[0:01] need to order. And the first item is to
review and approve the agenda. Is
[0:06] everyone had a chance to take a look at
that?
[0:11] » Okay, I need a motion to approve.
>> I'll make that motion.
[0:16] » I'll second.
>> Have a motion, a second. Any other
[0:19] discussion?
All in favor say I.
[0:23] » Opposed. Motion carries. Next item is
the approval of the minutes of the June
[0:30] 2nd, 2026 meeting.
Is everyone had a chance to take a look
[0:36] at that? Are there any additions or
corrections to the June 2nd, 2026
[0:41] meeting?
Okay, hearing none, I will put those
[0:46] minutes on file.
Next is citizen comments. I don't think
[0:52] anybody is online
and there was no one here in person
[0:58] unless somebody from the
committee has any comments.
[1:04] Okay, next item is the rehab update.
Jessica environmental health concerns,
[1:10] food safety and recreation license
program update and the water program
[1:14] update.
>> I will start with June.
[1:19] » Yes.
>> Yeah.
[1:20] » Okay. Um, so the highlights for June,
um, was
[1:25] quite a few rabies, um, quarantine
animals that came through, a couple
[1:30] specimens tested, but all of them turned
up negative, and only a few unvaccinated
[1:36] animals that were uh, had to be
quarantined that were part of the
[1:40] quarantine requirements.
As far as environmental hazards, the
[1:46] Duck Creek Lane in Westfield, there was
a complaint regarding garbage not being
[1:51] contained and scattered around the
property. Updatement orders were written
[1:55] and were to be completed by July 9th. Um
and as you will see that did not occur
[2:03] in July but um this property is under a
taxdeed
[2:10] um situation. So it is being dealt with
in other ways also. Law enforcement had
[2:17] called and requested some information
regarding a ne neglect case on some
[2:22] tortoises. And so it was mostly just
discussion that was had with the officer
[2:27] that was on scene um while the humane
officer was out uh not on duty that day.
[2:33] Um but he was the one to follow up with
that situation and uh take care of it.
[2:38] So no orders were written upon that.
Uh we created a handout for mold for our
[2:45] citizens only because there's lots of
places you can get information but ours
[2:49] was to provide a very centralized area
of the most asked for information. As
[2:54] you can see down below we got a call
again that month but previous months
[2:59] kind of it's the time of the year we get
a lot of calls for mold and questions
[3:03] about how to deal with it. What should
they do? Who can they contact? Should
[3:07] they test for it? So, we put all that
information together. Um, I don't
[3:13] believe it's up on our website yet, but
it will be under the environmental
[3:16] health stuff so that it's easily
accessible for individuals to get that.
[3:21] But whenever we get a call, that is
something that we provide out to them.
[3:24] Now,
>> a question. Um, do you know what
[3:27] buildings they were? What kind of
buildings they were? Were they house
[3:30] » a housing? Usually, it's always housing
complexes or a just a a single family
[3:36] dwelling.
>> Oh, okay.
[3:39] Um there was an apartment complex in
Montello that um Amber had received a
[3:44] complaint regarding cockroaches in the
unit when she had contacted the landlord
[3:48] and maintenance individual. They were
already aware of the issue. They've been
[3:52] dealing with a professional pest control
person already prior to this complaint
[3:56] had somebody in there, but they're also
working unit by unit to get services in
[4:01] each unit. And so for that to happen,
the tenants have to let them in and
[4:06] prepare their unit for the service to be
done. Um so no orders were written upon
[4:12] that.
And in June, we attended the dairy
[4:17] breakfast or I guess I did um providing
some information on water testing,
[4:22] ticks, um disease and gave out tick kits
and then harm reduction resources
[4:28] for food and safety um or food safety
and recreational licing or FSRL.
[4:38] Um we completed our 100% of our
inspections. So June is the end of our
[4:42] licensing year coming to July 1st is the
start. Um this is the first time for our
[4:48] program since the 2018 2019 licensing
year. Um when we were previously Tri
[4:54] County, we have not completed 100% since
then. Um so that's a pretty big
[5:00] achievement um for us and hopefully to
continue that. Um we did a mandatory
[5:08] webinar uh Jamie and I attended for our
evaluation updates from the from DACAP
[5:14] that required us to sit through and just
talk about what they are going to
[5:18] require from us um all the documents
that they need when they do their audit
[5:22] in the fall each year um for self
assessments and information. So, because
[5:28] they've updated that, we all had to
attend that. And then we provided a
[5:32] proctor exam for one of our operators um
so that they could get their certified
[5:37] food manager certificate for their
facility. And as you can see, we
[5:41] followed up with quite a few inspections
to round out that 100%
[5:45] um for all of our facilities, but that
did get everybody taken care of.
[5:52] And then for as far as the water lab, um
we had um a few more private well
[6:01] samples. Wow, that really messed up,
didn't it? Um so the ones that are kind
[6:05] of staggered way to the left, those are
the the um transient wells that we are
[6:10] contracted through the DNR for. Um so we
did 26 of those um were bacteria and
[6:16] nitrates. And then on the the left side
that are in that column, it is privates.
[6:21] And so 32 bacteria and 31 nitrates.
There is some people that they just want
[6:25] to have their bacteria done or they just
want to have nitrates done. So that's a
[6:29] little bit why you see discrepancy with
that. Um and as far as the TNC sanitary
[6:36] assessments, those are done every five
years and is required by the DNR. Um so
[6:42] we do uh more complex uh inspection of
the well unit um the well head its pumps
[6:50] um the pressure tanks as as long as well
as sample the water for testing and
[6:55] stuff like that and then we submit that
to the DNR for them to review and also
[7:00] the operator or the facility owner gets
that um also if we don't do a five-year
[7:06] assessment they get an annual assessment
and that we did 23 of them that month.
[7:11] Um, a lot of times in June that is a lot
of our um, campgrounds or facilities
[7:17] that close down and shut their walls off
so they are seasonal and have to start
[7:22] them back up. So that's why we get a lot
of them about that time of year.
[7:27] Okay. Um, for July,
[7:34] uh, still quite a bit of quarantine
orders issued. This is kind of the
[7:37] typical thing for summertimes as people
are out and about. We did have one um
[7:42] specimen submitted again negative um for
rabies. I have joined a workg group that
[7:50] Waldab has put together
um that's looking for creative ways to
[7:57] um
address the ongoing issue of limited or
[8:03] nearly none of having quarantine
facilities anymore. So there's a lot of
[8:08] agencies out there, they don't have a
dog pound or a shelter that helps them
[8:14] with quarantine as we do here in
Marquette County. So in that case, they
[8:19] don't have vets that have quarantine
options. And so a lot of times they're
[8:23] quarantined at home which is against the
statutes and does leave a lot of legal
[8:29] issues to be um if the dog were to get
out and escape and we can't follow up on
[8:35] or if it would bite or scratch somebody
else again there's another like setback
[8:39] to that of a longer quarantine. So this
work group is is working with DHS um the
[8:47] state vets um epidemiologists and other
agencies to create um when you do home
[8:55] quarantine what are the guidelines you
have to use to make it so that we're
[9:00] trying to make it as safe as possible
when these facilities don't have this
[9:03] even though it's still not following the
statutes and we have been well told that
[9:09] um the state vets don't support it
because it's outside of the statutes and
[9:12] the limits. Um hopefully we'll be able
to um Wald wants to lobby for changing
[9:19] some of those statutes and verbiage. But
until that happens, we do need to
[9:26] require our animals to be quarantined
when they're unvaccinated versus
[9:32] quarantined at home when they're
vaccinated. Even if we do quarantine at
[9:36] home, there still is specific guidelines
in the statute that you need to follow.
[9:40] And so some of these guidelines help
with that.
[9:44] Um,
Environmental Freedom Road in Oxford,
[9:49] they re we received a complaint on
garbage being scattered about. Um, so
[9:54] vacant orders were written and due in
August and you will see they completed
[9:58] those in Montello. It was the um,
uh, complaints regarding pigeon
[10:05] infestation of a rental affecting their
individual's house. um that individual
[10:11] had been diagnosed with
um a disease that is directly affected
[10:17] by being coming into contact with this
dust from the feces of pigeons and other
[10:24] birds and vermin. So, I did contact and
collaborate with DHS and BEOH, which is
[10:30] the Bureau of Environmental Occupational
Health, um, to gather some information
[10:36] about testing needs, like do we need to
test the excrement? Um, because the
[10:40] landlord was taking care of it, but we
also want to know, is this truly where
[10:45] she was getting the exposure from, the
individual work from home, so they're
[10:49] there all the time and don't go other
places, so it's assumed yes. Um,
[10:55] however, they still um did not recommend
testing. They just would also assume
[11:02] that that is because they didn't want
her to be um exposed to it anymore and
[11:07] gave me more information on how to
contain the exposure and clean up
[11:11] afterwards for that individual and and
um let the landlord know how long this
[11:17] individual needed to be outside of the
unit and what needed to happen to clean
[11:20] it up. So, no orders were written. the
landlord was very um immediate to
[11:27] respond to the issue and get it cleaned
up and and things like that. So, and
[11:32] more than willing to take the
precautions needed. So, um I just help
[11:36] them work through that. The apartment
complex in Montello, we got another
[11:41] concern or complaint regarding the
cockroaches. However, management is
[11:46] still working with the professional.
They had been doing more of the
[11:50] abatements. However, not all of the
tenants we were finding out are being as
[11:55] accommodating to the process and so
that's leading to um the abatement
[12:00] taking a little longer. So, we did have
some conversations with those tenants.
[12:07] We provided information at Baby 101 and
attended on water testing, radon, and
[12:12] lead testing and that went really well.
Um, as far as the FSRL report, we I did
[12:22] provide some information to our food
facilities regarding the obviously, as
[12:27] you guys probably heard on the news, the
big cycllospora outbreak um with lettuce
[12:31] and things like that. So, a lot of them
were asking information and so I wanted
[12:35] to keep them updated with where it was
coming from because at the beginning
[12:39] they weren't they hadn't pinpointed, you
know, the distributor or what
[12:43] information and the type of lettuce and
stuff. So, or what it even was. They
[12:48] didn't know if it was lettuce, tomatoes
or any other type of greens. So,
[12:52] provided them that information just so
that they could take as much action as
[12:57] they needed to on the products that they
serve and the best way they could. um
[13:03] provided the second quarter newsletter
to all of our licensed facilities. This
[13:07] is a newsletter that gives information
to each types of operator, food,
[13:13] lodging, tattoos, campgrounds, wrecked.
So, it's something specific that's kind
[13:18] of going on with that time of year um to
give them some useful up-to-date
[13:23] information and um help them improve
their facilities. Sometimes operators
[13:29] ask for a certain thing. Otherwise, if
we see certain violations popping up, we
[13:34] kind of um navigate to pinpoint
information on that topic. Dakota Road
[13:41] in Westfield, we received a complaint
about an operation of an unlicensed
[13:46] campground and tourist rooming house. So
we did issue a cease and desist cease
[13:51] and desist letter for both of those
facilities and informed zoning because
[13:56] they also license the tourist room
houses.
[14:00] Owner removed all the advert
advertisements and is not going to
[14:04] continue um to operate those and
continue or wants to does not want to
[14:10] license them. So no further action. It's
been considered closed.
[14:15] Um a few attended webinars that we got
to um attend is about smoked fish at
[14:21] retail and religion culture with food.
And then I attended a FDA assessment and
[14:27] verification workshop. This is a program
that DACA um quote unquote says is
[14:33] voluntary, but it is more like
volunttold that we need to do. And it it
[14:38] helps us provide
um a written documented way to show our
[14:44] operators and you guys and the community
that we are following a policy and
[14:51] procedure to do things in a certain way
that we're um checking each other's
[14:56] reports that making sure that we're
being um
[15:02] » consistent and that if we need to
collaborate with the state or the FDA
[15:07] that we're doing that. So, there's nine
different standards that you have to go
[15:12] through and assess off of your policies
and procedures to see if you are doing
[15:17] all these things and submit it to them.
And so, um part of that is we wrote we
[15:22] wrote for a grant and got approved for
that to do that so we can do that work
[15:27] to show that we're we are following.
I've not completed the assessment yet um
[15:33] for all nine. That is due by March of
next year. So hopefully that will be
[15:37] something we work as a group to go
through and do um to find out where the
[15:42] deficiencies are in our policies so we
can buff those up and um make sure that
[15:47] we're doing the best and help support
our program to be better in any way
[15:52] possible. Um quite a few inspections as
the start of the year. That's a lot of
[15:57] campgrounds wreckads those seasonal
pools um that we got to get to before
[16:02] they close down for the season. And then
for the well inspection,
[16:09] have to deal with something with this.
Um, so we lost power during one of the
[16:14] few storms that we had after we had just
collected a bunch of samples. So, um,
[16:20] our incubator had went down. So, because
of that, we had to deem all those 16
[16:26] samples invalid and recollect them. Um,
so we did talk with Danny and um
[16:32] procured a battery backup pack for that
unit and it's already installed. They
[16:37] did it immediately pretty much um so
that we don't have that risk. And what
[16:42] the problem is is even though we have
the generators, it's that um short blips
[16:48] of the generator turning on that it
resets that whole unit unfortunately. So
[16:53] the battery backup is just to hold it so
it doesn't and then gets power back from
[16:58] the generator. So we don't have that
fluctuation. There's only one degree
[17:02] fluctuation you can have in the
incubator during these sampling periods.
[17:06] So it's pretty darn small. Um and
anytime it reads outside of that, we
[17:11] have to deem it invalid.
Um so we had not as many private well
[17:18] samples. We only had 11 bacteria, 12
nitrates. Um, we did have a few
[17:24] confirmed positives. That's meaning that
they had tested and it was positive and
[17:30] retested and and still positive um not
from a contamination of collection. And
[17:38] so then we had one individual that had
nitrates higher than 10 milligrams per
[17:43] liter, which is the EPA limit of
nitrates that we want to have. For the
[17:47] TNC's, we did 37 bacteria. And you see
the jump because of the extra bacteria
[17:52] we had to do for sampling. We count each
one of them no matter what because we do
[17:56] have to use packets um to make those
work. And um we only had one nitrate
[18:03] sample that came back high. This indivi
this individual facility already knows
[18:08] that they have a high nitrate. And we
did have a positive that we worked with
[18:13] them to um ensure that we they
chlorinated and got rid of a deadend um
[18:19] pipe in their their well system. But we
did a couple of sanitary surveys and a
[18:25] lot of the assess annual assessments.
[18:30] And then finally for August,
[18:34] not as many quarantines, but we still
had one specimen submitted. Um, this was
[18:40] for sure a bat. I know I remember from
last month. So, it's also that time of
[18:45] year, um, where we're going to start
seeing some more bats being out. So,
[18:49] that's not uncommon. We had an open
records request regarding an animal bike
[18:55] history on a specific animal, and so
that was um provided to the uh,
[19:00] insurance agency that requested it. And
then
[19:05] um
the wellwater kit, the two um tests that
[19:10] these are tests that are done for
individuals that have a pregnant mom in
[19:16] the house, a baby under one or an
infant. Um and they their test both came
[19:22] back with higher nitrate levels. So we
provide them in education information
[19:26] about that. And then one had bacteria.
So they are resampling to ensure that it
[19:30] was contamination from sampling and
collection not a true contamination.
[19:37] As far as for environmental
um Freedom Road that uh we conducted an
[19:43] on-site visit and all the garbage
removed, so we released that order and
[19:48] Duck Creek Lane. Um we did have a
meeting with multiple department heads
[19:54] and administration to discuss next steps
on that property. Um
[19:59] I will be issuing
um condemning orders for that property
[20:04] due to a failed septic um that has been
uh confirmed by zoning department and
[20:11] then um an on-site investigation will be
also happening at some point. the former
[20:17] Lions building and the former Nifty
Thrifty in Pacwocki. We've received
[20:23] complaints on kind of shortly within
each other's uh regarding the
[20:28] deterioration of the buildings and
requesting if we would did an inspection
[20:34] for these facilities um because they
were concerned about health hazards and
[20:39] being dilapitated.
Um we were in um informed that DSPS has
[20:46] already been um contacted and a formal
complaint has been submitted and I have
[20:52] reached out to them. However, I've not
heard back with them yet as if there's
[20:56] any collaboration required. Um but it
sounds like a lot of this is structural
[21:00] things. So most likely DSPS is going to
have to do that and um on-site
[21:08] investigation. if they want, we can do
more if they can provide us um
[21:13] information that it is
uh structurally unsound. However, nobody
[21:19] lives in the line building, Lions Club
building, the former one, but the Nifty
[21:24] Thrifty, there's a residential area in
the side or back, I guess, however you
[21:29] want to look at it. So, that might be
something that we could get involved
[21:32] with if needed to. Um, Dakota Lane
had multiple contacts with law
[21:40] enforcement regard regarding if this
property has a kennel license, which
[21:44] does. It's had one since 2022,
and there hasn't been any um violations
[21:51] to the kennel license or charges that
would affect that license. Um, so no
[21:57] action has been taken at this time.
Um I we participated in the 140 review
[22:05] for the health department and that went
really well I believe. Um as far as our
[22:10] FSRL report for the month. Um Third A
and Endeavor received a complaint
[22:16] submitted to DACAP regarding an illegal
farm baking good stand. Um we did an
[22:23] on-site visit and we provided some
educational information there. However,
[22:29] um the complaint was that they were
providing
[22:32] goods that are not allowed in that
cottage baking law, which is goods that
[22:38] should be kept under refrigeration or
isn't made in a dry chamber such as an
[22:44] oven. Um during our visit, we didn't see
any of those there, so we just left the
[22:48] education information and our contact
information um and let them know why we
[22:52] were there because nobody was available
around the stand. So that's all that we
[22:58] did for that. Um we submitted our annual
reimbursement to DAC CAP and this year I
[23:03] believe that reimbursement was 13%
right. Okay.
[23:06] » Um so that is all done. And then as you
can see still rounding up some of those
[23:12] seasonal facilities. Lots of inspections
being done and followed up on. And then
[23:17] lastly for a well report, we had one
individual that called us asking about
[23:23] um lake the lake water testing and
safety of the lakes. So we obviously
[23:29] don't do any lake testing here. There is
some specialty testing that you can do
[23:34] for lakes. It is offered at the wheel
lab in Stevens Point. Um, so we did give
[23:39] them that information, but also the DNR
does have information on their website
[23:43] about monitoring and what they're
looking for in each lake and how often
[23:47] it gets monitored, but that is more of
like a a citizen monitoring. It's it's
[23:53] voluntarily done. It's not required to
be done by anybody. So,
[23:58] um, they were just wondering if that
particular lake, and I'm not entire even
[24:03] entirely sure which lake it was, was
safe to swim in or or recreation in. and
[24:08] stuff. So,
um, again, a few private wells, 15 for
[24:13] bacteria, 13 for nitrates, and then for
the TNC wells, 29 bacteria, and 20
[24:21] nitrates. And you see a few extra
bacterias because each quarter we may
[24:26] have to do quarterly testing on some and
that is um for those facilities. And
[24:31] also we had um a confirmed positive and
so that's where those four positives
[24:36] come from is so after you get one
confirmed positive which you seen in the
[24:40] last month's review you have to go back
and do follow-up testing and those were
[24:46] still positive um after a chlorination
and removing. So they need to do another
[24:52] chlorination and flushing of that well
and we'll go back out as the DNR
[24:56] requires to do another collection of
that.
[25:02] » That's it,
right?
[25:07] Jessica.
>> Yeah, I just had a few quick questions
[25:12] here regarding the power backup that
caused problems for the incubator. I
[25:17] know that uh the health department also
keeps refrigerated items that are
[25:23] potentially problematic if they they
lose that. Are they not as sensitive?
[25:29] Okay,
>> they're not as sensitive, but the other
[25:31] issue is that the equipment itself our
our vaccine cooler is able to handle
[25:36] short blips and interruptions in the
electrical or the power grid. The
[25:40] incubator is not able to handle that. if
there is any sort of blip in the
[25:44] electrical current then it will
completely reset and if it resets it's
[25:49] not at the standards and temps that that
the program requires. So
[25:52] » it resets on that heating element that
it takes time for it to heat back up and
[25:56] that's the part that resets and
unfortunately because that degree is
[26:00] only one that we get to play with. It's
set at a very um it doesn't take long
[26:08] for it to go back down and not power
back up right away and start heating and
[26:12] maintaining that temp.
>> Are you do you feel confident that
[26:17] that's fixed now with the backup that
you have?
[26:20] » Yes, we I've watched them um in the
mornings when maintenance does their
[26:25] testing of the generators and turns down
and powers those up. I've seen it not
[26:31] affect it anymore. So, I'm hoping that
means as long as the generator comes
[26:36] back on when it's supposed to, as
quickly as it usually does, always has,
[26:40] um, that it won't affect those.
>> Then, a question about animal control.
[26:46] This has come up in a number of
different meetings that it's becoming
[26:49] increasingly difficult to deal with
animal issues.
[26:53] Few couple questions on that. Does the
Department of Health generally deal with
[26:58] animal welfare issues or is that kind of
an anomaly that you'd be talking about a
[27:03] a tortoise with the
>> It's more of an anomaly and the only
[27:07] reason I think this individual law
enforcement called me was because of my
[27:13] um previous background as a certified
vette and so they knew of that and had
[27:18] called and made a conversation with me
because that humane officer on otherwise
[27:21] it is typically the humane officer that
deals with them. Then regarding the
[27:26] quarantines that happen with the rabies
animals and the difficulty of finding
[27:30] places to to do that, does anyone have a
background of the history of how this
[27:35] used to work and what's changed and why
has it changed?
[27:39] » Um, it's been working the same way for a
long time. The statutes has not changed.
[27:44] However, um, fewer and fewer veterary
clinics provide quarantine, if not none
[27:51] of them don't anymore. Um, and we're
seeing less and less shelters, which
[27:56] used to help out with quarantine. And
same thing with like dog pounds or
[28:01] quarantine facilities themselves.
They're just not substaining. um so that
[28:07] they're no longer available um in
Appleton and
[28:14] um out of Gy County and over in that
area um Fox Valley area, they don't have
[28:22] places and so a lot of them are just
quarantined at home and we've been told
[28:26] by the state that that if we tell them
they can quarantine at home or the
[28:30] officer does that we or that officer
could be held legally liable for if
[28:35] anything happens. like the dog goes um
vanishes or gets loose and now we can't
[28:41] find out did it die? Did it is it okay?
And this individual, whoever the victim
[28:46] is, would possibly have to go through
the prophylactics or any other care.
[28:52] » So, what you're saying is vets used to
do it, now they're not. There used to be
[28:57] um shelters that are closing, so they
can't do it either. Mhm.
[29:02] » So I mean rabies is something that's
been around forever and it probably will
[29:06] continue to be. So this is an issue that
not necessarily the board of health but
[29:11] it needs to be dealt with somehow. So it
just has me thinking what the solution
[29:17] could be on this. And I know Waldab is
um working really hard to lobby against
[29:24] some changes in the statutes um because
there is other states that provide
[29:30] different things than our Wisconsin
statutes. Um so that is something that
[29:35] they're trying to get changed um but
it's to get it changed by the lawmakers.
[29:41] And as far as board of health goes, what
your a potential involvement might be is
[29:45] that if you know, Waldab is advocating
to Wisconsin DHS to make some changes to
[29:51] statute to make it a little bit easier
for people to quarantine at home versus
[29:55] having to find a licensed or legal
quarantine facility. That might be
[30:00] something where we would come to board
of health and say, "Hey, can you please
[30:03] pass a resolution that supports their
efforts in doing this? We would really
[30:08] like to see these statutory changes made
so that things can be done safely and
[30:12] legally. Um, but you're right, outside
of advocating for something that we find
[30:18] important in Marquette County, there's
there's very limited influence that we
[30:22] would have at this local level.
We just do the best we can with
[30:27] resources that they have.
I guess my question would be on the
[30:32] quarantine is um the vets seem to be the
logical place to have it. They have the
[30:39] facilities, they have the everything
there available. What's the hurdle of
[30:44] why or what's the obstacle why they
don't want to do it besides money? Uh
[30:51] staffing because you need 24hour um or
staffing and facilities. A lot of them
[30:56] don't have runs or able to kennel them
for 10 days. Um, having staff to care
[31:02] for them outside of their regular
clinics hours um that can handle, you
[31:09] know, making sure the dog is being
monitored for some signs and symptoms.
[31:12] And um a lot of times it is a facilities
or the caring of the animals themselves
[31:18] because a lot of vets don't have
groomers on hand or do doggy boarding,
[31:23] daycare or animal boarding of any
facilities. They just provide veterary
[31:28] care um or emergency care.
>> So I agree with John. It's becoming a
[31:34] bigger issue statewide, I think, and
something has to be done because we've
[31:42] got that situation right here. So, Gary,
>> um, you said that you don't water test
[31:49] lakes. Understandable. What does the
city of Montel uh, is your service
[31:54] available to them now for their city
water system or do they still have to
[31:57] use some other private
>> Yes and no. for water testing for the
[32:02] public water of the city.
>> They could use us for bacteria and
[32:05] nitrates, but that's it. Um the rest of
their testing would have to be sent out
[32:10] as for nitrites and um arsenic fluoride
um and any other kind of heavy metals or
[32:18] inorganics would be sent out because
we're only certified for the bacteria
[32:22] and nitrates. I'm only asking in in case
there would be a little budget break for
[32:26] the city by working through you.
>> And same thing with um
[32:33] any well drillers or um pumped
installers, they can also bring them
[32:37] here. We're certified to do those um
tests as they need to. So, we have
[32:42] provided that information out there to
them just so that if they don't already
[32:46] work with a lab or have a contract with
a lab that they can do that they can
[32:51] bring them here locally instead of
driving. But sometimes they have a lot
[32:54] more sampling to do and it's feasible
for them.
[32:58] » Thank you.
>> And speaking with Montello, they didn't
[33:01] think that bacteria would probably ever
be an option just because when they have
[33:05] to do their bacterial sampling, they're
testing for all of these other things
[33:09] that Jessa just talked about and it's
easier just to make one big package,
[33:12] send it off where it goes. But for
nitrates, there's a potential for more
[33:16] conversation. So,
>> it is something also if we ever have
[33:20] like a flood or a natural disaster,
something we could um it's something
[33:25] that's being put into our coupe plan now
is that we could use the lab for doing
[33:30] testing to make sure private wells or
community wells are okay to be used
[33:35] instead of having boil water noses
because we can turn them around in 18
[33:38] hours.
>> Any other questions?
[33:43] Thanks, Jessica. Right. On to new
business, the highdose flu vaccine fee
[33:49] increase. Jamie.
>> Yes. So, um, we are asking for the board
[33:56] of health to approve an increase for our
highdosese flu vaccinations this year.
[34:02] Um, it should be noted before we get
into the dollars and cents of it all
[34:05] that this is a Medicaid reimburseable
service that we have. So, it's $0 out of
[34:12] pocket to the client always. Um, but
when we go to bill for those services,
[34:18] you can only bill what your fee schedule
says. So, we can't bill for more than
[34:22] what it is our our fees say. Um, so our
current
[34:27] um fee for the highdosese flu is 112,
but we have recently seen an increase in
[34:33] what we're able to bill for
reimburseable services. And so we're
[34:38] asking for an increase to to $150. So
from 112 to 150. This will have a net
[34:45] zero impact on out-ofpocket costs to our
customers. It's just that again we can't
[34:52] bill more than $112
to the state if our fee isn't higher
[34:58] than $112. So this will help with with
reimbursement to the county and improve
[35:03] upon our revenues.
[35:08] And we have these we have a couple um
fees that we're asking for approval for.
[35:13] We do have them broken up separately,
but you guys can decide if you need to
[35:16] finagle that.
Questions?
[35:23] Then a motion will be in order
to increase the highdosese flu vaccine
[35:29] fee from $112 to $150.
[35:37] I'll make a motion.
>> Okay.
[35:39] » Second.
>> Motion a second. Any other discussion?
[35:44] » All in favor say I.
>> I.
[35:47] » Opposed. Motion carries.
>> Foot clinic fee increase.
[35:52] » Yes. And before we jump into that, I
just want to point out because we do
[35:55] have, for those of you who have either
been on our board or have been paying
[35:59] attention to what we're our offerings
are at the health department, we are not
[36:03] asking for an increase for our standard
dose this year, but what it is that
[36:07] we're charging currently should still
get us a good turnaround on
[36:10] reimbursement, and it's about as much as
we're able to ask for. So, we're not
[36:14] asking for that this year. Okay. So, on
to foot clinic. Um, we did look at an
[36:21] evaluation of how much time it is that
we're spending offering these services.
[36:25] Um, I did have Melissa go through and do
an evaluation of how much we're spending
[36:30] on the supplies. So, the glutalahhide,
the Dremels, all of the the sanitation
[36:35] um, equipment that we have. And there
there is a slight increase in what it's
[36:41] been costing us. And so, the last time
that we had asked for an increase for
[36:46] this item was 11 years ago. it was when
I first started as health officer. And
[36:50] so, um, we're asking today for an
increase of $5 to the cost of that
[36:56] service. So, it would go from $30 a
visit up to 35. Um, our current fee
[37:02] schedule is set up such that a firsttime
visit is a little bit more expensive
[37:07] than, you know, your maintenance visits.
and we did away with that just to have
[37:11] it consistently be 35 for every
appointment, whether it's your first
[37:15] appointment or the fifth time you've
seen us this year. So, we're trying to
[37:19] keep it simple for people, but the cost
of offering that service has gone up a
[37:23] little bit with cost of supplies and and
all of that fun stuff. So,
[37:30] questions, comments?
Okay. Motion is in order to increase the
[37:37] fee for the foot clinic from $30 to $35.
[37:44] » I'll make the motion.
>> Motion second. Is there a second?
[37:49] Any further discussion regarding that
motion? This is a good program. Um it
[37:54] does generate revenue and it's not just
a matter of increasing the fee
[38:01] $5 just to increase fees. Um I think
that this has been very well received
[38:07] and I don't know how much time it takes
to do um each one of these patients, but
[38:14] uh I don't think a $5 increase is
unreasonable for this case.
[38:20] Anything
else? Okay, we have a motion, a second.
[38:25] All in favor say I.
>> Opposed? The motion carries.
[38:31] Okay. 2027 health department budget.
Yes. Um, and before we jump into that, I
[38:40] just want to give the board a heads up
about um some some of our fees moving
[38:45] forward that we're not asking for
approval for right now, but that will be
[38:48] coming down the pipeline. Um, many of
you are aware that we also have our
[38:53] rehab program, but the the fiscal year
for that program is July through June.
[38:59] And so we tend to wait until February,
March to approve the full fee schedule
[39:04] for that program. So that'll be coming
down the pipeline in a few months. We're
[39:08] trying to get everything else covered
now, but that that will be later in the
[39:12] year. Um, and since we're already going
to have to come to you for some fee
[39:17] changes potentially, um, we are also
looking at the potential of either
[39:23] increasing the fees for B vaccination
services or eliminating that program
[39:28] altogether. The um the cost of just the
raw materials, the actual vaccines
[39:34] themselves have skyrocketed. And so it's
not quite as popular of a program as it
[39:39] used to be. We haven't quite we still
have vaccine available. So, we're going
[39:44] to relook at it when we're getting
closer to needing to reorder, but I just
[39:47] want you to know that that's something
that's in process and we may have to
[39:50] bring up again in um February time
frame.
[39:55] » John,
>> how many different kinds of vaccines do
[39:58] you currently offer?
>> All sorts. Do you have a plan exactly?
[40:02] » I don't have. We do a lot through the
VFC program, which is where we're
[40:07] limited to who we can offer them to. We
do purchase like the flu, the HEP, the
[40:13] TB. We don't purchase out of our own
pocket as many. It's mostly the program,
[40:20] the BFC and the BFA program.
Mel, who usually is in here, is our
[40:26] vaccine coordinator, and she would have
exact amounts for you, which we can get
[40:32] if you need them.
>> I was just wondering.
[40:34] » Yeah, but we do we do have to keep them
separately even if we have the exact
[40:38] same vaccine that's part of the state
funded program and we have some that are
[40:42] private pay. They have to be tracked
separately, kept separately. So, as much
[40:48] as you know, we may have 20 different
types of vaccines, sometimes they're
[40:52] split into different programs, different
storage requirements, different
[40:55] reporting requirements, and so um and of
course, obviously, some vaccines come as
[41:00] multi-doses. Some of them we also have
as single doses. Um it's just what what
[41:06] people need and what they're able to uh
you know, pass for at that time. So,
[41:16] so then
moving on to health budget.
[41:23] So, um I am not going to I'm sure board
of health members, you guys saw board of
[41:28] health orientation um presentation in
your materials and we're like not again,
[41:34] right? Um we're we're we're not doing it
again. I just wanted it to be I know I
[41:40] know guys as fascinating as it was. It's
a long that's a long meeting. Um but I
[41:46] did want to make sure that it was
readily accessible to you if um anything
[41:51] came up while we were going through the
materials. But what I am going to start
[41:55] with for you guys is
[42:01] um
is to start with
[42:06] the budget support document. So
this document does reference board of
[42:13] health orientation information which is
the again the only reason why I included
[42:17] that document in your um in your packets
for this month. Um, but I wanted to make
[42:22] sure that everyone knew exactly where to
find where our statutory mandates were.
[42:28] Um, obviously in the orientation
um, PowerPoint that's covered on slides
[42:36] 12, 13, and 14. And then the programs
that are offered are also on there.
[42:40] That's an overview of our foundational
public health capabilities.
[42:45] I'm not going to go over this. I just
want to make sure that you all know
[42:48] where they are and and where that can be
referenced if you want to look at it
[42:52] later,
but I do have all of our mandates listed
[42:58] here in a very brief overview. So, if
anybody needs anything more um more
[43:04] complex or wants to talk more
specifically, we can do that. But so
[43:08] then what I wanted to talk to you guys
about going into this budget season is
[43:12] how it is that we hold ourselves
accountable for our programs and whether
[43:16] or not we should be having them or not.
The the health department does have a
[43:21] policy. It is within our strategic plan
that we are evaluating all of our
[43:25] programs for whether or not they are
required or we should be offering them
[43:30] at all. So annually, third quarter each
year, we go through each of our programs
[43:36] and we look at whether they are
mandated, which means that they would be
[43:39] either a statutory or an administrative
code requirement, whether they are a
[43:44] CHIP priority, which is our community
health improvement plan. Um, the CHIP
[43:50] process is mandated. However, the things
that the projects, the efforts that come
[43:56] out of it may not be, but they are still
required as part of that CHIP process.
[44:01] So, if they're a CHIP priority, they're
listed. If they are part of our
[44:05] strategic plan, which is also a mandate,
but again, the specific things that come
[44:08] out of it may not be. So, we, you know,
pull those things out separately so
[44:13] people can see which ones those are. And
then we have another category which we
[44:18] call a criteria match. And basically
what that is is programs that and and
[44:25] the programs that are in this this uh
category are often the only programs
[44:32] that are bringing in funding to the
health department for non-mandated
[44:35] programs. But a criteria match is one
that meets all of the following
[44:40] criteria. We have to have the time and
capacity for it. Generally for us that
[44:46] means that it ties into something we're
already required to do, something that's
[44:49] important for us to be working on. There
has to be funding tied to it. Um so no
[44:55] matter how important it is, no matter
how much we think it's something we
[44:58] should be doing, if there isn't funding
tied to it, it's automatically a no. And
[45:03] then um it has to have requisite partner
engagement. So, if it's something that
[45:08] we think is really cool, but we're going
to be banging our heads against a wall
[45:11] because we just don't have enough own
from either the community or the
[45:14] partners we would need to be working
with or say for instance, board of
[45:18] health is like that's a loser. We don't
want that. If we don't have that kind of
[45:21] support, then that's automatically a no
as well. So, all of our programs go
[45:26] through this on an annual basis and then
we categorize them in a spreadsheet,
[45:32] which again, this is this is in that
document that I have for you. I'm not
[45:36] going to go through each one. Some of
these meet multiple
[45:41] different categories. Some of them may
be a chip priority. They may also be um
[45:46] a a category or criteria match program.
I generally put the one that is most
[45:53] required if you have to just select one
reason for it to be on there. But we did
[45:57] use this process to go through and
determine which programs we were going
[46:01] to drop um when we lost staff people a
few years back. And so again, we
[46:07] utilized this as sort of the strategic
process in determining what stays, what
[46:13] goes, and what we can continue to
support in public health.
[46:17] So again, just to make sure that you're
familiar, this is part of something that
[46:21] we do annually and we do try to be
accountable and have a way of showing
[46:26] that.
And I'm sorry guys, whenever you um put
[46:31] documents on SharePoint, the formatting
gets a little bit weird, but I wanted to
[46:35] as part of this process for budgeting to
show you where our um our public health
[46:41] contracts are coming from. We have two
that we um that we have had for now
[46:47] decades at this point. Optum, which is
$32 a month, and that is the program
[46:52] that we require in order to bill MA for
our services. You have to have some kind
[46:56] of billing platform to do that. Optimum
is the one that we use. Um I have been
[47:02] doing this in this position for 11
years. It has been $32 a month for 11
[47:08] years. So we've been fortunate that we
haven't seen hike um a hike in rates for
[47:13] that. Um the other contract that we have
through public health is through our FEP
[47:20] consortium which is public health
emergency preparedness. Um the emergency
[47:24] preparedness program is a mandate. This
consortium is not necessarily. However,
[47:31] what this group does for us is they
create they generate all of our all
[47:38] hazards plans. So, public health is
required to maintain hundreds of pages
[47:43] of plans for how we would deal with any
kind of hazard that may happen from
[47:47] chemical warfare to you know public
health um diseases spreading to having
[47:55] wildfires and tornadoes whatever it may
be. there are public health aspects to
[48:02] recovery um an initial way of responding
to those things. This consortium goes
[48:08] through and creates all of those plans
for us. It is a heavy lift and so we
[48:14] have a grant that covers it. Again,
we've been part of that consortium for
[48:18] probably 15 years at this point. They
have not increased our monthly fee for
[48:22] that. Um there is no levy impact. it is
covered by a grant and then the
[48:27] remainder of that grant pays for one of
our nurses to make sure that those
[48:33] things are being integrated within
Marquette County. Working with our
[48:36] partners, making sure that you know
people are on board participating in the
[48:41] activities and exercises and then
obviously making sure that our public
[48:45] health department is compliant with what
the state requires. So again, something
[48:50] that we've had for several years, it
makes it so that Sarah can do something
[48:56] other than just work on policies, which
has been really helpful to us because we
[49:02] utilize her for a lot of um preparations
and planning related to FAB.
[49:08] » Okay. Um and then I don't know that I
have it on this sheet. However,
[49:14] um I know as part of this process, um
administration and the board had asked
[49:20] if we could present to you our capital
expenses plan since we don't have any
[49:26] incoming or pending capital expenses
anticipated. I didn't put them on there,
[49:31] but I did want to call out the fact that
there are a few items that would
[49:36] typically fall into that category.
They've just been replaced recently
[49:40] enough that they're not on a replacement
track. One of them is our vaccine
[49:44] cooler, which actually died during a
board of health meeting last year. So,
[49:48] um, that's just been replaced. It's
actually still under manufacturer
[49:52] warranty. So, here's hoping we don't
have to replace that in the next couple
[49:55] years. Um, and then our spectr
photoometer, which is the equipment we
[50:00] utilize to process our nitrate samples.
It's a fairly expensive piece of
[50:05] equipment, but again, we've we purchased
it in February of 2026. Still under
[50:10] manufacturer warranty. Should definitely
last more than a couple years. So,
[50:14] something to keep in mind, but nothing
that's going to come up in terms of
[50:18] expenses. The other thing is is that we
do try to plan for these things. We do
[50:23] have a fund 11 account that um we
collect very slowly. it it grows at a
[50:31] very very slow rate, but we do collect
that funding in case we don't have any
[50:36] other way to pay for a vaccine cooler if
it died. So, we've got some backup
[50:39] funding there. And then um with the
Spectro, again, thankfully having
[50:45] partnerships for the EH program. Um
we've been very fortunate. We've been
[50:50] able to use grants to cover that. Um we
certainly could use our equipment loan
[50:54] closet if we needed to. And if we get to
a point where we clear out at the end of
[50:59] the year, any money that was brought in
at our food safety and recreational
[51:03] programming is required to stay in that
account that can't be put back into
[51:08] levy. It's required to stay for that
purpose. So if there is any rollover,
[51:14] which we try to avoid, we try to have it
be pretty close zero to zero, right? But
[51:18] if there's anything left, that funding
can go to support food safety,
[51:22] recreational, water programming. So, um,
again, when we get to that point,
[51:26] hopefully we have options for spending.
Um,
[51:32] I'm not going to go into a great deal
about this because again, we did talk
[51:34] about it during board of health
orientation, but there are a number of
[51:38] programs that we offer that we're
required to offer that we are not
[51:41] allowed to charge for. Um, or if we are
allowed to charge for them, we are
[51:46] allowed to charge $5 for them. These are
things that are listed in statute. um
[51:53] and can can make it sort of complex to
budget um for a program.
[51:58] » And then funding sources, I listed out
each of our um our standard grants, the
[52:04] ones that we generally see renew each
year and then also called out a few of
[52:10] the project um grants that we had this
past year. So, um, for instance, the
[52:16] DOJ, we had a harm reduction grant,
which is a oneanddone, but it certainly
[52:22] did bring some funding into the
department. The DNR, um, is it accounts
[52:28] for the majority of what it costs for us
to offer our water testing and
[52:33] inspection program. And then, um,
American Heart Association, if you guys
[52:38] recall, we had Libraries with Heart
funding was for that. And then the fees
[52:43] that we're able to charge as a health
department are for programs like um
[52:48] environmental health, flu vaccines,
water tests, and then food safety and
[52:52] recreational licensing fees. So then
that brings us to the overunder on the
[53:01] public health budget. Um, now rehab, I
continue to tinker with that throughout
[53:08] the year because we bill and charge for
almost 100% of the money that we get for
[53:15] that program before that license year
even starts. So,
[53:20] we put out all of it's probably 90% of
our funding. We send all of the invoices
[53:25] out in the May before that program
starts July 1.
[53:31] um we can only estimate how many
facilities we'll have. We can only
[53:36] estimate how much turnover there will
be. Um and so as we get a little bit
[53:41] more of a handle on how many facilities
we'll truly have, how many inspections
[53:44] we're doing, I can tinker with those
numbers, get something a little bit more
[53:48] um accurate and fine-tuned. But for
right now, what we're looking at for the
[53:54] calendar year budget is about $37
$37,000 for REIA. And then program
[54:01] revenue, again, we're always trying to
fine-tune it to make sure that we're
[54:04] bringing in exactly what it is that it
costs. Um, obviously, we would rather
[54:10] come over, you know, in terms of revenue
by a couple hundred or thousand dollars
[54:14] rather than coming in under. And so I do
try to be a little bit conservative with
[54:18] my numbers, but we are always looking
for for one to one, which is required by
[54:23] DACA cap statute. Um
then looking at the overall public
[54:30] health budget, we are looking at
593,000. These are rounded numbers. Um
[54:36] then a grant revenue estimation of about
$150,000,
[54:40] $150,000, which is about 25% of the
overall budget. and then program
[54:45] revenues of about 40,000. And um we will
go into the actual line by line of the
[54:52] budget. I just want to point out that
when you look at grant revenue, we are
[54:57] seeing reductions in what the state is
now offering. Um we were really
[55:01] benefiting from a lot of those COVID era
grants and those are starting to retire.
[55:06] Um so there is that. But then um as far
as program revenue, we've seen a
[55:12] decrease in the number of people who are
utilizing our flu clinics. So we've seen
[55:16] reduced revenue there. And um so we're
seeing some reductions in those areas,
[55:22] but we're hoping that a the fee
increases with the flu shots as well as
[55:28] foot clinic will help make up the
difference for that as well. So, we're
[55:31] coming in level, but um just know that
we're seeing shifts in how our services
[55:38] are being utilized. We are making sure
that our to the best of our abilities
[55:42] that our fees are making up that
difference. So then as a whole
[55:48] um for all of all of public health reha
and the public health department
[55:53] combined we're looking at about $900,000
and a total revenue of um 497,000
[56:00] so about 55.2%.
[56:04] Now
does does anybody have any questions
[56:07] before I go to the line by line of the
actual budget?
[56:13] All right. So,
I'm going to bring that up for you guys.
[56:17] And just so you know though, if you want
to follow along with what I'm going or
[56:23] what I'm looking at here, I'm going to
be looking at what's called the cover
[56:28] letter. It's listed as number one, cover
letter. So, I'll be going through that,
[56:33] but we'll be talking about the budget
spreadsheet, which is up here. So, okay.
[56:40] So, in going through
um line by line in our budget, you can
[56:46] see obviously the top what is that five
or six lines are the personnel expenses.
[56:52] Obviously, we're going to see increases
in those line items because the cost of
[56:57] having employees and having health
insurance for employees consistently
[57:01] goes up each year. Um the difference in
salaries is a little bit less than it
[57:06] typically would be, but we did have some
turnover with a staff person. Um and
[57:12] then obviously the incoming person is
making a lower wage. So that makes up a
[57:15] little bit of that that difference that
we would probably see in a typical year.
[57:20] Um FICA, Medicare, retirement, we don't
really have any any say over that. They
[57:25] just increase from year to year. Um the
health insurance premiums are obviously
[57:30] going up in a pretty significant way. I
believe 11% is that correct that we're
[57:35] anticipating for Okay. Um this is for
the public health budget and the public
[57:41] health budget is not um is not looking
at any qualifying events for staff. So
[57:47] that $15,194
it's increasing is only because of that
[57:53] 11% increase to fees or to uh the health
insurance costs.
[57:59] » Okay. So then going down the line to our
other items. Um Yep.
[58:07] » Before we continue on,
>> explain to me under salaries it shows
[58:14] 400,86.
Yes.
[58:17] » For your staff.
>> Yes.
[58:18] » And then I go to the last page.
>> Yes.
[58:22] » For the subtotal for all of those wages.
And it shows
[58:27] » $599,882.
[58:31] So explain that to me. Absolutely.
>> To the group so we understand the team.
[58:35] » Okay. So
because our rehab programming is
[58:41] required to stay in a fund 11 type
situation which means a rollover
[58:46] account. It means whatever money we
utilize or collect in the offering of
[58:52] those programs has to stay in that
program. All of the expenses and
[58:57] revenues
are accounted for in a fund 11 account.
[59:03] So when you are looking at the breakdown
on page three of all of our staff
[59:09] people, it is looking at every staff
person whether they are in the public
[59:14] health budget or the rehab budget.
When you are looking at these numbers,
[59:20] this is only the public health budget.
Rehaw is accounted for in our fund 11
[59:26] accounts. So when you look down here at
REI, you can see our revenues and you
[59:33] can see the summary of expenses
and so all of the the salaries,
[59:39] personnel,
um mileage, all of that is all accounted
[59:44] for in those line items. I have a very
detailed rehab budget um that we utilize
[59:51] to to come up with these numbers. But um
as far as the overall
[59:59] health department budget, it's supposed
to be money in, money out. That's how we
[1:00:03] are supposed to be budgeting for that
program. So that is why it's in a fund
[1:00:08] 11 and that's why it looks a little bit
different when you're looking at the
[1:00:12] personnel um section of the public
health budget versus the itemized list
[1:00:17] of staff people. Does that make sense?
There are three staff people whose um
[1:00:23] expenses are all covered under REIHA and
so that is where they are accounted for
[1:00:27] in our budget is in that fund 11
account.
[1:00:31] » You lost me on where
where it is accounted for. I see
[1:00:38] » on rehab the income
on page two. I don't see the expense. Is
[1:00:45] that the 306?
>> Maybe just go back. Yep. Right there. Um
[1:00:48] above it. right here under her expense.
>> Yeah. So the expenses and the revenues
[1:00:56] are budgeted as equal because that is
how the the program is intended to be
[1:01:02] operated. Um
but then these numbers come from the
[1:01:12] rehab budget which we have board of
health approve in um February Marchish.
[1:01:20] Is there a better way to break this out
than to do it like this? Because this I
[1:01:26] mean when when you first look at it you
go 400,000
[1:01:31] 401 and then you go to the end and you
see 600,000.
[1:01:38] » Yeah.
>> Is there a better way to do this so that
[1:01:41] we can see that you're pretty much
talking two different programs?
[1:01:47] » I mean Stacy and I have talked about
this. I you know we can modify if we
[1:01:52] have to. I can find that. So, I'll just
not to interrupt you, Jamie, but I can
[1:01:56] add more lines to her budget here.
>> It's going to obviously make hers more
[1:02:01] than three pages, but you're literally
just going to see
[1:02:06] um rural environmental health salaries
and then all the benefits and then
[1:02:11] you're just going to have one other
single line with all the other stuff.
[1:02:15] » I certainly can do that if you want, but
>> yeah. Um, I was going to suggest that
[1:02:20] maybe on page three that um, yes, these
are the department totals, but then
[1:02:27] maybe you could have lines how much of
it's going up above.
[1:02:31] » So, would you rather
>> top and then another line that shows how
[1:02:35] much of it is a portion of that 306831.
So you you could have notate there's
[1:02:42] room on page three for some additional
notations and and so on and that might
[1:02:47] take care of it.
>> So I guess then I I would recommend that
[1:02:51] we I'll pull out those three Oh, go back
Jamie.
[1:02:54] » Sorry. I'll pull out those three
positions as its own section and then
[1:02:57] it'll have her board of health as a
section and then we'll have the total
[1:03:01] and then at the top if you scroll up
Jamie
[1:03:05] » where we have her single line um I'll
just kind of break it out and just if
[1:03:10] you don't mind so it's not a bazillion
pages longer. I could just do salaries
[1:03:14] and benefits as one line and then break
out so you can see what the additional
[1:03:18] costs are for the rest of the program.
Does that work?
[1:03:22] That was kind of my thought the way I
was reading an eye.
[1:03:25] » And at any given
>> I think as long as we could compare
[1:03:28] between the two that would help.
>> Okay.
[1:03:30] » It would work then if we had that on
page three separately.
[1:03:35] » And at any given time if you are wanting
to see the the very detailed breakdown
[1:03:40] of how REIA is budgeted for, we can
always do that. Just know that they're
[1:03:45] not going to be apples to apples because
RIHA is a fiscal year. This is a
[1:03:51] calendar year, so we're kind of trying
to average two budgets to come up with
[1:03:54] this number. But um but they are always
available. It's just that we passed that
[1:04:00] already in in February, March. So yeah,
but I yeah, if if it helps to break it
[1:04:05] down, Stacy and I have gone back and
forth on this. How do we make it simple,
[1:04:09] but then how do we make sure that it's
available and easy to read? And yeah,
[1:04:13] your um your suggestions. I mean, I
think I think that'll help with
[1:04:19] splitting it down a little bit more
specifically.
[1:04:24] Okay.
But yes, thank you. Thank you for
[1:04:28] bringing that up because they're they're
truly it
[1:04:32] the personnel sections are accounted for
in two different areas which is a little
[1:04:37] bit unique in terms of county budgets.
So,
[1:04:41] okay. So then moving on to our Do you
guys want to talk about every section
[1:04:49] that didn't change or just the ones
where we made some modifications?
[1:04:55] » Well, I had a couple questions. Uh, for
example, purchase services.
[1:05:00] » Yeah.
>> We're projecting a 26,000 expenditure
[1:05:03] this year.
>> Yeah.
[1:05:04] » And we're reducing that to a 20,000
budget item for next year.
[1:05:09] » Yes.
uh do we not plan on spending as much?
[1:05:13] What's what's the difference?
>> Yeah. So, purchase services is it's kind
[1:05:18] of a catchall for whenever we receive
grants and they require us to contract
[1:05:24] out for something related to that grant.
It goes in that line item. And so the
[1:05:30] 26,000 is because we had received a DOJ
grant which required us to purchase
[1:05:35] billboards throughout the county. And so
we had a contract then with layers and
[1:05:41] that's the line item that that came out
of. Um
[1:05:46] unless we know we're going to have
specific grants that raise those items,
[1:05:51] what I budget for are the things that I
know we're going to do from year to
[1:05:54] year. So for instance, that $500 a year
or sorry, $500 for the FET contract that
[1:06:00] comes out of purchase services. We know
we're doing that. We budget for it and
[1:06:04] it's grant funded. Um, I'm trying to
think. There are a number of other
[1:06:07] things that we just every year and we
know we're doing it. So, we budget for
[1:06:10] that.
>> So, your anticipation is there'll be
[1:06:12] less grants next year.
>> My anticipation is that there's no way
[1:06:18] for us to know. We will always apply for
them, but we do not always get them. So,
[1:06:24] I mean, we can we can always inflate
revenues
[1:06:30] at the will of the board if you would
like us to anticipate that we would
[1:06:35] receive grants.
I my my personal preference is to go
[1:06:40] with what we know. Um, and some years
were more successful than other years in
[1:06:46] getting grants. I know that we're in the
process of applying for a few right now.
[1:06:49] If we get the immunization one that
we're working on, it'll be an additional
[1:06:53] $35,000, which would be great, but it is
very competitive. We didn't get it the
[1:06:57] last time we applied for it.
>> So, um, you know, that's
[1:07:03] it will probably from year to year be a
little bit higher than what I budget
[1:07:08] just because oftentimes our grants do
pull from that line item if we're having
[1:07:12] to purchase something because of a
grant. Um,
[1:07:16] » and a similar thought on office
supplies.
[1:07:20] » Yes,
>> we're projecting 7,000 for 2026. We've
[1:07:23] already spent 5,300.
>> Yeah.
[1:07:26] » And we're dropping our budget back to
45.
[1:07:29] » Yes. Um, so here we had um while we were
still trying to figure out our
[1:07:36] accounting for rehab,
we were trying to figure out how do we
[1:07:40] expense items for that program? How do
we make that work with a fund 11? How
[1:07:44] are we? We have also found that in some
instances,
[1:07:49] we already have accounts as a public
health department. It would be a big
[1:07:53] pain to have to create new accounts just
for rehab. So, we'll spend it out of a
[1:07:59] line item that we already have. Instead
of having to, you know, transfer money
[1:08:04] from this program to this line item to
wherever, we just we'll do it within the
[1:08:09] line items that we have. So on what
Stacy was talking about on editing page
[1:08:14] three
>> y
[1:08:16] » uh or basically what rolls up to page
two we would see a line for
[1:08:21] » salaries
>> for personnel and a line for other
[1:08:25] » and then if there were any supplies etc
etc that would be in the that would be
[1:08:30] in that rollup line.
>> Yes in that other line. I mean, I can
[1:08:34] definitely break it out, but it's just
not when we when she during the year as
[1:08:39] she's doing the program, we don't have
like office supply line, postage,
[1:08:46] training, etc. because they make sure in
their description when they're hitting
[1:08:50] that fun 11 account that they put
training for Melissa or
[1:08:55] » right
>> postage. So, like,
[1:08:57] » yeah,
>> the details there. It's just not broke
[1:08:59] out in the budget, per se,
>> right? If we see that there's 10,000 in
[1:09:03] expense there and we're over 2,000 here
for supplies.
[1:09:08] » Y
>> that's a good, you know,
[1:09:11] » however, if the numbers were reversed
and we show 2,000
[1:09:16] » under RIHA and 10,000 up in supplies,
then then we've got the issue health,
[1:09:24] not
>> correct. Yeah,
[1:09:26] » I
>> I don't need the to me I don't need the
[1:09:30] » line by line.
>> Yeah.
[1:09:32] » Below
>> and truly at any point because the um
[1:09:35] and I think we sent around the um
schedule of vouchers. Um if there's
[1:09:41] anything that comes up, it's kind of
just weird or unusual. Um I usually do
[1:09:45] bring it up. Um but yeah, we Melissa and
I try to track that pretty closely.
[1:09:51] Every purchase that we make, which line
item it goes in. Is this cell phones? Is
[1:09:56] this um office supplies? Is this
mileage? Um it's just that yeah, this
[1:10:01] budget would be a very long budget if we
had to do two separate ones. So
[1:10:05] » that's fine. Just so we can track.
>> Yeah. Yeah. Absolutely. So I I think
[1:10:09] you've already answered this. One of the
questions that I had was for travel
[1:10:14] under your health department expenses
and that my question was going to be
[1:10:19] will that cover because we have more
staff, we have Green Lake, we have
[1:10:24] Marquette, different employees from
different areas, there will be a lot
[1:10:28] more travel, but you've got that
included over in this budget. Yes.
[1:10:33] because over here your travel decreased
but yet um we're going to have more
[1:10:39] travel because of re So that's that
question got answered for me. Um
[1:10:45] » yeah, the line bylines that you get here
are the public health budget. The rehal
[1:10:49] line items are the ones that we all
approved in February.
[1:10:52] » And also environmental health, which is
under the health department expenses,
[1:10:58] that's $23,000.
Yes. So environmental health is separate
[1:11:03] from rehab.
>> It is.
[1:11:06] » Okay.
>> Yes. And let me explain that to the
[1:11:08] group too. So for as long as we have had
an environmental health consortium um we
[1:11:15] have had to pay a portion of tax levy to
to have those services because there are
[1:11:21] portions of environmental health that
are unfunded mandates. And so we have
[1:11:26] always paid whether it was washer county
or put that money towards our own
[1:11:31] programming, we have always had a line
item where we are accounting for the
[1:11:36] environmental health complaints and
tracking and all of that enforcement
[1:11:40] side of it. So when you're looking at
the public health budget, the
[1:11:46] environmental health line item is our
portion. It's the Marquette County
[1:11:51] portion to pay for the unfunded mandates
of the environmental health program. Um,
[1:11:57] this line item hasn't changed a whole
lot over the years. I did put an
[1:12:02] anticipated increase of about $500 for
next year just to keep up with
[1:12:05] inflation, but um that is something that
like I said, we have had to chip in as
[1:12:12] long as we've had these programs because
there are un unfunded portions of the
[1:12:17] rehab program. And again, when we when
we go through and do our rehab budget,
[1:12:23] that is a section when we talk about the
funding for environmental health
[1:12:27] complaints that is listed specifically.
There is a line item where it comes from
[1:12:31] us, Marquette County, as well as from
Green Lake County. They cover their
[1:12:34] portion as well.
John,
[1:12:38] » yeah, if you could go back to that
example of office supplies and
[1:12:46] » Yes.
>> So, yeah, that's that's right. Um,
[1:12:50] so $7,000 expected expense, 4500 budget.
Where does that difference of that 7,000
[1:12:58] where does that end up in the
environmental health program is does it
[1:13:03] show where that ends up? So what had
happened here is again when we when we
[1:13:08] first started Reha up there was there
was an amount of infrastructure supplies
[1:13:13] that we needed to purchase right and as
time goes on that's pretty minimal from
[1:13:18] year to year right it's not that
expensive to replace paper clips but
[1:13:21] when you have to get paper paper paper
clips uh laptops laptop bags all the
[1:13:25] supplies they need for um for the
program for three new staff people
[1:13:31] we didn't quite have a sense of how we
were going to
[1:13:36] account for rehab being separate within
this budget.
[1:13:41] » So those initial purchases, a lot of
them were put under office supplies
[1:13:45] because we had to make the purchases and
they had to go somewhere. It was the
[1:13:49] most logical place. Now what we did then
is once we determined, you know what,
[1:13:54] this has to be a fund 11 account. Now we
have account numbers, we work with Stacy
[1:13:58] to make sure that we, you know, situated
our accounting practices. Then REIHA
[1:14:04] will the REIHA account will reimburse
the public health account
[1:14:08] » and is that shown somewhere here?
>> I mean not a specific line item. No, but
[1:14:14] it would show up in um uh revenues
health department revenue and it would
[1:14:19] show up as a rehaw expense.
>> Okay, I get it.
[1:14:23] » So
So yeah, in the beginning we had to kind
[1:14:27] of finagle things around while we were
trying to figure out the best way to do
[1:14:30] the accounting.
So, health department revenue then that
[1:14:34] line item that we were just looking at.
Yep.
[1:14:36] » That would include some inter account
transfers,
[1:14:40] » interdep departmental transfers
>> only that one time when she was starting
[1:14:44] the right the reh stuff.
>> Yeah.
[1:14:46] » Now, going forward that health
department revenue, correct me if I'm
[1:14:49] wrong, Jamie, is your um your other
program.
[1:14:54] » Yeah. I want to say foot those are I
think your top two. That's what goes
[1:14:59] into that health department revenue.
>> Yes.
[1:15:02] » If it was a transfer between her funds,
you would see a transfer line in there.
[1:15:09] » So that health department revenue is
what you were talking about if some
[1:15:13] piece of equipment goes down that you
have that money available for that.
[1:15:17] » Hang on here.
>> No, that's this guy.
[1:15:22] » This one or this one? Right, Jamie?
>> Property abatement.
[1:15:25] » It's equip. There we go. Here we go.
Yep. health equipment revenue. This one
[1:15:28] right here,
>> fund 11.
[1:15:30] » It's the fund 11 account. Yeah. So, that
was the revenues. Now, where that comes
[1:15:34] from is we have our equipment loan
closet. And so, when people, you know,
[1:15:38] they spend $5 to rent a walker.
>> Yeah.
[1:15:41] » Every month, the money that we receive
from that goes into the fund 11. And you
[1:15:45] can see up above what the balance is for
that. Uh where's our equipment outlay?
[1:15:49] Here we go.
>> This is This is your amount.
[1:15:53] » Sorry. I'm sorry. I don't want to make
you jump. This is your amount that is
[1:15:57] spent each year through y
>> through each. Now there's a piece that I
[1:16:02] don't necessarily show all the time,
>> but there's a balance that is in down a
[1:16:08] little bit more.
>> It's not on here, but here would be
[1:16:12] another section that would show her fund
11 and what her balances are at.
[1:16:17] » That's what I'm asking. when you said,
"Well, you go over by that that month,
[1:16:24] » you know, the
>> equipment revenue." Well, there $220 or
[1:16:30] $470.
>> It adds up,
[1:16:33] » but how much is there really?
>> There's in there. So
[1:16:40] she has
[1:16:43] projected to ending balance of for
123126 about $12,000 is sitting in there
[1:16:51] and that's about what she kind of
carries over every
[1:16:54] » if you're looking at this it's under
outlay. Where are we?
[1:17:00] » Health department project outlay. So it
says 11,512
[1:17:04] in the um administration report that you
have.
[1:17:07] » Yes.
>> So yeah, we're able to keep track of
[1:17:09] that and we we spend very little out of
it. But if a wheelchair breaks or we
[1:17:14] have to replace a tire or um we have to
buy new um tennis balls to go on the
[1:17:19] bottoms of our walkers, like that's what
comes out of. But then the idea is that
[1:17:23] if our cooler were to ever die, if we
have a grant that we can strategically
[1:17:28] utilize, we'll do that. But if we don't,
we have this balance that has has
[1:17:33] accumulated very slowly over time that
would allow us to allow us to cover that
[1:17:39] cost.
>> Yeah. Because when you talked about that
[1:17:41] initially, you said you had that that
fund 11 and I wasn't seeing where that
[1:17:48] money was available or how much there
was.
[1:17:50] » Yeah.
>> Okay.
[1:17:51] » Yep. And they question
>> do show up on the monthly reports. It
[1:17:56] just so happens it isn't on the actual
budget for this. Yeah.
[1:18:01] » Okay. I got to figure out where we left
off here.
[1:18:04] » I had a question also on travel.
>> Yeah.
[1:18:07] » Uh
we're at 1206, but I noted in the August
[1:18:16] detail of of expenses, we've got over
2,000 in travel reimbursement.
[1:18:22] So,
>> so that'll bring us up to 3,200 plus is
[1:18:25] what we're talking about at 3500 enough
to get us through the end of the year.
[1:18:30] » That is if you look that is under
Jessica's expenses and Jessica's a rehab
[1:18:36] employee and so um those expenses will
be attributed to the rehab budget and
[1:18:42] thankfully and the only reason that she
got to go to this training was because
[1:18:45] it was a grant-f funed opportunity for
her. So, um, but yeah, so that funding
[1:18:51] will come out of the reha expense
account and then we'll be reimbursed by
[1:18:56] the grant which is the FDA program
standards.
[1:19:00] » Okay. So, Kyle and Amber are also rehy
and Amber and and their job is literally
[1:19:06] to drive around and do all these things.
>> Kind of what I was figuring is okay and
[1:19:10] if we're doing 400 bucks a month for
them,
[1:19:14] » yeah,
>> we're not going to hit it with what
[1:19:16] we're budgeting. So,
>> no, this this budget would definitely
[1:19:20] not be able to support the environmental
health program, but this is the the EH
[1:19:25] program has a much a much healthier
um budget for that reason because their
[1:19:31] job is to go to different facilities.
So,
[1:19:34] » and would it make sense that we have a
car? I hate to bring that up, but
[1:19:39] » we've we've talked about it. The problem
is is that in order for them to get all
[1:19:45] of their work done, they should all be
doing inspections most days.
[1:19:51] So, we would need three cars. And we
have a staff person that's also
[1:19:55] stationed in Green Lake primarily to
again cut down on mileage and whatever.
[1:19:59] But so, we'd have to have a vehicle
stationed there.
[1:20:04] We've talked about it, but I don't I
don't know that that's
[1:20:09] » I don't either. That's why I asked the
question. So, as long as we're looking
[1:20:12] at it and keeping our eye on it, if I
mean
[1:20:15] » expenses get to the point where we're
looking at four 6,000 a year, it may be
[1:20:21] beneficial for us to have something, but
>> I'd have to defer to our administrator
[1:20:25] here on whether that's a conversation to
have.
[1:20:27] » I have a lead on a 1973
>> Pinto.
[1:20:31] » Awesome.
>> Just don't, you know, sit in the back.
[1:20:35] But,
>> Right. Right. I mean, we we can evaluate
[1:20:40] that in a more um intentional way if you
would like us to. Um at this point, like
[1:20:46] if if we were able to work it such that
all three of them were able to utilize
[1:20:51] one vehicle that actually you could
probably make that work, but the way
[1:20:55] that their schedules are and to get it
all done, they're pretty much all out
[1:20:59] and about every day. It would be hard to
coordinate that
[1:21:02] » and I I get that. But when I'm looking
at travel and 3500 a year, I was like,
[1:21:07] well, we're running those expenses
monthly.
[1:21:10] » It's not going to work. But so the bulk
of those are rehab. So it's in a
[1:21:14] different spot. It'll reflect in what
what Stacy's going to give us in total.
[1:21:20] » Yeah.
>> But we could pull that up if we asked.
[1:21:24] And
>> 100%
[1:21:25] » travel mileage and in that fund 11 would
be X a year.
[1:21:30] » Yes.
>> Gotcha. I'm good. And I was going to
[1:21:33] say, and if you'd like to after this, we
can go through and do the rehab budget
[1:21:36] overview, too.
>> Okay.
[1:21:40] » If Stacy and Ron are good with it, it
works. I just want to understand it.
[1:21:44] » Yeah. Yeah. Abs. I know it's We tried to
keep it simple by having them in two
[1:21:49] line items, but that makes it hard for
you guys to pull apart and see which
[1:21:54] parts were what, right?
>> Yeah. It took several meetings, Chuck,
[1:21:56] for me to even wrap my head around it
with Jamie to sit down and figure just
[1:22:01] what we have here.
>> And I I get it. And if you know, if I'm
[1:22:06] being redundant on questions, that's
okay. But
[1:22:08] » yeah, that's fine.
>> I'm trying to get there with you guys.
[1:22:12] » Yeah, I was going to say it's it's a
beautifully color-coded um spreadsheet
[1:22:17] if you're ever looking for something to
do on an afternoon. We'll go through it
[1:22:21] together.
[1:22:24] Are you bringing popcorn?
>> You know what? If if you're coming, I
[1:22:29] will I will bring popcorn.
>> Awesome.
[1:22:31] » I'll even pick it up from downtown. Get
you something fancy.
[1:22:34] » It's an expense.
>> Yeah.
[1:22:36] » Yeah, that's quite the expense, but
okay.
[1:22:38] » It would be a special meeting.
>> Okay. All right. So, um, anything else
[1:22:46] before we start getting to where the
changes are in line items? I had a
[1:22:49] question on revenues if you are ready
for revenue discussion.
[1:22:54] » Well, I was going to say let's let's go
through the um the line items up here
[1:22:59] and then we'll get down to where our
revenues are.
[1:23:02] » Perfect.
>> Okay. So, for telephone, we had an
[1:23:05] increase of $500. That's just a
trajectory based on what we've been
[1:23:08] seeing with the cost of our individual
lines, cell phones, things like that. Um
[1:23:14] dues, we had a reduction of $250. That's
because we dropped our Wisconsin Public
[1:23:19] Health Association fee. Um, we were
finding that we weren't really going to
[1:23:26] enough of their trainings that being a
part of the association was saving us
[1:23:31] any money. And Waldab is a a far more
advantageous
[1:23:36] partner in terms of being in an
association. They save us a lot of
[1:23:40] money, a lot of time. They offer us a
lot of great resources. So, we
[1:23:44] maintained that one, got rid of the
public health association one. That's
[1:23:48] the difference of 250. Um, and that's
something that's happening across the
[1:23:52] state. That's not just Marquette County
going rogue. It's uh there's a lot more
[1:23:57] value to us in Waldab.
Um, in terms of travel, mileage, other
[1:24:03] and training, those were reduced by our
budget team. However, um
[1:24:10] that, you know, based on trajectories,
it does make sense. I don't see it being
[1:24:16] too terribly different from what we're
looking at for the budget this year. The
[1:24:22] only reason that I had maintained the
levels the way that I had for this
[1:24:25] coming year is because once those CO era
grants go away,
[1:24:30] then the state starts passing those fees
back along towards us. So instead of you
[1:24:35] know providing us stipens for trainings
and whatever those things will go back
[1:24:39] to being full cost but I don't
anticipate that happening this year. I
[1:24:43] had just sort of maintained it because
it's easier to keep it in a budget than
[1:24:46] to try to get it back. But um but for
2027 that's probably pretty accurate. Um
[1:24:55] then looking at pharmaceutical and
medical supplies things cost more but
[1:25:00] we're ordering fewer of them. So, for
instance, our flu shots, um, we don't
[1:25:05] order nearly as many because we aren't
providing as many. So, even though they
[1:25:10] cost more, we're not going to increase
the expense side of that. Um, for
[1:25:16] equipment, that may be accurate, too.
Um,
[1:25:20] you know, sometimes you have things that
have to be replaced. Um, oftentimes
[1:25:23] that's, you know, laptops for new
programs. We don't necessarily have
[1:25:28] anything upcoming where we would have to
purchase it. At this point, we're on the
[1:25:31] rotation with MIS. So, um, again, pro
probably accurate for 2027.
[1:25:37] Um, for TB and immunizations,
we are, oh, sorry, I lied to you guys.
[1:25:44] The pharmaceutical and medical supplies,
we are ordering fewer of some of those
[1:25:48] things and that is where that sort of
washes out. But in TB and immunizations,
[1:25:53] um the reduction in the number of flu
shots that we are given is reflected in
[1:25:59] that $5,000 decrease. And again, that's
that's based on projections, based on
[1:26:04] what we've seen the last couple years.
We're not buying as many. We're not
[1:26:08] giving as many. You know, why budget for
the expense? And
[1:26:13] » just the what we're seeing there with
the 20,000 in pharmaceutical medical of
[1:26:18] actual
>> I assume there's an offset or a transfer
[1:26:22] that happens there.
>> Yeah. So um like when you see here if
[1:26:25] we're looking at our 2026 budget how we
anticipated that it would be about
[1:26:29] 20,000. So this is another one of those
where we received a grant and we were
[1:26:33] able to purchase COVID and flu test
kits. And so, you know, obviously we
[1:26:38] received the money. It comes into our
revenue section, but you have to expense
[1:26:41] it out of somewhere. And we didn't know
we were going to be getting that grant,
[1:26:45] so we didn't budget for it, but um when
we made those purchases, they came out
[1:26:50] of that line item, which is why it's
higher than it typically would be. But
[1:26:54] since that grant expires this month,
>> it did last.
[1:26:57] » Yeah, I was going to say it's very soon,
if not already. Um obviously, we're not
[1:27:01] going to have it next year. So, we
didn't budget for that.
[1:27:05] And then for environmental health,
again, this is the um the unfunded
[1:27:11] portion of our environmental health
program, which we increased by about
[1:27:15] $500 just to keep up with um inflation.
But in general, our um
[1:27:23] we've we've made a fairly significant
reduction in the non-personnel expense
[1:27:28] side of public health. So, we were
hoping you would forgive us the 500 for
[1:27:33] environmental
Um, okay. So then coming into
[1:27:40] our fund 11s, I generally with the
exception of rehab budget these all at
[1:27:45] zero because unfortunately when the
spreadsheets get to them, it counts
[1:27:49] against what levy would look like. even
though they don't get put back to levy
[1:27:54] if we, you know, say for instance
make a bunch of money in the health
[1:28:01] equipment outlay that doesn't go to
levy. So I just budgeted a zero so it
[1:28:07] doesn't affect our our overunder in the
full budget. Um, in REIA when we budget
[1:28:12] for it, um, we make it same in, same
out. Even though, you know, when we come
[1:28:18] in at the end of the year, it might be
more likely
[1:28:22] came in under budget by $1,500, I still
we're supposed to be budgeting for net
[1:28:28] zero. So, that is what I put into here.
It's what I try for. Um, in terms of our
[1:28:34] state aids, I did keep them the same for
this. Oh, wait.
[1:28:40] Yeah, I kept them the same for this year
going into 2027. Um, we do still have a
[1:28:46] few of those lingering COVID era grants
and um, we've tried to be really smart
[1:28:51] about expending these. A lot of our
public health partners used them right
[1:28:57] away when they got them. Some of these
grants we've had for now five years
[1:29:00] plus. We've really tried to say we're
only going to spend $20,000 a year every
[1:29:06] year until this grant is gone. We're
only going to spend 50,000 a year each
[1:29:10] year of this grant so that we could
stretch it as long as possible. This
[1:29:15] 2027 is the last year of those grants.
They all sunset after that point. That
[1:29:21] would bring us closer to a um estate aid
revenue between 90,000 and $100,000 a
[1:29:27] year. That's about where our typical
revolving program grants are sitting
[1:29:34] right now. Um, obviously again, we
continue to apply for more
[1:29:38] opportunities. That's just I, you know,
full disclosure to my board. That's what
[1:29:43] we're what we're looking at. Um, and I
know we talked about this a little bit
[1:29:48] before, but in terms of the health
department revenue, we are seeing
[1:29:53] decreases in the utilization of some
services. However, with the increased
[1:29:58] revenue that we can collect by um by
increasing the fees for our flu clinics,
[1:30:03] that should make up the difference in um
the vaccinations that we're not giving.
[1:30:07] And again, that's a a net zero impact
out of pocket for our consumers because
[1:30:13] this is billing the state funding
programs, not um they're not out of
[1:30:17] pocket
fees.
[1:30:21] » Did that answer your question, Chuck, or
>> No.
[1:30:23] » Okay. But I like everything you said.
>> Okay.
[1:30:27] » I was just looking at state aid for this
year. We've only received through 6
[1:30:31] months 59,000.
>> We're expecting to get 140. So we're
[1:30:37] under half.
>> Um it and I was looking at human
[1:30:42] services budgets and I know their state
aid kind of comes in more late than
[1:30:47] early.
>> So I didn't know if yours was the same.
[1:30:51] Yeah.
>> And that's why we're looking for 140 at
[1:30:55] this year because it's more of a timing
issue than a steady monthby-month
[1:31:01] number.
>> That's that's pretty typical. And a lot
[1:31:04] of what we find in and poor Melissa can
can vouch for me on this. We get
[1:31:11] we have to wait until our contracts are
fully executed before we can start
[1:31:14] billing on our grants. And
unfortunately, sometimes we're waiting
[1:31:18] three, four, seven months for the
contracts to be executed before. So
[1:31:23] there are some things where we're doing
the program, we're tracking it, we're
[1:31:27] billing against the grant to the state,
but they won't reimburse us until they
[1:31:31] send the contracts through. We just kind
of have to wait. Once I get them, I'll
[1:31:35] get them read and signed, you know,
within a couple days, but sometimes we
[1:31:39] have to wait a while for them those to
come through as well.
[1:31:41] » So it's more of a timing thing.
>> It's definitely a timing thing. probably
[1:31:45] have like three major grants right now
where it's multiple months we're going
[1:31:49] to be we're waiting for pays.
>> Okay.
[1:31:51] » Yeah. So it will show hopefully next
month.
[1:31:57] » Just kind of stuck out to me. So
>> absolutely. And and these are our June
[1:32:01] numbers. So So yeah, even
>> even if we were to take a snapshot of
[1:32:06] right now, it would be obviously greater
than what's in our projections here. So
[1:32:10] » great. Got it.
>> Okay. So then um I guess rolling back to
[1:32:19] our sheet here, the um I guess just the
overall
[1:32:24] budget um situation that we're in. Sorry
guys. We will be we're expecting to
[1:32:32] return approximately $9,749
to the general fund. That is um
[1:32:39] partially because of some grants that
we've been able to do. um
[1:32:44] you know we've been able to fund some
people's time with the other thing we've
[1:32:47] been able to do is um I shouldn't say
we've been able to do but we had some
[1:32:52] staff changes so there was a little bit
of time in there where we weren't paying
[1:32:56] for as much salary so that accounts for
most of that. Um we anticipate going
[1:33:02] into 2027
a net increase of about 11,789.
[1:33:11] Um but given the fact that the health
insurance increases alone were over
[1:33:15] 15,000
um you know that's it's not worst case
[1:33:20] scenario but that was an increase of
about $20,000 in personnel expenses and
[1:33:25] a decrease of 8,250 in non-personnel
expenses. So that's that's where we
[1:33:32] equal out in the end.
[1:33:38] Okay. My question to you is, is this a
realistic budget
[1:33:44] for your department?
>> I mean, I
[1:33:49] it's always hard to know, but I mean,
based based on projections, based on how
[1:33:54] things have been from year to year to
year,
[1:33:58] I
factoring out any potential grants. Like
[1:34:02] I said, we apply for them non-stop. You
never know what you're going to get. I
[1:34:05] don't I don't think this is
unreasonable. I really don't like I said
[1:34:09] the end the only part where um I called
out that it that something may change in
[1:34:16] the future is in the section that the
the budget team had made some
[1:34:20] adjustments on but I still think it
would be fairly accurate for this year.
[1:34:24] it's just going into 28 29. Um if the
state's not receiving those COVID era
[1:34:31] grants, they can't pass along those
savings to us. And so we end up
[1:34:35] traveling more, paying for more
trainings. Um you know, we'll do what we
[1:34:40] can to have them covered by grants where
we can. Obviously, we try to be creative
[1:34:44] where we can be, but for 2027, I think
that's
[1:34:48] because my position is, you know, I want
a realistic budget. Number one, we've
[1:34:54] seen and it's gotten better over the
years throughout the county that we've
[1:35:00] seen um overestimating expenses and
underestimating revenue. And again, I
[1:35:08] Gary knows this going back to years ago
when I would always say that when we
[1:35:13] would be at the um budget hearings that
let's make them more realistic. And I
[1:35:20] understand you can't anticipate if
you're going to get a $20,000 grant or
[1:35:26] but you have to go with trends and
that's what I see here. And if it's
[1:35:32] realistic and it's attainable, I don't
have an issue with it. If it's not
[1:35:37] realistic, then let's address what needs
to be done. Whether there needs to be an
[1:35:42] increase or a decrease. And I know
that's a terrible thing to say, an
[1:35:45] increase, but if it's realistic, I'm
okay with it.
[1:35:51] » Yeah. I mean, certainly there are areas
where we did increase our anticipated
[1:35:54] expenses based on projections. Um,
like I said, I we we can't know about
[1:36:01] our grants,
but barring that, this is
[1:36:07] I don't I don't think there's anything
that's too too fluffed up or too
[1:36:11] deflated that it wouldn't be close to
what we should expect.
[1:36:16] » The budget team that we did, aside from
the changes that were made, we did agree
[1:36:21] that this was a good this budget's very
hard to do compared to other because
[1:36:27] that five-year trend analysis that we
had usually applied uh we're still
[1:36:32] factoring in some of this COVID stuff
and public health all it takes is a
[1:36:37] crisis like Ebola or swine flu or
something then all of a sudden you see a
[1:36:42] great interest the money flows in then
it trickles out and sometimes doing this
[1:36:48] trend analysis is very difficult so I'm
inclined to take you know year three and
[1:36:53] four of the co years and just throw them
Are there outliers?
[1:36:58] » But that doesn't mean something else
isn't going to happen.
[1:37:04] » Anything else from the committee?
>> Well, and then I'll point out too that
[1:37:08] the health insurance that can really
wobble a budget. It can flip-flop
[1:37:13] numbers very quick. All you need is one
employee to leave who was on a family
[1:37:18] plan. The next employee comes in and
their spouse works somewhere else that
[1:37:22] has great insurance. They don't take the
county's insurance. And that department
[1:37:26] looks like a winner because their budget
just went way down.
[1:37:32] » Meanwhile, the next department over
hires a newbie and they take the family
[1:37:37] plan where maybe before they had a
single person in that job and all of a
[1:37:41] sudden that one takes a big hit. So
budgets can wobble big time with the
[1:37:46] health insurance. And it looks like
yours wobbled a little bit. Something
[1:37:50] happened there that you jumped from 35
to 50. But um
[1:37:55] » one of your staff took one took the
single didn't have it or
[1:38:00] » got married or something.
>> But
[1:38:03] » u that's part of it and it and like I
say some departments will come off
[1:38:08] looking great because they lose somebody
that was on a family plan and the next
[1:38:13] one doesn't take it or takes a single
plan. So
[1:38:16] » and that is a fair point. I guess I
didn't consider that when I was talking
[1:38:19] to you about this, but um because
obviously she works here this year. So
[1:38:24] to me that was already factored into our
insurance situation. But yeah, this year
[1:38:30] we had a new employee start that took a
single plan where that previous employee
[1:38:34] did not. Um
so that that would factor
[1:38:39] » that explains a portion of the 50 plus
>> portion of it. Yeah. Yeah. from what
[1:38:43] over what we had budgeted for 2026
because for 26 we didn't realize we'd
[1:38:47] have a different employee at that time.
So yeah,
[1:38:51] that is true. But then the rest of it is
that 11% increase. Just
[1:38:55] » the basic
>> Yeah.
[1:38:58] Okay.
Anything else from the committee?
[1:39:03] Thoughts, concerns, questions?
Because the next step in this process is
[1:39:11] either approve or deny this proposed
budget. And if we do um decide to make a
[1:39:19] motion to approve it, it would be moving
forward with the executive finance
[1:39:24] committee.
>> I would like to ask just one more
[1:39:28] question. Um I don't want to take too
much time though since I might be the
[1:39:32] only one interested in this, but I would
like to understand again going back to
[1:39:37] that um pharmaceutical medical supplies
expense where it's budgeted at 3,700. We
[1:39:43] expect the uh total to be 20,000 from
this year. There's going to be some kind
[1:39:48] of a transfer to bring that back to
where it where we'd expect it to be. I'm
[1:39:53] just not seeing where that's coming
from. What what other line item where
[1:39:58] would that come from?
>> So where that where you'll see um the
[1:40:03] the difference made up is in that state
aid area. And obviously it's not broken
[1:40:08] down by every single deposit that we
make from state aid,
[1:40:13] » but um within pharmaceutical and medical
supplies, we had that grant was 25
[1:40:19] 27,000
um and we were able to use a small
[1:40:23] amount of that to cover the time to
administer the program, but otherwise it
[1:40:27] was truly purchasing COVID test kits and
flu test kits. That was split over two
[1:40:32] years. So it was split in 2026.
um and 2025.
[1:40:39] And so you're not seeing that full
$25,000 reflected in our um in our
[1:40:46] projections just because we'd already
spent a portion of it. But after we make
[1:40:51] that expense, we then build state and
that funding would come in here in that
[1:40:56] state aid line.
So that is accounted for in the
[1:41:03] um 140,000 that we're anticipating.
>> Okay.
[1:41:13] » Thank you.
>> John, you have something else?
[1:41:16] » That's all.
>> Gary,
[1:41:18] » um I guess my only other question that
I've asked different departments uh that
[1:41:22] I've gone to meetings, uh your full-time
equivalency did not change. Is that
[1:41:26] correct on
>> correct? Yeah, we um I mean the health
[1:41:30] department is
>> Yeah, the overall
[1:41:32] » where we're at right now.
>> Status qual.
[1:41:33] » Yep. As I say, we we had one staff
person turn over, but in terms of the
[1:41:37] number of individuals we employ here,
same.
[1:41:40] » Okay.
[1:41:46] » Okay. What's the wishes of the committee
regarding the budget?
[1:41:56] Approve it.
>> What's that?
[1:41:58] » I'll approve it.
>> Okay. You are you making a motion to
[1:42:02] approve the current the proposed budget
and um move it to executive finance?
[1:42:08] » Yes.
>> There is a motion on the floor.
[1:42:13] Is there a second?
>> I'll second it.
[1:42:15] » Okay. There's a motion and a second. Any
further discussion?
[1:42:21] Anybody?
[1:42:24] All right. All in favor say I.
>> I.
[1:42:26] » I.
>> Opposed.
[1:42:29] » Motion carries.
>> All right. Next item
[1:42:35] on the agenda is the introduction to the
county health rankings.
[1:42:42] So, I think the county health rankings
are a really cool thing and I was hoping
[1:42:47] to be able to spend a little bit of time
on this. That was probably wishful
[1:42:50] thinking, but it is fairly user
friendly. And so, um, I think I'm just
[1:42:57] going to show you what it is and show
you a little bit of how you can maneuver
[1:43:01] in it. And if you ever find yourself
with a couple extra minutes and you want
[1:43:04] to poke around and see what's going on
in Marquette County, um, then please do.
[1:43:10] Um, but I just I felt that this was
important to talk about because when you
[1:43:15] look at the mandates of public health,
there's so much about assessment,
[1:43:19] surveillance, tracking, monitoring, and
the work that we do is generally
[1:43:24] speaking required to have an evidence
base, right? We have to be able to show
[1:43:27] that there's a true need that's
measurable. We have to be able to show
[1:43:30] that there are outcomes that are
measurable. And one of the tools that we
[1:43:35] utilize to measure that is a a website
that's called the county health rankings
[1:43:40] and road mapaps. And so if you were to
go to Google and just type in county
[1:43:46] health rankings, you will get this
website here.
[1:43:50] And what you're going to want to do is
scroll down a little ways and say find
[1:43:54] data by location.
[1:43:59] And um you can you can search by state,
county, or zip code. However, I tend to
[1:44:04] just type in Marquette. You have to be
careful. They do include Michigan. This
[1:44:09] is a nationwide um tool, so everybody's
in it. Um and the cool thing about this
[1:44:18] is that they show what's going on in
Marquette County. They show what's been
[1:44:22] going on in Marquette County over the
years. So you can see you can look back
[1:44:27] at reports back to 2011. Now they will
say and there are disclaimers if you
[1:44:34] look in the data it will say these are
not apples to apples. Sometimes the
[1:44:38] tools that they're using to measure
these things become more robust. They
[1:44:42] become um you know they might start
looking at different types of data but
[1:44:49] it still gives you a fairly decent
picture of how things are changing in
[1:44:52] your area. I'm going to stick with with
uh 2025 for right now. But then they
[1:44:58] give you sort of an overview. You can
see Marquette County is considered
[1:45:00] rural. We are 100% rural in Marquette
County. We have a low population
[1:45:05] density. And then they give you
snapshots of where the population is and
[1:45:12] how healthy we are. Now you can click
oftentimes there will be a little chart
[1:45:17] that shows you what the trends are. So
you can see how we've improved or
[1:45:21] declined over time. You can see how we
compare to the healthiest and least
[1:45:26] healthy communities in the nation.
And then you can go through and you can
[1:45:32] look at how we rank in these different
areas. So you can see length of life um
[1:45:40] and other different factors that impact
how healthy a community is. Things like
[1:45:45] low birth weights or poor mental health
days.
[1:45:49] You can also look at community
conditions
[1:45:53] and um
these include how many people are
[1:45:59] getting flu vaccinations. Um how many
dentists are there? How many doctors are
[1:46:04] there? Are there shortage areas for
these providers that help keep people
[1:46:08] healthy? Again, if you were to ever
click on any of these, you could see
[1:46:12] like we'll just click on one for
instance.
[1:46:15] You can see how we compare to Wisconsin,
the United States, and our own selves
[1:46:21] over time.
[1:46:27] And then there are many other factors
that you can look at, even like access
[1:46:30] to a library, which most people don't
innately think about as a health factor.
[1:46:35] However, an educated community is often
a healthier community. and having access
[1:46:40] to libraries even if you don't have the
money to purchase books and services can
[1:46:44] go a long way in making sure that people
continue to have healthy.
[1:46:48] So
this is really cool that you can go
[1:46:51] through and you can say hey what's
Marquette County doing? How do we
[1:46:54] compare to others? What's really fun is
you can also say well how do I how do we
[1:46:58] compare to other people? And you can
say, I'm going to select another
[1:47:04] community.
[1:47:08] We'll just say Adams County because
they're next door.
[1:47:15] We're really not gonna
[1:47:19] certainly Adams County is not in
Wisconsin. Scroll down.
[1:47:23] » You got to scroll down.
>> Okay. I was gonna say I'm like, why am I
[1:47:25] not see? Okay, here we go. Thank you
guys. I'm sorry.
[1:47:28] » All right. But you can you can actually
have up to four counties side by side
[1:47:33] and compare. Well, how how are we
compared to Adams County? It looks like
[1:47:39] in terms of years of potential life
lost, Marquette County may actually be a
[1:47:44] little bit above our neighbors. So, you
can you can do this for any county in
[1:47:48] the nation. If you wanted just to
compare how the Marquette counties of
[1:47:53] the nation are doing, you can put them
side by side. If you want to look at our
[1:47:57] neighbors, if you want to look at how we
compare to an urban versus a rural
[1:48:01] community, you can do that. Um, now
again, obviously I'm not going to go
[1:48:05] through and look at each of these
different factors and talk about them.
[1:48:09] But when we are looking at potentially
either adding programming or when we're
[1:48:15] doing our community health needs
assessment, which is a mandate for
[1:48:18] public health, we are looking at this
data. So, one of the reasons that we
[1:48:24] continue to host a foot clinic here in
Marquette County, first because it
[1:48:28] covers itself in terms of cost, right?
So, it meets our criteria match in terms
[1:48:33] of our programs and being allowed to
have them. But when we look at the data
[1:48:36] for Marquette County, we see that slips,
trips, and falls are one of the number
[1:48:40] one causes of um unintentional or um
early death in our communities. And in
[1:48:47] Market County, we're actually close to
number one in terms of unintentional
[1:48:52] slips, trips, falls, and then the health
consequences of those. And so when we
[1:48:58] look at those numbers and we say, "Hey,
we've got this program that doesn't cost
[1:49:02] taxpayers anything. It provides a
valuable service and it makes it so that
[1:49:06] our our seniors can be healthier for
longer in our communities or just people
[1:49:10] in general can take better care of their
feet and be more mobile and be healthier
[1:49:14] longer. that's an opportunity that we're
going to take advantage of, but we have
[1:49:18] to be able to show that it's something
that's worthwhile and you know,
[1:49:23] statistically it matters in this
community. Um, at one time we were
[1:49:27] spending a lot of time and effort
partnering with um,
[1:49:32] oh my gosh, Marshfield Clinics to bring
in mobile mimography. And one of the
[1:49:37] reasons that we were able to prove that
we could utilize that partnership here
[1:49:41] in Market County is that we had really
low levels of mimography screening. This
[1:49:47] has improved in the last several years.
When we first started that program or
[1:49:51] attempted to have that partnership,
Marquette County was in like the 20%
[1:49:56] range. Um, so then you could see,
you know, how we compare to Oh, they're
[1:50:04] just doing Adams County now. They're not
going to show the whole nationwide, but
[1:50:07] we were like 50%
of if the nationwide average was 80% of
[1:50:14] individuals were having this annual
screening done, Marquette County was
[1:50:17] half of that. We were just we were not
doing great. But we could justify it. We
[1:50:21] could have those conversations with our
partners and say, "This is a true and
[1:50:24] legitimate need. Here's how we can prove
it." Um, so again, I'm not going to go
[1:50:30] line by line, but it is a really cool
website to poke around in. You can add
[1:50:34] any county in the nation. Um, but just
know that it is one of the many tools
[1:50:38] that we utilize in Marquette County to
justify our programs or efforts and then
[1:50:43] also just to assess where we're at in
terms of health.
[1:50:48] Does anybody have any questions?
>> Um, I guess I do. Um,
[1:50:54] how about because I've had people come
up to me. They're not from Marquette.
[1:51:00] they're from with
>> Sherah,
[1:51:02] » but um there's been an increase in
cancer deaths among younger people and
[1:51:10] then how that environmentally is. So
cancer screenings I would think would be
[1:51:18] » yeah they've changed what's available
for some of these.
[1:51:21] » Right. So, but when you said mamography,
I'm thinking and this is
[1:51:25] » yeah,
>> there's been an uptick of multiple
[1:51:27] myyoma in that area and it's concerning
if if you um put statistical
[1:51:34] information together as far as
environmental and how
[1:51:38] » these are people in their 50s and 60s
and so it's very concerning,
[1:51:43] » right?
>> There's been six deaths in the last four
[1:51:45] or five years.
>> Yeah. and they um I will say kind of
[1:51:50] » and because it's a rare cancer that's
what's concerning about it,
[1:51:53] » right? It's why it stands out so much,
>> right? So I'm like so because they're
[1:51:57] close to us, I'm wondering if that kind
of information is you're not going to
[1:52:03] find that in the county health rankings.
I just went to to do a quick scroll
[1:52:07] here. Um it is generally not broken down
that closely. Now, if we're looking for
[1:52:14] something like that, vital records would
probably be where we would look for that
[1:52:19] data. Um, the WISH data, which is
Wisconsin statistical health data, is I
[1:52:27] think what that stands for. Um,
that would allow you to look more at
[1:52:31] diagnosis, cause of death. Um,
obviously, as a public health
[1:52:36] department, we have access to vital
records. It is a confidential database,
[1:52:39] but we're only able to see within Market
County. So, I couldn't look it up and
[1:52:43] say, "Well, how do we compare nationwide
or how do we compare to our neighbors
[1:52:47] or, you know, even down south versus
northern states?" Um, but when you're
[1:52:54] talking about screenings, that's where
public health could benefit because a
[1:52:57] lot of these people are are not getting
screened and there's a lot of cancer
[1:53:02] screenings you can do. I mean, not just
public health, but educate people to
[1:53:08] do.
>> Yeah. to seek their primary care and
[1:53:12] establish
>> that they're not
[1:53:14] » they're not educated on.
>> So
[1:53:20] » yeah, absolutely. And um I'm sure you
are all well aware that we are a health
[1:53:25] provider shortage area in Marquette
County. Um the majority of people who
[1:53:30] well most people should go to the doctor
at least once in a while, right? Most
[1:53:35] people should have a primary care
provider, but the majority of people in
[1:53:39] Marquette County are having to leave
Marquette County to establish that care,
[1:53:42] which you know, if you have any sort of
transportation issues, if you have a
[1:53:47] busy schedule and it's just hard to get
away, you're driving further to obtain
[1:53:51] it. Um, and we actually just had
Crossroads Clinic close in market for me
[1:53:56] as well. So, um, you know, we we didn't
have very many clinics to begin with and
[1:54:02] so that certainly doesn't help our
situation.
[1:54:05] » But, um, yeah, certainly public health,
we're always
[1:54:08] » advocating for whether it's cancer
screenings, health screenings, just
[1:54:12] primary care, having a medical home.
>> Yeah. And even sometimes when you do
[1:54:18] have all of those things in place,
sometimes cancer can be a tricky thing
[1:54:21] to
>> Yeah.
[1:54:22] » to find. So, no, I agree with you. This
is not going to nail down something so
[1:54:28] very specific and rare as a type of
cancer. But
[1:54:32] » I guess a lot of people just don't know
even if they go to their doctor what to
[1:54:37] ask for at certain ages. A screening
just cancer screening. There's certain
[1:54:43] » certain things to ask and
[1:54:47] » absolutely.
Okay. I just I just wanted to show you
[1:54:51] guys that and this is this is available
publicly. All you need is an internet
[1:54:54] connection and and you can poke around
and um there's a bunch of other
[1:55:00] information in here and if you're ever
looking at not maybe that you guys
[1:55:04] specifically would, but if we're ever um
being encouraged to attempt a certain
[1:55:09] kind of program to make sure that we're
addressing a certain health problem,
[1:55:13] they do often have evidence-based
suggestions for programs on how can you
[1:55:20] roll something out in such a way that
you would have an actual noticeable
[1:55:24] impact. So they have promising practice
evidence-based programs and
[1:55:29] I mean obviously you still have to put
in the work, you still have have the
[1:55:32] capacity and the funding, but oftentimes
there are templates you can follow if um
[1:55:37] if there's something in particular that
you're wanting to uh you know roll out
[1:55:41] or work on.
Okay, that's all I had for that.
[1:55:47] » Okay, old business the reception update.
Yes. And this um this was requested at
[1:55:54] our last board of health meeting. So um
I figured I would just
[1:56:00] bring it up again for you. Um this is
for for those of you who may not um
[1:56:08] remember we have been updating about
this semi-regularly.
[1:56:13] We have been providing the um reception
services for human services for I guess
[1:56:20] the last couple years. Time flies when
you're having fun. Um but we we have to
[1:56:26] track how we utilize our time. We track
them for our grants. We track them for
[1:56:31] um accountability purposes. And when we
are serving specifically clients that
[1:56:37] are not utilizing anything in public
health, then we track that time
[1:56:41] separately. And you can see that
obviously we have some months where it's
[1:56:45] a little bit higher, some where it's a
little bit lower. Obviously open
[1:56:48] enrollment months seem to be a little
bit busier. Um but we are pretty well
[1:56:53] averaging
um 45 hours a month
[1:56:59] and that's I mean if you look at that
curve that that's pretty consistent.
[1:57:04] Obviously, in the beginning, we were
utilizing or spending a lot more time at
[1:57:07] it, but we were also still learning and
trying to figure out how to, you know,
[1:57:12] engage the public as it related to some
of those programs. Um,
[1:57:18] I don't I don't know if there was
anything in particular we needed to
[1:57:21] tease out for anyone, but since it is
something that we're doing, we wanted to
[1:57:25] make sure that we're accountable to you
and you know how it is that we're
[1:57:28] spending our time.
[1:57:32] the 40 hours a month on average.
>> Does that impact any of our grant
[1:57:38] application status? Either makes it
better because we're doing it for human
[1:57:42] services or it would be detrimental
because we're spending this time on
[1:57:49] different department, different program.
I mean it's it's certainly FTE that we
[1:57:55] are not able to utilize in public health
but I wouldn't I wouldn't call it a
[1:58:00] detriment to to grant funding um because
whenever we apply for something we have
[1:58:07] to show that we have whatever it
whatever it is that they require for you
[1:58:12] to um for you to manage the program. So,
um, and generally speaking, I mean, poor
[1:58:19] Melissa, some grants are a lot bigger of
a pain in the butt to track than other
[1:58:23] ones. Um, so obviously she's a little
bit more busy because she's doing a lot
[1:58:28] of that tracking of some of those grant
programs. But when it comes to like if
[1:58:33] we get a grant to do more reproductive
health programming, that's generally
[1:58:38] going to be the nurses that are doing
that programming. or if it's
[1:58:41] immunizations, our public health tech
and our nurses would be doing more of
[1:58:45] that. And then Melissa just she's going
to be doing a lot more grant tracking
[1:58:50] and time tracking related to it, but the
reporting end maybe takes a little
[1:58:54] longer because that's what I'm working
on and that gets interrupted when people
[1:59:00] come in. it still gets done um and it
doesn't defer us from getting any money.
[1:59:06] But that is the my end of it is the
reporting
[1:59:11] » because I also look at it is when you're
doing the reception you're dealing with
[1:59:16] all the different aspects of the human
services department whether it's you
[1:59:22] know ADRC or you know family you know
services whatever it is. So, I'm just
[1:59:29] wondering if they can get some funding
to help offset your time then some type
[1:59:37] of grants or something to offset. I'm
just looking at we're using 40 hours of
[1:59:44] this time to do another program and I
understand the cooperation and all that
[1:59:50] with the other departments, but is there
something that we can gain or are we
[1:59:56] losing anything? Can you explain that
portion?
[1:59:59] » Yeah. Indirect cost reimbursement is um
we still have Maximus,
[2:00:06] I believe, for that. Do they pick it up?
>> You're talking about inind hours.
[2:00:11] » Yep.
>> Yeah, that could qualify, but you'd have
[2:00:13] to coordinate it with Mandy to see what
could potentially
[2:00:17] » Mandy and Jennifer might be able to work
that in through that special auditor
[2:00:22] that comes around for indirect cost
reimbursement from the feds.
[2:00:26] Yeah. And most of Mandy's uh grant
programs, even if they're mandated and
[2:00:31] we have a funding source, do have a
match of some kind applied to it. So,
[2:00:38] » just something to think about. I can
check in with her for sure. Yeah. I I
[2:00:43] don't know. As much as
I'd like to say we rely heavily on state
[2:00:48] grants, but we don't get near the state
grants and federal grants that they do.
[2:00:52] Right. But so as much as it's both our
worlds, I think the the reimbursement
[2:00:57] that they're able to obtain, they have
completely different mechanisms than we
[2:01:01] do for some of these. Like when it comes
to indirect costs,
[2:01:05] sometimes we're allowed to ask for them
if we are. It's like $500. It's not, you
[2:01:09] know, we don't have as many of those
options available to us. So I can I can
[2:01:13] always check with Mandy and see
if there's an opportunity there.
[2:01:20] Anything else on the reception update?
>> No.
[2:01:25] » Okay. Budgets,
the report from administration, it was
[2:01:30] passed around.
>> Yep. And those are the same numbers that
[2:01:35] um were featured in the budget that we
presented to you today. So, um our
[2:01:42] projections and six month costs are all
on that document. Um,
[2:01:49] again, we're projected to come in a
little bit under budget, primarily due
[2:01:53] to staff changes. We're on track for
where we would expect to be about this
[2:01:56] time of year. So, any questions by the
board?
[2:02:01] Okay. And the vouchers, everyone had a
chance to take a look at those and are
[2:02:07] there any questions?
The one big thing I wanted to point out
[2:02:11] to you guys is that there is one fairly
large expense in there that might seem a
[2:02:18] little bit strange initially. Um, Jess
had mentioned it also, but um, we owe
[2:02:24] GAP a percentage of the license fees
that we collect for the the privilege of
[2:02:29] of hosting the service. And so that came
out to the tune of 18,600
[2:02:36] and something. But that reimbursement is
accounted for in our schedule of
[2:02:40] vouchers this this past month. So that's
a rather large expense that wouldn't be
[2:02:45] typical in a in a regular month. So I
just want to parse that out so you know
[2:02:49] what we're looking at. But but otherwise
it's
[2:02:54] mostly typical expenses. The only other
place where you might see an outlier is
[2:03:00] um in Jess's reimbursement, but again
that's primarily due to travel. So
[2:03:05] that's plane tickets. Um
I'm trying to think expenses related to
[2:03:10] having meals, being out of town for 5
days. So
[2:03:15] those are the big the big outliers
there.
[2:03:19] Any questions from anyone on the
vouchers?
[2:03:24] Okay. Um any upcoming events or issues?
>> Where are we at with the 140 review
[2:03:29] results?
>> Well, they said that it could take up to
[2:03:33] six weeks. Okay.
>> So, but they said if you don't hear from
[2:03:37] us. You can reach out if you would like.
Just know we have not forgotten about
[2:03:41] you. It could take a couple months. So,
>> yeah.
[2:03:45] » I thought you did really well.
>> Yeah. Team did really well. It um I
[2:03:50] suppose yeah, that could be just an FYI
for you guys. Um we are required to do a
[2:03:55] statutory audit every five years with
the state. That was in August of this
[2:04:01] year. They had four people come from
Wisconsin DHS and they come and they
[2:04:06] make sure that we're meeting all of our
statutory mandates and they're auditing
[2:04:09] us on that. Um
they it could just be done with myself
[2:04:15] in the state. However, um they really do
like it when you're able to engage the
[2:04:20] whole team because as much as I can
explain programs, I'm not the one that's
[2:04:24] doing all of them and they don't want to
hear me talk the whole time. So, um but
[2:04:29] it went really well. Um, everybody
pitched in to explain their portions of
[2:04:34] their roles and they did a really great
job explaining to the state how it is
[2:04:37] that we're meeting all of these
requirements. And so I'm I'm sure
[2:04:40] they'll come back with some
recommendations because that's that's
[2:04:44] how things go. But overall, I thought it
went really well.
[2:04:48] » Yeah. And then yeah, we'll get the
report
[2:04:52] probably what is the date now? Hopefully
within the month. And then um generally
[2:04:58] speaking they will do a presentation of
um 140 certification at board of health.
[2:05:05] So at some point the state will come and
they will present the certificate to
[2:05:10] Judy as our chair to show that we've
we've met
[2:05:15] the the minimum compliance requirements
for a public health department at a
[2:05:20] level two status and we are a level two
health department. So that's what we
[2:05:23] were being measured against. So,
>> okay. Anything else?
[2:05:31] All right. The agenda been completed.
The meeting is adjourned.
[2:05:36] » Thank you guys.
I know that was a