may I have a roll call please. I think that Mr. Glenn is going to do that for us. Today. Mr.
Sher Miss Ben Tuesday is excused, Miss Brown.
She's in the parking lot. She'll be in a moment.
Miss Bullock is excused. Dr. Carter is excused. Ms. Garza washes excuse. You're glad I'm here. Commissioner, Camelot
President.
Mr. McNamara, Mr. Parker here. Mr. Phillips. Here is Ruth. She's excused, excused and Dr. Shay present. With that one, we'll have a quorum. Okay.
So this Miss Brown is arrives we will have a full quorum. All right. Thank you very much, Mr. Glenn. Thank you. At this point, we usually have a approval of the agenda but I'm going to pose audit virgins here, as she's here. Oh, there she is. Great. I'm sure okay. Yes.
I'm sure I'm moved to approve the agenda with the following change. To make item number two make item number. Item number 11. To move that up to item number eight item not make that argument number eight.
Okay, item 11, which is the board actions. You want to move that to yeah,
I'll second that motion.
Okay. I would like to add to that, if I might, I would like to also move up the CEO report which is item number 14 to rise after the
board actions. Yes.
Right after the board actions. There will be some discussion there that I want to make sure we can maintain have a quorum for Thank you. Yep. All right, Madam Chair.
We have a quorum. Okay,
have a quorum now. Thank you very much. All right. So we do have a motion on the floor to adjust the agenda by two items to be moved up. As stated. The item number nine for the unfinished business will be moved up to item number eight. And then the CEO report which will be moved up to item number nine. So all in favor of this changes signify by saying aye. Aye. Any opposed? Any abstentions? All right. Thank you The motion carries. So at this point we will have a moment of silence.
Thank you very much. All right. So now we need to have a motion to approve the the board minutes from our last meeting in April. May I have a total Thank you Mara. It's been moved in support it. Any further discussion? Seeing none all in favor signify by Aye? Aye. Any opposed? Any abstentions? Thank you. All right. We now will receive and file the approved finance committee and program committee minutes on their March and April meetings. So moving on, then we have announcements on network announcements. Are there any network announcements?
Check?
Good afternoon, Tiffany Devin, Director of Communications. I'm sure you all have the mighty wind app downloaded onto your phone. So I won't go through that. But there are an amazing amount of events happening in May and June. Hopefully you get a chance to take a look. I just wanted to let you all know that May is Mental Health Awareness Month. As you are all aware and D one has a fantastic partnership with the Detroit zoo right now. We are offering discounted tickets to anyone who's interested to go out to the zoo and enjoy the outdoors and get away from your electronics. You can get that information on our website. Those discounted tickets are for the month of May and we hope that you can all get outside and enjoy the fresh air. Thank you.
Thank you. Alright, board member announcements. Are there any board member announcements? Seeing no hands. We will move on then to the next item on our agenda. And that is a presentation of the audit. And we do have someone from the auditors to present or are they online? Well, they're here present. Great. Thank you.
Madam Chair. Yes, if I may. Yes, you may remove the board actions up to date. Oh, that's
right. I'm sorry. I'm back. I apologize. I'm adjusting my numbers. So I do apologize. Thank you. All right then. So now we will entertain the board actions. So we will move them up and we do have four board actions. All right. The board actions 21 This is under unfinished business business board action 2128. Is there someone here to speak to that Mike? Thank you.
Mike Majeski vice president facilities I'll be presenting board action 2128. This is a revision for our janitorial services for our facilities, to the provider services to enhance potential per step. We currently have a contract until September 30 of 24. We're asking for some additional dollars to facilitate the opening of both of our facilities and the amount of $46,930. That'll take your contract total to $297 and I'm sorry, 297 715.
All right. A May I have a motion to
approve move for approvals of this wonderful program. 400 moved
and supported any further discussion? Seeing no hands all in favor signify with Aye. Aye. Any opposed? Any abstentions? Thank you, board action. 2360 I think that's also you might
get Mike basky, Vice President of Facilities be presenting 2360 For Sterling security. They provide the security services for both of our facilities. With the opening of the crisis center, as well as our work we're building we're going to we're asking for an extension of their contract until July 31 of 2024. And some additional dollars to support that for $190,767.40. While we have the RFP process taking place for for the next contract term,
Move for approval. Okay. So before It's been moved and supported any further discussion, Mr. Phillips
believe that this increase this will be the required increase to July. We plan on awarding this next month. Thank you.
All right, any any further discussion? Seeing none all in favor signify with Aye? Aye. Any opposed? Any abstentions? Thank you, Mr. maski. All right. Board action. 2407 This is our revised operating budget. Yes, Mr. Grant. Okay, we need them Mike from Mr. Moran. It's on there it is now.
Okay. Yeah, um, board action. 2024 Dash oh seven revision. The fifth revision was taken before the Finance Committee, vetted and recommended for approval and recommendation for approval to vote by full board. Thank
you. Do I have a motion to approve? So moved, moved sport and moved and supported any further discussion? They no hands all in favor signify by Aye. Aye. Any opposed? Any abstentions? Thank you. Our final board action is board action. 2418 This is PCE. Who is speaking for that one.
Good afternoon.
Mr. Singler. Yes.
Good afternoon Madam Chair. And respected board members.
They can't hear you very well. Maybe you you might need to either get closer to the mic or
is it is it better?
It just got better. Yeah.
I'm sorry was the singular we just want to make sure everyone can hear you.
My apologies. You biology's. Good afternoon, Madam Chair. The board members, the board action 2418 in front of us. Requesting a totality of 562,000 and
by $162,200 to be added to the PCE contract. It includes a one time cost of 249,000 and monthly payments of 10,800 over the period of 29 months, totaling 313,200. All of these dollars are coming through an EOD grant that we received from the state so these are passed through dollars from that grant program. What this will enable is this will enable the interoperability when it comes to a Iot program to set forth ensuring there is a coordination between both the court systems as well as our provider network, setting a ADTs that will notify the network on when members are getting released so that they are able to address both the EOD treatment request as well as well as discharges in a timely fashion. This is something the state is looking to use once developed across the state as one of the one of the programs for the whole state. All
right, thank you. Is there a motion to approve, Move approval and moved? Is there support or all right so this session Mr. Phillips,
assist assisted outpatient treatment. So is that would you like more details? Okay, thank you.
Just to be just to confirm Mr. Singler, these are this increase is based on grant dollars. Is that correct? Yes, ma'am. All right. And it will facilitate better communication in that area of ELT. All right. Any further discussion or questions? Seeing none all in favor signify with Aye. Any opposed? Any abstentions? Thank you. Mr. Singler. All right. We didn't move up your report, Mr. CEO, Mr. Doa. So we're going to hear from you now and then we'll get back. I'll move it back up to the regular order of the agenda. So please go ahead. Mr. dolla.
I'm sorry. Thank you, Madam Chair. In regards to the CBO report, Lillian, if you could just do me a favor to get to the Trillium presentation there. That's going to be the bulk of my report. Just quickly though, in terms of the character Care Center, we are anticipating to be open for business in that first week of June. So in the first week of June, we should be open for business Grace, I'm keeping my eye on not only fingers crossed, but everything else that we've put forward to make that happen. So we are moving in the right direction there. But I do want to take this opportunity here. Madam Chair, this presentation was put forth before the PCC committee as well as the executive committee in terms of just discussion for some time now and there have been some talk about long term care. Not only from just this organization, but also from the city of Detroit as well as the county. A number I believe was probably a year ago now we did put forth a request from the state there in terms of some to some $227 million or though we were, you know, unsuccessful in that quest there. I think we certainly came back to the drawing board here and, you know, put forth a a recommendation for a public private partnership. And that partnership would give us an opportunity where we tackle some of the things if not all of the things that are that are certainly from a knee base, things that we need to certainly solve. So when we talk about the number of beds, there was a study that was done about maybe a little more than a year and a half ago, I determined that we need a roughly 180 beds in Wayne Wayne County. So if you take into account the call center here, I'm not the call center, the care center here with 32 beds. What we're going to do in the downriver community with another 25 beds 52 beds in terms of our seven mile project there, you're looking at 109 beds, this option here adds another 52 beds to that and if I'm doing my math correctly, you're talking about 161 beds. So in this particular partnership, the private partner in Trillium is putting forth a significant amount of dollars to not only stand up the facility but also to staff it as well. And so you're talking about, you know, a significant risk that they are going to bear and not only within the construction costs here, but also the fact that they're going to staff this and so that private side is there and and obviously you know, they are in this business to make some money as well. So part of this partnership will give us an opportunity to have those beds, they're just reserved for our members within the county. It will call for an one time investment from our organization of $3.5 million. And that will you know, help them not only stand up this thing, but also get it going as well. When you look at it from the perspective that there is a need. We can't build crisis center throughout Wayne County just doesn't have that we just don't have the budget to do that. And plus, that wouldn't be smart business move on our end. And here you're talking about locking in the raid in terms of those those beds at a raid that would allow us into a significant period of years there to have that locked in. If you look at our current hospitalization costs of somewhere around $80 million dollars, this puts us in a much better position, where now with some standalone hospitals, costing us on average somewhere between you know 1300 To sometimes even $2,200 or or more locking in a rate here with our partners or potential partners. For a term of years. I would propose at least no less than five years because that locks us in you know for a significant period there and also looking at it from this front as well. Rates are only going to go up. I mean, I don't imagine that there's going to be you know, you know, something that it would have to be something certainly on a significant scale to cause the rates to go down. So if we can lock that in for a period of years, as well as allowing you know, a negotiated period there to be renewed. That puts us in a very good position. The slide here, thank you pause for just that startup period. They're starting in June and to have the facility completed by September of 25. In terms of fully operational with an 80% occupancy there. Madam Chair, I can certainly go through the entire slide here but I think you know, most of the members if not all here have already heard this before. So if there are any questions, in particular, I will will be prepared to answer those questions there.
Commissioner Kinloch.
The question as relates to locking in a rate for five years. Okay, after those five years or whatever the negotiated time period is. There's a potential to have an explosion or is there a cap or is there some sort of definition that will be embedded in this agreement that would say that it would not go more over? More than a certain percentage over a certain value a certain, you know, determination or action or whatever, on this to be determined in the future, you know, because, like you said, rates are gonna go up, and so will they make up those loss dollars? Based upon their ability to go to open up the rate for negotiations after the five years? I'm just asking, no,
which is a reasonable question. Obviously, you know, we will certainly have a cap that would be presented in that particular contract. You know, but this is, this will require give and take on both sides. But obviously, we will put forth as much as we can to lock in the rates of for the most reasonable as possible, you know, before presenting it to this, oh, it'd
be something in there to speak to the rate at which the rate can increase. Madam Chair Move
approval. Well, Mr. Parker has
Yeah. And I was on the program committee we presented not voted for and thanks, great idea, but I did have a person to cough more into providers and want to know why we didn't do an RFP for this. Why didn't we go out to see if there's somebody else that wanted to partner with us with this type of ranges? What justification would we have? Just in case something illegally takes place there? We feel comfortable that we are able to do this without a RFP? Sure.
So this would be considered a sole source here. We have a partner who have obtained all of the necessary certificates that are required by the state in fact, already had that in hand or has that in hand was going to do so in another region. And so this presented an opportunity here for us. And Stacey, I'm not sure if he coming up to speak more to that. Well,
and I understand that they may have had everything necessary, but it may have been somebody else out there that also had that. So I'm just saying what justification we say this is the sole source. The sole source means nobody else has it. And so we can do I just want to make sure you're legally that we have covered that ground.
Yes. So the 3.5 million is actually investment, not in what was RFP because they're right there was an RFP for a CRS, a CSU cru, this is an investment in the long term or long term, short term residential portion of this particular facility. So it's not a procurement it's an investment. Yeah. So so we're we're investing and the fact that we will be able to and I don't know if Mr. Doe also should have probably maybe mentioned that. We're also not just on the right on the right matter, in terms of getting a cap on the rates and a discount on the rates, but we're also requesting that a certain number of beds. I use the word in perpetuity, that's obviously subject to negotiation, but at some, you know, long period of time, we're certain beds are earmarked for Detroit, Wayne, so that's $3.5 million, is going towards that piece, really understand the
investment and understand that they have everything we need. I just won't be covered. If somebody were to challenge this and say this was not a sole source, because it had another hospital on the west side. That would want to apply and they have the same thing that Riverside has. So we want to make sure that we are legally prepared for anything like that might come forward,
I think when Mr. Doar was referring to sole source because that is a procurement phrase that used I don't think that's exactly what he met. I think it was, he recognizes that the 3.5 is an investment not a procurement. And, you know, so
is this is this an agency that was going to go into business? Let us know that we're gonna go into business and we're investing so that we have some say in the beds, and how the beds are used. Is that what I'm hearing? Yes,
in in the operations as well. But Mr. Parker to answer your question more directly. We're not precluding anyone from establishing such a business. We're not a May if you have 15 $20 million to invest, and this is what you want to do. Go ahead and you know, let's sit down at the table. So this is an investment you're talking about. Essentially a provider that has taken steps to open up a particular business where we are going to simply secure beds that are needed. And just as how, you know, we would do for anyone who wants to open up a business, that opportunity is there so no one is precluded, if that's the question that has been asked Okay,
long as legal has justified it just in case there is some challenge. That's all I'm asking. Because we don't need to have this thing stop because somebody takes it to court and said that there was no RFP out there to see if we could invest in another location. And uncomfortable within a day is a great idea. And it happens again, east sides, you know, I love it. But I just wanna make sure we cover ourselves,
Mr. Phillips and then Commissioner cannot.
Um, at first, as I said during the program compliance meeting, I think that this is an outstanding idea. And we would have thought about it a year ago, we probably could have been in some other facilities as well rather than building out and I'm not in any way criticizing the fact that we build our own buildings. It's always good to have your own stuff as well. But this is going to recruit clued us from having to, you know, spend 30 $40 million a year for a get the same thing that we're looking for, which is bid is my understanding from talking to miss Dora that to your point, Mr. Parker, that this is going to be something that we're going to move forward with and there's there's going to be other opportunities for other facilities that have similar situations. I know that we are doing a program compliance meeting we talked in detail, not in detail, but we did have some discussion as released is setting policies so that when other organizations come to us saying that they have similar situation, we would be able to judge that based off our policies so that we won't have an issue where someone will say that we're not treating them fairly. But again, for you know, for this first time, you know, we're getting rid of eyesore that's on Jefferson. We're meeting are getting more beds, which is our our goal and we're doing it at a cost that is going to be better beneficial to us. Now, one of the things that Eric didn't mention we talked about and again, this is part of the negotiations um, someone had mentioned the skyrocketing in price after the five years but as my understanding that the goal is going to be to lock in the price for five years and then lock in an option and within that option for the next five years, there being some form of space for there to be an increase but not a significant increase. So overall, I'm 100% behind I think it's a great idea. And I'm quite sure our legal counsel and finance department didn't make sure we structured in a way where we can withstand any legal challenges that come for.
Thank you, Mr. I mean, Commissioner can like you had a comment. Okay. Yes,
I just would like to also highlight the fact that in the meeting we did discuss staff proposed drafting and unsolicited proposal policy. And I think that should be coming pretty quickly. I think that that should be worked on like, as soon as possible, through the appropriate committee to come to the board for an action so we'll actually have that policy in place for unsolicited proposals. Thank you
all right. All right. Is it Mr. McNamara? Yeah.
First of all, I'm all for this.
Okay, yeah, please. I'm all for
you All for this. It's a working Yes. Okay. All right. So I'm all for this but I'm procedurally I'm crushing. So you're asking us to approve this. Are you going to bring a contract to us in the future? We're going to know all the all the all the little nuances. How do you do how do you go about this? Usually we get a contract and add a line item and change over to an adjustment of the budget now let us stuff
nothing has changed from that process. I am simply bringing this to you as a recommendation for us to move in that direction. Okay.
Thanks. That's all just curious. Yeah. Thanks. Or.
Okay, any further discussion? The none all in favor signify by aye. All right, any opposed? Any abstentions? Thank you. All right. Now we are ready for the plant Moran audit presentation. And I believe that as a full board, we do need to accept the results of the audit. So auditors, Mr. Moran, I
just wanted to sort of give a prelude to what they will be present presenting to you. Detroit Wayne is subjected to three different audit reports annually. One is our financial statement audit, which is the the review of our books and records and internal controls. The second audit report, and I'm sorry, and that that the financial statement report is subject to the state of Michigan Department of Treasury. That's what's required from from the Department of Treasury. We are also subject to our single audit which is an audit of our federal expenditures, and that is subject to the federal government. The third audit is referred to as the compliance examination. That audit is required by the Michigan Department of Health and Human Services. So currently, our auditors as you know are Plante Moran, and they will be here to just give a brief overview of the three audit reports and the outcome of each report. Thank you very much. Thank you.
Point of order. Yes. Oh, just just a point of clarity. So we did okay, that's okay. I got it. I was getting some advice from counsel. Thank you.
All right. Please, please proceed.
Good afternoon. Thank you Stacy. Um, for the record, Alicia Watkins with plant Moran I'm the partner on the audit engagement and with me is Tyler Luce. He's the manager serving on your account. As Stacey mentioned, we did complete all three audits for fiscal year ended 2023. I am happy and pleased to report to the board that we are issuing an unmodified opinion on all three financial statements or reports or examinations kind of depending on the deliverable, but an unmodified opinion on each of the different deliverables. And what that simply means is that our audit opinion and each of those instances is without exception we make they can be relied upon they're materially correct and they follow all the rules and regulations. We did have the opportunity a couple of weeks ago to go through the results of the audit the numbers and a little bit more of a deep dive with the finance committee. So we really are going to keep it high level and certainly if there's more you want us to cover we're happy to do so. So, so that that is the overview, in addition to issuing an unmodified opinion. For both audits and the examination, I'm also pleased to share that we did not identify any findings, and we did not have any internal control issues that we felt were of concern that warranted the attention of the board, nor did we candidly have any even best practice recommendations this year. So an entirely clean audit with no findings or unfavorable outcomes across the board which is which is a tough outcome to achieve candidly and and one that you should should certainly be proud of.
Yeah, thank you.
In your board packet from plant Moran also is a letter on our letterhead, that is a required communication that we do need to issue to the governing body for each and every audit that we conduct. And really all that it is is it sort of closing the loop on the communication that we would have sent to the board at the front end of our audit, and it lets you know that we did in fact fulfill our responsibilities that our audits were done in accordance with the plan that we previously communicated to you and that we did not have any disagreements or or the other concerns with management during the course of our audit. And certainly if we did, we'd have a responsibility to bring that to the attention of the board. Finally, the last item is the financial statements themselves. That is a large part of the audit that we do and so we were just going to give a five minute overview of the financial highlights from the most recent fiscal year ended 2023 And I'm gonna invite Tyler up to help me out with that.
Thanks, Alicia. Good afternoon, everyone. Thanks for having us here today. As Alicia mentioned, I am going to cover some of the financial statement highlights which is going to be in the document labeled financial report with supplemental information. So if we could turn to page 10 of the report
getting closer.
one more page. Perfect. Thank you. So this is the condensed version of the statement of net position as of September 30 2023. I did want to highlight these amounts within the management discussion Analysis section so that you could see both current and prior year results. If you are interested in looking at the full set of financial statements, those would be begin on page 16. But staying here, I did want to highlight this is a really strong balance sheet. In terms of working capital, the organization is able to use the $263 million to pay off the current liabilities of 177 million which are shown towards the middle of this page as they become due. Making up the current assets. There's over $209 million in cash and investments as well as receivable balances amounting to 53 million. The current liabilities are made primarily up of Accounts Payable balances owed to vendors and providers. And as part of our testing, we did see that these balances continued to be liquid and are paid off as they become due. So on this page in terms of non current assets, I did want to highlight that in the $76.7 million amount there is roughly $22 million of restricted cash. And just as a reminder, this cash is set aside in accordance with the bank loan requirements for the debt related to the construction of the Admin Building and the new care center. The capital projects on the following line are the primary drivers of the increase in capital acids, and that increase is almost $29 million. The notes payable line item shown in the liability section are roughly $12.3 million. Again, this is the construction equipment loans for the admin and the new care center. Lastly, we do have net position or rather the equity section of the balance sheet which is comprised of the net investment and capital assets restricted net position and unrestricted net position totaling $198 million. If we could turn to the next page, page 11 of the report. This is going to be the statement of revenue expenses and changes in net position. The items I want to highlight here would be that the total net position increased almost $41 million. That's shown at the bottom of the page here, which is really fantastic for the organization. It's also quite a bit higher than what the increase in that position was as of the end of 20.2 which was roughly 24 point 5 million what
was already hit Mr. McMahon,
what was the cost of the $41 million increase in that? Absolutely.
I've got a couple of holding grant money was yeah
so what happens is, if you are required during the fiscal year, we may we received we spent around 6.3 million, I think, on the seven mile project as well as there was a SAMSA grant that I believe we spent probably two or $3 million on during fiscal year 23 What happens because those are our federal grants that are capital in nature. The revenue gets reported on the income statement, but the there's no expense
there's a demand and then you had to receive and then on the year you got it. Well the expense until you do it.
Well the asset because we use that funding to report to purchase an asset. So the asset is not on the income statement. It's on the balance sheet under capital assets. So what happens is that revenue falls to the bottom line, and it looks as though we have you know, a significant more revenue if you will, or profit and understand we're not in the business of quote profiting
with $40 million increase in net position. Basically, if you you're saying that's all in that building them so just not really usable a
portion and over time what happens? So what what you'll see in later years is a significant depreciation expense. That'll be a lot higher because the revenue has already been reported. So in future years when those buildings are completed, and we depreciate them, you'll see a large depreciation amount that is whereby the the revenue side is hitting in the sitting in your your net position or sitting in your fund balance, if you will, in layman terms, so it's a little there's a little distortion in terms of us having $40 million
budgets there but it's not really you can't touch it. It's already taken. It's already it's already been claimed it's
there and it's going to be spent a future years. All right. I think that's a better way of saying it. Okay. One thing that I did want to point out, though, before he moves on, if you go because there's been a lot of discussion about we've been you saying you were going to utilize your local funds, and there's been a lot of question, well, how much do we have in local funds? So, you know, I believe in trust, but verify so I'm going to actually show you how much we have in local funds. So if you go to page 16 of this document and if you look at the bottom, I'm sorry, I'll wait for Lillian to catch up. But everyone should have the document before them.
If you go to the bottom of the page under net position, okay, so there's a line that says unrestricted. Okay, that amount is $64 million dollars. So that is our unrestricted. However, if you look above that, that 21 million, that is also or that will also be unrestricted when the building is complete. And we enter into our final loan agreement with Flagstar will be no longer have to set aside the cash collateral, that amount will come down and it will be 64 plus 21 million. So that is our total amount of local funds that we have available. Okay. All right. I'm sorry, Tiger. No, great,
thank you. So just a couple other things I wanted to highlight regarding the income statement or the statement of revenue, expenses and changes in the net position. In that would be operationally total operating revenue was almost $1.1 billion. Obviously the most significant portion of that made up by state grants and contracts and operating expenses came in slightly less at 1.0 6 billion, which is roughly 737 million made up between adult services and costs associated with services for the intellectually disabled. So what does this mean? Well, it means that the organization continues to expand resources at a rate close to and slightly less than the corresponding income. While it's not unusual for D when Alicia and I are consistently seeing that other clients are not able to maintain these positive operating income in recent years due to this significant rise in costs. So really, that's what I wanted to cover in terms of the financial statement highlights you do have the rest of the report, which includes footnotes that goes into further information, but I wanted to pause and see if there's any questions that we cannot address.
I'm sure all right. Is there any Oh, I'm sorry, Commissioner.
No, also no question Move approval.
All right, moved. It's been moved. Is there support to receive and or no, we're not done. We're not done. You're done. We're done. Oh, she said no. He
said do not know the single audit. And you're not doing that one.
Yeah, I just did do a condensed version and I hope that's appropriate and acceptable to the board. Rather than walking through the reports. I just kind of gave the overview of what you can expect if and when you have a chance to look at them. Should we cover this this Sefa would that be
not what it's up to you?
Is it a pleasure to bore I have some timeline issues with some of my board members. So yeah, let me just pause for a minute since we do have a motion on the floor. Board members how comfortable are you do you want to hear
Madam Chair? Yeah, find me as committee. Went through all those details. Yes. recommending approval? Yes. I'm fine. We're voting on the motion.
Okay, so you call on the question now. Okay, Mr. Phillips,
only the finance. This is only the financials or financial statements that you guys audited. Am I correct? That
what we just walked through was just the the financial statements. We did audit the Federal awards, and we did a compliance examination as well as required by the Michigan Department of Health and Human Services and so an all three of those instances we did issue unmodified opinions and we had no findings in any of them and
within the compliance audit is any it do you guys review any of the it
we do? I actually it's required that we do an IT audit as part of each and every financial statement audit that we issue. It's been part of our professional for probably 10 to 15 years. So we do an assessment of controls over sort of the IT infrastructure, supporting the financial reporting system. cybersecurity, well, we don't get into cybersecurity. Entirely. That would kind of be a broader scope. But we do look at kind of foundational security matters access to system is it appropriate, what sort of controls you have surrounding the network and those sort of things? Okay,
so my next question is there can Stacy do you guys had we have a someone that does a full cybersecurity audit must have a live session. Let's just say Mani cam, sir.
Yes, we have a virtual CISO who is a security expert, and we are leveraging his facility in terms of doing cybersecurity audit. And they were some recommendations that were being implemented over the last one year, and that process is is in a continuation phase. For
the purpose of getting people out they have to leave well, we'll table that for right now until later but we need to at the end of this meeting, have a conversation about cybersecurity a little bit. Okay, that you would like to at the end unfinished, okay. But we do have a motion on the floor. So any further discussion? Yes.
I brought it up last year, and then we'll bring it up again. So every time we do an audit usually have to do it test audit of certain, you know, procedures and stuff in the group. And I've since we're taking over all these new businesses at the time was phone banking and things like that. I was hoping that you guys were going to do some of those test procedures and look tighter into some of your new businesses that you're getting into. Are you doing that? I mean, that's the way you find out if you got new employees that are screwing up.
Can you give me an example of like, new businesses or are we getting
don't don't you follow how the how people? How each clerk? What's the numbers onto the balance sheet?
I think so. Part of the testing is internal controls. And yes, that's what they test internal controls. Absolutely. In
the future. Could you haven't gone after the new business segments that you've got so that we know that they're starting up? Right?
Typically, generally, when it's a new, particularly if it's a new federal program? Yes, it's usually covered as part of the single audit testing. Okay. Thank you.
Okay, further questions. Or discussions? All right. See, none all in favor of approving and accepting the audit, please signify with Aye. Aye. Any opposed? Any abstentions? All right. Thank you very much. Thank you very much. Yeah. And at this point, I did hear one of the board members say we can say it again, officially, for the record that we want to commend Mr. Grant and the whole fiscal team for having an audit without any exception, all three of those. So this is no findings. Exception, so thank you.
All right, Mr. Parker, you had another comment? I'm
sorry if that's exactly why I want to make sure that we put it on official record. I've been here 10 years and I have not seen any findings throughout that time. So it's outstanding, especially after we went over a billion dollars. And we still are. Have a positive audit. Thank you, Madam Chair. Yeah,
I echo that okay. So
we do have to give Mr. dough a little bit of credit to so the entire orange Thank you. Thank you, Mr. Grant. It really is it really is the whole organization because it takes all of the parts and all the working together to to get findings, such as this, namely, no findings. So thank you, Commissioner.
And I'm sure if you don't mind, if you could both allow the flexibility for me to give my report?
Well, you need to you need to have some time constraint. So all right, the next was the board committee reports. And so we will have the PCC report. So go ahead, please, Commissioner.
Good afternoon.
And thank you Madam Chair. The program Compliance Committee met on Wednesday, May 8, there were no board actions to recommend to full board. The full Board The Committee received a follow up report from adults initiatives on the status of a clubhouse that was formerly under northeast Guidance Center, the Northeast Guidance Center and and has since merged with CNS. It was reported that all members were referred to other clubhouses and CNS intends to reopen the clubhouse but there is no set date. The monthly report for the monthly report was received from the chief medical officer and updates were provided on the collaborative teaching agreements with the nurse nurse practitioner program and physician assistant program. And the child and Alan adolescent psychiatric psych psychiatry professorship, the nurse the nurse practitioner and physician assistant programs have been signed and finalized and the physician assistant agreement is going through final signatures. It was also reported that the mobile crisis mobile crisis was launched in December and had 54 crisis contacts between January one through March 3 2024. The highest number of contexts was with those individuals between the ages of 25 and 34. It was also noted that at no time was law enforcement requested as backup on the same quarterly reports were received from the excess Call Center Innovation and community engagement, residential services and substance use disorder. The residential services department reported that from January through March, the department completed 429 Total residential assessments in licensed homes over the past quarter and 2019 and unlicensed settings. There are 42 remaining assessments. There have been 1235 residential assessments completed this fiscal year. The sub Department reported that there was hit that there has been a positive development in the fight against the overdose crisis in Wayne County, as the number of overdoses have decreased from 206 in quarter to fiscal year 2023 to 200 and a quarter to fiscal year 2024. The department conducted a year in audit to ensure accuracy and compliance with regulations. There was there I mean, there has been a significant increase in overdose education and not actual distribution services as well as as well. As mobile unit services provided over the last two fiscal years. The mo the monthly report with from clinical operations was also received Highlights included an update on the behavioral health and homes which has 723 members, which is an increase of 2.1%. The Med drop program has sown a an increase in medication adherence and a decrease in psychiatric hospitalization over to UPS visualizations over time. Mr. Doar and Mr Singler provided a presentation on tribalism, transformative, transformative, collaborative, which public private which is a public private partnership, Mr. Door will provide the presentation that was given to the program Compliance Committee. As part of his report, the program Compliance Committee unanimously supported the proposal and move this item to full board for approval. More detailed information will be presented to Mr. Doar later in the meeting. Madam Chair, that concludes my report. I just like to make one correction. There was one action item that was forwarded to the full board and that was the public private partnership.
Okay. Thank you. Are there any questions for Commissioner Kinloch? All right, thank you. We will be receiving and file in your report. Thank you. Since we're there, we'll just do C and I'll do the Grexit Committee last Finance Committee are you prepared Mr. Brown?
The Finance Committee did meet on May 1. As you all have already voted on the audit was clean. There were no findings. Again, congratulations to Stacey and her team. It definitely speaks five volumes to your organizational skills, your support team staff, and talent, the efficiency and the dedication to policy and procedural policies and practices. Again, congratulations. We did already approved the two board actions that were sent for from finance and as you can see the liquidity remains on cash flow are sufficient of course operations. That will conclude my report Madam Chair, any
questions for Miss Brown? Hearing none, thank you will receive and file your report. Recipient rights. Did it meet Mr. Glenn?
Thanks, man. I'm sure during the month of May we didn't have a recipient rights meeting. I'm sorry. There's no report. Our next meeting is scheduled for June 3. So we'll be meeting on June the third. All right,
thank you. In terms of the board chair report, we did have an executive committee meeting and there's just a number of announcements here. One important one is that the full Board meeting for June is has the date change. So instead of that Wednesday, the 19th, which is Juneteenth. We will be meeting on Thursday, June 20. So anyone should take note everyone should take note of that. We also have a number of our members, our board members that will be as well as staff attending the net con 24 conference which is a well they did attend excuse me, April 15 to the 17th and St. Louis. We also have upcoming Regional Chamber of Commerce Policy Conference, which is coming up at the end of this month. A number of board members are attending either as representing the board or on their own, but nevertheless, we will have a representation there. The net con Hill day was scheduled for June 5, and I believe we have a couple and that's in DC. I believe we have at least two board members that are attending that to represent us as Detroit Wayne as de when the Community Mental Health Association of Michigan is having an annual summer conference coming up in June. And we will and we'll be in Grand Traverse Michigan and we will have a one or two representatives there. I'm not sure how many Missae lecture or four members will be there from the board representing us. And then finally the Community Mental Health Association's fall conference, which is upcoming for October we will do plan to be represented there also. So that concludes that part of my report because of announcements and mentioned also in terms of the executive committee. We had an annual meeting scheduled for July 17. So we need everybody to note that on their calendar. The metro region meeting. date to be determined is coming up the Macomb County will be Excuse me? No, that's incorrect. We are the host. So we will have a date coming up to share on that. They're working on the board study session dates. We're scheduled to do it sometime in July and December. So we're working on those dates. And very important we have a joint budget hearing that's joint with PCC and finance will be held on August the seventh to look at our budget for fiscal year 2425. So that concludes those announcements. Is there anything that I Miss Miss Black Shire? Madam Chair, there
was just one item Macomb is looking to schedule their metro region meeting for the month of June or July. So I will be polling board members for their availability. All right. Thank
you. All right. Any questions about any of this from board members? Okay, seeing none, we're receiving file all of these reports and we'll go on to STD who was doing that presentation for us. Mr. Adams on the line or someone else doing that for us, sud.
Thank you, Madam Chair, Judy Davis on behalf of Mr. Adams as Judy.
Thank you.
We did meet on April the 15th. We had a presentation from Mr. Dwight vaulter who is the CEO from sharehouse. He talked about the share services including their residential, their withdrawal management services as well as other community activities. We also had a report from our finance department regarding our PA two funds, which as you see has was stable and it's still growing. There were no board actions approved. And in addition, we had information reports from our treatment and prevention managers with emphasis on our COVID numbers. And our next meeting is scheduled to occur on May 20. Thank you
any questions for Miss Davis? The none Thank you, Miss Davis will receive and file that report also. Now that brings us we have no new business for this for this meeting, but brings us to the ad hoc committee reports. I don't believe there was a policy bylaw committee Mr. Phillips, was there a meeting? No, no meeting so no report at this time strategic planning? I don't believe they also met. So there is no there is no report. Board building committee Mr. Parker was there is there a report did
not have a meeting in May I guess it was okay. We do. Our next meeting will be June the fifth after the Finance Committee.
Madam Chair, if I may. Yes, you may. Mr. Phillips is looking at scheduling a meeting for the policy bylaw Committee during the month of June and I think is June 25th. So I'll be polling the committee members for that as well. Okay, great. Thank
you. All right. Thank you. There's no full No report. So we'll just note this information about upcoming meetings. Mr. Doe, although you gave your report and you did a good job. Was there anything else you wanted to add? We had to go through that rather quickly. No, Madam Chair. Thank you. You're good. All right. Well, that brings us to one of the highlights of our meeting. And that is I'll provide a presentation. So are the folks on the Ruth Ellis center here and ready to present?
Thank you.
Good afternoon, members of the board. My name is Mark or when I'm the executive director of Rivella center. And
hi everyone, Kristin. Wunderland integrated health director results center.
Okay, great.
Thank you for inviting us to share a bit about about the work of Ruth Ellis Center, our history and certainly our partnership with de wind and ensuring that LGBTQ plus young people have access to integrated health care including behavioral health,
we might need a little bit more volume let let our tech person help you.
Okay, how is that better?
Well, go ahead, we'll see.
So we can move on to the next slide. Ruth Ellis Center came to be back in 1999. And really, it was in direct response to a young person who was only 15 years old, who had just come out to his family as gay, and they immediately and violently rejected him because of that. The home environment became so unsafe, that this young person ran away and was living on the streets. And when he attempted to access resources in the city of Detroit specific to his experience as an LGBTQ plus young person of color, who was experiencing family rejection on this level, he found nothing. There was nothing available. In 1999. But he was courageous enough to tell his story to a few community leaders. And these community leaders immediately gathered a group of individuals in fact, it was 16 individuals over Memorial Day weekend, to brainstorm some ideas and how we might be able to better support LGBTQ plus youth in our community. The 16th individuals were attorneys, educators, health care providers, social justice warriors, quite honestly. And during those discussions, they decided that with the limited resources they had available, they could create a safe space for LGBTQ plus youth to access basic safety net services like food and clothing, pure support groups, but most of all an opportunity to be celebrated for who they were not rejected because of it. It started with a 500 square foot drop in center it was very small. However, the impact was great. And it was named after an extraordinary Detroiter named Ruth Ellis, who was born in 1899 in Springfield, Illinois, but moved to Detroit in the 30s and her and her partner babe open their home as a safe space to the LGBTQ plus community. And it wasn't because it was their mission. It was because Ruth enjoyed her community and she loved dancing, and she loved parties and music. And that was a pretty risky thing to do in the 30s in Detroit for a black lesbian woman. But she did it anyway because she knew it was the right thing to do. I should also note that Bruce LS was the first black woman in this city Detroit to own and operate her own printing company. So she really broke every glass ceiling that was presented. To her. She actually lived to be 101 years old. And so she was there for the very first ribbon cutting of our drop in center. And she passed away in her sleep just a few weeks later. So we've grown tremendously since 1999. And since that initial drop in center, and we now provide a myriad of services, really to address the housing, health and well being of LGBTQ plus young people. So our integrated health program really began with our partnership with D win back in 2012 as a contracted agency to provide mental health care for LGBTQ plus young people, but then began to expand in 2015. So I'll let Kristin share a little bit more about our integrated health program.
All right, I'm gonna give a little bit of an overview of integrated health. So integrated health is a collaboration between Ruth Ellis Center and our Henry Ford partners. So we provide behavioral health services Ruth Ellis Center provides behavioral health services and Henry Ford provides our medical services. So within our clinics, we have both under one roof we have behavioral health and medical services. We offer outpatient therapy, we also offer home based therapy. And on our community based or home based team. We have individual therapy, family therapy, we also have parents support partner, and we have a family support practitioner who is also another support for parents and caregivers. They do a model which provides psychoeducation and supports for parents needing support to understand their LGBTQ youth and to support their LGBTQ youth. We also in 2022, added art therapy services. So we have individual art therapy and we also have an open studio models we have an art therapy studio, the open studio model allows youth who are part of the art therapy program to drop in during our open studio hours. That can be really self directed. But there's also two art therapists present at all times that they can engage in interventions with them. The open studio approach also incorporates communities so they are given the opportunity to mentor other youth who are new to the studio, which I think is a really great attribute of open studio art therapy. And then we also have psychiatric services available to our youth. And then our medical services provided through Henry Ford include anything that you can get in your primary care from a primary care physician so wellness checks, physicals, STI testing and treatment, HIV testing and treatment and gender affirming care among many other things.
We can move on to the next slide. In 2020, we broke ground on our permanent supportive housing facility named Claire Mountain Center. This was really a dream that began more than a decade ago. For those of us who have been with the organization for some time, knowing that permanent supportive housing was a model that was truly needed to support LGBTQ plus young people experiencing housing instability. This was something that we began planning and reaching out to partners and really thinking strategically and intentionally about what this facility could look like. We opened officially in October of 2022. The pandemic already slowed down construction of it for us, but the facility includes 42 Total housing units 34 of which are designated to support permanent supportive housing. We also do work closely with MDHHS. And so four units are reserved for young people living with HIV or at high risk of contracting HIV. And then four units are reserved for 50% ami. In addition to the residential units, the first floor of Claire Mountain Center houses all of our supportive services. So our very first Health and Wellness Center in partnership with Henry Ford Health is located in Highland Park that is in partnership with their school and community based health program, which is really geared towards 13 to 30 year olds, recognizing that permanent supportive housing will allow us to serve individuals beyond the age of 30. Our Health and Wellness Center located at Claremont center is in partnership with Henry Ford Health family medicine and Department of infectious disease. So there's no cap on age in terms of accessing those services. And again, that's all co located on the first floor of Claremont center. Kristin mentioned the expressive art therapy studio that is also housed at Claremont center. So what that allows for is us to really remove barriers that too many LGBTQ plus young people experienced when attempting to access affirming services. They are working with individuals who have really spent significant periods of time establishing trust and rapport. And it's pretty remarkable thing to wake up in the morning and go downstairs and meet with your doctor and then to meet with your therapist as well. So it's an incredible accomplishment. In addition to Claire mount center, we also do operate a scattered site permanent supportive housing program as well. Also funded through HUD and in partnership with Detroit's housing continuum. I should note that Ruth Ellis Center's partnership with the housing continuum in the city of Detroit is the first of its kind. Never before have there been a housing provider that have designed housing services. Specifically for the needs of LGBTQ youth as part of this continuum. So it's a significant achievement, not just for Ruth Ellis center but for the city of Detroit as well. can move on to the next slide.
Sir, you're almost at your tie. Okay.
I want to talk a little bit about our health equity and Outreach Department. So this is the department that houses our drop in center. So Mark mentioned the drop in center earlier. Really want to emphasize that this program is focused on low barrier access to basic needs, like food and clothing. So they do have roots pantry. Youth can pick up food boxes, and there's also a hot meal that is served in the drop in space. We also have Ruth's closet. There are computers, rooms where youth can you know, watch TV watch a movie relax, laundry services, showers. Things like that in the drop in space, two days a week. And there's also other events that they put on as well depending on the needs of the community at the time. Also part of how health equity and outreach is the Center for Lesbian and queer women and girls or the CO Q. So very similar programming and resources available as well, but specifically geared towards lesbian and queer women and girls.
And I'll move quickly so the next slide is going to talk a little bit about our employment coaching program which was designed in partnership with GM to really connect the dots between access to education and employment, supporting both young people and their experiences, but then also our corporate partners and community based partners to better understand how they too can support environments that are affirming to LGBTQ plus employees. And then lastly, I just wanted to mention the reverse Institute, which is the training and technical assistance arm of the organization. Currently, we are contracted with the state of Michigan to provide a curriculum that we developed called asking about so GE, for the next three years, we will be training all child welfare professionals throughout the state of Michigan, on how to ask these sometimes difficult questions. Because we know that it is imperative that when we are determining placements or supportive services for young people, we need to know how they identify because we can cause real harm if we don't. And so the institute is working with the state. And also I should mention that we do make many of our trainings available with support from DEA when to all of our other provider agencies so that they can best support the LGBTQ youth who may come to their agency. Thank you very much for your time. This afternoon. Thank you.
Are there any questions?
I do, Madam Chair. Yes,
Miss Brown.
So let me ask you a question about you said you have a drop in a two day drop in
drop in center and it's open two days a week. Okay. That's what I'm eating. Okay. That's what I want to know. Yeah. So from three until 8pm On Mondays and Wednesdays and this is just a low barrier access point for young people to come in and access shower facilities, laundry facilities, the clothing closet, the food pantry, and then it's where we really build that rapport and then connect them to the more comprehensive services like integrated care and housing resources.
All right, any other questions are
the Clermont location that's actually at the Highland Park location. So we have four facilities now. The drop in center and the first Health and Wellness Center is located in Highland Park, Claremont Center and the Center for Lesbian and queer women and girls to separate facilities buy located really just down the street, and that's 24 hours for that center. But Claremont center you know, for the for the Highland Park. Nope. So Mondays and Wednesdays for dropping services. We also have the employment coaching programming that happens so there's more structured programming throughout the week, but young people do not reside in that facility. Okay.
All right. Great. Any other questions got to do have one. This is great presentation about how many do you serve on an annual basis to drop in centers, particularly I'm concerned about
the drop in center. We serve anywhere between 506 100 unique young people throughout the year. In total, we provide services to about 1200 Young people throughout the city. And we have collectively about 64 housing units that we operate. Okay. All right.
Thank you that if any further questions, great presentation. Thank you. Very much. Thank you. Thank you for your All right, we're about to close our meeting, but I need to ask you Lillian, do we have any any action items that you that we need to note?
Madam Chair, there are no action items today.
Okay, I think that I thought that was Mr. Phillips.
I just wanted to follow up on our brief conversation about cybersecurity as everybody has seen in the paper over the last year or so there has been an influx of, of cybersecurity attacks on healthcare related entities to the center now the one with all Beaumont In fact, I got a little inside information on that when I know that there was a cyber security professional that had the opportunity the system and it was rejected and after it was rejected. They were attacked. So I have some concerns as relates to what are we doing as relates to assuring that, you know, we're getting properly audited and we have all our functions together but also one of the big issues and I'm been drilled on this is that not only are we adding ourselves, but assuring that our providers and those that we have interactions with are getting properly audited as well so that you know they if they get breached, you know, we are not only aware of it, we're protected against whatever breaches that they have as well.
Would you like us to make this request that Mr. Singler the team? Mr. Yeah.
I don't want to put him on the spot today. But I would like you know, over the next month or two months for us to have some form of presentation on that because of municipalities. Just you know, following this, I know municipalities in health care facilities, there has been a substantial increase in amount of tax that have occurred to those two entities. Um, simply because of the fact that they have not spent the resources necessary to protect themselves. So I want to make sure that you know, we're doing the opposite, which is, you know, spending the resources and ensuring that we can mitigate any attack. I've learned that there are attacks you may get attacked, but if you can mitigate it, and stop it from spreading, then that's just as good as not being attacked at all. So,
Mr. Doe, if we can have that perhaps presented to the PCC, you can have Mr. Single out and our else, whoever else you need to have to work that out for us. That will be great. Thank you, Madam Chair. All right. All right. I'm sure yes, I'm sorry, Miss Joseph,
I guess. These are opportunities that can make some suggestions. A light for the executive committee or staff to consider that when we have our meeting on June 20, rather than have a provider presentation, that we will have some type of presentation on Juneteenth is a relatively new our day and I think that we should have someone to come to present or a video or something just so we could continue to educate ourselves on why we celebrate Juneteenth and also encourage our providers to do something particular they're open that day, on the 19th. There's a suggestion. Okay,
we can make that So noted. Mr. Hill, would you take that to your team for consideration, and we'll also do the executive committee. So thank you. All right. Any further comments based on action items? So listen, you got to Okay. All right then. So now we're at the good and welfare portion of our meeting. Trent, I need to ask if there's anyone there who wants to speak to good and welfare, just so that I'm aware but I will read the statement. Good afternoon, Madam Chair. We do have guests with us for today's meeting. So at this time, we'd like to invite them to make public comment if they wish to do so. You can do so by raising your hand. We did not receive any written submissions for public comment today. Okay, but I'll read the statement and you can note if there's anyone that raises their hand, so members of the public are welcome to address the board meeting during this time for no more than two minutes. The Board Liaison will notify the chair when the time limit has been been met. And individuals as individuals are encouraged excuse me to identify themselves as densify themselves and fill out a comment card leave with the Board Liaison. However, those individuals that do not want to identify themselves may still address the board. issues raised during the good in the welfare and public comment that are of concern that the general public and may initiate an inquiry and follow up will be responded to and may be posted to the website. The back will be posted within a reasonable amount of time. And that that is HIPAA related or that is not HIPAA related or that is not confidential of nature. Will not be posted but rather responded to on an individual basis. All right, Madam Chair, no one raised their hand to make public comment. All right. There's no public comment. So before I move forward, ask for a motion to adjourn. One more time board members. Do you have any final comments before we move to adjourn? In our hands, Mr. Doe any final comment before we move to adjourn? All right. Thank you. All right, or moved in supported any further discussion? All in favor signify with aye? Hi, thank you, everybody. I know you know it's not working great.
Madam Chair. Yes, yes. As a reminder those that are going to Makkah no need to stay over for the update.