159
density. And then they give you
snapshots of where the population is and

1276
01:45:12,560 --> 01:45:19,440
how healthy we are. Now you can click
oftentimes there will be a little chart

1277
01:45:17,840 --> 01:45:24,000
that shows you what the trends are. So
you can see how we've improved or

1278
01:45:21,199 --> 01:45:30,080
declined over time. You can see how we
compare to the healthiest and least

1279
01:45:26,320 --> 01:45:35,520
healthy communities in the nation.
And then you can go through and you can

1280
01:45:32,560 --> 01:45:42,880
look at how we rank in these different
areas. So you can see length of life um

1281
01:45:40,400 --> 01:45:47,280
and other different factors that impact
how healthy a community is. Things like

1282
01:45:45,040 --> 01:45:51,199
low birth weights or poor mental health
days.

1283
01:45:49,360 --> 01:45:56,880
You can also look at community
conditions

1284
01:45:53,920 --> 01:46:02,639
and um
these include how many people are

1285
01:45:59,440 --> 01:46:06,400
getting flu vaccinations. Um how many
dentists are there? How many doctors are

1286
01:46:04,719 --> 01:46:09,920
there? Are there shortage areas for
these providers that help keep people

1287
01:46:08,239 --> 01:46:13,520
healthy? Again, if you were to ever
click on any of these, you could see

1288
01:46:12,159 --> 01:46:19,280
like we'll just click on one for
instance.

1289
01:46:15,520 --> 01:46:25,159
You can see how we compare to Wisconsin,
the United States, and our own selves

1290
01:46:21,840 --> 01:46:25,159
over time.

1291
01:46:27,119 --> 01:46:32,560
And then there are many other factors
that you can look at, even like access

1292
01:46:30,800 --> 01:46:37,840
to a library, which most people don't
innately think about as a health factor.

1293
01:46:35,280 --> 01:46:42,080
However, an educated community is often
a healthier community. and having access

1294
01:46:40,400 --> 01:46:46,239
to libraries even if you don't have the
money to purchase books and services can

1295
01:46:44,480 --> 01:46:50,480
go a long way in making sure that people
continue to have healthy.

1296
01:46:48,719 --> 01:46:52,960
So
this is really cool that you can go

1297
01:46:51,920 --> 01:46:55,920
through and you can say hey what's
Marquette County doing? How do we

1298
01:46:54,239 --> 01:47:01,280
compare to others? What's really fun is
you can also say well how do I how do we

1299
01:46:58,400 --> 01:47:07,000
compare to other people? And you can
say, I'm going to select another

1300
01:47:04,000 --> 01:47:07,000
community.

1301
01:47:08,480 --> 01:47:14,360
We'll just say Adams County because
they're next door.

1302
01:47:15,280 --> 01:47:19,000
We're really not gonna

1303
01:47:19,840 --> 01:47:24,639
certainly Adams County is not in
Wisconsin. Scroll down.

1304
01:47:23,760 --> 01:47:27,280
» You got to scroll down.
>> Okay. I was gonna say I'm like, why am I

1305
01:47:25,840 --> 01:47:31,119
not see? Okay, here we go. Thank you
guys. I'm sorry.

1306
01:47:28,880 --> 01:47:36,480
» All right. But you can you can actually
have up to four counties side by side

1307
01:47:33,840 --> 01:47:41,440
and compare. Well, how how are we
compared to Adams County? It looks like

1308
01:47:39,119 --> 01:47:46,239
in terms of years of potential life
lost, Marquette County may actually be a

1309
01:47:44,719 --> 01:47:50,639
little bit above our neighbors. So, you
can you can do this for any county in

1310
01:47:48,719 --> 01:47:55,600
the nation. If you wanted just to
compare how the Marquette counties of

1311
01:47:53,920 --> 01:47:59,040
the nation are doing, you can put them
side by side. If you want to look at our

1312
01:47:57,520 --> 01:48:04,639
neighbors, if you want to look at how we
compare to an urban versus a rural

1313
01:48:01,360 --> 01:48:07,440
community, you can do that. Um, now
again, obviously I'm not going to go

1314
01:48:05,840 --> 01:48:12,960
through and look at each of these
different factors and talk about them.

1315
01:48:09,440 --> 01:48:16,719
But when we are looking at potentially
either adding programming or when we're

1316
01:48:15,440 --> 01:48:21,360
doing our community health needs
assessment, which is a mandate for

1317
01:48:18,480 --> 01:48:26,800
public health, we are looking at this
data. So, one of the reasons that we

1318
01:48:24,320 --> 01:48:30,639
continue to host a foot clinic here in
Marquette County, first because it

1319
01:48:28,800 --> 01:48:34,639
covers itself in terms of cost, right?
So, it meets our criteria match in terms

1320
01:48:33,040 --> 01:48:39,440
of our programs and being allowed to
have them. But when we look at the data

1321
01:48:36,880 --> 01:48:44,880
for Marquette County, we see that slips,
trips, and falls are one of the number

1322
01:48:40,960 --> 01:48:49,280
one causes of um unintentional or um
early death in our communities. And in

1323
01:48:47,600 --> 01:48:54,480
Market County, we're actually close to
number one in terms of unintentional

1324
01:48:52,080 --> 01:49:00,560
slips, trips, falls, and then the health
consequences of those. And so when we

1325
01:48:58,320 --> 01:49:04,239
look at those numbers and we say, "Hey,
we've got this program that doesn't cost

1326
01:49:02,239 --> 01:49:08,239
taxpayers anything. It provides a
valuable service and it makes it so that

1327
01:49:06,080 --> 01:49:12,320
our our seniors can be healthier for
longer in our communities or just people

1328
01:49:10,480 --> 01:49:17,040
in general can take better care of their
feet and be more mobile and be healthier

1329
01:49:14,719 --> 01:49:20,000
longer. that's an opportunity that we're
going to take advantage of, but we have

1330
01:49:18,719 --> 01:49:25,119
to be able to show that it's something
that's worthwhile and you know,

1331
01:49:23,119 --> 01:49:29,040
statistically it matters in this
community. Um, at one time we were

1332
01:49:27,600 --> 01:49:34,480
spending a lot of time and effort
partnering with um,

1333
01:49:32,159 --> 01:49:39,679
oh my gosh, Marshfield Clinics to bring
in mobile mimography. And one of the

1334
01:49:37,360 --> 01:49:44,159
reasons that we were able to prove that
we could utilize that partnership here

1335
01:49:41,679 --> 01:49:49,760
in Market County is that we had really
low levels of mimography screening. This

1336
01:49:47,360 --> 01:49:53,920
has improved in the last several years.
When we first started that program or

1337
01:49:51,920 --> 01:50:02,639
attempted to have that partnership,
Marquette County was in like the 20%

1338
01:49:56,400 --> 01:50:05,840
range. Um, so then you could see,
you know, how we compare to Oh, they're

1339
01:50:04,480 --> 01:50:10,800
just doing Adams County now. They're not
going to show the whole nationwide, but

1340
01:50:07,520 --> 01:50:16,239
we were like 50%
of if the nationwide average was 80% of

1341
01:50:14,560 --> 01:50:19,760
individuals were having this annual
screening done, Marquette County was

1342
01:50:17,600 --> 01:50:22,800
half of that. We were just we were not
doing great. But we could justify it. We

1343
01:50:21,440 --> 01:50:26,480
could have those conversations with our
partners and say, "This is a true and

1344
01:50:24,400 --> 01:50:32,560
legitimate need. Here's how we can prove
it." Um, so again, I'm not going to go

1345
01:50:30,320 --> 01:50:37,280
line by line, but it is a really cool
website to poke around in. You can add

1346
01:50:34,880 --> 01:50:40,880
any county in the nation. Um, but just
know that it is one of the many tools

1347
01:50:38,800 --> 01:50:45,760
that we utilize in Marquette County to
justify our programs or efforts and then

1348
01:50:43,600 --> 01:50:51,520
also just to assess where we're at in
terms of health.

1349
01:50:48,000 --> 01:50:57,840
Does anybody have any questions?
>> Um, I guess I do. Um,

1350
01:50:54,960 --> 01:51:00,639
how about because I've had people come
up to me. They're not from Marquette.

1351
01:51:00,080 --> 01:51:06,880
they're from with
>> Sherah,

1352
01:51:02,000 --> 01:51:14,960
» but um there's been an increase in
cancer deaths among younger people and

1353
01:51:10,880 --> 01:51:20,639
then how that environmentally is. So
cancer screenings I would think would be

1354
01:51:18,080 --> 01:51:23,760
» yeah they've changed what's available
for some of these.

1355
01:51:21,520 --> 01:51:25,520
» Right. So, but when you said mamography,
I'm thinking and this is

1356
01:51:25,199 --> 01:51:30,719
» yeah,
>> there's been an uptick of multiple

1357
01:51:27,440 --> 01:51:36,000
myyoma in that area and it's concerning
if if you um put statistical

1358
01:51:34,719 --> 01:51:41,360
information together as far as
environmental and how

1359
01:51:38,719 --> 01:51:43,599
» these are people in their 50s and 60s
and so it's very concerning,

1360
01:51:43,280 --> 01:51:47,840
» right?
>> There's been six deaths in the last four

1361
01:51:45,840 --> 01:51:52,080
or five years.
>> Yeah. and they um I will say kind of

1362
01:51:50,320 --> 01:51:55,440
» and because it's a rare cancer that's
what's concerning about it,

1363
01:51:53,599 --> 01:51:59,760
» right? It's why it stands out so much,
>> right? So I'm like so because they're

1364
01:51:57,520 --> 01:52:05,280
close to us, I'm wondering if that kind
of information is you're not going to

1365
01:52:03,520 --> 01:52:11,840
find that in the county health rankings.
I just went to to do a quick scroll

1366
01:52:07,360 --> 01:52:18,159
here. Um it is generally not broken down
that closely. Now, if we're looking for

1367
01:52:14,480 --> 01:52:23,599
something like that, vital records would
probably be where we would look for that

1368
01:52:19,920 --> 01:52:30,159
data. Um, the WISH data, which is
Wisconsin statistical health data, is I

1369
01:52:27,040 --> 01:52:34,880
think what that stands for. Um,
that would allow you to look more at

1370
01:52:31,840 --> 01:52:37,520
diagnosis, cause of death. Um,
obviously, as a public health

1371
01:52:36,000 --> 01:52:42,400
department, we have access to vital
records. It is a confidential database,

1372
01:52:39,440 --> 01:52:45,199
but we're only able to see within Market
County. So, I couldn't look it up and

1373
01:52:43,679 --> 01:52:51,440
say, "Well, how do we compare nationwide
or how do we compare to our neighbors

1374
01:52:47,280 --> 01:52:55,360
or, you know, even down south versus
northern states?" Um, but when you're

1375
01:52:54,000 --> 01:53:00,880
talking about screenings, that's where
public health could benefit because a

1376
01:52:57,280 --> 01:53:05,040
lot of these people are are not getting
screened and there's a lot of cancer

1377
01:53:02,719 --> 01:53:09,599
screenings you can do. I mean, not just
public health, but educate people to

1378
01:53:08,560 --> 01:53:13,199
do.
>> Yeah. to seek their primary care and

1379
01:53:12,719 --> 01:53:18,480
establish
>> that they're not

1380
01:53:14,639 --> 01:53:23,280
» they're not educated on.
>> So

1381
01:53:20,080 --> 01:53:27,440
» yeah, absolutely. And um I'm sure you
are all well aware that we are a health

1382
01:53:25,520 --> 01:53:33,520
provider shortage area in Marquette
County. Um the majority of people who

1383
01:53:30,639 --> 01:53:37,360
well most people should go to the doctor
at least once in a while, right? Most

1384
01:53:35,119 --> 01:53:40,719
people should have a primary care
provider, but the majority of people in

1385
01:53:39,440 --> 01:53:44,560
Marquette County are having to leave
Marquette County to establish that care,

1386
01:53:42,719 --> 01:53:49,440
which you know, if you have any sort of
transportation issues, if you have a

1387
01:53:47,440 --> 01:53:54,000
busy schedule and it's just hard to get
away, you're driving further to obtain

1388
01:53:51,440 --> 01:54:00,400
it. Um, and we actually just had
Crossroads Clinic close in market for me

1389
01:53:56,239 --> 01:54:03,599
as well. So, um, you know, we we didn't
have very many clinics to begin with and

1390
01:54:02,080 --> 01:54:07,440
so that certainly doesn't help our
situation.

1391
01:54:05,040 --> 01:54:11,280
» But, um, yeah, certainly public health,
we're always

1392
01:54:08,719 --> 01:54:16,960
» advocating for whether it's cancer
screenings, health screenings, just

1393
01:54:12,880 --> 01:54:19,599
primary care, having a medical home.
>> Yeah. And even sometimes when you do

1394
01:54:18,400 --> 01:54:22,320
have all of those things in place,
sometimes cancer can be a tricky thing

1395
01:54:21,679 --> 01:54:25,440
to
>> Yeah.

1396
01:54:22,560 --> 01:54:31,440
» to find. So, no, I agree with you. This
is not going to nail down something so

1397
01:54:28,159 --> 01:54:34,239
very specific and rare as a type of
cancer. But

1398
01:54:32,239 --> 01:54:39,599
» I guess a lot of people just don't know
even if they go to their doctor what to

1399
01:54:37,119 --> 01:54:47,320
ask for at certain ages. A screening
just cancer screening. There's certain

1400
01:54:43,040 --> 01:54:47,320
» certain things to ask and

1401
01:54:47,599 --> 01:54:53,199
» absolutely.
Okay. I just I just wanted to show you

1402
01:54:51,199 --> 01:54:57,280
guys that and this is this is available
publicly. All you need is an internet

1403
01:54:54,719 --> 01:55:01,840
connection and and you can poke around
and um there's a bunch of other

1404
01:55:00,239 --> 01:55:07,040
information in here and if you're ever
looking at not maybe that you guys

1405
01:55:04,320 --> 01:55:11,360
specifically would, but if we're ever um
being encouraged to attempt a certain

1406
01:55:09,920 --> 01:55:16,960
kind of program to make sure that we're
addressing a certain health problem,

1407
01:55:13,920 --> 01:55:21,679
they do often have evidence-based
suggestions for programs on how can you

1408
01:55:20,080 --> 01:55:26,480
roll something out in such a way that
you would have an actual noticeable

1409
01:55:24,080 --> 01:55:31,280
impact. So they have promising practice
evidence-based programs and

1410
01:55:29,840 --> 01:55:35,360
I mean obviously you still have to put
in the work, you still have have the

1411
01:55:32,800 --> 01:55:39,280
capacity and the funding, but oftentimes
there are templates you can follow if um

1412
01:55:37,840 --> 01:55:45,199
if there's something in particular that
you're wanting to uh you know roll out

1413
01:55:41,920 --> 01:55:50,800
or work on.
Okay, that's all I had for that.

1414
01:55:47,920 --> 01:55:57,360
» Okay, old business the reception update.
Yes. And this um this was requested at

1415
01:55:54,080 --> 01:56:05,599
our last board of health meeting. So um
I figured I would just

1416
01:56:00,320 --> 01:56:11,119
bring it up again for you. Um this is
for for those of you who may not um

1417
01:56:08,480 --> 01:56:17,840
remember we have been updating about
this semi-regularly.

1418
01:56:13,360 --> 01:56:22,400
We have been providing the um reception
services for human services for I guess

1419
01:56:20,960 --> 01:56:28,639
the last couple years. Time flies when
you're having fun. Um but we we have to

1420
01:56:26,639 --> 01:56:34,560
track how we utilize our time. We track
them for our grants. We track them for

1421
01:56:31,280 --> 01:56:39,040
um accountability purposes. And when we
are serving specifically clients that

1422
01:56:37,040 --> 01:56:44,400
are not utilizing anything in public
health, then we track that time

1423
01:56:41,520 --> 01:56:47,199
separately. And you can see that
obviously we have some months where it's

1424
01:56:45,920 --> 01:56:50,320
a little bit higher, some where it's a
little bit lower. Obviously open

1425
01:56:48,719 --> 01:56:55,280
enrollment months seem to be a little
bit busier. Um but we are pretty well

1426
01:56:53,760 --> 01:57:01,520
averaging
um 45 hours a month

1427
01:56:59,440 --> 01:57:05,599
and that's I mean if you look at that
curve that that's pretty consistent.

1428
01:57:04,000 --> 01:57:08,960
Obviously, in the beginning, we were
utilizing or spending a lot more time at

1429
01:57:07,360 --> 01:57:14,080
it, but we were also still learning and
trying to figure out how to, you know,

1430
01:57:12,000 --> 01:57:19,280
engage the public as it related to some
of those programs. Um,

1431
01:57:18,000 --> 01:57:24,400
I don't I don't know if there was
anything in particular we needed to

1432
01:57:21,840 --> 01:57:27,119
tease out for anyone, but since it is
something that we're doing, we wanted to

1433
01:57:25,760 --> 01:57:32,040
make sure that we're accountable to you
and you know how it is that we're

1434
01:57:28,560 --> 01:57:32,040
spending our time.

1435
01:57:32,080 --> 01:57:41,119
the 40 hours a month on average.
>> Does that impact any of our grant

1436
01:57:38,880 --> 01:57:46,320
application status? Either makes it
better because we're doing it for human

1437
01:57:42,800 --> 01:57:51,920
services or it would be detrimental
because we're spending this time on

1438
01:57:49,840 --> 01:57:58,159
different department, different program.
I mean it's it's certainly FTE that we

1439
01:57:55,599 --> 01:58:05,840
are not able to utilize in public health
but I wouldn't I wouldn't call it a

1440
01:58:00,880 --> 01:58:10,320
detriment to to grant funding um because
whenever we apply for something we have

1441
01:58:07,440 --> 01:58:16,719
to show that we have whatever it
whatever it is that they require for you

1442
01:58:12,639 --> 01:58:22,080
to um for you to manage the program. So,
um, and generally speaking, I mean, poor

1443
01:58:19,360 --> 01:58:27,040
Melissa, some grants are a lot bigger of
a pain in the butt to track than other

1444
01:58:23,679 --> 01:58:30,639
ones. Um, so obviously she's a little
bit more busy because she's doing a lot

1445
01:58:28,960 --> 01:58:36,880
of that tracking of some of those grant
programs. But when it comes to like if

1446
01:58:33,440 --> 01:58:40,000
we get a grant to do more reproductive
health programming, that's generally

1447
01:58:38,639 --> 01:58:43,840
going to be the nurses that are doing
that programming. or if it's

1448
01:58:41,760 --> 01:58:48,560
immunizations, our public health tech
and our nurses would be doing more of

1449
01:58:45,599 --> 01:58:52,719
that. And then Melissa just she's going
to be doing a lot more grant tracking

1450
01:58:50,080 --> 01:58:57,840
and time tracking related to it, but the
reporting end maybe takes a little

1451
01:58:54,880 --> 01:59:04,480
longer because that's what I'm working
on and that gets interrupted when people

1452
01:59:00,719 --> 01:59:09,360
come in. it still gets done um and it
doesn't defer us from getting any money.

1453
01:59:06,719 --> 01:59:13,920
But that is the my end of it is the
reporting

1454
01:59:11,199 --> 01:59:19,360
» because I also look at it is when you're
doing the reception you're dealing with

1455
01:59:16,239 --> 01:59:26,639
all the different aspects of the human
services department whether it's you

1456
01:59:22,000 --> 01:59:34,400
know ADRC or you know family you know
services whatever it is. So, I'm just

1457
01:59:29,920 --> 01:59:40,719
wondering if they can get some funding
to help offset your time then some type

1458
01:59:37,599 --> 01:59:48,239
of grants or something to offset. I'm
just looking at we're using 40 hours of

1459
01:59:44,400 --> 01:59:53,679
this time to do another program and I
understand the cooperation and all that

1460
01:59:50,560 --> 01:59:58,480
with the other departments, but is there
something that we can gain or are we

1461
01:59:56,480 --> 02:00:03,840
losing anything? Can you explain that
portion?

1462
01:59:59,199 --> 02:00:09,119
» Yeah. Indirect cost reimbursement is um
we still have Maximus,

1463
02:00:06,000 --> 02:00:11,440
I believe, for that. Do they pick it up?
>> You're talking about inind hours.

1464
02:00:11,040 --> 02:00:16,239
» Yep.
>> Yeah, that could qualify, but you'd have

1465
02:00:13,360 --> 02:00:20,000
to coordinate it with Mandy to see what
could potentially

1466
02:00:17,599 --> 02:00:23,840
» Mandy and Jennifer might be able to work
that in through that special auditor

1467
02:00:22,159 --> 02:00:29,199
that comes around for indirect cost
reimbursement from the feds.

1468
02:00:26,800 --> 02:00:33,520
Yeah. And most of Mandy's uh grant
programs, even if they're mandated and

1469
02:00:31,679 --> 02:00:40,719
we have a funding source, do have a
match of some kind applied to it. So,

1470
02:00:38,639 --> 02:00:46,960
» just something to think about. I can
check in with her for sure. Yeah. I I

1471
02:00:43,360 --> 02:00:50,159
don't know. As much as
I'd like to say we rely heavily on state

1472
02:00:48,800 --> 02:00:55,440
grants, but we don't get near the state
grants and federal grants that they do.

1473
02:00:52,000 --> 02:01:00,000
Right. But so as much as it's both our
worlds, I think the the reimbursement

1474
02:00:57,679 --> 02:01:02,960
that they're able to obtain, they have
completely different mechanisms than we

1475
02:01:01,679 --> 02:01:06,719
do for some of these. Like when it comes
to indirect costs,

1476
02:01:05,119 --> 02:01:12,000
sometimes we're allowed to ask for them
if we are. It's like $500. It's not, you

1477
02:01:09,920 --> 02:01:16,560
know, we don't have as many of those
options available to us. So I can I can

1478
02:01:13,760 --> 02:01:24,880
always check with Mandy and see
if there's an opportunity there.

1479
02:01:20,800 --> 02:01:28,239
Anything else on the reception update?
>> No.

1480
02:01:25,599 --> 02:01:32,159
» Okay. Budgets,
the report from administration, it was

1481
02:01:30,719 --> 02:01:37,920
passed around.
>> Yep. And those are the same numbers that

1482
02:01:35,360 --> 02:01:46,000
um were featured in the budget that we
presented to you today. So, um our

1483
02:01:42,080 --> 02:01:51,520
projections and six month costs are all
on that document. Um,

1484
02:01:49,520 --> 02:01:54,960
again, we're projected to come in a
little bit under budget, primarily due

1485
02:01:53,119 --> 02:01:59,520
to staff changes. We're on track for
where we would expect to be about this

1486
02:01:56,400 --> 02:02:04,639
time of year. So, any questions by the
board?

1487
02:02:01,040 --> 02:02:09,199
Okay. And the vouchers, everyone had a
chance to take a look at those and are

1488
02:02:07,119 --> 02:02:14,960
there any questions?
The one big thing I wanted to point out

1489
02:02:11,679 --> 02:02:20,960
to you guys is that there is one fairly
large expense in there that might seem a

1490
02:02:18,320 --> 02:02:27,520
little bit strange initially. Um, Jess
had mentioned it also, but um, we owe

1491
02:02:24,719 --> 02:02:33,040
GAP a percentage of the license fees
that we collect for the the privilege of

1492
02:02:29,679 --> 02:02:38,880
of hosting the service. And so that came
out to the tune of 18,600

1493
02:02:36,400 --> 02:02:43,760
and something. But that reimbursement is
accounted for in our schedule of

1494
02:02:40,239 --> 02:02:47,440
vouchers this this past month. So that's
a rather large expense that wouldn't be

1495
02:02:45,440 --> 02:02:52,639
typical in a in a regular month. So I
just want to parse that out so you know

1496
02:02:49,920 --> 02:02:57,520
what we're looking at. But but otherwise
it's

1497
02:02:54,800 --> 02:03:03,440
mostly typical expenses. The only other
place where you might see an outlier is

1498
02:03:00,320 --> 02:03:08,800
um in Jess's reimbursement, but again
that's primarily due to travel. So

1499
02:03:05,599 --> 02:03:13,599
that's plane tickets. Um
I'm trying to think expenses related to

1500
02:03:10,880 --> 02:03:17,520
having meals, being out of town for 5
days. So

1501
02:03:15,679 --> 02:03:20,960
those are the big the big outliers
there.

1502
02:03:19,119 --> 02:03:23,960
Any questions from anyone on the
vouchers?

1503
02:03:24,159 --> 02:03:31,599
Okay. Um any upcoming events or issues?
>> Where are we at with the 140 review

1504
02:03:29,760 --> 02:03:35,280
results?
>> Well, they said that it could take up to

1505
02:03:33,840 --> 02:03:39,599
six weeks. Okay.
>> So, but they said if you don't hear from

1506
02:03:37,840 --> 02:03:44,639
us. You can reach out if you would like.
Just know we have not forgotten about

1507
02:03:41,119 --> 02:03:47,520
you. It could take a couple months. So,
>> yeah.

1508
02:03:45,520 --> 02:03:53,199
» I thought you did really well.
>> Yeah. Team did really well. It um I

1509
02:03:50,480 --> 02:03:57,840
suppose yeah, that could be just an FYI
for you guys. Um we are required to do a

1510
02:03:55,760 --> 02:04:04,320
statutory audit every five years with
the state. That was in August of this

1511
02:04:01,520 --> 02:04:07,440
year. They had four people come from
Wisconsin DHS and they come and they

1512
02:04:06,159 --> 02:04:12,239
make sure that we're meeting all of our
statutory mandates and they're auditing

1513
02:04:09,360 --> 02:04:18,320
us on that. Um
they it could just be done with myself

1514
02:04:15,599 --> 02:04:22,880
in the state. However, um they really do
like it when you're able to engage the

1515
02:04:20,639 --> 02:04:26,880
whole team because as much as I can
explain programs, I'm not the one that's

1516
02:04:24,800 --> 02:04:32,159
doing all of them and they don't want to
hear me talk the whole time. So, um but

1517
02:04:29,280 --> 02:04:35,840
it went really well. Um, everybody
pitched in to explain their portions of

1518
02:04:34,400 --> 02:04:38,480
their roles and they did a really great
job explaining to the state how it is

1519
02:04:37,360 --> 02:04:41,679
that we're meeting all of these
requirements. And so I'm I'm sure

1520
02:04:40,800 --> 02:04:46,560
they'll come back with some
recommendations because that's that's

1521
02:04:44,000 --> 02:04:50,719
how things go. But overall, I thought it
went really well.

1522
02:04:48,320 --> 02:04:55,679
» Yeah. And then yeah, we'll get the
report

1523
02:04:52,400 --> 02:05:01,679
probably what is the date now? Hopefully
within the month. And then um generally

1524
02:04:58,560 --> 02:05:08,239
speaking they will do a presentation of
um 140 certification at board of health.

1525
02:05:05,679 --> 02:05:13,280
So at some point the state will come and
they will present the certificate to

1526
02:05:10,880 --> 02:05:18,000
Judy as our chair to show that we've
we've met

1527
02:05:15,199 --> 02:05:22,159
the the minimum compliance requirements
for a public health department at a

1528
02:05:20,000 --> 02:05:27,840
level two status and we are a level two
health department. So that's what we

1529
02:05:23,599 --> 02:05:34,320
were being measured against. So,
>> okay. Anything else?

1530
02:05:31,040 --> 02:05:38,400
All right. The agenda been completed.
The meeting is adjourned.

1531
02:05:36,639 --> 02:05:41,119
» Thank you guys.
I know that was a