Health & Human Services Committee Rock Island County Board March 9, 2015

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1 Health & Human Services Committee Rock Island County Board March 9, 2015 Committee Members Present: Callaway-Thompson, Meersman, Vyncke, Johnston, Westpfahl, Moreno, Mielke, Oelke Maranda, Owens, Clyde, Jacobs, Langdon, Ewert, Palmer, Gabelmann, Dryg, Steffen, Cirks and Whittington Motion by Vyncke, second by Moreno to approve the minutes of the February meeting. Carried. Motion by Vyncke, second by Westpfahl to approve the claims and TD s. Carried. Condition of Funds Ms. Palmer presented the standard reports and quarterly report. (Record) Revenues are down significantly nearly $600,000. Expenses are down nearly $1m at Hope Creek. The fund balance is holding its own because the expenses are down. Today s GF cash is $203,600. This is better than the ($69,000) if we were to pay the claims today instead of waiting until March 20 th. We are down about $1.1m from the prior year. Administrative cost reimbursements last year in February, would have been more in the bank. Still have that to draw on shortly. She discussed that the prior year revenue December 2013 and January 2014 was higher than this year s prior year revenue December 2014 and January Revenues down as are expenses. Hope Creek s cash is down a bit from this time last year. Just a $500,000 bank loan and last year at this time had double that outstanding. Very healthy and doing well. Doing very well this year. Veterans Assistance Mr. Harlow was at a funeral. Reports are in the packet. Motion by Meersman, second by Westpfahl to approve the report. Carried. Health Department Ms. Owens provided the service delivery report and also the Quad City Disaster Readiness Conference in early April at the Waterfront Convention Center. (Record) Motion by Meersman, second by Vyncke to approve as presented. Carried.

2 University of Illinois Extension Brad Cirks, SNAP Educator presented the monthly report. He works to increase healthy eating, get more activity and other nutritional educational opportunities. Teen leadership this weekend, will learn how to lead others and increase other teen s health. They are recruited by the schools. Regional Office of Education Ms. Muerhoff discussed the contig contest. This is a mathematical contest for 4 th, 5 th and 6 th grade students and will be held on April 9 th. A current events contest is planned for 8 th grade students and will be held on May 12 th. She added that concern has been raised for categorical payments and there is some speculation that additional payments will not be received from the State until July. She is learning more about it and will share as information becomes available. Awards given out are part of the enterprise funds, generation of fees from workshops, etc. Motion by Meersman, second by Vyncke to approve the report. Carried. Hope Creek Care Mr. Dryg presented the balance sheet information. (Record) Beginning on page 34 assets were reviewed, page 35 is the liabilities. Bond payments are due December 1 st and we are current. Page 36 is the statement of revenue and expense and change in fund balance. Accrual revenue and expenses were reviewed loss of operations of $73,600. Net change of fund balance was reported still at a positive for the year of $161, (page 37). Page 38 reflected payment for the pavilion grant as well as the RAW and $500,000. Page 39 is revenue report. Medicaid reimbursement rate is up and the payor mix is supporting things. Revenue due to rate increases is $140,000 higher for the two months, salaries are down nearly $20,000 due to vacancies and open positions. Operating loss for the 2 months is just ($40,173) which is an improvement of $64,000 over the prior year. Mr. Gabelmann then presented the cash information. Page 27 is updated on page 53. Page 50 is cash projections for 12 months. Current cash projection isn t looking too bad until the next interest payment May 31 st. A potential draw on the bank loan may be needed in May. Cash balance on pages 50/51 stays stable until next November. Shows $1.3m bond payment and the bank loan being repaid. Need to look ahead and take draws on the TAW. Some payments that were anticipated in February did not hit until March, so the financial records are slightly reduced. Payroll costs are actually down, actual

3 payrolls ran about $430,000 each in February. Claims are consistent and always catch up any held in the following month. IGT transfers are budgeted at $165,000 per quarter and we actually received $194,522. Projection is fairly stable outside the bond payments. Page 53 is a 12 week cash flow projection. Lowest cash so far this year was back on January 9 th. Moreno asked if we would need to borrow again in May. Gabelmann stated yet, will need to borrow in May due to three payrolls. We are realizing $35,000 savings each payroll already, it is all timing and we may be able to not draw, it just depends on the revenue receipts. It will need to be monitored. We will know more next month. Motion by Meersman, second by Moreno to authorize activation up to $500,000 for May with authority to the Chairperson and Chairman. Johnston asked if we needed to do this in March or wait until the next meeting. Gabelmann stated that it is a good idea to be prepared and set up. Carried unanimously. Medicaid Processing update are now starting to get these moving starting to filter in. New governor looking at up to 12% cuts to nursing homes and hospitals. The CNHA are lobbying to avoid this as are private lobbying groups. They may also reach out to IACO. Expedited payment cycle for county homes and the IGT funding are rumored to be on the chopping block by the Governor. Winnebago has over half of their population on pending status and haven t been paid since September. All County Nursing Homes are working together on this matter. Have had previous success on the lobbying efforts of the groups we have membership in. This could be devastating to us another $18 per day loss per resident. Expect to know more soon asking for a meeting. Potential bond refinance information by Chairperson Meersman discussed potential refinancing looking at potential savings and will look at in the future. Initial savings about $240,000. Not sure that the potential savings is enough to move forward at this point. Can t refinance and extend the payment due dates, would pay more over time. Occupancy report was presented at 210 census and 86% occupancy. (Record) Attributable to the uncertainty with the management firm people are feeling better, but once the management firm, the county administrator and the community board, it will improve.

4 Requests to purchase budgeted two computers this year, not quite enough however. Two very critical computers one runs the call light system in the building and the other is the main bookkeeping computer. Nothing that can be done to the old machinery. Permission to purchase two computers and one monitor and Office package at $330 each. Working on borrowed and replaced machinery in the facility. Procedure Manual allows for purchase of the computers because it is under the threshold as allowed in the manual. Motion by Meersman to proceed, second by Moreno. Carried. Agency staffing was presented. (Record) Requests to hire replacements included: 1 full time social services director 1 full time social services designee 1 full time LPN 2 full time C.N.A. 1 part time LPN 5 part time CNAs There are 7 bargaining unit step increases and a vacation roll over request had been saving because anticipated moving. She has tested and the most senior person to move into the Social Services Designee. Request to roll 2 weeks for 60 days past her anniversary to allow for transition and training for the entire department. Motion by Moreno, second by Meersman to approve the roll over. Carried. Clyde commented that just two weeks ago, the HR Generalist position at HCC was filled and she has already been a great assistance in filling the positions, meeting with the union, and in attending career fairs. Reminders regarding community Easter egg hunt on Friday, April 3 rd, spring bazaar April 4 th and looking for donations for bingo. Will present information to committee next month regarding on-site dialysis and is in the process of writing five different local grants to get our foundation established. The on-site dialysis is a great option for HCC residents. Assist with those medical needs and reduce the transport costs. Is a reimbursable item. She is continuing the research and will have more information next month. Motion by Meersman, second by Westpfahl to approve the entire HCC report. Carried.

5 Other Langdon asked how many members are on the committee. Still seven. Johnston asked about the RFP for the management firm and board members. RFP is March 31 st. Board member applications have been received, still sealed, waiting for the group selected to meet. Republicans have caucused and have selected a member. Meersman stated that the board member should not be a member of the HHS Committee transparency, trying to be as non-political as possible. Closed Session as per 5 ILCS 120/2(c)(1) and (2) Personnel and Collective Negotiations. Motion by Moreno, second by Meersman to go into closed session. Carried with roll call vote. Closed session 417p Motion by Meersman second by Moreno to return to open session. Carried. 434pm Motion by Meersman to ask the SA to explain their position on the personnel item discussed. Carried. Motion by Vyncke, second by Moreno to approve the extended leave. Carried with Westpfahl and Oelke voting no. Carried. Adjourn 435 PM Shelly Chapman