2421 Addendum 1.pdf

RFP #2421 Addendum One Page 1 of 15

Yes.

Revisions:

We have revised Attachment D Staffing Requirements and have attached the revised document to this addendum. Please base your cost proposal on the revised Attachment D.

We have had feedback regarding proposers providing revised staffing plans as part of their RFP response. It is critical that proposers provide the Cost Proposal response using the staff model provided as part of the RFP. Proposers may provide a revised staffing plan and include it as an additional supplement to the Cost Proposal (note that this will be informational and not part of the scoring) and give a narrative description of the revised plan under Tab E Proposal Solutions. The County will likely negotiate/tweak the final staffing plan as part of the contract negotiations. We encourage proposers to provide their ideas on how to efficiently and effectively provide the services under Tab E Proposal Solutions.

Information Requests:

The following information has been requested and attached to this addendum:

1. Current contract

2. Proposed staffing matrix that shows the schedule with days of the week.

3. Equipment Log for Kenosha County Detention Center (KCDC). Items identified as owned by facility will be available for awarded contractor’s use.

4. Equipment Log for Kenosha County Pre-Trial Facility (PTF). Items identified as owned by facility will be available for awarded contractor’s use.

5. TechCare Monthly Report for 2022

6. Monthly Hours Summary from 2021 thru 2024

7. Programs offered by the Kenosha County Detentions Division for inmates.

Questions & Answers:

Q1. What company is currently contracted for pharmaceutical services?

A. NaphCare

Q2. What company currently provides mobile x-ray services?

A. Trident Care

KENOSHA COUNTY

RFP #2421 ADDENDUM ONE DATED 11/20/2024

MEDICAL SERVICES FOR CORRECTIONS

RFP #2421 Addendum One Page 2 of 15

Q3. What company currently provides laboratory services (specimen pick-up and testing)?

A. Bio-reference

Q4. What is the cost of the current contract?

A. 2024 Budget is $3,910,627.58

Q5. What specialty clinics are currently conducted on-site?

A. P.T., MAT(Health Dept), Ultrasound

Q6. What are the current health and mental health staff vacancy rates?

- A. NaphCare shows a current vacancy rate of 17.3%.

Q7. Please provide a list of current healthcare and mental health care staff vacancies by position

A. 1 day shift LPN, 1 night shift LPN, 1 day shift RN, and 1 night shift RN. MD, HSA, and DON are also vacant but being filled by Agency staff.

Q8. What was the total cost of off-site non-diagnostic services (hospital, specialty consults, etc. that the contractor will be responsible for) for each of the last

(3) three years?

A. Off-site medical services are a pass-through expense that is paid by

Kenosha County.

Q9. What Jail Management System is currently in operation?

A. New World (Tyler Tech)

Q10. Is sick call facilitated in the medical units or within the living units?

A. Medical unit

Q11. Will the County offer internet service via a dedicated network or through a shared network?

A. Yes, shared county network.

Q12. Is the County currently accredited by NCCHC and/or ACA? If so, when is the next audit scheduled?

A. No

RFP #2421 Addendum One Page 3 of 15

Q13. In light of the County’s request for population-dependent staffing proposals, aside from fluctuations due to the recent construction project, has the facility seen any significant changes in average daily population (ADP) over the past three years?

A. Steady rise since 2020.

Q14. The RFP mentions that the current population of the KCDC is below average because of renovations. When are these renovations expected to be completed?

A. Jan/Feb 2025

Q15. To clarify, will the completion of the renovation project lead to an increase in overall population capacity, or will inmates temporarily housed in the PTF return to the KCDC (thereby keeping population levels unchanged)?

A. No, inmates will return to the KCDC.

Q16. In Exhibit A, section C.4, it indicates that staffing will depend on population numbers. Should bidders utilize the provided 10/7/24 population figures (PTF = 250, KCDC = 438)? Does the County anticipate significant increases in these numbers during the proposed contract term?

Q17. The RFP (notably Exhibit A) mentions juvenile and youthful offenders.

Please confirm whether juveniles will be part of the contract, and provide the number of juveniles currently in the facilities? Are these juveniles those that will or are being tried as adults? If so, are they completely separated from adults?

A. Juveniles are housed at the PTF only. They are those waived to adult court. They are housed separately from adults.

Q18. Does the "Vendor Acceptance Form" referenced on page 9 of the RFP refer to the ATTACHMENT A - SIGNATURE AND AUTHORITY AFFIDAVIT FORM, or is it a different document from that one?

A. Yes, the "Vendor Acceptance Form" referenced on page 9 of the

RFP refer to the ATTACHMENT A - SIGNATURE AND AUTHORITY

AFFIDAVIT FORM.

Q19. Exhibit A F. #3: The contractor will be required to conduct N-95 fit testing for all KCSD employees? How many KCSD employees are there that will need to be fit tested?

A. 30 approx., Only new hires.

RFP #2421 Addendum One Page 4 of 15

Q20. What responsibility will the contractor have for the county’s Huber inmates/residents?

A. Medication inventory and entered into MARS

Q21. Exhibit A P.: The contractor will propose a program for the initiation of opioid addiction MAT as determined necessary by the medical provider within the policies of the KCSD. The contractor will implement an expanded MAT program for all inmates who are chemically dependent and request MAT.

The contractor agrees to work with the KCSD designee in the exploration and pursuit of grant funding for this purpose.

There are no specifically noted MAT positions in the staffing requirements on Exhibit D. Are any of those positions currently providing MAT continuation services? If so, which ones?

Does the County want the Contractor’s MAT proposal to be separate by staffing and cost or included within our overall proposal?

A. Yes, continuation services are provided by the nursing staff.

Suboxone is provided by the nursing staff. Other medications are provided either by the Health Department or outside clinics. We do not need a separate MAT staff person at this time.

Q22. Do you have a juvenile detention center and does this RFP cover juvenile healthcare related support as well?

A. No we do not have a juvenile detention center and yes healthcare is required for for those juveniles waived to adult court at PTF.

Q23. Why is the County going out to RFP at the current time?

A. Current provider is leaving.

Q24. What are some of the current pain points with your current provider? What needs to be improved from the current provider?

A. Maintain staffing levels. Keeping management positions.

Q25. Your cost sheet is asking for total price. Do you want a combined price or should these be separated out?

A. Per the instructions on the Cost Proposal please provide a total price for each contract year and a combined total for all five years.

Include all costs to provide the services outlined in the RFP documents.

RFP #2421 Addendum One Page 5 of 15

Include an itemized breakdown of the costs for each year and attach it as a separate sheet(s). Include the hourly rate for each position defined in Exhibit D Proposed Staffing Requirements. Note that Exhibit D was revised and included in this addendum.

Assume that the hours defined in the revised Exhibit D Proposed Staffing Requirements will be consistent for all five years when calculating the Cost Proposal.

Q26. Do you wish to retain any of the current medical staff?

A. Yes if possible

Q27. How many LPNs are currently staffed at the facility?

A. 4 full-time staff, 9 PRN

Q28. What is the licensure of the medical assistant and what tasks do they perform?

A. Certificate. Tasks: EKG, Breathing treatments, scheduling outside appointments, staff schedules, payroll, and medical billing.

Q29. Is the County open to accept alternative staffing from how the facilities are currently being staffed?

A. It is critical that proposers provide the Cost Proposal response using the staff model provided as part of the RFP. Proposers may provide a revised staffing plan and include it as an additional supplement to the Cost Proposal (note that this will be informational and not part of the scoring) and give a narrative description of the revised plan under Tab E Proposal Solutions.

Q30. Is the County open to include a booking nurse at the downtown facility?

A. You may propose a alternative staffing plan per Q29 above.

Q31. How many officers currently work at the facility?

A. PTF/KCJ = FTE 52, KCDC = FTE 79

Q32. Is the health services provider responsible for the cost of all drug screenings for employees at the facility?

Q33. Who is your current physician?

A. Dr. Todd Lenorard

RFP #2421 Addendum One Page 6 of 15

Q34. Would you like the vendor to work with this physician if possible?

A. Temporary hire by NaphCare

Q35. How many days is the current physician in the facility?

A. 8hrs a week

Q36. How long does the physician stay?

A. 4hrs at each facility.

Q37. Is the current medical equipment County owned or contractor owned?

A. Both

Q38. Please provide a list of the current medical equipment at the facility.

A. Attached

Q39. Please provide the following information about medication administration. a.

a. Who administers medications, e.g., RNs, LPNs, medical assistants?

b. How many medication passes per day do you currently have and at what times?

c. Where are medications administered?

d. Are any medications sent with inmates/detainees upon discharge?

A. LPNs(KCDC RN+LPN), b. 2, 0730 & 1930, c: dorms/blocks, d: USM inmates only, but will send to the pharmacy to get a 3-day supply.

Q40. Are any medications allowed to be brought in from home?

Q41. Are any medications allowed to be “kept on person” within the jail? If so, which are allowed?

A. Over the counter.

Q42. What time(s) and location(s) are sick call currently conducted?

A. Medical in both facilities, 0900 to completed.

Q43. Is a security officer currently present for every sick call?

A. Yes

RFP #2421 Addendum One Page 7 of 15

Q44. What on-site specialty clinics are conducted?

B. P.T., MAT(Health Dept), Ultrasound

Q45. Do you currently do TB screening by asking questions and/or TB skin test? If you do TB screening, when do you complete the screening or skin tests?

How many TB tests did you perform in last year?

A. Yes, during RN intake screening. See attached NaphCare data.

Q46. Are there any special business license fees or taxes that are to be paid to the city or county?

Q47. Do you currently have a financial limit (pool) with the current contract? If so, what does it cover and how much is it?

Q48. Have you gone over the financial limit (pool)?

a. If so, how many months into the contract was it before you went over the limit?

b. If so, how much over the financial limit (pool) did you go over every year?

A. No pool.

Q49. Do you have a state statute that you reprice to?

Q50. What is the 3-year average spending on the following: ambulance, in/outpatient, pharmacy, medical supplies, durable medical supplies, mobile x-ray and laboratory?

A. Inmate medical $ 325,120 (includes offsite services, X-ray and ultrasound) B. Pharmaceuticals $606,350

Q51. Would the County prefer the vendor to review/verify the inmate/detainee medical bills, apply any discounts and pay the invoice for the county (act as a third-party administrator)?

Q52. Who is your JMS provider?

A. New World (Tyler Tech)

RFP #2421 Addendum One Page 8 of 15

Q53. Would you like the new provider to provide an EMR system?

Q54. Is there a dedicated fax line to medical? If not, is a fax line available?

Q55. Is there internet connection already in the medical unit?

a. Is this provided by the county or the current contractor?

b. If the current contractor is providing, do you know the cost?

c. What kind of network gear is needed or currently in place for internet at your facility if contractor must supply?

A. Yes, county will supply network equipment.

Q56. How many simultaneous med passes occur?

A. 2

Q57. Will the County provide an internal email for the medical staff? If not, how many accounts will be needed?

Q58. How many desktop computers do the medical staff currently use? How many are county owned vs. contractor owned?

A. County-owned, see attachment

Q59. How many laptops do the medical staff currently use? How many are county owned vs. contractor owned?

A. County-owned, see attachment

Q60. Are there internet capabilities where the medical staff will be seeing patients? Exam rooms? Booking areas? Hardwire? Wireless?

B. Yes, hardwire and wireless.

Q61. How many scanners do the medical staff currently use? How many are county owned vs. contractor owned?

C. County-owned see attachment

RFP #2421 Addendum One Page 9 of 15

Q62. How many printers do the medical staff currently use? Are they county owned, or contractor owned?

D. County-owned see attachment

Q63. Does the County or current vendor own the computer equipment?

A. The County owns the equipment, if additional equipment is requested it may be on the vendor to purchase.

Q64. Are any members of the jail’s current health service workforce unionized? If yes, please provide the following:

a. A copy of each union contract

b. Complete contact information for a designated contact person at each union

c. The number of union grievances that resulted in arbitration cases over the last 12 months.

Q65. Is the site accredited? If so, by who and when is the next accreditation date?

Can we get a copy of the last audit?

Q66. Is the jail currently subject to any court orders or legal directives? If yes, please provide copies of the order/directive.

Q67. Of the total population, how many are:

A.

County 598

ICE -

US Marshal 26

Juveniles 13

Native American 3

Federal -

DOC – (Holds) 56

Work Release 7

Indigent Not tracked

Other

RFP #2421 Addendum One Page 10 of 15

Q68. Can inmates/detainees request mental health services? If yes, are inmates/detainees charged a fee for mental health services?

A. Yes and not charged.

Q69. Indicate who provides mental health services? County agency (Human or

Social Services, etc.), Contracted provider, Jail/sheriff’s department hired staff, Other (please explain)?

A. Contracted Medical provider.

Q70. Is your mental health program accredited by any professional organization?

(NCCHC, ACA)

Q71. What mental health services are available to inmates/detainees in your jail?

Crisis intervention, Medications and their management, Psychiatric medications and their management, Referral of inmates/detainees to mental health provider, Individual counseling/therapy Group counseling/therapy, Substance abuse treatment/services, In-depth physical evaluation assessment (typically occurs after 14 days in custody - includes mental health issues), Case management, Release planning, Other (please explain)

A. Crisis intervention, Medications and their management, Psychiatric medications, and management. Individual counseling

Q72. Is crisis intervention available 24 hours per day/7 days per week?

A. No, 7 days a week, but not 24hrs

Q73. Indicate the titles of the provider(s) of mental health services in your jail and indicate the average number of hours per week for each.

A. Mental Health Providers 32hrs, Mental Health Clinicians 120hrs.

Psychologist provides consults and chart reviews on a virtual basis/need, PRN.

Q74. What are the licensing levels for the mental health staff?

A. Master level clinicians with either a dependent or independent license, PA, PMHNP, LCSW,MS-LPC, APSW, Q75. Indicate the level of screening for inmates/detainees at your jail.

Basic intake health screening, generally done at booking for medical and mental health issues by correctional officer.

Separate screening tool specific to mental health/suicide prevention issues completed by correctional officer.

RFP #2421 Addendum One Page 11 of 15

Separate screening tool specific to mental health/suicide prevention issues completed by RN or mental health professional.

Other (please explain)

A. Basic intake screening is completed by the intake CO. Additional mental health questions are asked by the booking staff during that process. Separate tools are used by mental health.

Q76. Is staff required to use a prescribed form when making mental health referrals?

A. MHRA for immediate referrals.

Q77. Are arresting/transporting officers and probation agents, etc. required to complete a pre-incarceration form identifying mental health risk issues?

Q78. Does your jail staff receive ongoing training on mental health issues? If yes, How often and how is training delivered? (please explain)

A. Yearly during in-service training.

Q79. Does your jail staff receive ongoing training on suicide prevention issues? If yes, How often and how is training delivered? (please explain)

A. Yearly during in-service training.

Q80. Please list the programs offered to inmates/detainees in your jail, such as education, religious, recreation, life skills, substance abuse, etc.

A. See attached

Q81. Will the staffing support assist with the juveniles as well? Also, does

Kenosha County have a Juvenile Detention Center?

A. Yes those who are waived to adult court and housed at the PTF, and no

Q82. Could you provide the budget allocations for the years 2021, 2022, 2023 and

2024?

2021 Budget Allocation = $2,488,408 2022 Budget Allocation = $2,695,200 2023 Budget Allocation = $3,163,938 2024 Budget Allocation = $3,910,628

Q83. Are out-of-state bidders eligible to participate in this RFP?

RFP #2421 Addendum One Page 12 of 15

Q84. Who is the current incumbent?

A. NaphCare

Q85. TechCare is the proprietary EHR of a likely RFP respondent. Use of

TechCare by a successful respondent other than that EHR owner presents a conflict of interest, where data governance, reporting, and system responsiveness are managed by a competitor. Will Kenosha County allow the successful respondent to implement an EHR with new capabilities contributing to better patient care, that is not owned or operated by a competing organization?

A. The TechCare EMR contract was awarded with a separate RFP and is a separate contract. Naphcare is the current provider and has made the business decision to not continue providing the medical services at the facilities. We are not interested in implementing a new EMR at this time and we do not expect that Naphcare will be interested in responding to this RFP.

Q86. We believe the proposed staffing plan included with the RFP may not be adequate to meet all the terms of the RFP and provide all required services, particularly at KCDC. If so, will you consider alternatives to the proposed staffing plan?

A. Yes, please provide that along with the current staffing proposal.

Q87. In Exhibit A, Section O, it states that health-trained corrections personnel conduct Receiving Screenings. Could you clarify whether these staff members are exclusively full-time intake staff or if they also rotate through other responsibilities within the facilities?

A. Not exclusive intake staff.

Q88. Please provide the number of patients who have undergone dialysis treatment in the past three (3) months, if applicable.

A. 1

Q89. Item EE. PHARMACY SERVICES on page 17 of Exhibit A states “The county is currently in a contract for pharmacy services. The cost of all medications shall be borne by the county.”

• Does KCJ currently have a separate contract for pharmacy services?

o If so, will bidders be required to work with this pharmacy for the duration of any resulting contract?

o Alternatively, are bidders allowed to subcontract with a pharmacy of their choice?

RFP #2421 Addendum One Page 13 of 15

• Who is currently providing pharmacy services for KCJ?

o If there is a separate contract for pharmacy services, can that please be provided as an addendum to the RFP for bidders to review?

o What is the yearly pharmacy specific spend for FY or CY 2022, 2023, and 2024?

A. NaphCare currently provides pharmacy services and will discontinue services in April of 2025. Pharmacy services are separate from this RFP. The County will be contracting pharmacy services outside of this RFP contract.

Q90. Please provide three (3) previous claims. Claims are processed by the current medical provider.

A. Claims are processed by the current medical provider. We do not have copies of the claims.

Q91. Many correctional institutions within the industry use electronic check-in and return programs for inventory management. Manual daily order check-in and return processing time can be decreased by up to 75%, medication diversion potential is virtually eliminated, and KCJ will have full accountability of all medications received by, and returned from, your facility for accounting purposes.

• What is the name of your current barcode electronic order reconciliation (check-in) and medication return management system that is provided by your current medical or pharmacy vendor at no additional cost?

• Would you find value in adding this requirement to your current solicitation for bidders to provide a free solution for electronic inventory management if a solution is not currently in place so all medications shipped to, and returned from KCJ are accounted for?

• If not, what reservations does KCJ have regarding a no cost web-based software solution for medication check-in, inventory management, and electronic returns?

A. No electronic check in. Not opposed to it.

Q92. Many correctional institutions within the industry have fingertip access to meaningful and actionable electronic reporting available to County administrative personnel monitoring contract expenses. Analyzing prescriber ordering trends and expenditures to better manage facility operations is critical to your County administrative team and dependent upon reliable and accurate pharmacy reporting.

• What is the name of the current online reporting dashboard used by facility and county administrative staff to access meaningful and accurate reporting?

RFP #2421 Addendum One Page 14 of 15

• Would you find value in adding this requirement to your current solicitation for bidders to provide a no cost solution for online reporting so your facility-level staff and administrators can access online reports 24/7/365 if a solution is not currently in place?

• If not, what reservations does KCJ have regarding a no cost web-based software solutions that provides actionable and meaningful reporting to help your clinical and financial teams?

A. Not currently offered or used.

Q93. Understanding that a debriefing is not an opportunity to challenge the decision, nor will it include a comparison of a respondent’s unsuccessful proposal with any other respondent’s proposals. What is the protocol at KCJ for respondents who submitted an unsuccessful proposal to request a meeting for debriefing and discussion of their proposals to learn from the RFP process?

A. Once the evaluation process is complete, vendors will have access to the scores tabulation. Proposal responses will also be subject to open records law and vendors may request copies of the awarded proposal response (or others as well) minus any confidential or proprietary information. The County may also be able to provide feedback via the score sheets provided by the evaluators upon request.

Q94. What is the current average salary, and salary range, per position?

A. Compensation paid to NaphCare’s employees is confidential and proprietary.

Q95. Please provide the current vacancies by position, by shift, that are not filled

A. 1 dayshift LPN, 1 nightshift LPN, 1 dayshift RN, and 1 nightshift

RN. MD, HSA, and DON are also vacant but being filled by NaphCare Agency staff.

Q96. Please provide patient ADP for the calendar years: 2021, 2022, 2023 and year-to-date 2024

A. 2021- ADP 539 , 2022- ADP 582 , 2023 -ADP 637 , 2024 ADP -684

Q97. Please provide an itemized list of penalties, per category (Including

Reporting, Timeliness, Compliance & Staffing), that the current contractor has incurred, for the calendar years 2021, 2022, 2023 and 2024 YTD

A. Staffing credits only since 2021, they are an attached document.

RFP #2421 Addendum One Page 15 of 15

Q98. What are the eligibility patient requirements to be enrolled in the Healthcare Authority Agreement with Medicaid?

A. Please see Wisconsin Medicaid Rules.

Q99. What hospital care services (Inpatient, Outpatient or Physician Care) does the Healthcare Authority: Medicaid Program cover?

A. Please see Wisconsin Medicaid Rules.

Q100. Will the contractor have any financial responsibility if the patient is eligible for the Healthcare Authority: Medicaid Program?

Q101. Would the client accept an alternative staffing plan from that which is provided in the RFP?

A. Yes, but should be provided separately.

Q102. Dental

• Is there a patient backlog?

• If there is presently a dentist, is the client inclined to keep that dentist?

• What has been the # of outside dental referrals in the last year?

• How old is the equipment?

• Is there an amalgam separator on site?

A. Yes and yes, Dr. Akintunde Bowden and Dr. Melissa Davis(PRN), 1 outside referral for 2024. The equipment list is attached.

Q103. Please confirm that induction of MAT services is provided by a community provider?

• If so, who is responsible for the delivery of SUD Counseling and

Mental Health services associated with MAT services?

• Who is responsible for MAT Care Coordination of services?

• Who is responsible for the administration of MAT medication?

• Who is responsible for the cost of MAT medications?

A. 1. Currently the coordination is done by the KCDC Discharge planner, 2. KCDC Discharge planner/ medical provider, 3. Medical provider, County Health Dept, and local clinics 4. the County.

End Addendum 1

COUNTY OF KENOSHA REQUEST FOR PROPOSALS (RFP) #20$$

MEDICAL SERVICES FOR CORRECTIONS DOCUMENT D PROPOSED STAFFING

REQUIREMENTS – REVISED PER ADDENDUM 1

Both facilities require 24/7 nursing coverage. The current average daily population is 678 inmates. In

2024 we added additional mental health positions and that includes 7 days a week coverage with a mental health professional. This proposal does not include staffing relief to cover required positions.

Amendment also includes an as need physical therapist and a CNA for the PTF.

Staffing ADP 650 County, WI NaphCare Staffing ADP

Position Title FTE

Health Services

Administrator

1.000

Director of Nursing 1.000

Administrative Assistant 1.000

Medical Assistant 1.000

Medical Director 0.200

NP/PA 1.000

Registered Nurse (KCDC) 2.100

Registered Nurse (KCJ-PTF) 2.100

Licensed Practical Nurse

(KCDC)

2.100

Licensed Practical Nurse

(KCJ-PTF)

2.100

Psychiatric NP 0.800

Mental Health Professional 3.200

Dentist 0.100

Dental Asst. 0.100

CNA (PTF-PRN) 0.70

Physical Therapist (PRN) 0.05

Night Shift

Registered Nurse (KCDC) 2.100

Registered Nurse (KCJ-PTF) 2.100

Licensed Practical Nurse

(KCDC)

2.100

Licensed Practical Nurse

(KCJ-PTF)

2.100

Total FTEs 26.950

FIRST AMENDMENT TO THE HEALTH SERVICES AGREEMENT

This Amendment is effective May 1, 2021, and is to the Health Services Agreement between Kenosha County, the Kenosha County Sheriff’s Department (“County”) and NaphCare, Inc. (“NaphCare”) made and entered into on 5/1/2021. (“Agreement”).

WHEREAS, the parties wish to adjust the health care staffing levels, and provide compensation relative to the adjustment;

NOW THEREFORE, the parties hereby agree to the following revisions:

I. Exhibit D, Staffing Summary, shall be deleted in its entirety and replaced with

Exhibit A, Staffing Summary, attached hereto which adds 0.2 FTE Mental Health

Professional hours to the health care staffing levels.

II. For the additional staffing hours provided by NaphCare, the base compensation tables in Section 9.1, Base Compensation, shall be deleted in their entirety and replaced with the following base compensation tables:

NaphCare Compensation - ADP 600 and Under

Contract Year Range Contract Year Monthly

Amount

Annual (or

Partial) Amount

Per Item Shipping and Handling Fee -

Pharmacy

May 1, 2021 - December 31, 2021 Partial Year 1 (8

Months) $188,492.50 $1,493,840.00 $2.75

January 1, 2022 - December 31, 2022 Year 2 $226,415.38 $2,695,200.00 $2.83

January 1, 2023 - December 31, 2023 Year 3 $243,574.84 $2,900,460.00 $2.92

January 1, 2024 - December 31, 2024 Year 4 $252,475.93 $3,006,600.00 $3.00

January 1, 2025 - December 31, 2025 Year 5 $261,363.71 $3,112,560.00 $3.10

January 1, 2026 - December 31, 2026 Year 6 $270,288.22 $3,218,940.00 $3.19

January 1, 2027 - December 31, 2027 Year 7 $279,229.52 $3,325,500.00 $3.28

January 1, 2028 - December 31, 2028 Year 8 $288,182.65 $3,432,180.00 $3.38

January 1, 2029 - December 31, 2029 Year 9 $297,157.68 $3,539,100.00 $3.48

January 1, 2030 - December 31, 2030 Year 10 $306,174.66 $3,646,500.00 $3.59

NaphCare Compensation - ADP Over 600

Contract Year Range Contract Year Monthly

Amount

Annual (or

Partial) Amount

Per Item Shipping and Handling Fee -

Pharmacy

May 1, 2021 - December 31, 2021 Partial Year 1 (8

Months) $270,632.50 $2,150,960.00 $2.75

January 1, 2022 - December 31, 2022 Year 2 $320,624.90 $3,825,714.24 $2.83

January 1, 2023 - December 31, 2023 Year 3 $345,729.13 $4,126,311.48 $2.92

January 1, 2024 - December 31, 2024 Year 4 $358,472.59 $4,278,559.92 $3.00

January 1, 2025 - December 31, 2025 Year 5 $371,192.76 $4,430,508.60 $3.10

January 1, 2026 - December 31, 2026 Year 6 $383,939.65 $4,582,757.16 $3.19

January 1, 2027 - December 31, 2027 Year 7 $396,688.32 $4,735,005.60 $3.28

January 1, 2028 - December 31, 2028 Year 8 $409,463.85 $4,887,554.40 $3.38

January 1, 2029 - December 31, 2029 Year 9 $422,241.25 $5,040,102.84 $3.48

January 1, 2030 - December 31, 2030 Year 10 $435,045.61 $5,192,951.40 $3.59

All other terms and conditions set forth within the Agreement between the parties shall remain in full force and effect.

IN WITNESS WHEREOF, the parties hereto have executed this First Amendment on this the day of , 2021.

NAPHCARE, INC. KENOSHA COUNTY

SHERIFF’S DEPARTMENT

Bradford T. McLane David G. Beth

Chief Executive Officer Sheriff

Date Date

KENOSHA COUNTY

Jim Kreuser

County Executive

Date

EXHIBIT A

STAFFING SUMMARY

NaphCare Staffing Summary

Position Title

ADP 600 and Under

Year 1

ADP 600 and Under -

Year 2 ADP Over 600

Health Services Administrator 1.000 1.000 1.000

Director of Nursing 1.000

Administrative Assistant/Medical Assistant 1.000

Administrative Assistant 1.000 1.000

Medical Assistant 1.000

Medical Director 0.200 0.200 0.200

NP/PA 0.800 0.800 1.000

Registered Nurse (KCDC) 2.100 2.100 2.100

Registered Nurse (KCJ-PTF) 2.100 2.100 2.100

Licensed Practical Nurse (KCDC) 2.100 2.100 4.200

Licensed Practical Nurse (KCJ-PTF) 2.100 2.100 2.100

Psychiatric NP 0.400 0.400 0.800

Mental Health Professional 2.200 2.200 3.200

Dentist 0.100 0.100 0.200

Dental Asst. 0.100 0.100 0.200

Night Shift

Registered Nurse (KCDC) 2.100 2.100 2.100

Registered Nurse (KCJ-PTF) 2.100 2.100 2.100

Licensed Practical Nurse (KCDC) 4.200

Licensed Practical Nurse (KCJ-PTF) 2.100 2.100 2.100

Total FTEs 20.500 21.500 29.600

Angela.Khabbaz Typewriter 4.236

COUNTY OF KENOSHA REQUEST FOR PROPOSALS (RFP) #2421

MEDICAL SERVICES FOR CORRECTIONS PROPOSED STAFFING SCHEDULE

Both facilities have 24/7 nursing coverage. The 2024 average daily population is 684 inmates. In 2024 Kenosha County added additional mental health coverage and that includes 7 days a week coverage with a mental health professional.

This plan does include PRN staff, but not any other backfill for full-time positions.

Kenosha County Detention Center (KCDC) & Pre-Trial Facility (PTF)

ADMINISTRATION

Position Title Mon Tues Wed Thur Fri Sat Sun Hours

Director of Correctional Health (HSA)(PTF/KCDC)

8 8 8 8 8 40

Medical Director(PTF/KCDC) 24/7 on-call

4 4 8

Nurse Manager(PTF/KCDC) 8 8 8 8 8 40

Office Manager(KCDC) 8 8 8 8 8 40

Medical Assistant(PTF) 8 8 8 8 8 40

KCDC

DAY SHIFT

Position Title Mon Tues Wed Thur Fri Sat Sun Hours

Registered Nurse

0600-1800

12 12 12 12 12 12 12 84

Licensed Practical Nurse

0600-1800

12 12 12 12 12 12 12 84

PTF

DAY SHIFT

Position Title Mon Tues Wed Thur Fri Sat Sun Hours

Registered Nurse

0600-1800

12 12 12 12 12 12 12 84

Licensed Practical Nurse

0600-1800

12 12 12 12 12 12 12 84

CNA

1000 -1400

4 4 4 4 4 4 4 28

COUNTY OF KENOSHA REQUEST FOR PROPOSALS (RFP) #2421

MEDICAL SERVICES FOR CORRECTIONS PROPOSED STAFFING SCHEDULE

PTF

NIGHT SHIFT

Position Title Mon Tues Wed Thur Fri Sat Sun Hours

Registered Nurse

1800-0600

12 12 12 12 12 12 12 84

Licensed Practical Nurse

1800-0600

12 12 12 12 12 12 12 84

KCDC

NIGHT SHIFT

Position Title Mon Tues Wed Thur Fri Sat Sun Hours

Registered Nurse

1800-0600

12 12 12 12 12 12 12 84

Licensed Practical Nurse

1800-0600

12 12 12 12 12 12 12 84

PTF and KCDC

Position Title Mon Tues Wed Thur Fri Sat Sun Hours

PA/Nurse Practitioner 8 8 8 8 8 40

Psych Nurse Practitioner 8 8 8 8 32

Mental Health Providers X3 8 8 8 8 8 8 8 120

Dentist 4 4

Dental Asst. 4 4

Physical Therapist 2 2

Office/area Items Owned By Number Serial Number Reference Number

H.S.A Computer Hardrive Facility 1 n/a

Computer Monitor Facility 2 n/a

Laptop Facility 1

Cisco Phone Facility 1 n/a

AA Computer Hardrive Facility 1 0013316

Computer Monitor Facility 2 009954

Cisco Phone Facility 1 n/a

Copy Rm LaserJet Printer/Fax Facility 1 0015034

NP/DR Exam Rm Computer Monitor Facility 2 0009957/0009983

Computer Hardrive Facility 1 0013278

Cisco Phone Facility 2 n/a

Treatment Table Facility 1

Weight Scale Naphcare 1

Blood Pressure Naphcare 1

Otoscope/Slit lamp Facility 1

Pole Exam Light Facility 1

Fetal Doppler Facility 1

Nurses Station Computer Monitor Facility 3 0009981/0009974/0009955

Computer Hardrive Facility 3 001335/0013262/0013356

Laptop Facility 3 16009/0019412

Cisco Phone Facility 3

Large Med Cart Naphcare 1

Medium Med Cart Naphcare 1

Small Cart (Diabetic Cart) Naphcare 1

EQUIPMENT LOG

KCDC

Exam Room Computer Monitor Facility 1

Computer Hardrive Facility 1

X-ray Light Screen Facility 1

Blood Pressure Facility 1

Otoscope/Slit lamp Facility 1

EKG Machine Naphcare 1 901049 standing scales Naphcare 1

IVAC (Vital sign mach) Facility 1 901057

MH Computer Monitor Facility 1 n/a

Computer Hardrive Facility 1 n/a

Laptop Facility 1 13834

Cisco Phone Facility 1 n/a

Lab Autoclave Facility 1 9706278

Small Refrigerator Facility 1 A1804240440000190

120 Urine Analyzer Naphcare 1 MFR#: 121-120

Centrifuge Facility 1 160213AZ493

Horizon 6-Genpath Centrifuge Facility 1 220407AF688

Veinlite LED Facility 1 VLEDP-DPC

Lab Chair Facility 1

IV Pole Facility 1

Pharmacy Small Refrigerator Facility 1 2069939

Impulse Sealer Naphcare 1 Model-FS-200

Misc. Small Refrigerator /Break Rm Facility 2

Facility Wheelchairs Facility ?

AED Facility 1

Naphcare Wheelchairs Naphcare 8

Disaster Cart Naphcare 1

Emergency Bag Naphcare 1

KCJ/PTF EQUIPMENT LOG

Assigned Location Items Owned By Count Serial/Reference # Manufacturer/Description

H.S.A / D.O.N Office Computer Hardrive Facility 1

Computer Monitor Facility 2

Mouse NaphCare 1

Keyboard Facility 1

Docking Station Facility 1

Laptop/Charger Facility 1 Each

Shredder Naphcare 1

High-Back Office Chair Naphcare 1

Desk Facility 1

File Cabinet Facility 1

Table Facility 1

Phone Facility 1

Waste Basket Facility 1

AA Office Computer Hardrive Facility 1 13331W10 HP

Computer Monitor Facility 2 0009748 Lenovo

CBK032013N HP

File Cabinet NaphCare 2

Office Chair Facility 1

Keyboard Facility 1

Phone Facility 1 FCH1428AANG CISCO IP - 7942

CD ROM Facility 1 11S0A34254ZVJ6NZ441393 Lenovo

Waste Basket Facility 1

MH Office Desk Facility 2

Office Chair Facility 1

High-Back Office Chair NaphCare 2

Phone Facility 1

Waste Basket Facility 1

Small Refridgerator Unknown 1

Metal Rack Facility 1

Common Area/Nurse Station Copy/Scanner/Fax/Email Combo Facility 1

Copy Machine Facility 1

Scanner Facility 1

Computer Monitor Facility 4

Computer Hardrive Facility 4

Keyboard Facility 4

Mouse Facility 4

Phone Facility 3

Date: 10/28/2024

Office Chairs Facility 3

High-Back Office Chair NaphCare 1

Desk Facility 4

AED Facility 1

Work Table Facility 1

Document Organizer Facility 1

LaserJet Printer Facility 1

Laptop Facility 2

Signature Pad Facility 2

Camera/ USB Naphcare 1

Waste Basket Facility 5

Shred Bin Facility 1

Small Ladder/Stool Unknown 1

Chairs (Plastic) Facility 13

Book Shelf White) Facility 1

Utility Cart Facility 1

Exam Room - HSU Computer Monitor Facility 1

Computer Hardrive Facility 1

Mouse Facility 1

Keyboard Facility 1

Phone Facility 1

Signature Pad Facility 1

Treatment Table Facility 1

Weight Scale Naphcare 1

Urine Analyzer Facility 1 Mckesson

Lab Chair Unknown 1

Floor Lamp Unknown 2

Med Cart Facility 1

Procedure Table (Metal) Facility 1

Bedside Table (Faux Wood) Unknown 2

BioBin - Small Facility 1

BioBin - Large Facility 1

Waste Basket Facility 2

ECG, CP150 INTERPRETIVE Naphcare 1

CART, EKG CP150, 1SHLF 2WRE BASKETS Naphcare 1

VS MONITOR, BP SPOT 4400 W/ NIBP & SURETEMP PLUG B Naphcare 1 Mckesson

Wall Mounted - Otoscope & Ophthalmoscope Facility 1 Welch Allen

Exam Room - Intake Computer Monitor Facility 1

Computer Hardrive Facility 1

Mouse Facility 1

Keyboard Facility 1

Phone Facility 1

Signature Pad Facility 1

Waste Bin Favcility 1

BioHazard Bin Facility 1

Treatment Table Facility 1

Bedside Table (Faux Wood) Facility 1

Digital Scale NaphCare 1

Vital Machine Unknown 1

Wall Mounted - Otoscope & Ophthalmoscope Facility 1

O2 Tank Unknown 1

AED Facility 1

Crutches Unknown 1 Set

Wheel Chair (Black) Naphcare 1

Point of Care/Lab Closet Centrifuge Facility 2 Horizon & Genpath

Small Refrigerator Facility 1

Small Table (Faux Wood) Facility 1

Metal Rack Facility 2

Pharmacy Microscope Facility 1

Small Refrigerator Facility 1

File Cabinet Facility 2

File Stand (Metal) Facility 1

Impulse Sealer Facility 1 FS-305

Step Ladder (White) Unknown 1

Dental MII ULTRACLAVE W/QUIET DOOR Naphcare 1 Henry Schein Dental

Impact Air 45 45 Degree Angle High Speed Handpiece Naphcare 1 Henry Schein Dental

Impact Air 45 45 Degree Angle High Speed Handpiece Naphcare 1 Henry Schein Dental

PROSENSOR W/SENSOR SIZE 2 Naphcare 1

Straight Attachment Ea Naphcare 1 Henry Schein Dental

Portable Delivery Unit Unknown 1 DNTLworks Pro Cart II

Xray Machine Facility 1

Dental Chair Facility 1

Dental Assistant Treatment Table Facility 1

Operative Tray Unknown 3

Lead Vest Facility 1

Computer Hardrive Facility 1

Computer Monitor Facility 2

Signature Pad Facility 1

Keyboard Facility 1

Scomputer Speakers Facility 1 Set

Mouse Facility 1

Phone Facility 1

Desk Facility 1

Office Chair Facility 1

Dental Assistant Chair Facility 3

Waste Bin Facility 2

BioBin Facility 1

Filing Cabinet Facility 1

Break/Supply Room Small Refridgerator/Kitchen Unknown 1

Refridgerator/Break Room Unknown 1

Microwave Unknown 1

File Stand (Metal) Facility 1

Round Table Facility 2

Desk Facility 1

Chairs (Plastic) Facility 5

Phone Facility 1

Metal Rack Facility 2

Long Table (Faux Wood) Facility 2

Vaccine Fridge (Blue) Unknown 1

O2 Tanks Unknown 20

Tanks Rack Unknown 2

Supply OverFlow Closet Metal Rack Facility 4

Disaster Cart Unknown 1

Wheeled Walker Naphcare 2

Crutches Facility 4 Pairs

Quad Cane Facility 2

IV Pole Facility 1

Misc. 600PC CREME - MEDIUM MED CART Naphcare 1

ALL PURPOSE ORG - CRM (V3) ROUNDED Naphcare 1

HOYER PROFESSIONAL FULL BACK PADDED LOOP STYLE SLING, LG 500LBS Naphcare 1 JOERNS HEALTHCARE SBT

HOYER PROFESSIONAL FULL BACK PADDED LOOP STYLE SLING, MED 500lbs Naphcare 1 JOERNS HEALTHCARE SBT

LIFTER, DELUXE, ELECTRIC Naphcare 1 JOERNS HEALTHCARE SBT

Foam Mattress - Waterproof Naphcare 1

BED ECS ROLL ANY HEIGHT 36" W/FOAM Naphcare 1 JOERNS HEALTHCARE SBT

Wheelchair (Black) Naphcare 1

Wheelchair Facility 4

Job Title Contract

FTE

Contract

Hours Paid

Hours Difference Credit Hours Credit Amount

HSA 1.00 125.71 192.65 66.94 - -$

Admin Asst/Med Asst 1.00 125.71 270.34 144.63 - -$

Medical Director 0.20 25.14 - (25.14) - -$

NP/PA 0.80 100.57 171.63 71.06 - -$

RN/Charge RN 8.40 1,056.00 1,524.78 468.78 - -$

LPN 6.30 792.00 912.85 120.85 - -$

Psych NP/PA 0.40 50.29 71.00 20.71 - -$

MHP 2.00 251.43 299.85 48.42 - -$

Dentist 0.10 12.57 19.75 7.18 - -$

Dental Asst 0.10 12.57 16.75 4.18 - -$

20.30 2,552.00 3,479.60 -$

Corporate Staff

Martin, Chris P NP 48.00

Blaise, Kerlaude RN 32.00

Daniels, Clifford MHP 48.00

French, Demechiko PNP 71.00

Kenosha County, WI - Hours Summary Report

May 2021

May 1, 2021 - May 22, 2021

1/2 NP overage netted against Medical Director

FTE

Contract

Hours Paid

Hours Difference Credit Hours Credit Amount

HSA 1.00 160.00 156.75 (3.25) (3.25) (169.81)$

Admin Asst/Med Asst 1.00 160.00 200.45 40.45 - -$

Medical Director 0.20 32.00 8.00 (24.00) (22.10) (3,568.61)$

NP/PA 0.80 128.00 145.13 17.13 - -$

RN/Charge RN 8.40 1,344.00 1,596.77 252.77 - -$

LPN 6.30 1,008.00 843.32 (164.68) - -$

Psych NP/PA 0.40 64.00 131.87 67.87 - -$

MHP 2.00 320.00 204.75 (115.25) (115.25) (3,947.31)$

Dentist 0.10 16.00 15.00 (1.00) (1.00) (95.00)$

Dental Asst 0.10 16.00 20.17 4.17 - -$

20.30 3,248.00 3,322.21 (7,780.74)$

Corporate Staff

Blaise, Kerlaude RN 12.00 French, Demechiko PNP 48.00 Trotter, Erica Latisha RN 156.00

Kenosha County, WI - Hours Summary Report

June 2021

May 23, 2021 - June 19, 2021

RN/Charge RN overage netted against LPN

FTE

Contract

Hours Paid

Hours Difference Credit Hours Credit Amount

HSA 1.00 160.00 219.57 59.57 - -$

Admin Asst/Med Asst 1.00 160.00 199.25 39.25 - -$

Medical Director 0.20 32.00 (32.00) (26.93) (4,348.39)$

NP/PA 0.80 128.00 138.15 10.15 - -$

RN/Charge RN 8.40 1,344.00 1,606.08 262.08 - -$

LPN 6.30 1,008.00 1,011.48 3.48 - -$

Psych NP/PA 0.40 64.00 90.79 26.79 - -$

MHP 2.00 320.00 63.41 (256.59) (256.59) (8,788.21)$

Dentist 0.10 16.00 20.77 4.77 - -$

Dental Asst 0.10 16.00 30.03 14.03 - -$

20.30 3,248.00 3,379.53 (13,136.60)$

Corporate Staff

French, Demechiko PNP 8.00 Trotter, Erica Latisha RN 148.50

Kenosha County, WI - Hours Summary Report

July 2021

June 20, 2021 - July 17, 2021

RN/Charge RN overage netted against LPN

FTE

Contract

Hours Paid

Hours Difference Credit Hours Credit Amount

HSA 1.00 160.00 198.82 38.82 - -$

Admin Asst/Med Asst 1.00 160.00 238.46 78.46 - -$

Medical Director 0.20 32.00 16.00 (16.00) (5.63) (910.05)$

NP/PA 0.80 128.00 148.73 20.73 - -$

RN/Charge RN 8.40 1,344.00 1,418.15 74.15 - -$

LPN 6.30 1,008.00 1,103.58 95.58 - -$

Psych NP/PA 0.40 64.00 187.43 123.43 - -$

MHP 2.00 320.00 104.30 (215.70) (92.27) (3,160.25)$

Dentist 0.10 16.00 4.83 (11.17) (11.17) (1,061.15)$

Dental Asst 0.10 16.00 5.00 (11.00) (11.00) (198.00)$

20.30 3,248.00 3,425.30 (5,329.45)$

Corporate Staff

French, Demechiko PNP 17.00 Trotter, Erica Latisha RN 32.00 Daniels, Clifford MHP 80.00

Kenosha County, WI - Hours Summary Report

August 2021

July 18, 2021 - August 14, 2021

Psych NP overage netted against MHP (Bakane is filling both Psych NP and MHP roles)

FTE

Contract

Hours Paid

Hours Difference Credit Hours Credit Amount

HSA 1.00 160.00 122.23 (37.77) (37.77) (1,973.48)$

Admin Asst/Med Asst 1.00 160.00 325.68 165.68 - -$

Medical Director 0.20 32.00 (32.00) (32.00) (5,168.00)$

NP/PA 0.80 128.00 125.05 (2.95) (2.95) (177.00)$

RN/Charge RN 8.40 1,344.00 1,319.37 (24.63) (24.63) (775.85)$

LPN 6.30 1,008.00 1,381.28 373.28 - -$

Psych NP/PA 0.40 64.00 216.53 152.53 - -$

MHP 2.00 320.00 236.27 (83.73) - -$

Dentist 0.10 16.00 (16.00) (16.00) (1,520.00)$

Dental Asst 0.10 16.00 (16.00) - -$

20.30 3,248.00 3,726.41 (9,614.33)$

Corporate Staff

French, Demechiko PNP 48.00 Trotter, Erica Latisha RN 96.00

Kenosha County, WI - Hours Summary Report

September 2021

August 15, 2021 - September 11, 2021

Admin Asst/Med Asst overage netted against Dental Asst

FTE

Contract

Hours Paid

Hours Difference Credit Hours Credit Amount

HSA 1.00 240.00 437.77 197.77 - -$

Admin Asst/Med Asst 1.00 240.00 459.91 219.91 - -$

Medical Director 0.20 48.00 18.33 (29.67) - -$

NP/PA 0.80 192.00 286.37 94.37 - -$

RN/Charge RN 8.40 2,016.00 1,754.28 (261.72) (63.95) (2,014.43)$

LPN 6.30 1,512.00 1,910.70 398.70 - -$

Psych NP/PA 0.40 96.00 271.45 175.45 - -$

MHP 2.00 480.00 207.15 (272.85) (97.40) (3,335.95)$

Dentist 0.10 24.00 (24.00) (24.00) (2,280.00)$

Dental Asst 0.10 24.00 (24.00) - -$

20.30 4,872.00 5,345.96 (7,630.38)$

Corporate Staff

French, Demechiko PNP 12.00 McCabe, Eileen B HSA / RN 286.67 Roscoe, Bridget PNP 4.00

1/2 NP overage netted against Medical Director

Kenosha County, WI - Hours Summary Report

October 2021

September 12, 2021 - October 23, 2021

HSA overage netted against RN

FTE

Contract

Hours Paid

Hours Difference Credit Hours Credit Amount

HSA 1.00 160.00 190.70 30.70 - -$

Admin Asst/Med Asst 1.00 160.00 192.02 32.02 - -$

Medical Director 0.20 32.00 23.87 (8.13) (8.13) (1,313.00)$

NP/PA 0.80 128.00 81.80 (46.20) (46.20) (2,772.00)$

RN/Charge RN 8.40 1,344.00 1,093.75 (250.25) (219.55) (6,915.83)$

LPN 6.30 1,008.00 1,172.56 164.56 - -$

Psych NP/PA 0.40 64.00 157.42 93.42 - -$

MHP 2.00 320.00 218.19 (101.81) (8.39) (287.36)$

Dentist 0.10 16.00 13.18 (2.82) (2.82) (267.90)$

Dental Asst 0.10 16.00 5.00 (11.00) - -$

20.30 3,248.00 3,148.49 (11,556.08)$

Corporate Staff

McCabe, Eileen B HSA / RN 85.95

Kenosha County, WI - Hours Summary Report

November 2021

October 24, 2021 - November 20, 2021

HSA overage netted against RN

FTE

Contract

Hours Paid

Hours Difference Credit Hours Credit Amount

HSA 1.00 160.00 259.55 99.55 - -$

Admin Asst/Med Asst 1.00 160.00 164.17 4.17 - -$

Medical Director 0.20 32.00 27.08 (4.92) (4.92) (794.58)$

NP/PA 0.80 128.00 153.10 25.10 - -$

RN/Charge RN 8.40 1,344.00 1,134.40 (209.60) (110.05) (3,466.58)$

LPN 6.30 1,008.00 1,317.76 309.76 - -$

Psych NP/PA 0.40 64.00 158.07 94.07 - -$

MHP 2.00 320.00 335.57 15.57 - -$

Dentist 0.10 16.00 18.97 2.97 - -$

Dental Asst 0.10 16.00 (16.00) (11.83) (212.94)$

20.30 3,248.00 3,568.67 (4,474.10)$

Corporate Staff

Kenosha County, WI - Hours Summary Report

December 2021

November 21, 2021 - December 18, 2021

HSA overage netted against RN

FTE

Contract

Hours Paid

Hours Difference Credit Hours Credit Amount

HSA 1.00 160.00 208.25 48.25 - -$

Admin Asst/Med Asst 1.00 160.00 325.25 165.25 - -$

Medical Director 0.20 32.00 55.33 23.33 - -$

NP/PA 0.80 128.00 13.00 (115.00) (5.83) (349.80)$

RN/Charge RN 8.40 1,344.00 1,293.85 (50.15) - -$

LPN 6.30 1,008.00 1,373.74 365.74 - -$

Psych NP/PA 0.40 64.00 126.51 62.51 - -$

MHP 2.20 352.00 385.55 33.55 - -$

Dentist 0.10 16.00 8.03 (7.97) (7.97) (757.15)$

Dental Asst 0.10 16.00 (16.00) - -$

20.50 3,280.00 3,789.51 (1,106.95)$

Corporate Staff

French, Demechiko PNP 22.00 Roscoe, Bridget PNP 2.88 Reisdorf, Sonia NP 8.00

Kenosha County, WI - Hours Summary Report

January 2022

December 19, 2021 - January 15, 2022

HSA overage netted against RN

2* Medical Director and Psych NP overage netted against NP/PA

FTE

Contract

Hours Paid

Hours Difference Credit Hours Credit Amount

HSA 1.00 160.00 231.55 71.55 - -$

Admin Asst 1.00 160.00 160.72 0.72 - -$

Med Asst 1.00 160.00 161.27 1.27 - -$

Medical Director 0.20 32.00 25.07 (6.93) (6.93) (1,119.20)$

NP/PA 0.80 128.00 101.60 (26.40) (12.37) (742.20)$

RN/Charge RN 8.40 1,344.00 1,026.70 (317.30) (245.75) (7,741.13)$

LPN 6.30 1,008.00 1,544.30 536.30 - -$

Psych NP/PA 0.40 64.00 78.03 14.03 - -$

MHP 2.20 352.00 355.16 3.16 - -$

Dentist 0.10 16.00 24.15 8.15 - -$

Dental Asst 0.10 16.00 20.25 4.25 - -$

21.50 3,440.00 3,728.80 (9,602.52)$

Corporate Staff

Reisdorf, Sonia NP 47.00 Wurmstein, Rebecca NP 50.60

Kenosha County, WI - Hours Summary Report

February 2022

January 16, 2022 - February 12, 2022

HSA overage netted against RN

Psych NP overage netted against NP/PA

FTE

Contract

Hours Paid

Hours Difference Credit Hours Credit Amount

HSA 1.00 160.00 208.37 48.37 - -$

Admin Asst 1.00 160.00 160.00 - - -$

Med Asst 1.00 160.00 161.42 1.42 - -$

Medical Director 0.20 32.00 45.17 13.17 - -$

NP/PA 0.80 128.00 128.17 0.17 - -$

RN/Charge RN 8.40 1,344.00 973.87 (370.13) (321.76) (10,135.44)$

LPN 6.30 1,008.00 1,443.23 435.23 - -$

Psych NP/PA 0.40 64.00 73.68 9.68 - -$

MHP 2.20 352.00 339.08 (12.92) (3.24) (110.97)$

Dentist 0.10 16.00 16.32 0.32 - -$

Dental Asst 0.10 16.00 14.00 (2.00) (0.58) (10.44)$

21.50 3,440.00 3,563.31 (10,256.85)$

Corporate Staff

French, Demechiko Psych NP 17.68 Roscoe, Bridget Psych NP 4.87

Kenosha County, WI - Hours Summary Report

March 2022

February 13, 2022 - March 12, 2022

HSA overage netted against RN

Psych NP overage netted against MHP

Med Asst overage netted against Dental Asst

FTE

Contract

Hours Paid

Hours Difference Credit Hours Credit Amount

HSA 1.00 240.00 387.05 147.05 - -$

Admin Asst 1.00 240.00 235.18 (4.82) (4.82) (86.76)$

Med Asst 1.00 240.00 241.63 1.63 - -$

Medical Director 0.20 48.00 86.35 38.35 - -$

NP/PA 0.80 192.00 196.30 4.30 - -$

RN/Charge RN 8.40 2,016.00 1,571.84 (444.16) (297.11) (9,358.96)$

LPN 6.30 1,512.00 1,939.35 427.35 - -$

Psych NP/PA 0.40 96.00 137.55 41.55 - -$

MHP 2.20 528.00 526.36 (1.64) - -$

Dentist 0.10 24.00 21.93 (2.07) (2.07) (196.65)$

Dental Asst 0.10 24.00 22.53 (1.47) - -$

21.50 5,160.00 5,366.07 (9,642.37)$

Corporate Staff

French, Demechiko Psych NP 26.88

McCabe, Eileen B RN 44.94

Roscoe, Bridget Psych NP 14.40

Kenosha County, WI - Hours Summary Report

April 2022

March 13, 2022 - April 23, 2022

HSA overage netted against RN

FTE

Contract

Hours Paid

Hours Difference Credit Hours Credit Amount

HSA 1.00 160.00 231.93 71.93 - -$

Admin Asst 1.00 160.00 163.00 3.00 - -$

Med Asst 1.00 160.00 158.80 (1.20) - -$

Medical Director 0.20 32.00 57.75 25.75 - -$

NP/PA 0.80 128.00 154.57 26.57 - -$

RN/Charge RN 8.40 1,344.00 1,206.06 (137.94) (66.01) (2,079.32)$

LPN 6.30 1,008.00 1,483.97 475.97 - -$

Psych NP/PA 0.40 64.00 100.82 36.82 - -$

MHP 2.20 352.00 349.35 (2.65) - -$

Dentist 0.10 16.00 16.03 0.03 - -$

Dental Asst 0.10 16.00 12.23 (3.77) (1.97) (35.46)$

21.50 3,440.00 3,934.51 (2,114.78)$

Corporate Staff

French, Demechiko Psych NP 4.52

McCabe, Eileen B RN 130.52

Roscoe, Bridget Psych NP 2.13

Kenosha County, WI - Hours Summary Report

May 2022

April 24, 2022 - May 21, 2022

HSA overage netted against RN

Admin Asst overage netted against Med Asst and Dental Asst

FTE

Contract

Hours Paid

Hours Difference Credit Hours Credit Amount

HSA 1.00 160.00 192.17 32.17 - -$

Admin Asst 1.00 160.00 153.60 (6.40) (6.40) (115.20)$

Med Asst 1.00 160.00 150.03 (9.97) - -$

Medical Director 0.20 32.00 51.82 19.82 - -$

NP/PA 0.80 128.00 204.56 76.56 - -$

RN/Charge RN 8.40 1,344.00 1,089.84 (254.16) (221.99) (6,992.69)$

LPN 6.30 1,008.00 1,679.03 671.03 - -$

Psych NP/PA 0.40 64.00 103.03 39.03 - -$

MHP 2.20 352.00 386.18 34.18 - -$

Dentist 0.10 16.00 16.53 0.53 - -$

Dental Asst 0.10 16.00 11.10 (4.90) - -$

21.50 3,440.00 4,037.89 (7,107.89)$

Corporate Staff

McCabe, Eileen B RN 106.32

Roscoe, Bridget Rudolph Psych NP 6.70

Kenosha County, WI - Hours Summary Report

July 2022

June 19, 2022 - July 16, 2022

HSA overage netted against RN/Charge RN

LPN overage netted against Med Asst and Dental Asst

FTE

Contract

Hours Paid

Hours Difference Credit Hours Credit Amount

HSA 1.00 160.00 202.85 42.85 - -$

Admin Asst 1.00 160.00 161.77 1.77 - -$

Med Asst 1.00 160.00 160.00 - - -$

Medical Director 0.