Des Moines Valley Health and Human Services

Board Meeting Agenda

Date October 9th 9 a.m.
Conference Room East Half LEC Windom

I. Call to Order / Establish Quorum
II. Public Hearings (if applicable)
III. Approval of Agenda
________________________________________________________________________________________________
IV. Consent Agenda: All items listed under the Consent Agenda are considered to be routine by the DVHHS Board
and will be enacted by one motion and an affirmative vote of a majority of the members present. There will be
no separate discussion of these items unless a Board Member so requests, in which event the item(s)
will be removed from the Consent Agenda and considered separately by the Board under Other below.
a. Approve Auditor Warrants (summary in packet)
b. Approve September 11, 2014 Board Minutes (in packet)
c. RBA- Master Grant Contract for Community Health Board
d. RBA- 2015 Health Insurance Rates
e. RBA- Probationary to Permanent Status Kelsey Andrews
_______________________________________________________________________________________________
V. Staff / Programming Report- Maternal Child Health
VI. Executive Director Agency Report
a. Directors Report
VII. Human Services
a. Directors Report
VIII. Public Health
a. RBA- Zenith Contract
b. Directors Report
IX. Fiscal
a. Fiscal Reports
b. Directors Report
X. Operations
a. Directors Report
XI. Human Resources
a. RBA-Blue Cross Group Sr. Gold
b. RBA- Voluntary Accident & Critical Illness Policies
c. RBA-Wellness Incentives
d. Directors Report
XII. Adjourn
Warrant List
September 2014
Date
Beginning
Warrant
Number
Ending
Warrant
Number Amount
9/2/2014 5981 5986 121,712.56 $
9/2/2014 5987 6030 11,273.62 $
9/5/2014 6031 6050 4,319.47 $
9/9/2014 6051 6088 27,378.39 $
9/9/2014 6089 6089 75.00 $
9/16/2014 6090 6112 69,045.36 $
9/18/2014 6113 6174 211,020.84 $
9/18/2014 6175 6197 168,817.09 $
9/2/2014 2816 2816 2,000.00 $
9/3/2014 2817 2817 1,980.00 $
9/9/2014 2818 2886 47,807.98 $
9/12/2014 2887 2928 15,682.44 $
9/23/2014 2929 2971 22,686.42 $
9/19/2014 2972 3005 51,905.19 $
9/26/2014 3006 3024 10,063.14 $
TOTAL OF WARRANTS 763,914.99 $
Page 1

The regular meeting of the Permanent Joint Powers Board of Des Moines Valley Health and
Human Services (DVHHS) was called to order Thursday, September 11, 2014 at 9:03 AM at
the Law Enforcement Center in Windom, Minnesota.
Presiding over the meeting was Chair Rosemary Schultz. Members present for the meeting were
Commissioners, Dave Henkels, Norman Holmen, Kim Hummel, John Oeltjenbruns, Kevin
Stevens, Jim Schmidt, William Tusa, Tom White, and Gary Willink. Also present were Patricia
Stewart, Public Health Director; Robert Pankratz, Director of Business Management; Kay
Steffen, Director of Agency Operations; Mary Bezdicek, Fiscal Officer; Janice Fransen, HR
Director; Tammy Crowell, Associate Board Secretary; Jaimi Michelson, Nursing Supervisor;
Angela Holmen, Financial Assistance Supervisor I; Beth Mulso, Eligibility Worker; Elizabeth
Walklin, Eligibility Worker.

Quorum Established.

Agenda Approval
Motion by Henkels, second by Schmidt and unanimous vote to approve Agenda.

Organizational


Consent Agenda
Approval of claims in the amount of $763,914.99. A detailed list of claims paid is
available upon request.
Approval of August 14
th
, 2014 Board Minutes
Approval of SWMHC Contract for Psychiatric and Consultative Services
Approval of revised Records Retention Schedule
Approve Declaration of Surplus Property
Motion by Holmen, second by Willink and unanimous vote to approve the Consent Agenda
items.

Staff/Programming Report
Introduction of Financial Assistance Supervisor I, Angela Holmen. Power point presentation on
MNSure given by Beth Mulso and Elizabeth Walklin, DVHHS Eligibility Workers.

Executive Director Agency Report

November Board Date
Kay presented on Craigs behalf a request to move the November board date from Thursday,
November 13
th
, 2014 due to scheduling conflicts with Work Effects training. Motion by Tusa,
second by Schmidt and unanimous vote to approve moving the November DVHHS Board
meeting to Friday November 7
th
, 2014 at 1 pm at the Law Enforcement Center in Windom.



Page 2

Temporary Social Worker
Request for Board approval to hire a temporary Social Worker for approximately 14 weeks to
cover a staff leave. Motion by Holmen, second by Tusa and unanimous vote to approve the
hiring of a Temporary Social Worker.


Human Services


Fiscal

Budget Report
Robert Pankratz, Director of Business Management, presented the budget report and the Out of
Home Placement costs report.

Directors Report
Robert Pankratz, Director of Business Management gave updates on staff cross training going on
in the Fiscal Department and the re-organization of duties.


Operations

Operations Report
Kay Steffen, Director of Agency Operations, updated the Board on staffing. She also gave a
technology update.

Human Resources

Work Effects
Request for Board Action to the purchase of services from Sicora Consulting for staff Insights
Discovery Profiles and training. Motion by White, second by Tusa and unanimous vote to
approve staff Insights Discovery Profiles and training.

360 Review Process
Request for Board Approval of a performance review process for Directors. Motion by
Henkels, and second by Holmen to implement the 360-Degree Review Process for Directors
Craig Myers, and Patricia Stewart.


Public Health

Directors Report
Pat Stewart, Public Health Director gave an update notice they received September 1, 2014 on
the approval of SHIP funding in the amount of $50,000. Funds were divided between for SHIP
Page 3

partners for things such as Health Care coordination, for walk to school programs, active
community development, etc.

Pat also gave an update given on the AMC Health and Human Services policy meeting. Staff
update on recently hired and the open Community Screener position. A brief update was given
on the EV-D68 virus that is making its way into news headlines.

Other

At Commissioner Hummel's request, the Board had a discussion regarding the Work Effects
Leadership Session held on August 18-20 and some of the issues that surfaced during that
session.

Motion by Hummel, second by Schmidt and unanimous vote to approve a Letter of Support be
sent to Larry Blair for Fountain Centers.

Adjourn
Motion by Schmidt, second by Hummel, and unanimous vote to adjourn meeting at 11:32 a.m.



__________________________ ___________________
Chairman Date



_______________________________________ _____________________________
Attest To Date

Complete and email this form to: dvhhs-boardsecretary@dvhhs.org
Des Moines Valley Health and Human Services
Request for Board Action
** Requests must be received by the Board Secretary before noon the Thursday
PRIOR to the regularly scheduled board meeting. ***

Requested Board Date: October 9, 2014
Agenda Type: Consent Agenda
Agenda Item: Master Grant Contract for Community Health Boards
Presenter: Click here to enter text. Estimated Time: Click here to enter text.
Board Action Required: Authorization for signature by DVHHS Board
Chairperson
Attachments: Yes, identify below Attachment Name: Master Contract
Background: Every 5 years MDH issues a new Master Grant with all CHBs,
years for this grant 2015-2019.
Fiscal Impact: Our LPHG and other grants are issued with the Master Grant.
This Master grant may not be changed by a CHB other than the Name of the
Agency and the Master Grant Contract #, thus no agency attorney review
was requested.
Attorney Review: Not Applicable
Board Action: Approved Denied Tabled No Action
Motion: ________________________
Second: _______________________
Roll Call Vote: Henkels Holmen Hummel Oeltjenbruns Schmidt
Schultz Stevens Tusa Willink White
Notes:_____________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Complete and email this form to: dvhhs-boardsecretary@dvhhs.org
Des Moines Valley Health and Human Services
Request for Board Action
** Requests must be received by the Board Secretary before noon the Thursday
PRIOR to the regularly scheduled board meeting. ***

Requested Board Date: 10-10-2014
Agenda Type: Consent Agenda
Agenda Item: Move Kelsey Andrews from Probationary to Permanent Status
Presenter: Pat Stewart Estimated Time: 10 minutes
Board Action Required: Board Approval
Attachments: Attachment Name:
Background:
Fiscal Impact: None at this time. Salary adjustment given at year end.
Attorney Review:

Complete and email this form to: dvhhs-boardsecretary@dvhhs.org
Des Moines Valley Health and Human Services
Request for Board Action
** Requests must be received by the Board Secretary before noon the Thursday
PRIOR to the regularly scheduled board meeting. ***

Requested Board Date: 10/9/2014
Agenda Type: Regular Agenda
Agenda Item: Approval of Contract
Presenter: Pat Stewart Estimated Time: 10 minutes
Board Action Required: Approval of Contract for signature
Attachments: Yes, identify below Attachment Name: Contract with Zenith
Research, Inc.
Background: MDH has requested the Start Noticing Program to survey adults
in Cottonwood and Jackson Counties to assess the level of understanding in
the area of tobacco and e-cigarettes. The Zenith Research, Inc. is the
contractor recommended by MDH.
Fiscal Impact: Grant funded by line item- no fiscal impact
Attorney Review: Completed
Board Action: Approved Denied Tabled No Action
Motion: ________________________
Second: _______________________
Roll Call Vote: Henkels Holmen Hummel Oeltjenbruns Schmidt
Schultz Stevens Tusa Willink White
Notes:_____________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________

THIS AGREEMENT is made and entered into by and between Des Moines Valley Health and
Human Services, and Zenith Research Group, Inc.

THIS AGREEMENT is made and entered into by and between Des Moines Valley Health and Human
Services (DVHHS), herein referred to as DEPARTMENT, 402 White Street, STE 201, Jackson, MN
56143, and Zenith Research Group (CONTRACTOR), 3736 East Third Street - Duluth, Minnesota 55804.

RECITALS

WHEREAS, the DEPARTMENT, wishes to purchase the services of CONTRACTOR as a provider of
research described herein;

WHEREAS, there are funds available for the purchase of these services;

WHEREAS, the Department is purchasing services from CONTRACTOR;

NOW, THEREFORE, in consideration of the mutual undertakings and agreements hereinafter set forth,
through the DEPARTMENT, and the CONTRACTOR agree as follows:

I) TERM OF AGREEMENT

A. This project agreement shall be effective on October 13, 2014 or upon the date that the
final required signature is obtained, whichever occurs later, and shall remain in effect until January
20, 2015, or until all obligations set forth in this project agreement have been satisfactorily
fulfilled, whichever occurs first. The contractor understands that NO work should begin under
this contract until ALL required signatures have been obtained, and the contractor is notified to
begin work by DVHHS.

II) CONSIDERATION AND TERMS OF PAYMENT

A. Consideration for all services performed by CONTRACTOR pursuant to this service
agreement shall be paid by DEPARTMENT as follows:

1. Compensation. The total obligation of DEPARTMENT for all compensation and
reimbursement to CONTRACTOR shall be $13,650. This amount should be
expended and billed by January 20, 2015.
2. Payments are to be made from grant funds appropriated to DEPARTMENT. If at
any time these funds become unavailable, this agreement shall be terminated
immediately upon written notice of such fact by DEPARTMENT to
CONTRACTOR. In the event of such termination, CONTRACTOR shall be
entitled to payment, determined on a pro rata basis, for services satisfactorily
performed to date the DEPARTMENT no longer received funding for the project.

B. Terms of Payment

1. The CONTRACTOR shall bill DEPARTMENT for services performed during the
life of this contract. In a two-step invoicing process, 40 percent of the total fee will
be assessed at project launch, with a second and final payment due upon presentation
of a summary of key findings. Invoices will include a description of activities and
services provided and final survey results. Send invoice to: Patricia A Stewart, Des

Moines Valley Health and Human Services 402 White Street, Suite # 201, Jackson,
MN 56143.
2. Payment for services shall be made directly to CONTRACTOR for services provided
upon presentation of a claim in the manner provided by law for payment of claims
against the DEPARTMENT. The DEPARTMENT shall pay invoices within 35
days of receipt.

III) DEPARTMENT SERVICES AND RESPONSIBILITIES

A. DEPARTMENT Contact for purpose of this contract: Angela Naumann, Des Moines
Valley Health and Human Services 402 White Street, Suite # 201, Jackson, MN 56143, or
angela.naumann@dvhhs.org.
B. Establish research project priorities for 2014.
C. Provide CONTRACTOR with the 2014 Tobacco-Free Communities Grant work plan and
objectives if requested.
D. Provide CONTRACTOR with other necessary documents relating to the research
objectives for purposes of attaining objectives of research tactics and agreed upon
deliverables as needed in order to meet identified outcome evaluation plans for each
project outcome included in the DVHHS work plan.
E. Organize and conduct telephone meetings with CONTRACTOR for planning, gaining
insight into the developing & implementing tactics to complete the tobacco and e-cigarette
research project. Organize with Zenith a summary evaluation meeting to review the
outcome of the survey project with Tobacco Free Communities Staff.
F. Review and provide information and feedback related to all tactics and deliverables as
listed.

IV) CONTRACTOR SERVICES AND RESPONSIBILITIES

A. CONTRACTOR contact for the purpose of this contract: Duke Skorich, Zenith Research
Group 3736 East Third Street Duluth, Minnesota 55804, T: 218.728.6525 M:
218.260.3298 E:dukes@zenithgroup.com.

B. Following collaborative and pre-approved scripting, outbound calls will be placed to
residents within the defined survey region from a list provided and prepared by the
CONTRACTOR. Interviews will be conducted based on the details and directions within
the script. The survey region will encompass primary communities and rural areas within
Cottonwood and Jackson counties in Minnesota. In the course of each interview, the
CONTRACTOR will capture vital information, useful to the DEPARTMENT for both
current and future policy initiatives, and marketing efforts.

C. The CONTRACTOR will capture vital information, useful to the DEPARTMENT for both
current and future policy initiatives, and marketing efforts. Although undetermined, it is
anticipated study results will produce a Margin of Error (MOE) of +/-5% at the 95 percent
confidence level within each county, and a combined MOE of +/-3.5 for Cottonwood
County and Jackson County percent at the 95 percent confidence level.

D. All call center agents will be hired and trained specifically for this research by Zenith.
Training will include, but is not limited to the following:
Initial training and re-training, if required, of agents.
Training of supervisory staff.

Organization overview: services, goals, mission..

E. Data will be collected and analyzed, relying on a statistically valid random sample, results
which can be generalized to the entire population. Analysis will provide repeatable
direction for planning programs, themes and message delivery for the DEPARTMENT.

G. Contractor must obtain prior written approval from the DVHHS Authorized Representative
to write for publication and/or prior to publishing any journal article, publication or other
paper that includes STATE funded activities, survey findings, data or information
pertaining to the STATE funded program. Contractor must follow the protocol as outlined
by the STATE, as provided by DVHHS.

H. Contractor must include the following wording on all communication materials (broadcast,
print or online), presentations, posters, surveys or other items developed with STATE
funds: Funded by a Tobacco-Free Communities Grant from the Minnesota Department of
Health.

V) INDEPENDENT CONTRACTOR

Nothing contained in this Agreement is intended or should be construed as creating the
relationship of co-partners or joint ventures between DEPARTMENT and CONTRACTOR. No
tenure or any rights or benefits, including workers compensation, unemployment insurance,
medical care, sick leave, vacation leave, severance pay, PERA, or other benefits available to
DEPARTMENT employees, shall accrue to CONTRACTOR or employees of CONTRACTOR
performing services under this Agreement.

VI) INDEMNIFICATION AND INSURANCE

The CONTRACTOR agrees to the following indemnification and insurance requirements;

A. The CONTRACTOR agrees to defend, indemnify, and hold the Organization, its
employees and officials harmless from any claims, actions, or causes of action, including
reasonable attorneys fees and expenses arising out of any act of omission on the part of
the CONTRACTOR, or its sub-contractors, partners or independent CONTRACTORS or
any of their agents or employees in the performance of or with relation to any of the work
or services to be performed or furnished by the CONTRACTOR or the sub-contractors,
partners, or independent CONTRACTORS of any of their agents or employees.

B. The CONTRACTOR also agrees to investigate, handle, respond to, provide defense for,
and defend any such claims per occurrence, at its sole expense and agrees to bear all other
costs and expenses related thereto, whether or not it is alleged or determined that the
selected CONTRACTOR was negligent, and without regard to whether such claim is
groundless, false, or fraudulent.

C. The CONTRACTOR must also maintain a professional liability insurance policy for
individuals who perform professional services with a minimum limit of $1,500,000 per
wrongful act or occurrence, $2,000,000 annual aggregate for total personal injuries, death,
and/or damages arising from one occurrence. In addition the insurance company must
agree to provide the Department a 60-day written notice of its intent to cancel the policy.

An umbrella liability policy may be used in conjunction with a primary coverage limits to
meet the minimum limit requirements for each coverage.





VII) DATA PRACTICES

All data collected, created, received, maintained, or disseminated for any purposes by the activities
of the CONTRACTOR because of this Agreement is governed by the Minnesota Government
Data Practices Act, Minnesota Statutes Chapter 13, as amended, the Minnesota Rules
implementing such act now in force or as adopted, as well as federal regulations on data privacy.
CONTRACTOR, its agents, and employees will protect all non-public data used in this project.
When applicable, CONTRACTOR agrees to comply with the requirements of the Health
Insurance Portability and Accountability Act of 1996 and its implementing regulations (45 C.F.R.
Part 160-164), (collectively referred to as HIPPA).

VIII) OWNERSHIP OF MATERIALS AND INTELLECTUAL PROPERTY RIGHTS

A.) The STATE shall own all rights, title and interest in all of the materials conceived or
created by the DEPARTMENT, or its employees or sub-grantees, either individually or
jointly with others and which arise out of the performance of this grant agreement,
including any inventions, reports, studies, designs, drawings, specifications, notes,
documents, software and documentation, computer based training modules, electronically,
magnetically or digitally recorded material, and other work in whatever form
("MATERIALS").

The DEPARTMENT hereby assigns to the STATE all rights, title and interest to the
MATERIALS. DEPARTMENT shall, upon request of the STATE, execute all papers and
perform all other acts necessary to assist the STATE to obtain and register copyrights,
patents or other forms of protection provided by law for the MATERIALS. The
MATERIALS created under this grant agreement by the DEPARTMENT its employees or
sub-grantees, individually or jointly with others, shall be considered "works made for hire"
as defined by the United States Copyright Act. All of the MATERIALS, whether in paper,
electronic, or other form, shall be remitted to the STATE by the DEPARTMENT, its
employees and any sub-grantees, shall not copy, reproduce, allow or cause to have the
MATERIALS copied, reproduced or used for any purpose other than performance of the
GRANTEE'S obligations under this grant agreement without the prior written consent of
the STATE'S Authorized Representative.

B. The DEPARTMENT represents and warrants that MATERIALS produced or used under
this grant agreement do not and will not infringe upon any intellectual property rights of
another including but not limited to patents, copyrights, trade secrets, trade names, and
service marks and names. DEPARTMENT shall indemnify and defend the STATE, at
DEPARTMENTS expense, from any action or claim brought against the STATE to the
extent that it is based on a claim that all or part of the MATERIALS infringe upon the
intellectual property rights of another. The DEPARTMENT shall be responsible for
payment of any and all such claims, demands, obligations, liabilities, costs, and damages
including, but not limited to, reasonable attorney fees arising out of this grant agreement,

amendments and supplements thereto, which are attributable to such claims or actions. If
such a claim or action arises or in DEPARTMENT or the STATE'S opinion is likely to
arise, the DEPARTMENT shall at the STATE'S discretion either procure for the STATE
the right or license to continue using the MATERIALS at issue or replace or modify the
allegedly infringing MATERIALS. This remedy shall be in addition to and shall not be
exclusive of other remedies provided by law.

IX) RECORDS - AVAILABILITY AND RETENTION

A. Pursuant to Minnesota Statute 16C.05, Subd. 5, CONTRACTOR agrees that the state
auditor, or any of their duly authorized representatives, at any time during normal business
hours and as often as they may reasonably deem necessary, shall have access to and the
right to examine, audit, excerpt, and transcribe any books, documents, papers, records, etc.,
which are pertinent to the accounting practices and procedures of the CONTRACTOR and
involve transactions relating to this Agreement.

B. CONTRACTOR agrees to maintain these records for a period of six years from the date of
Termination of this Agreement.

X) MERGER AND MODIFICATION

A. It is understood and agreed that the entire Agreement between the parties is contained here
and that this Agreement supersedes all oral agreements and negotiations between the
parties relating to the subject matter. All items referred to in this Agreement are
incorporated or attached and are deemed to be part of this Agreement.

B. Any material alterations, variations, modifications, or waivers of provisions of this
Agreement shall be valid only when they have been reduced to writing as an amendment
and signed by the parties.

XI) DEFAULT AND CANCELLATION

A. If the CONTRACTOR fails to perform any of the provisions of this Agreement or so fails
to administer the work as to endanger the performance of the Agreement, this shall
constitute default. Unless the Contractors default is excused the DEPARTMENT, may
upon written notice, immediately cancel this Agreement in its entirety.

B. This Agreement may be canceled with or without cause by either party upon sixty (60)
days written notice, advance notice by either party with no penalties involved. Both
parties agree to meet on a monthly basis, if indicated, for communication and possible
renegotiation concerning the continuance of this agreement.

XII) SUBCONTRACTING AND ASSIGNMENT

CONTRACTOR shall not enter into any subcontract for performance of any services
contemplated under this agreement without the prior written approval of the DEPARTMENT and
subject to such conditions and provisions as the DEPARTMENT may deem necessary. The
CONTRACTOR shall be responsible for the performance of all subcontractors.



XIII) NONDISCRIMINATION

During the performance of this Agreement, CONTRACTOR agrees to the following:
No person shall, on the grounds of race, color, religion, age, sex, disability, marital status, public
assistance status, criminal record, creed, or national origin be excluded from full employment
rights in, participation in, be denied the benefits of or be otherwise subjected to discrimination
under any and all applicable federal and state laws against discrimination.




Patricia Stewart, Administrator Date
Des Moines Valley Health and Human Services


Dushan Skorich, President Date
Zenith Research Group, Inc.

10/2/2014
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
A B C D E F G H I J K
2014 2014
ADMINISTRATION EXPENSES ACTUAL BUDGET VARIANCE ACTUAL BUDGET VARIANCE
COMMUNICATIONS 5,356 $ 5,489 $ (133) $ 59,981 $ 49,401 $ 10,579 $
UTILITIES 1,721 $ 3,719 $ (1,998) $ 16,611 $ 33,475 $ (16,864) $
ADS, DUES, LEGAL NOTICES & SUBSCRIPTIONS 2,701 $ 1,856 $ 845 $ 20,418 $ 16,701 $ 3,717 $
CONFERENCE, TRAINING & REGISTRATION 220 $ 1,369 $ (1,149) $ 8,148 $ 12,323 $ (4,175) $
REFERENCE BOOKS & MATERIALS - $ 548 $ (548) $ 1,000 $ 4,929 $ (3,929) $
COMPUTER SOFTWARE - $ 3,318 $ (3,318) $ 27,817 $ 29,865 $ (2,048) $
PROFESSIONAL SERVICES 19,754 $ 13,497 $ 6,257 $ 146,095 $ 121,474 $ 24,621 $
LEGAL FEES 1,391 $ 5,355 $ (3,964) $ 18,104 $ 48,197 $ (30,094) $
EQUIP. SERVICE CONTRACTS 1,634 $ 2,463 $ (829) $ 33,052 $ 22,169 $ 10,883 $
REPAIRS & J ANITORIAL SERVICES 3,820 $ 6,302 $ (2,481) $ 34,980 $ 56,714 $ (21,734) $
TRAVEL 6,884 $ 7,758 $ (874) $ 68,037 $ 69,822 $ (1,785) $
RENT VEHICLES - $ 1,358 $ (1,358) $ 2,863 $ 12,225 $ (9,362) $
RENT EQUIPMENT 271 $ 349 $ (78) $ 2,348 $ 3,143 $ (795) $
RENT BUILDING 11,411 $ 13,367 $ (1,956) $ 121,944 $ 120,300 $ 1,644 $
INSURANCE 2,784 $ 1,410 $ 1,374 $ 28,300 $ 12,690 $ 15,610 $
SUPPLIES-OFFICE 3,292 $ 2,486 $ 806 $ 30,859 $ 22,374 $ 8,485 $
SUPPLIES & MATERIALS 365 $ 3,605 $ (3,240) $ 11,975 $ 32,445 $ (20,470) $
NURSING SUPPLIES & VACCINE - $ - $ - $ - $ - $ - $
CAR EXPENSE 2,635 $ 1,428 $ 1,208 $ 18,836 $ 12,848 $ 5,989 $
EQUIPMENT & FURNITURE NON-CAPITAL - $ 2,864 $ (2,864) $ 3,335 $ 25,776 $ (22,441) $
CAPITAL EQUIPMENT - $ 9,522 $ (9,522) $ - $ 85,701 $ (85,701) $
OTHER - NON FFP 545 $ 13,360 $ (12,815) $ 9,545 $ 120,243 $ (110,698) $
VAC/SL/RETIREMENT 6,059 $ 2,470 $ 3,590 $ 56,588 $ 22,226 $ 34,362 $
OTHER 253 $ 400 $ (148) $ 1,443 $ 3,603 $ (2,160) $
TOTAL ADMIN COSTS 71,098 $ 104,294 $ (33,197) $ 722,279 $ 938,647 $ (216,369) $
SALARIES (INCLUDES ALL BENEFITS)
ADMINISTRATIVE 81,213 $ 79,425 $ 1,788 $ 723,910 $ 714,826 $ 9,084 $
ACCOUNTING DEPARTMENT 23,312 $ 19,352 $ 3,960 $ 226,384 $ 174,167 $ 52,216 $
ELIGIBILITY WORKERS 47,561 $ 63,714 $ (16,152) $ 452,911 $ 573,423 $ (120,512) $
CHILD SUPPORT 19,295 $ 25,221 $ (5,925) $ 179,916 $ 226,986 $ (47,070) $
OFFICE SUPPORT 17,975 $ 31,425 $ (13,449) $ 185,075 $ 282,822 $ (97,747) $
CASE AIDES 22,821 $ 22,297 $ 525 $ 207,478 $ 200,672 $ 6,806 $
SOCIAL WORKERS 119,834 $ 129,403 $ (9,569) $ 1,152,816 $ 1,164,627 $ (11,811) $
PUBLIC HEALTH NURSING 90,901 $ 94,504 $ (3,603) $ 836,774 $ 850,536 $ (13,761) $
BOARD MEMBERS 2,166 $ 1,036 $ 1,131 $ 9,849 $ 9,323 $ 526 $
TOTAL AGENCY SALARIES 425,080 $ 466,376 $ (41,296) $ 3,975,112 $ 4,197,381 $ (222,269) $
TOTAL AGENCY ADMINISTRATION 496,177 $ 570,670 $ (74,493) $ 4,697,391 $ 5,136,029 $ (438,638) $
DES MOINES VALLEY HEALTH and HUMAN SERVICES
JANUARY to SEPTEMBER SEPTEMBER
CURRENT MONTH YEAR TO DATE
10/2/2014
VARIANCE
Total Admin Costs 722,279 $ 938,647 $ (216,369) $
Total Agency Salaries 3,975,112 $ 4,197,381 $ (222,269) $
TOTAL AGENCY ADMINISTRATION 4,697,391 $ 5,136,029 $ (438,638) $
Child Protection Program (Excludes OHP) 55,634 $ 92,555 $ (36,921) $
Out of Home Placement (OHP) 995,573 $ 1,011,153 $ (15,580) $
MFIP Employment Services & Child Care Program 7,010 $ 18,319 $ (11,309) $
CD Program 68,620 $ 64,944 $ 3,676 $
Mental Health (excluding OHP) 688,522 $ 789,314 $ (100,792) $
DD Services 238,958 $ 292,168 $ (53,210) $
Adult Services 72,279 $ 80,461 $ (8,182) $
County Paid Assistance Programs 85,707 $ 115,544 $ (29,837) $
Other Programs 270,787 $ 246,864 $ 23,923 $
TOTAL HUMAN SERVICE NON ADMIN. EXPENDITURES 2,483,090 $ 2,711,322 $ (228,232) $
Disease Prevention and Control 11,494 $ 11,705 $ (212) $
Family Health 16,623 $ 12,133 $ 4,490 $
Health Promotion 99,081 $ 136,604 $ (37,523) $
Home Health Care 101,260 $ 61,401 $ 39,859 $
TOTAL NON-ADMINISTRATIVE PUBLIC HEALTH 228,458 $ 221,844 $ 6,614 $
TOTAL NON-ADMINISTRATIVE DVHHS 2,711,548 $ 2,933,166 $ (221,618) $
TOTAL EXPENDITURES DVHHS 7,408,939 $ 8,101,385 $ (660,256) $
VARIANCE
Reimbursement for Administration Costs 1,286,844 $ 943,631 $ 343,213 $
Case Management 438,129 $ 583,076 $ (144,947) $
Program Cost Reimbursements 368,771 $ 646,273 $ (277,502) $
Fees & Recoveries 203,195 $ 236,750 $ (33,554) $
Grants 693,474 $ 604,551 $ 88,923 $
TOTAL HUMAN SERVICE REVENUE 2,990,413 $ 3,014,281 $ (23,868) $
PUBLIC HEALTH 88,867 $ 170,807 $ (81,940) $
DISEASE PREVENTION AND CONTROL 40,950 $ 58,633 $ (17,683) $
FAMILY HEALTH 244,698 $ 159,442 $ 85,257 $
HEALTH PROMOTION 198,997 $ 207,960 $ (8,963) $
HOME HEALTH CARE 288,416 $ 415,378 $ (126,961) $
TOTAL PUBLIC HEALTH REVENUE 861,928 $ 1,012,220 $ (150,291) $
State Aid 6,651 $ 22,638 $ (15,988) $
Misc 24,453 $ 10,043 $ 14,410 $
TOTAL DVHHS REVENUE 3,883,444 $ 4,059,181 $ (175,737) $
Appropriation 4,211,491 $ 3,994,040 $ 217,452 $
NET CHANGE IN CASH POSITION 685,996 $ (48,164) $ 701,971 $
2014 ACTUAL
DES MOINES VALLEY HEALTH and HUMAN SERVICES
2014 ACTUAL
JANUARY to SEPTEMBER 2014
EXPENDITURES
2014 BUDGET
REVENUE
2014 BUDGET
OUT OF HOME PLACEMENT
TOTAL EXPENDITURES
BY
MONTH OF PAYMENT
10/2/2014
BRASS
CODE DESCRIPTION 2014 Budget
2014 YTD
TOTAL J AN 2014 FEB MARCH APRIL MAY J UNE J ULY AUGUST SEPT
1710 CHILD SHELTER $57,804 56,457 $ - $ 5,581 $ 5,581 $ 8,350 $ 9,273 $ 8,838 $ 5,941 $ 8,852 $ 4,040 $
1800 TREATMENT FOSTER CARE $289,326 10,740 $ - $ - $ - $ 1,905 $ 1,790 $ 3,522 $ 1,732 $ 1,790 $ - $
1810 CHILD FOSTER CARE $58,573 165,513 $ - $ 28,290 $ 26,843 $ 27,206 $ 12,690 $ 33,232 $ 11,898 $ 15,479 $ 9,875 $
1820 RELEATIVE CUSTODY $8,362 9,433 $ - $ 697 $ 697 $ 697 $ 697 $ 1,644 $ 2,818 $ 1,092 $ 1,092 $
1830 RULE 8 GROUP HOME $76,553 23,973 $ - $ - $ - $ 1,585 $ 3,172 $ 4,147 $ 5,280 $ - $ 9,789 $
1850 CORRECTIONAL FACILITIES $240,770 317,768 $ - $ 58,874 $ 34,366 $ 45,548 $ 14,268 $ 67,290 $ 15,523 $ 43,879 $ 38,020 $
1860 DETENTION FACILITY $24,674 19,613 $ - $ - $ 185 $ - $ - $ 570 $ 2,805 $ 16,053 $ - $
1890 CHILD RESPITE $14,884 7,757 $ - $ 240 $ 1,287 $ 593 $ 1,783 $ 2,693 $ 600 $ 120 $ 440 $
SUBTOTAL CHILD PROTECTION 770,946 $ 611,253 $ - $ 93,681 $ 68,959 $ 85,884 $ 43,674 $ 121,935 $ 46,597 $ 87,266 $ 63,256 $
4830 RULE 5 RESIDENTIAL TREATMENT $575,379 376,595 $ - $ 78,052 $ 19,728 $ 43,197 $ 6,861 $ 79,644 $ 37,367 $ 73,767 $ 37,979 $
4890 CHILD RESPITE $1,880 7,724 $ - $ - $ 1,600 $ 1,344 $ 280 $ 1,110 $ 995 $ 1,675 $ 720 $
SUBTOTAL CHILDREN'S MENTAL HEALTH 577,259 $ 384,320 $ - $ 78,052 $ 21,327 $ 44,541 $ 7,141 $ 80,754 $ 38,362 $ 75,442 $ 38,699 $
TOTAL MONTHLY OUT OF HOME COST 1,348,205 $ 893,617 $ - $ 171,733 $ 90,286 $ 130,426 $ 50,815 $ 202,690 $ 84,959 $ 162,708 $ 101,955 $
BUDGET AVERAGE MONTHLY 112,350 $ 1,011,154 $ 112,350 $ 112,350 $ 112,350 $ 112,350 $ 112,350 $ 112,350 $ 112,350 $ 112,350 $ 112,350 $
OVER/(UNDER) BUDGET (15,581) $ (112,350) $ 59,383 $ (22,064) $ 18,075 $ (61,535) $ 90,339 $ (27,392) $ 50,358 $ (10,395) $
CUMULATIVE TO BUDGET (112,350) $ (52,967) $ (75,031) $ (56,956) $ (118,492) $ (28,152) $ (55,544) $ (5,186) $ (15,581) $
TOTAL CLIENTS PAID FOR (*) 0 37 46 52 37 54 38 48 36
TOTAL CLIENTS IN OHP (*) 52 47 51 45 50 40 49 34 1
(*) These are not the exact numbers of OHP's
CURRENT MONTHLY AVERAGE 110,619 $ 110,619 $ 110,619 $ 110,619 $ 110,619 $ 110,619 $ 110,619 $ 110,619 $ 110,619 $
$-
$172
$90
$130
$51
$203
$85
$163
$102
$ 112 $ 112 $ 112 $ 112 $ 112 $ 112 $ 112
$ 112
$ 112
$ 111 $ 111 $ 111 $ 111 $ 111 $ 111 $ 111 $ 111 $ 111
-$65
-$60
-$55
-$50
-$45
-$40
-$35
-$30
-$25
-$20
-$15
-$10
-$5
$0
$5
$10
$15
$20
$25
$30
$35
$40
$45
$50
$55
$60
$65
$70
$75
$80
$85
$90
$95
$100
$105
$110
$115
$120
$125
$130
$135
$140
$145
$150
$155
$160
$165
$170
$175
$180
$185
$190
$195
$200
$205
$210
$215
$220
OUT OF HOME PLACEMENT EXPENDITURES
TOTAL OUT OF HOME PLACEMENT 2014 OVER/(UNDER) BUDGET 2014 AVERAGE MONTHLY BUDGET 2014 ZERO LINE 2014 AVERAGE
$0
$20
$40
$60
$80
$100
$120
$140
$160
T
h
o
u
s
a
n
d
s
MONTH OF SERVICE
OUT OF HOME PLACEMENT COST
12 month
moving avg
$2.44
$2.65
$2.71
$2.57
$2.53
$2.34
$2.50
$2.83 $2.82
$2.81
$2.42
$2.58
$2.42
$2.66
$2.51
$3.15
$3.05
$3.29
$3.32
$3.53
$3.59
$3.46
$3.41
$3.22
$3.38
$3.71 $3.71
$2.00
$2.10
$2.20
$2.30
$2.40
$2.50
$2.60
$2.70
$2.80
$2.90
$3.00
$3.10
$3.20
$3.30
$3.40
$3.50
$3.60
$3.70
$3.80
Jan14 Feb14 Mar14 Apr14 May14 Jun14 Jul14 Aug14 Sep14
M
i
l
l
i
o
n
s
EOMCASHBALANCE(excludesJacksons4monthreservepayments)COMPAREDTORESERVEREQUIREMENTS
PROJECTEDCASHBALANCEREQUIREDTOMAINTAIN3MONTHRESERVE CASHBALANCEW/OJACKSONEXTRAPAYMENT
PROJECTEDCASHBALANCEREQUIREDTOMAINTAIN4MONTHRESERVE