*Agenda* Approval of Minutes Health Care Center Committee Regular Meeting June 12, :00 AM

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1 NOTICE OF MEETING HEALTH CARE CENTER COMMITTEE July 10, :00 AM Rocky Knoll N7135 Rocky Knoll Parkway Plymouth, WI Shah West Conference Room Call to Order *Agenda* Certification of Compliance with Open Meeting Law Approval of Minutes Health Care Center Committee Regular Meeting June 12, :00 AM Rocky Knoll Administrator's Report Travel Notifications None at time of posting Committee Action Consideration of Accounts Payable Vouchers Consideration of May 2018 Financials Consideration of Pet/Animal Policy Consideration of Occupational Pay Rate Increase for Acting Director of Nursing (eff. 6/25/18) Approval of Committee Members Attending Other Meetings / Reports on Meetings Attended Adjourn Rocky Knoll Foundation Meeting - 3:00 p.m. July 30, 2018 Health Care Center Committee Meeting - 9:00 a.m. August 14, 2018 Prepared by: Angie Iserloth Recording Secretary Richard Bemis Committee Chairperson NOTE: A majority of the members of the County Board of Supervisors or of any of its committees may be present at this meeting to listen, observe and participate. If a majority of any such body is present, their presence constitutes a "meeting" under the Open Meeting Law as interpreted in State ex rel. Badke v. Greendale Village Board, 173 Wis. 2d 553 (1993), even though the visiting body will take no action at this meeting. Wis. Stat requires that each meeting of a governmental body be preceded by a public notice setting forth the time, date, place, and subject matter of the meeting. This Notice and Agenda is made in fulfillment of this obligation. Electronic versions of this Notice and Agenda may hyperlink to documents being circulated to members in anticipation of the meeting and are accessible to the public for viewing. Additions, subtractions, or modifications of the hyperlinked materials do not constitute an amendment to the meeting agenda unless expressly set forth in an Amended Notice and Agenda. Members of the public are encouraged to check from time to time before the meeting to see whether the hyperlinked content has been changed from what was originally posted. Persons with disabilities needing assistance to attend or participate are asked to notify the Recording Secretary at prior to the meeting so that accommodations may be arranged. Posted on July 3, 2018 at 2:00 p.m.

2 SHEBOYGAN COUNTY HEALTH CARE CENTER COMMITTEE MINUTES N7135 Rocky Knoll Parkway, Plymouth, WI West Conference Room June 12, 2018 Called to Order: 9:00 a.m. Adjourned 10:25 a.m. MEMBERS PRESENT: ALSO PRESENT: Supervisor Richard Bemis, Chairperson; Supervisor Roger Otten, Vice Chairperson; Supervisor Charles Conrardy, Secretary; Supervisor Al Bosman; Supervisor James Glavan Jeremy Fredericks, Kayla Clinton, Tim Chisholm, Mary Walsdorf Supervisor Bemis called the meeting to order at 9:00 a.m. It was noted the agenda was posted on June 6, 2018 at 11:00 a.m. in compliance with the Open Meeting Law. A motion was made by Supervisor Conrardy and seconded by Supervisor Bosman to approve the minutes from the May 8, 2018 meeting. Motion carried. Mary Walsdorf, Building Services Coordinator introduced herself to the committee members and gave an overview of her responsibilities with the facility. Tim Chisholm provided an update with ongoing projects in the facility. Ms. Clinton had the following items to report: Census In-house census 119; 3 pending admissions and 2 pending discharges this week. We are at a historic low the hospital censuses are also low. Open Positions Certified Nursing Assistant positions: One part-time day shift, 3 full-time/4 part-time pm shift and 1 full-time/6 part-time night shift; Registered Nurse positions: One parttime day shift, 1 full-time and 2 part-time p.m. shift; 1 part-time Environmental Services Worker I (32-40 hours) and one full-time Environmental Services Worker II. Clinical / QA Update Ongoing Performance Improvement Projects in process (VibeTech machine utilization on dementia residents; recruitment strategies for employees and fall prevention (in conjunction with this reduction of alarm use). There were no travel requests. The first quarter variance report was reviewed. A motion was made by Supervisor Conrardy and seconded by Supervisor Bosman to approve. Motion carried. Accounts Payable Vouchers were reviewed. Motion was made by Supervisor Conrardy and seconded by Supervisor Bosman to approve as presented. Motion carried. Jeremy Fredericks reviewed the April 2018 financials. Motion was made by Supervisor Conrardy and seconded by Supervisor Otten to approve as presented. Motion carried. Jeremy Fredericks and Tim Chisholm reviewed the Five-Year Capital Plan for Rocky Knoll for the years Motion was made by Supervisor Conrardy and seconded by Supervisor Glavan. Motion carried on unanimous roll call vote of the board.

3 Supervisor Glavan made a motion with a second by Supervisor Conrardy to approve all Health Care Committee members attendance at the Highway Complex ribbon cutting ceremony on June 15, Motion carried. The next committee meeting will be held July 10, A motion was made by Supervisor Otten and seconded by Supervisor Glavan to adjourn the meeting at 10:25 a.m. Motion carried and meeting adjourned. Angie Iserloth Recording Secretary

4 Budget to Actual Comparison Month Ended May 31, 2018 Month to Date Year To Date Budget Actual Variance Budget Actual Variance Property Tax Levy $ 55,907 $ 55,907 $ - $ 279,535 $ 279,535 $ - Intergovernmental 110, ,033 6, , ,166 32,406 Health Care Services 967, ,635 (58,905) 4,713,604 4,867, ,078 Other 493 3,306 2,813 14,651 11,471 (3,180) Interdepartmental (Hwy) 4, (3,682) 22,815 2,941 (19,874) Total Revenue 1,139,055 1,085,762 (53,293) 5,583,365 5,746, ,430 Wages and Benefits 667, ,538 64,626 3,217,379 3,010, ,498 Operating 250, ,868 (69,761) 1,335,008 1,379,266 (44,258) Interdepartmental 193, ,031 14,747 1,040, ,691 72,556 Expenses Before Capital & Depreciation 1,111,049 1,101,437 9,612 5,592,634 5,357, ,796 Net Income/(Loss) before 28,006 (15,675) (43,681) (9,269) 388, ,226 Outlay and Depreciation Capital Outlay ,500 45,860 19,640 Depreciation - 47,905 (47,905) - 260,735 (260,735) Total Expenses 1,111,049 1,149,342 (38,293) 5,658,134 5,664,433 (6,299) Other Financing Change in Net Position 28,006 (63,580) (91,586) (74,769) 82, ,131 Budget to Actual Comparison by Division Month Ended May 31, 2018 Month to Date Year To Date Budget Actual Variance Budget Actual Variance Total Revenue $ 1,139,055 $ 1,085,762 $ (53,293) $ 5,583,365 $ 5,746,795 $ 163,430 Life Enrichment ,818 22,972 (154) 112, ,349 (4,289) Dietary ,893 94,879 9, , ,018 32,748 RK Administration , ,572 2, , ,586 32,996 Building Services , ,676 (70,776) 459, ,243 (14,645) Health Information ,420 15, ,298 76,529 (231) Nursing , ,343 75,158 3,028,111 2,768, ,625 Ancillary , ,878 (6,837) 488, ,512 (87,288) Environmental Services ,527 42,280 2, , ,515 17,480 Outpatient Services Expenses Before Capital & Depreciation 1,111,049 1,099,956 11,093 5,592,634 5,356, ,396 Capital Outlay ,500 45,860 19,640 Depreciation - 47,905 (47,905) - 260,735 (260,735) Total Expenses $ 1,111,049 $ 1,147,861 $ (36,812) $ 5,658,134 $ 5,662,833 $ (4,699) Total Expense Calc For Annual Report Includes Outlay excludes Depr 5,658,134 5,403, ,436 Bottom line For Annual Report Includes Outlay excludes Depr (74,769) 343,097 (417,866) (9,269) 388,957 (398,226)

5 Month Ended May 31, 2018 $7,000,000 $6,000,000 $5,000,000 $4,000,000 $3,000,000 $2,000,000 $1,000,000 $- Revenue Expenses Personnel Operating Exp. Interdepart. Exp. Budget $5,583,365 $5,592,634 $3,217,379 $1,335,008 $1,040,247 Actual $5,746,795 $5,357,838 $3,010,881 $1,379,266 $967,691 Revenue is $163,430 over budget. Average census is vs budgeted Room & Care revenue is $160,495 over budget. Ancillary revenue is $4,129 over budget. Expenses are $234,796 under budget (excluding capital outlay and depreciation). Wage & benefits are under budget $206,498. Purchased services are under budget $1, Ancillary services are over budget $62,666. Repair & maintenance over budget $50,200. General operating is over budget $8,603. Interdepartmental costs are under budget $72, Employee health insurance under budget $71,310. Tax levy used through May is $279,535 or 42% of the Total Tax Levy $670,883. Capital Outlay through May is $45,860. Total depreciation through May is $260,735. Net Position (excluding depreciation) is a positive $343,097 through May. Actual Net Position is a positive $128,222 through May. JF6/27/2018

6 ROCKY KNOLL DAILY CENSUS SEPTEMBER 01, 2014 THROUGH AUGUST 31, Patient per Day Costs Expense Category Through May 2017 Through May 2018 Salary/Fringes May % May % Contractual Services May % May % Operating May % May % Utilities May % May % Food May % May % Insurance/Depreciation May % May % TOTAL May % May %