HomeMy WebLinkAboutAgreement A-21-214-1 with Kings View Corporation.pdf-1-
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AMENDMENT I TO AGREEMENT
THIS AMENDMENT, hereinafter referred to as “Amendment I”, is made and entered into this _
day of _____, 2021, by and between COUNTY OF FRESNO, a Political Subdivision of the State of
California, Fresno, California, hereinafter referred to as “COUNTY”, and KINGS VIEW CORPORATION,
a California Non-profit, 501 (c) (3) Corporation, whose address is 7170 N. Financial Drive, Suite 1100,
Fresno, California 93720, hereinafter referred to as “CONTRACTOR” (collectively as the “parties”).
WHEREAS, the parties entered into that certain Agreement, identified as COUNTY Agreement
No. A-21-214, effective July 1, 2021, whereby CONTRACTOR agreed to operate a Projects for
Assistance in Transition from Homelessness (PATH) program to deliver integrated mental health and
supportive housing services to adults who are homeless, or who are at imminent risk of becoming
homeless, and have a serious mental illness and/or co-occurring disorder, in an effort to enable this
population to live in the community and to avoid homelessness, hospitalization, and/or jail detention;
WHEREAS, the COUNTY, through its Department of Behavioral Health (DBH), has received
additional funds for, and wishes CONTRACTOR to operate, a PATH- Mobile Outreach Project (PATH-
MOP) program in conjunction with the other services provided pursuant to COUNTY Agreement No. 21-
214 during the period July 1, 2021 through June 30, 2022; and
WHEREAS, CONTRACTOR is qualified and willing to operate said PATH-MOP program and
provide PATH-MOP services pursuant to the term and conditions of this Amendment I to Agreement No.
21-214; and
WHEREAS, the parties desire to amend the Agreement regarding changes as stated below and
restate the Agreement in its entirety.
NOW, THEREFORE, for good and valuable consideration, the receipt and adequacy of which is
hereby acknowledged, COUNTY and CONTRACTOR agree as follows:
1.That in the existing COUNTY Agreement No. 21-214, all references to “Exhibit A” shall be
replaced with the text “Revised Exhibit A”. Revised Exhibit A is attached hereto and
incorporated herein by this reference.
24th
Aug.
Agreement No. 21-214-1
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2. That in the existing COUNTY Agreement No. 21-214, all references to “Exhibit C” shall
be replaced with the text “Revised Exhibit C.” Revised Exhibit C is attached hereto and
incorporated herein by this reference.
3. That the COUNTY Agreement No. 21-214, at Section Four (4) related to
“COMPENSATION”, on Page Four (4), beginning on Line Eight (8) with the word “The”
and ending on Page Five (5), Line Twenty-Four (24) with the word “CONTRACTOR” be
deleted and replaced with the following:
“The maximum amount to be paid to CONTRACTOR by COUNTY under this Agreement for the
twelve (12) month period, (July 1, 2021 through June 30, 2022), shall not exceed Nine Hundred-Five
Thousand, One Hundred Seventy-Two and No/100 Dollars ($905,172). This is comprised of the
following funding streams: Three Hundred-Eight Thousand and No/100 Dollars ($308,000.00) in PATH
Grant funds, Sixty-Six Thousand, Four Hundred Sixty-Eight and No/100 Dollars ($66,468.00) in HHAP
Grant funds, One Hundred Seventy-Two Thousand, Five Hundred Thirty-Three and No/100 Dollars
($172,533.00) in local MHSA funds, One Hundred Twenty-Three Thousand, Two Hundred Sixty-Nine
and No/100 Dollars ($123,269.00) in Federal Financial Participation (FFP), One Thousand-Two and
No/100 Dollars ($1,002.00) in Client Rents, One Hundred-Forty Thousand and No/100 Dollars
($140,000.00) in CARES Act funds, Ninety-Three Thousand, and Nine Hundred and No/100 Dollars
($93,900.00) in CDBG-CV funds, to offset CONTRACTOR’s program costs as set forth in Revised
Exhibit C. CARES Act funds will be used to offset CONTRACTOR’s costs for the Mobile Outreach
Project during the six (6) month period, July 1 2021 through December 31, 2021.
The maximum amount to be paid to CONTRACTOR by COUNTY under this Agreement for the
following twelve (12) month period, (July 1, 2022 through June 30, 2023), shall not exceed Six Hundred
Thirty-Nine Thousand, Sixty-Six and No/100 Dollars ($639,066.00). This is comprised of the following
funding streams: Three Hundred-Eight Thousand and No/100 Dollars ($308,000.00) in PATH Grant
funds, One Hundred Seventy-Two Thousand, Five Hundred Thirty-Three and No/100 Dollars
($172,533.00) in local MHSA funds, One Hundred Fifty-Seven Thousand, Five Hundred Thirty-One and
No/100 Dollars in FFP ($157,531.00), and One Thousand-Two and No/100 Dollars ($1,002.00) in Client
Rents to offset the CONTRACTOR’s program costs as set forth in Revised Exhibit C.
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The maximum amount to be paid to CONTRACTOR by COUNTY under this Agreement for the
following twelve (12) month period, (July 1, 2023 through June 30, 2024), shall not exceed Six Hundred
Thirty-Nine Thousand, Sixty-Six and No/100 Dollars ($639,066.00). This is comprised of the following
funding streams: Three Hundred-Eight Thousand and No/100 Dollars ($308,000.00) in PATH Grant
funds, One Hundred Seventy-Two Thousand, Five Hundred Thirty-Three and No/100 Dollars
($172,533.00) in local MHSA funds, One Hundred Fifty-Seven Thousand, Five Hundred Thirty-One and
No/100 Dollars in FFP ($157,531.00), and One Thousand-Two and No/100 Dollars ($1,002.00) in Client
Rents to offset the CONTRACTOR’s program costs as set forth in Revised Exhibit C.
The maximum amount to be paid to CONTRACTOR by COUNTY under this Agreement for the
following twelve (12) month period, (July 1, 2024 through June 30, 2025), shall not exceed Six Hundred
Thirty-Nine Thousand, Sixty-Six and No/100 Dollars ($639,066.00). This is comprised of the following
funding streams: Three Hundred-Eight Thousand and No/100 Dollars ($308,000.00) in PATH Grant
funds, One Hundred Seventy-Two Thousand, Five Hundred Thirty-Three and No/100 Dollars
($172,533.00) in local MHSA funds, One Hundred Fifty-Seven Thousand, Five Hundred Thirty-One and
No/100 Dollars in FFP ($157,531.00), and One Thousand-Two and No/100 Dollars ($1,002.00) in Client
Rents to offset the CONTRACTOR’s program costs as set forth in Revised Exhibit C.
The maximum amount to be paid to CONTRACTOR by COUNTY under this Agreement for the
following twelve (12) month period, (July 1, 2025 through June 30, 2026), shall not exceed Six Hundred
Thirty-Nine Thousand, Sixty-Six and No/100 Dollars ($639,066.00). This is comprised of the following
funding streams: Three Hundred-Eight Thousand and No/100 Dollars ($308,000.00) in PATH Grant
funds, One Hundred Seventy-Two Thousand, Five Hundred Thirty-Three and No/100 Dollars
($172,533.00) in local MHSA funds, One Hundred Fifty-Seven Thousand, Five Hundred Thirty-One and
No/100 Dollars in FFP ($157,531.00), and One Thousand-Two and No/100 Dollars ($1,002.00) in Client
Rents to offset the CONTRACTOR’s program costs as set forth in Revised Exhibit C.
In no event shall services performed under this Agreement be in excess of Three Million, Four Hundred
Sixty-One Thousand, Four Hundred Thirty-Six and No/100 Dollars ($3,461,436.00) during the term of
this Agreement. It is understood that all expenses incidental to CONTRACTOR'S performance of
services under this Agreement shall be borne by CONTRACTOR.”
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COUNTY and CONTRACTOR agree that this Amendment I is sufficient to amend the Agreement
and, that upon execution of this, Amendment I and the Agreement shall be considered the Agreement.
The Agreement, as hereby amended, is ratified and continued. All provisions, terms, covenants,
conditions, and promises contained in the Agreement and not amended herein shall remain in full force
and effect. This Amendment I shall be retroactively effective July 1, 2021.
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Revised Exhibit A
Page 1 of 7
PROJECTS FOR ASSISTANCE IN TRANSITION FROM HOMELESSNESS
(PATH) PROGRAM
Scope of Work
ORGANIZATION Kings View Corporation
REGIONAL DIRECTOR Virginia Sparks, LMFT
CORPORATE ADDRESS 7170 N Financial Dr, Ste 110, Fresno, CA 93720
HOURS OF OPERATION 8AM to 5PM, Monday through Friday
CONTRACT PERIOD July 1, 2021 – June 30, 2026
CONTRACT AMOUNT FY 2021-2022 $905,172
FY 2022-2023 $639,066
FY 2023-2024 $639,066
FY 2024-2025 $639,066
FY 2025-2026
Total
$639,066
$3,461,436
SERVICES Outreach, Case Management, Mental Health, and Supportive Housing Services
TARGET POPULATION
Adults (18 years and older) living in metro, rural, or unincorporated areas in Fresno County who are experiencing serious
mental illness and/or co-occurring substance use disorders and are homeless or at imminent risk of becoming homeless.
Participation in the PATH Program is voluntary.
PROJECT DESCRIPTION
The Stewart B McKinney Homeless Assistance Amendments Act of 1990 authorizes a federal grant program, Projects for
Assistance in Transition from Homelessness (PATH). This funding source is used to address the needs of the target
population through a PATH Program operated by Kings View. A primary goal is to reduce and end chronic homelessness
and enable persons served to live in the community and to avoid homelessness, hospitalization, and/or jail detention. It
is a vital resource to the community, serving as a front door for persons served into continuum of care services and
mainstream mental health, primary healthcare, and the substance abuse services system.
The PATH Program is comprised of two main components:
1. Outreach, Engagement, and Linkage (OEL) 2. Specialty Mental Health Services (SMHS)
Through PATH-OEL, Kings View will provide services to at least three hundred-fifty (350) persons per year, at least two
hundred (200) of which will be enrolled into HMIS and be linked to the appropriate services or referred to PATH-SMHS.
They will receive case management, linkage, consultation, peer support services, and supportive interim or bridge
housing services as needed. As necessary, Kings View will implement COVID-19 screening, education, assessment, and
linkage capabilities in the field.
Up to thirty-six (36) persons at a given time will be enrolled in PATH-SMHS where they will receive intensive mental
health treatment, case management, linkage, consultation, peer support services, and supportive housing services; up to
ten (10) individuals at a given time will receive housing support). Service goals are to help stabilize and transition
persons served into other County or community mental health programs.
Revised Exhibit A
Page 2 of 7
A third component, Mobile Outreach Project (MOP), is to operate from July 1, 2021 through June 30, 2022. Through
PATH-MOP, Kings View will dedicate an outreach team for rural and unincorporated areas of Fresno County for the
provision of outreach, engagement, and linkage services to persons served akin to those provided in PATH-OEL. As
necessary, Kings View will implement COVID-19 screening, education, assessment, and linkage capabilities in the field.
Kings View will commit to “meet persons where they are” and collaborate with other agencies across the system of care
to assist persons served in achieving their personal recovery and wellness goals. Services will incorporate safety,
emergency, and crisis procedures in the field and in the organization’s offices, personal services coordination, psychiatric
services in the areas of medication, prescription, administration, monitoring and documentation, mental health services,
linkage services, supportive housing services, and mobile outreach services.
COUNTY’S administrative staff shall monitor and oversee program outcomes and coordinate reporting requirements.
CONTRACTOR RESPONSIBILITIES
I. ADMINISTRATIVE SERVICES
1. Participate in the Fresno/Madera Continuum of Care (FMCoC) as a member. COUNTY will provide
technical assistance as needed.
2. Provide appropriate data and measurable outcomes as requested or required by the County and State.
Such data reports include quarterly performance reports, Behavioral Health Board annual update
reports, inclusive of demographics, caseload, and measurable outcomes.
3. Participate and utilize the Homeless Management Information System (HMIS) to enter data on persons
served.
4. Ensure that operating staff have on hand, in their possession, during regular working hours and when
appropriate, an adequate amount of petty cash with which to make emergency purchases of food,
shelter, clothing, prescriptions, transportation, or other items and services as needed for persons
served. This may include security deposits, rent subsidy, and other items needed by persons served.
CONTRACTOR shall provide policies and procedures as to the handling of petty cash.
5. Evaluate the staff’s competency for performance purposes and establish medication policies and
procedures which identify processes to administer medications to persons served and train other staff
and family members regarding medication education, medication delivery, medication side effects,
observation of self-administration of medication and medication monitoring.
6. Ensure billable Mental Health Specialty Services meet any/all County, State, and Federal regulations
including any utilization review and quality assurance standards.
II. STAFFING REQUIREMENTS
1. CONTRACTOR’s program staff shall reflect the target population through social characteristics of the
community, such as culture, ethnicity, gender, and sexual orientation.
2. Operate with a multidisciplinary treatment team including licensed/unlicensed mental health
professionals, case managers, and other specialists to support persons served in reaching their goals.
III.SERVICES ACROSS PROGRAM
1. Commit to “meeting individuals where they are” to assist persons served in achieving their personal
recovery and wellness goals.
2. Integrate physical and mental health services in collaboration with primary care physicians.
3. Provide culturally responsive evidence-based or promising clinical services that are integrated with
overall service planning, supportive housing, and employment support and/or education goals.
Revised Exhibit A
Page 3 of 7
4. Provide treatment services that account for the age, culture, gender, and language of persons served, as
well as needed accommodations for physical disabilities.
5. Employ harm reduction and motivational interviewing techniques and principles.
6. Empower persons served to take an active role in the recovery process, provide housing options, and
maintain independent living by providing needed services, accessing resources, and encouragement to
be independent, productive, and responsible.
7. Collaborate with other agencies for the provision of non-direct mental health services. Linkages must be
provided to persons served for the full range of services.
8. Coordinate services with other community mental health and non-mental health providers, as well as
other medical professionals in a manner consistent with Fresno County confidentiality rules.
9. Collaborate with community law enforcement, probation, and courts.
10. Link persons served to appropriate social services, legal advocacy, and other representation; provide
transportation as necessary; serve as a “representative payee” or refer them to other payee services for
SSI/SSD benefits.
11. CONTRACTOR will provide reasonable direct assistance as needed to ensure that persons served obtain
the basic necessities of daily life, including but not limited to:
a. Safe, clean, affordable housing
b. Food and clothing
c. Appropriate financial support, which may include housing deposits, Supplemental Security
Income, Social Security Disability Insurance, General Relief, and money management services
d. Bus tokens/passes
e. Vehicles available to staff to transport persons served to appointments and social group
activities
12. Provide assistance and advocacy in obtaining available public assistance benefits, general relief, SSI/SSDI
and accessing needed behavioral health and physical health care for persons served.
13. Make appropriate referrals and linkages to addiction services that are beyond the scope of the PATH
program to individuals with coexisting alcohol, tobacco, drug use and other addictive disorders.
14. Provide a rapid and flexible response to crisis during working hours, including crisis assessment and
intervention by telephone or face-to-face contact. Should crisis housing, short-term care, and inpatient
treatment (voluntary or involuntary) be needed, staff shall collaborate with designated staff at
psychiatric facilities and/or hospitals. CONTRACTOR will provide support to the maximum extent
possible, including accompanying persons served to the County’s Urgent Wellness Center and remain
with them during the assessment.
15. Initiate voluntary commitment, should there be a need. CONTACTOR will work with County staff within
the Adult Services Division; county staff will sign the involuntary commitment papers.
16. CONTRACTOR shall have the flexibility to increase service intensity for an individual in response to their
needs. Staff shall have the capacity to provide as many contacts as needed to persons served
experiencing significant impairments in daily living.
IV. PATH-OEL SERVICES
1. At least 350 persons will receive outreach, engagement, and linkage services and at least 200 persons
served will be enrolled into PATH and HMIS.
2. Utilize various engagement tools, such as personal protective equipment, disinfectant supplies, clothing,
food, shoes, blankets, bus passes, hygiene kits etc., to address barriers to engagement such as
transportation, pet care, property storage, etc.
Revised Exhibit A
Page 4 of 7
3. Provide frequent contacts with individuals where they live or are most comfortable to assist them in
accessing behavioral and physical health care, financial, education, vocational, rehabilitative, or other
needed community services, especially as these services relate to meeting the person’s mental health
and housing needs.
4. Assess and document mental illness symptoms and behavior of persons served in response to
medication and monitor for medication side-effects during the provision of observed self-administration
and during ongoing face-to-face contacts.
V. PATH-SMHS SERVICES
1. Up to thirty-six (36) persons at a given time will be enrolled to receive intensive mental health treatment
services on an ongoing basis, inclusive of supportive housing services, for up to ten (10) persons at any
given time.
2. The PATH - SMHS program’s persons served to staff ratio will be no more than eighteen (18) persons to
each staff. A ratio of 1:17, or one staff serving seventeen (17) persons, will not be exceeded until at least
one person served by a staff member is transitioning out of the program (a transition period will be at
least three months prior to exit). During a transitional period, the ratio can be 1:18.
3. Assign a case manager within 24 hours of enrollment into the PATH SMHS program.
4. A Plan of Care must be created and include and identification of current symptoms, treatment goals,
and planned interventions of persons served.
5. Implement mental health service strategies to reduce the number of days persons served experience
hospitalization, incarceration, and homelessness.
6. Minimize the involvement of persons served with the criminal justice system, with services to include,
but not be limited to:
a. Helping identify precipitants to their criminal involvement
b. Providing necessary treatment, support, and education to help eliminate any unlawful activities
or criminal involvement that may be of consequence to the individual’s mental illness; and
c. Collaborating with police, court personnel, jail/prison officials, and psychiatric staff to ensure
appropriate use of legal and mental health services.
7. Incorporate the Supplemental Security Income/Social Security Disability Income (SSI/SSDI), SSI/SSDI
Outreach, Access, and Recovery (SOAR) as part of the case management services. SOAR provides the
program the tools to expedite access to Social Security disability benefits that result in improved housing
and treatment outcomes.
8. Provide symptom assessment, personal service coordination and supportive counseling as needed to
assist persons served to cope with and gain a mastery of symptoms and disabilities due to mental illness
and/or substance abuse. These services shall include, but not be limited to, the following:
a. Ongoing assessment of mental illness symptoms and response to treatment
b. Education regarding their mental illness and the effects (including side effects) of prescribed
medications
c. Symptom management efforts directed to help person served identify symptoms and their
occurrence patterns and to develop methods (internal, behavioral, adaptive) to lessen their negative
effects; and
d. Provide psychological support, planned and as needed, to help persons served accomplish their
personal goals and to cope with the stresses of day-to-day living.
9. Assist person served, family, and other members of the individual’s social network to relate in a positive
and supportive manner through such means as:
Revised Exhibit A
Page 5 of 7
a. Education about the individual’s illness and their role in the therapeutic process
b. Supportive counseling
c. Intervention to resolve conflict
d. Referral of family to therapy, self-help and other family support services as appropriate; and
e. Provision to other support systems with education and information about serious mental
illnesses and treatment services and supports.
10. Provide education to persons served and their family and/or caregivers (as appropriate) about the
nature of medications, the expected benefits and potential side effects, and alternatives to medication.
11. Provide support and help establish positive social relationships and activities in community settings.
Such services shall include, but not to be limited to:
a. Developing social skills, including skills to develop meaningful personal relationships
b. Planning appropriate and productive use of leisure time, including familiarizing individuals with
available social and recreational opportunities and increasing their use of these activities
c. Interacting with landlords, neighbors, and others effectively and appropriately
d. Developing assertiveness and self-esteem; and
e. Using existing self-help centers, self-help groups and other social, church, and recreational
groups to combat isolation and withdrawal experienced by many persons coping with serious and
persistent mental illness.
12. Provide training and instruction, including individual support, problem solving, skill development,
modeling and supervision, in home and community settings, to teach persons served to:
a. Carry out personal hygiene tasks
b. Perform household chores, including housekeeping, cooking, laundry and shopping
c. Develop or improve money management skills
d. Use community transportation
e. In locating, securing, maintaining and financing safe, clean and affordable housing which is
appropriate to their levels of functioning.
13. Provide alcohol, tobacco, and drug use disorder services as needed. This will include, but is not limited
to, individual and group interventions to assist in:
a. Identifying alcohol, tobacco and drug abuse effects and patterns
b. Recognizing the interactive effects of alcohol, tobacco and drug use, psychiatric symptoms, and
psychotropic medications
c. Developing motivation for decreasing alcohol, tobacco and drug use
d. Developing coping skills and alternatives to minimize alcohol, tobacco and drug use
e. Achieving periods of abstinence and stability
f. Attending appropriate recovery or self-help meetings; and
g. Achieving an alcohol and drug free lifestyle, if possible.
14. Provide information, in an educational format, on the use of alcohol, tobacco, prescribed medications,
and other drugs and the impact that chemicals have on the ability to function in major life areas.
Information shall also include eating disorders, gambling, overspending, sexual and other addiction
disorders, as appropriate.
15. Ensure persons served maintain their respective housing and utilize supportive housing resources by
providing supportive and independent housing, as appropriate.
Revised Exhibit A
Page 6 of 7
16. Ensure rapid access to assistance funds for purchase of furniture, and other items needed by persons
served.
17. Negotiate and establish relationships with apartment owners/landlords and/or utilize alternative
housing resources as available and appropriate.
VI. PATH-MOP SERVICES
1. Provide outreach, engagement, and linkage services and enroll persons served into HMIS.
2. Utilize various engagement tools, such as personal protective equipment, disinfectant supplies, clothing,
food, shoes, blankets, bus passes, hygiene kits etc., to address barriers to engagement such as
transportation, pet care, property storage, etc.
3. Provide frequent contacts with individuals where they live or are most comfortable in to assist them in
accessing behavioral and physical health care, financial, education, vocational, rehabilitative, or other
needed community services, especially as these services relate to meeting the person’s mental health
and housing needs.
4. Assess and document mental illness symptoms and behavior of persons served in response to
medication and monitor for medication side-effects during the provision of observed self-administration
and during ongoing face-to-face contacts.
VII. COUNTY RESPONSIBILITIES
1. Provide oversight of the PATH Program. In addition to contract monitoring of program, oversight
includes, but is not limited to, coordination with the State Department of Health Care Services in
regarding program administration and outcomes. COUNTY will coordinate meetings with CONTRACTOR
on a monthly basis to discuss program client issues, concerns, measurable outcomes and reports, and
any other items.
2. Assist CONTRACTOR in making linkages with the total mental health system of care through regularly
scheduled meetings as well as formal and informal consultation.
3. Evaluate the progress of the overall program.
4. Receive and analyze statistical data outcome information throughout the term of contract. COUNTY will
notify CONTRACTOR when additional participation is required. The performance outcome measurement
process will include surveys, client and staff interviews, chart reviews, and other methods of obtaining
required information as needed.
5. Recognize that cultural responsiveness is a goal toward which professionals, agencies, and systems
should strive. Becoming culturally responsiveness is a developmental process and incorporates at all
levels the importance of culture, the assessment of cross-cultural relations, vigilance towards the
dynamics that result from cultural differences, the expansion of cultural knowledge, and the adaptation
of services to meet culturally-unique needs. Offering those services in a manner that fails to achieve its
intended result due to cultural and linguistic barriers is not cost effective. COUNTY will assist program
towards cultural and linguistic competency, by providing the following at no cost to CONTRACTOR:
a. Technical assistance regarding cultural responsiveness requirements and sexual orientation and
gender identity training
b. Mandatory cultural responsiveness training including sexual orientation and gender identity and
cultural sensitivity training for program personnel, at minimum once per year. COUNTY will provide
technical assistance and when possible, training regarding the unique needs of the diverse
population. Cultural responsiveness training recommendations will be based on trends in data
collected and will be included in the counties Culturally Responsive Plan. Sensitivity to sexual
orientation and gender identity is a basic cultural responsiveness principle and shall be included in
Revised Exhibit A
Page 7 of 7
the cultural responsiveness training(s). Literature suggests that the behavioral health needs of
lesbian, gay, bisexual, and transgender (LGBT+) individuals may be at increased risk for behavioral
disorders and behavioral health problems due to exposure to societal stressors such as
stigmatization, prejudice and homophobic and/or transphobic violence. Social support may be
critical for this population
c. CONTRACTOR materials for public use on behavioral health and substance abuse services
information shall be in DBH’s current threshold languages (English, Spanish, and Hmong).
Translation services and costs associated will be the responsibility of the vendor. Promotional
and/or program materials shall be reviewed by DBH’s Public Behavioral Health Division for branding
requirements prior to implementation.
Employee Salaries
Acct # Position FTE Admin Direct Total
1101 Executive Director 0.01 -$ 790$ 790$
1102 Executive Assistant 0.01 - 252 252
1103 Regional Director 0.02 - 2,594 2,594
1104 Program Manager 0.70 - 73,739 73,739
1105 Admin Specialist 0.26 - 12,628 12,628
1106 Outreach Worker 2.00 - 73,840 73,840
1107 Case Managers 1.20 - 50,482 50,482
1108 -
1109 -
1110 - - -
1111 - - -
1112 - - -
1113 - - -
1114 - - -
1115 - - -
1116 - - -
1117 - - -
1118 - - -
1119 - - -
1120 - - -
Personnel Salaries Subtotal 4.19 -$ 214,325$ 214,325$
Employee Benefits
Acct # Admin Direct Total
1101 -$ 2,786$ 2,786$
1102 - 5,358 5,358
1103 - 28,291 28,291
1104 - -
1105 - - -
1106 - - -
-$ 36,435$ 36,435$
0.16$
Payroll Taxes & Expenses:
Acct # Admin Direct Total
1201 -$ -$ -$
1202 - 16,395 16,395
1203 - 1,929 1,929
1204 - - -
1205 - - -
1206 - - -
-$ 18,324$ 18,324$
-$ 269,084$ 269,084$
Projects For Assistance in Transition From Homelessness -OEL
Kings View
Fiscal Year (FY 2021-22)
Description
Payroll Taxes & Expenses Subtotal:
Other (Specify)
Other (specify)
EMPLOYEE SALARIES & BENEFITS TOTAL:
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Retirement
Worker's Compensation
Health Insurance
Other (specify)
Other (specify)
OASDI
FICA/MEDICARE
SUI
Other (specify)
Other (specify)
Employee Benefits Subtotal:
Employee Benefits %:
Description
Fresno County Department of Behavioral Health Contract Budget Template Revised 9/12/2019
Revised Exhibit C
Page 1 of 77
2000: CLIENT SUPPORT
Acct # Amount
2001 -$
2002 17,158
2003 4,000
2004 18,100
2005 255
2006 255
2007 -
2008 -
2009 -
2010 -
2011 15,400
2012
2013 -
2014 -
2015 -
2016 -
55,168$
3000: OPERATING EXPENSES
Acct # Amount
3001 4,006$
3002 300
3003 2,250
3004 -
3005 1,000
3006 250
3007 200
3008 23,475
3009 260
3010
3011 -
3012 -
31,741$
4000: FACILITIES & EQUIPMENT
Acct # Amount
4001 9,046$
4002 8,640
4003 2,160
4004 13,012
4005 -
4006 3,720
4007 Other (specify)
4008 Other (specify)
4009 Other (specify)
4010 Other (specify)
36,578$
5000: SPECIAL EXPENSES
Acct # Amount
Line Item Description
Line Item Description
Line Item Description
Line Item Description
DIRECT CLIENT CARE TOTAL
Other (specify)
Other (Program Supplies)
Advertising
Rent/Lease Building
Building Maintenance
Education Support
FACILITIES/EQUIPMENT TOTAL:
OPERATING EXPENSES TOTAL:
Staff Development & Training
Vehicle Maintenance
Rent/Lease Vehicles
Security
Utilities
Rent/Lease Equipment
Other (specify)
Other (specify)
Other (specify)
Telecommunications
Printing/Postage
Client Transportation & Support
Client Housing Support
Child Care
Other (Staff Recruitment)
Other (specify)
Other (specify)
Clothing, Food, & Hygiene
Other (specify)
Other (specify)
Office Supplies & Equipment
Utility Vouchers
Program Supplies - Medical
Medication Supports
Household Items for Clients
Employment Support
Staff Mileage
Subscriptions & Memberships
Fresno County Department of Behavioral Health Contract Budget Template Revised 9/12/2019
Revised Exhibit C
Page 2 of 77
5001 11,686$
5002 -
5003 -
5004 200
5005 Other (specify)
5006 Other (specify)-
5007 Other (specify)-
5008 Other (specify) -
11,886$
6000: ADMINISTRATIVE EXPENSES
Acct # Amount
6001 51,133$
6002 3,300
6003 -
6004 -
6005 Insurance (Liability)9,360
6006 Payroll Services -
6007 -
6008 Other (specify)
6009 Other (specify)
6010 Other (specify)
6011 Other (specify)-
6012 Other (specify) -
63,793$
7000: FIXED ASSETS
Acct # Amount
7001 6,375$
7002 -
7003 2,620
7004 -
7005 -
7006 Assets over $5,000/unit (Specify)-
7007 Other (specify)-
7008 Other (specify) -
8,995$
Acct # Service Units Rate Amount
8001 Mental Health Services -$
8002 Case Management -
8003 Crisis Services -
8004 Medication Support -
8005 Collateral -
8006 Plan Development -
8007 Assessment -
8008 Rehabilitation -
0 -$
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
Professional Liability Insurance
Accounting/Bookkeeping
Leasehold/Tenant/Building Improvements
PROGRAM FUNDING SOURCES
477,245$ TOTAL PROGRAM EXPENSES
FIXED ASSETS EXPENSES TOTAL
ADMINISTRATIVE EXPENSES TOTAL
SPECIAL EXPENSES TOTAL:
Line Item Description
External Audit
Estimated Specialty Mental Health Services Billing Totals:
Line Item Description
Computer Equipment & Software
Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data
Other Assets over $500 with Lifespan of 2 Years +
Administrative Overhead
Depreciation (Provider-Owned Equipment to be Used for Program Purposes)
HMIS (Health Management Information System)
Consultant (Network & Data Management)
Furniture & Fixtures
Line Item Description
Contractual/Consulting Services (Psychiatrist Fees)
Translation Services
Fresno County Department of Behavioral Health Contract Budget Template Revised 9/12/2019
Revised Exhibit C
Page 3 of 77
0%
-
0%-
-$
Acct # Amount
8101 Drug Medi-Cal -$
8102 SABG -$
-$
Acct # Amount
8201 Realignment -$
-$
Acct # MHSA Component Amount
8301 CSS - Community Services & Supports 102,777$
8302 PEI - Prevention & Early Intervention -
8303 INN - Innovations -
8304 WET - Workforce Education & Training -
8305 CFTN - Capital Facilities & Technology -
102,777$
Acct # Amount
8401 Client Fees -$
8402 Client Insurance -
8403 Grants (Specify) 308,000
8404 Other Revenue 1 66,468
8405 Other Revenue 2 -
374,468$
8400 - OTHER REVENUE
NET PROGRAM COST:
TOTAL PROGRAM FUNDING SOURCES:477,245$
-$
SUBSTANCE USE DISORDER FUNDS TOTAL
MEDI-CAL FFP TOTAL
MHSA TOTAL
Line Item Description
8100 - SUBSTANCE USE DISORDER FUNDS
OTHER REVENUE TOTAL
Line Item Description
HHAP
Estimated % of Clients who are Medi-Cal Beneficiaries
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries
Federal Financial Participation (FFP) %
PATH
MHSA Program Name
8300 - MENTAL HEALTH SERVICE ACT (MHSA)
Line Item Description
REALIGNMENT TOTAL
8200 - REALIGNMENT
Fresno County Department of Behavioral Health Contract Budget Template Revised 9/12/2019
Revised Exhibit C
Page 4 of 77
ACCT # LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 269,084
Employee Salaries 214,325
1101 Executive Director 790 Position will provide agency specific staff oversight and represent and maintain the
collaborative relationship between agencies.
1102 Executive Assistant 252 This position will assist Executive Director with staff oversight and representing and
maintaining the collaborative relationship between agencies.
1103 Regional Director 2,594 Provide program management and direction. Ensures operations are running
smoothly and in compliance with contract requirements.
1104 Program Manager 73,739 Provides supervision of all staff and direct oversight of program management.
1105 Admin Specialist 12,628 Provides administrative support for the program and assist with medical billing and
records.
1106 Outreach Worker 73,840 Provides outreach and engagement services, provides linkage to needed services.
1107 Case Managers 50,482 Provides case management and oversees the physical and mental wellness of
individuals to ensure they are supported and can achieve the best outcomes, and
referrals to appropriate linkages.
1108 0 -
1109 0 -
1110 0 -
1111 0 -
1112 0 -
1113 0 -
1114 0 -
1115 0 -
1116 0 -
1117 0 -
1118 0 -
1119 0 -
1120 0 -
Employee Benefits 36,435
1101 Retirement 2,786 Cost of 401K
1102 Worker's Compensation 5,358 Workers Comp Insurance
1103 Health Insurance 28,291 Cost of Medical, Vision, Dental, Life and Long Term Disability Insurance
1104 Other (Specify)-
1105 Other (specify)-
1106 Other (specify)-
Payroll Taxes & Expenses:18,324
1201 OASDI -
1202 FICA/MEDICARE 16,395 Cost of FICA/Medicare
1203 SUI 1,929 Cost of SUI
1204 Other (specify)-
1205 Other (specify)-
1206 Other (specify)-
2000: CLIENT SUPPORT 55,168
2001 Child Care -
2002 Client Housing Support 17,158 Support clients with things such as rent, security deposits, board and care,
emergency housing such as hotels/motels, groceries, utilities, and household
supplies.
2003 Client Transportation & Support 4,000 Provides bus passes, bus tokens or any transportation assistance for clients, such as
taxi service or gas.
2004 Clothing, Food, & Hygiene 18,100 Outreach expenses that supports clients with clothing, food, water, blankets, and
hygiene supplies. Also, includes miscellaneous client support items such as pet food,
groceries, DMV identification, and birth certificates.
2005 Education Support 255 Assist with education expenses such as books and registration.
2006 Employment Support 255 Cost of employment assistance such as interview clothes, DMV records, ID Cards or
birth certificates.
2007 Household Items for Clients -
2008 Medication Supports -
Projects For Assistance in Transition From Homelessness -OEL
Kings View
Fiscal Year (FY 2021-22) Budget Narrative
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 9/12/2019
Revised Exhibit C
Page 5 of 77
ACCT # LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2009 Program Supplies - Medical -
2010 Utility Vouchers -
2011 Other (Program Supplies) 15,400 Cost to supply showers trailer with items such as soap, shampoo, and towels for
client usage.
2012 Other (specify)-
2013 Other (specify)-
2014 Other (specify)-
2015 Other (specify)-
2016 Other (specify)-
3000: OPERATING EXPENSES 31,741
3001 Telecommunications 4,006 Cost of landline telephone services, cell phones service, data connectivity.
3002 Printing/Postage 300 Anticipat courier services and postage necessary for program. Business cards and
other special printing in bulk that less cost effective to outsource rather than
utilization of a copier.
3003 Office Supplies & Equipment 2,250 Includes desk supplies & minor equipment used by staff in the course of providing
services.
3004 Advertising -
3005 Staff Development & Training 1,000 Minor shared cost for continuation of staff development and training. Also, includes
HMIS training fees.
3006 Staff Mileage 250 Reimbursements to staff for personal vehicle use when lease vehicle not available
and require to provide services or other program needs, paid at IRS rate. Any travel
transportation fees, such as parking fees.
3007 Subscriptions & Memberships 200 Minor shared cost of special subscription necessary for staff to provide services or
job tasks, such as an online subscription.
3008 Vehicle Maintenance 23,475 Auto repairs & maintenance required to maintain 1 leased truck to haul client
showers, 1 shared leased vehicle, and 2 county owned vans for client
transportation and program needs, such as oil changes and car washes. Yearly
cost of GPS vehicle tracking service, fuel and D fees.
3009 Other (Staff Recruitment)260 Thorough background check and drug testing.
3010 Other (specify)-
3011 Other (specify)-
3012 Other (specify)-
4000: FACILITIES & EQUIPMENT 36,578
4001 Building Maintenance 9,046 Copier maintenance and minor building repairs and maintenance. Annual Janitorial
Services to maintain client showers clean.
4002 Rent/Lease Building 8,640 Building space lease, anticipating moving locations.
4003 Rent/Lease Equipment 2,160 Copier lease.
4004 Rent/Lease Vehicles 13,012 The cost of 1 shared lease vehicles to assist with program and client needs and cost
of 1 lease truck to haul client showers.
4005 Security -
4006 Utilities 3,720 The cost of gas and electric.
4007 Other (specify)-
4008 Other (specify)-
4009 Other (specify)-
4010 Other (specify)-
5000: SPECIAL EXPENSES 11,886
5001 Consultant (Network & Data Management) 11,686 Kings View Information Technology Department (KVIT) will provide hardware and
software support successful data collection. Information services and management
consisting of managed internet service provider, network and desktop management,
project management, technology procurement, telecommunication management,
strategic technology planning, system documentation, application/data hosting,
access to data/documents/application 24/7. After hours support via email and
phone 24/7.
5002 HMIS (Health Management Information
System)
-
5003 Contractual/Consulting Services (Psychiatrist
Fees)
-
5004 Translation Services 200 Anticipat translation services to assist clients.
5005 Other (specify)-
5006 Other (specify)-
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 9/12/2019
Revised Exhibit C
Page 6 of 77
ACCT # LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
5007 Other (specify)-
5008 Other (specify)-
6000: ADMINISTRATIVE EXPENSES 63,793
6001 Administrative Overhead 51,133 Expenses provide corporate management, fiscal services, payroll, human resources,
accounts payable and other administrative functions.
6002 Professional Liability Insurance 3,300 Cost general and professional liability insurance.
6003 Accounting/Bookkeeping -
6004 External Audit -
6005 Insurance (Liability)9,360 Cost of personal property, accidental and auto insurance.
6006 Payroll Services -
6007 Depreciation (Provider-Owned Equipment to
be Used for Program Purposes)
-
6008 Other (specify)-
6009 Other (specify)-
6010 Other (specify)-
6011 Other (specify)-
6012 Other (specify)-
7000: FIXED ASSETS 8,995
7001 Computer Equipment & Software 6,375 Computer software needs to support staff & anticipating shared cost for
replacement of computer equipment.
7002 Copiers, Cell Phones, Tablets, Devices to
Contain HIPAA Data
-
7003 Furniture & Fixtures 2,620 Anticipat shared cost for replacement furniture needs.
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over $500 with Lifespan of 2
Years +
-
7006 Assets over $5,000/unit (Specify)-
7007 Other (specify)-
7008 Other (specify)-
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:477,245
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:477,245
-
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 9/12/2019
Revised Exhibit C
Page 7 of 77
Employee Salaries
Acct # Position FTE Admin Direct Total
1101 Executive Director 0.01 -$ 813$ 813$
1102 Executive Assistant 0.01 - 259 259
1103 Regional Director 0.02 - 2,671 2,671
1104 Program Manager 0.70 - 75,951 75,951
1105 Admin Specialist 0.26 - 13,007 13,007
1106 Outreach Worker 2.00 - 76,056 76,056
1107 Case Managers 0.94 - 40,732 40,732
1108 -
1109 -
1110 - - -
1111 - - -
1112 - - -
1113 - - -
1114 - - -
1115 - - -
1116 - - -
1117 - - -
1118 - - -
1119 - - -
1120 - - -
Personnel Salaries Subtotal 3.93 -$ 209,489$ 209,489$
Employee Benefits
Acct # Admin Direct Total
1101 -$ 2,723$ 2,723$
1102 - 5,237 5,237
1103 - 27,653 27,653
1104 - -
1105 - - -
1106 - - -
-$ 35,613$ 35,613$
0.15660881
Payroll Taxes & Expenses:
Acct # Admin Direct Total
1201 -$ -$ -$
1202 - 16,026 16,026
1203 - 1,886 1,886
1204 - - -
1205 - -
1206 - -
-$ 17,912$ 17,912$
-$ 263,014$ 263,014$
Retirement
Worker's Compensation
Health Insurance
Other (Specify)
Other (Specify)
Other (Specify)
Projects For Assistance in Transition From Homelessness -OEL
Kings View
Fiscal Year (FY 2022-23)
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Description
Other (Specify)
Other (Specify)
Other (Specify)
Payroll Taxes & Expenses Subtotal:
EMPLOYEE SALARIES & BENEFITS TOTAL:
Employee Benefits Subtotal:
Employee Benefits %:
Description
OASDI
FICA/MEDICARE
SUI
Fresno County Department of Behavioral Health Contract Budget Template Revised 9/12/2019
Revised Exhibit C
Page 8 of 77
2000: CLIENT SUPPORT
Acct # Amount
2001 -$
2002 8,700
2003 3,000
2004 6,003
2005 230
2006 230
2007 -
2008 -
2009 -
2010 -
2011 5,600
2012 -
2013 -
2014 -
2015 -
2016 -
23,763$
3000: OPERATING EXPENSES
Acct # Amount
3001 4,125$
3002 67
3003 2,460
3004 -
3005 750
3006 180
3007 100
3008 15,750
3009 170
3010 -
3011 -
3012 -
23,602$
4000: FACILITIES & EQUIPMENT
Acct # Amount
4001 8,194$
4002 8,640
4003 2,160
4004 13,012
4005 -
4006 3,720
4007 Other (Specify)
4008 Other (Specify)
4009 Other (Specify)-
4010 Other (Specify) -
35,726$
5000: SPECIAL EXPENSES
Acct # Amount
Line Item Description
Household Items for Clients
Medication Supports
Program Supplies - Medical
Utility Vouchers
Other (Program Supplies)
Other (Specify)
Child Care
Client Housing Support
Client Transportation & Support
Clothing, Food, & Hygiene
Education Support
Employment Support
Telecommunications
Printing/Postage
Office Supplies & Equipment
Advertising
Staff Development & Training
Staff Mileage
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
DIRECT CLIENT CARE TOTAL
Line Item Description
OPERATING EXPENSES TOTAL:
Line Item Description
Building Maintenance
Rent/Lease Building
Rent/Lease Equipment
Rent/Lease Vehicles
Subscriptions & Memberships
Vehicle Maintenance
Other (Staff Recruitment)
Other (Specify)
Other (Specify)
Other (Specify)
FACILITIES/EQUIPMENT TOTAL:
Line Item Description
Security
Utilities
Fresno County Department of Behavioral Health Contract Budget Template Revised 9/12/2019
Revised Exhibit C
Page 9 of 77
5001 11,686$
5002 -
5003 -
5004 200
5005 Other (Specify)
5006 Other (Specify)-
5007 Other (Specify)-
5008 Other (Specify) -
11,886$
6000: ADMINISTRATIVE EXPENSES
Acct # Amount
6001 37,343$
6002 3,483
6003 -
6004 -
6005 Insurance (Liability):9,360
6006 Payroll Services -
6007 -
6008 Other (Specify)
6009 Other (Specify)
6010 Other (Specify)-
6011 Other (Specify)-
6012 Other (Specify) -
50,186$
7000: FIXED ASSETS
Acct # Amount
7001 2,500$
7002 -
7003 100
7004 -
7005 -
7006 Assets over $5,000/unit (Specify)-
7007 Other (Specify)-
7008 Other (Specify) -
2,600$
Acct # Service Units Rate Amount
8001 Mental Health Services -$
8002 Case Management -
8003 Crisis Services -
8004 Medication Support -
8005 Collateral -
8006 Plan Development -
8007 Assessment -
8008 Rehabilitation -
0 -$
Consultant (Network & Data Management)
HMIS (Health Management Information System)
Contractual/Consulting Services (Psychiatrist Fees)
Translation Services
Administrative Overhead
Professional Liability Insurance
Accounting/Bookkeeping
External Audit
Depreciation (Provider-Owned Equipment to be Used for Program Purposes)
SPECIAL EXPENSES TOTAL:
Line Item Description
Line Item Description
Computer Equipment & Software
Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data
Furniture & Fixtures
Leasehold/Tenant/Building Improvements
Other Assets over $500 with Lifespan of 2 Years +
ADMINISTRATIVE EXPENSES TOTAL
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
Line Item Description
Estimated Specialty Mental Health Services Billing Totals:
FIXED ASSETS EXPENSES TOTAL
TOTAL PROGRAM EXPENSES 410,777$
Fresno County Department of Behavioral Health Contract Budget Template Revised 9/12/2019
Revised Exhibit C
Page 10 of 77
0%
-
0%-
-$
Acct # Amount
8101 Drug Medi-Cal -$
8102 SABG -$
-$
Acct # Amount
8201 Realignment -$
-$
Acct # MHSA Component Amount
8301 CSS - Community Services & Supports 102,777$
8302 PEI - Prevention & Early Intervention -
8303 INN - Innovations -
8304 WET - Workforce Education & Training -
8305 CFTN - Capital Facilities & Technology -
102,777$
Acct # Amount
8401 Client Fees -$
8402 Client Insurance -
8403 Grants (Specify) 308,000
8404 Other (Specify)
8405 Other (Specify) -
308,000$
Estimated % of Clients who are Medi-Cal Beneficiaries
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries
Line Item Description
REALIGNMENT TOTAL
8300 - MENTAL HEALTH SERVICE ACT (MHSA)
MHSA Program Name
Federal Financial Participation (FFP) %
MEDI-CAL FFP TOTAL
8100 - SUBSTANCE USE DISORDER FUNDS
Line Item Description
SUBSTANCE USE DISORDER FUNDS TOTAL
8200 - REALIGNMENT
OTHER REVENUE TOTAL
TOTAL PROGRAM FUNDING SOURCES:410,777$
NET PROGRAM COST: -$
MHSA TOTAL
8400 - OTHER REVENUE
Line Item Description
PATH
Fresno County Department of Behavioral Health Contract Budget Template Revised 9/12/2019
Revised Exhibit C
Page 11 of 77
ACCT # LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 263,014
Employee Salaries 209,489
1101 Executive Director 813 Position will provide agency specific staff oversight and represent and maintain the
collaborative relationship between agencies.
1102 Executive Assistant 259 This position will assist Executive Director with staff oversight and representing and
maintaining the collaborative relationship between agencies.
1103 Regional Director 2,671 Provide program management and direction. Ensures operations are running
smoothly and in compliance with contract requirements.
1104 Program Manager 75,951 Provides supervision of all staff and direct oversight of program management.
1105 Admin Specialist 13,007 Provides administrative support for the program.
1106 Outreach Worker 76,056 Provides outreach and engagement services, provides linkage to needed services.
1107 Case Managers 40,732 Provides case management and oversees the physical and mental wellness of
individuals to ensure they are supported and can achieve the best outcomes, and
referrals to appropriate linkages.
1108 0 -
1109 0 -
1110 0 -
1111 0 -
1112 0 -
1113 0 -
1114 0 -
1115 0 -
1116 0 -
1117 0 -
1118 0 -
1119 0 -
1120 0 -
Employee Benefits 35,613
1101 Retirement 2,723 Cost of 401K
1102 Worker's Compensation 5,237 Workers Comp Insurance
1103 Health Insurance 27,653 Cost of Medical, Vision, Dental, Life and Long Term Disability Insurance
1104 Other (Specify)-
1105 Other (Specify)-
1106 Other (Specify)-
Payroll Taxes & Expenses:17,912
1201 OASDI -
1202 FICA/MEDICARE 16,026 Cost of FICA/Medicare
1203 SUI 1,886 Cost of SUI
1204 Other (Specify)-
1205 Other (Specify)-
1206 Other (Specify)-
2000: CLIENT SUPPORT 23,763
2001 Child Care -
2002 Client Housing Support 8,700 Support clients with things such as rent, security deposits, board and care,
emergency housing such as hotels/motels, groceries, utilities, and household
supplies.
2003 Client Transportation & Support 3,000 Provides bus passes, bus tokens or any transportation assistance for clients, such as
taxi service or gas.
2004 Clothing, Food, & Hygiene 6,003 Outreach expenses that supports clients with clothing, food, water, blankets, and
hygiene supplies. Also, includes miscellaneous client support items such as pet food,
groceries, DMV identification, and birth certificates.
2005 Education Support 230 Assist with education expenses such as books and registration.
2006 Employment Support 230 Cost of employment assistance such as interview clothes, DMV records, ID Cards or
birth certificates.
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies - Medical -
Projects For Assistance in Transition From Homelessness -OEL
Kings View
Fiscal Year (FY 2022-23) Budget Narrative
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 9/12/2019
Revised Exhibit C
Page 12 of 77
ACCT # LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2010 Utility Vouchers -
2011 Other (Program Supplies) 5,600 Cost to supply showers trailer with items such as soap, shampoo, and towels for
client usage.
2012 Other (Specify)-
2013 Other (Specify)-
2014 Other (Specify)-
2015 Other (Specify)-
2016 Other (Specify)-
3000: OPERATING EXPENSES 23,602
3001 Telecommunications 4,125 Cost of landline telephone services, cell phones service, data connectivity.
3002 Printing/Postage 67 Anticipat courier services and postage necessary for program. Business cards and
other special printing in bulk that is less cost effective to outsource rather than
utilization of a copier.
3003 Office Supplies & Equipment 2,460 Includes desk supplies & minor equipment used by staff in the course of providing
services.
3004 Advertising -
3005 Staff Development & Training 750 Minor shared cost for continuation of staff development and training. Also, includes
HMIS training fees.
3006 Staff Mileage 180 Reimbursements to staff for personal vehicle use when lease vehicle not available
and require to provide services or other program needs, paid at IRS rate. Any travel
transportation fees, such as parking fees.
3007 Subscriptions & Memberships 100 Minor shared cost of special subscription necessary for staff to provide services or
job tasks, such as an online subscription.
3008 Vehicle Maintenance 15,750 Auto repairs & maintenance required to maintain 1 leased truck to haul client
showers, 1 shared leased vehicle, and 2 county owned vans for client transportation
and program needs, such as oil changes and car washes. Yearly cost of GPS vehicle
tracking service, fuel and D fees.
3009 Other (Staff Recruitment)170 Thorough background check and drug testing.
3010 Other (Specify)-
3011 Other (Specify)-
3012 Other (Specify)-
4000: FACILITIES & EQUIPMENT 35,726
4001 Building Maintenance 8,194 Shared copier maintenance and minor building repairs and maintenance. Annual
Janitorial Services to maintain client showers clean.
4002 Rent/Lease Building 8,640 Share cost of building space, anticipating moving locations.
4003 Rent/Lease Equipment 2,160 Shared copier lease.
4004 Rent/Lease Vehicles 13,012 The cost of 1 shared lease vehicles to assist with program and client needs and cost
of 1 lease truck to haul client showers.
4005 Security -
4006 Utilities 3,720 Shared cost of gas and electric.
4007 Other (Specify)-
4008 Other (Specify)-
4009 Other (Specify)-
4010 Other (Specify)-
5000: SPECIAL EXPENSES 11,886
5001 Consultant (Network & Data Management) 11,686 Kings View Information Technology Department (KVIT) will provide hardware and
software support successful data collection. Information services and management
consisting of managed internet service provider, network and desktop management,
project management, technology procurement, telecommunication management,
strategic technology planning, system documentation, application/data hosting,
access to data/documents/application 24/7. After hours support via email and
phone 24/7.
5002 HMIS (Health Management Information
System)
-
5003 Contractual/Consulting Services (Psychiatrist
Fees)
-
5004 Translation Services 200 Anticipat translation services to assist clients.
5005 Other (Specify)-
5006 Other (Specify)-
5007 Other (Specify)-
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 9/12/2019
Revised Exhibit C
Page 13 of 77
ACCT # LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
5008 Other (Specify)-
6000: ADMINISTRATIVE EXPENSES 50,186
6001 Administrative Overhead 37,343 Expenses provides corporate management, fiscal services, payroll, human resources,
accounts payable and other administrative functions. Limited at 10% per PATH Grant
maximum.
6002 Professional Liability Insurance 3,483 Cost general and professional liability insurance.
6003 Accounting/Bookkeeping -
6004 External Audit -
6005 Insurance (Liability):9,360 Cost of personal property, accidental and auto insurance.
6006 Payroll Services -
6007 Depreciation (Provider-Owned Equipment to
be Used for Program Purposes)
-
6008 Other (Specify)-
6009 Other (Specify)-
6010 Other (Specify)-
6011 Other (Specify)-
6012 Other (Specify)-
7000: FIXED ASSETS 2,600
7001 Computer Equipment & Software 2,500 Computer software needs to support staff & anticipating shared cost for
replacement of computer equipment.
7002 Copiers, Cell Phones, Tablets, Devices to
Contain HIPAA Data
-
7003 Furniture & Fixtures 100 Anticipat shared cost for replacement of furniture needs.
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over $500 with Lifespan of 2
Years +
-
7006 Assets over $5,000/unit (Specify)-
7007 Other (Specify)-
7008 Other (Specify)-
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:410,777
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:410,777
-
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 9/12/2019
Revised Exhibit C
Page 14 of 77
Employee Salaries
Acct # Position FTE Admin Direct Total
1101 Executive Director 0.01 -$ 838$ 838$
1102 Executive Assistant 0.01 - 267 267
1103 Regional Director 0.02 - 2,752 2,752
1104 Program Manager 0.70 - 78,223 78,223
1105 Admin Specialist 0.26 - 13,396 13,396
1106 Outreach Worker 2.00 - 78,326 78,326
1107 Case Managers 0.94 - 41,959 41,959
1108 -
1109 -
1110 - - -
1111 - - -
1112 - - -
1113 - - -
1114 - - -
1115 - - -
1116 - - -
1117 - - -
1118 - - -
1119 - - -
1120 - -
Personnel Salaries Subtotal 3.93 -$ 215,761$ 215,761$
Employee Benefits
Acct # Admin Direct Total
1101 -$ 2,805$ 2,805$
1102 - 5,394 5,394
1103 - 28,480 28,480
1104 - - -
1105 - - -
1106 - - -
-$ 36,679$ 36,679$
0.156607987
Payroll Taxes & Expenses:
Acct # Admin Direct Total
1201 -$ -$ -$
1202 - 16,506 16,506
1203 - 1,942 1,942
1204 - - -
1205 - -
1206 - -
-$ 18,448$ 18,448$
-$ 270,888$ 270,888$
Retirement
Worker's Compensation
Health Insurance
Other (Specify)
Other (Specify)
Other (Specify)
Projects For Assistance in Transition From Homelessness -OEL
Kings View
Fiscal Year (FY 2023-24)
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Description
Other (Specify)
Other (Specify)
Other (Specify)
Payroll Taxes & Expenses Subtotal:
EMPLOYEE SALARIES & BENEFITS TOTAL:
Employee Benefits Subtotal:
Employee Benefits %:
Description
OASDI
FICA/MEDICARE
SUI
Fresno County Department of Behavioral Health Contract Budget Template Revised 9/12/2019
Revised Exhibit C
Page 15 of 77
2000: CLIENT SUPPORT
Acct # Amount
2001 -$
2002 5,500
2003 3,000
2004 3,550
2005 225
2006 225
2007 -
2008 -
2009 -
2010 -
2011 4,000
2012 -
2013 -
2014 -
2015 -
2016 -
16,500$
3000: OPERATING EXPENSES
Acct # Amount
3001 4,100$
3002 67
3003 1,791
3004 -
3005 750
3006 180
3007 100
3008 15,750
3009 170
3010 -
3011 -
3012 -
22,908$
4000: FACILITIES & EQUIPMENT
Acct # Amount
4001 8,194$
4002 8,640
4003 2,160
4004 13,012
4005 -
4006 3,757
4007 Other (Specify)-
4008 Other (Specify)-
4009 Other (Specify)-
4010 Other (Specify) -
35,763$
5000: SPECIAL EXPENSES
Acct # Amount
Line Item Description
Household Items for Clients
Medication Supports
Program Supplies - Medical
Utility Vouchers
Other (Program Supplies)
Other (Specify)
Child Care
Client Housing Support
Client Transportation & Support
Clothing, Food, & Hygiene
Education Support
Employment Support
Telecommunications
Printing/Postage
Office Supplies & Equipment
Advertising
Staff Development & Training
Staff Mileage
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
DIRECT CLIENT CARE TOTAL
Line Item Description
OPERATING EXPENSES TOTAL:
Line Item Description
Building Maintenance
Rent/Lease Building
Rent/Lease Equipment
Rent/Lease Vehicles
Subscriptions & Memberships
Vehicle Maintenance
Other (Staff Recruitment)
Other (Specify)
Other (Specify)
Other (Specify)
FACILITIES/EQUIPMENT TOTAL:
Line Item Description
Security
Utilities
Fresno County Department of Behavioral Health Contract Budget Template Revised 9/12/2019
Revised Exhibit C
Page 16 of 77
5001 11,732$
5002 -
5003 -
5004 200
5005 Other (Specify)-
5006 Other (Specify)-
5007 Other (Specify)-
5008 Other (Specify) -
11,932$
6000: ADMINISTRATIVE EXPENSES
Acct # Amount
6001 37,343$
6002 3,483
6003 -
6004 -
6005 Insurance (Liability):9,360
6006 Payroll Services -
6007 -
6008 Other (Specify)-
6009 Other (Specify)-
6010 Other (Specify)-
6011 Other (Specify)-
6012 Other (Specify) -
50,186$
7000: FIXED ASSETS
Acct # Amount
7001 2,500$
7002 -
7003 100
7004 -
7005 -
7006 Assets over $5,000/unit (Specify)-
7007 Other (Specify)-
7008 Other (Specify) -
2,600$
Acct # Service Units Rate Amount
8001 Mental Health Services 0 - -$
8002 Case Management 0 - -
8003 Crisis Services 0 - -
8004 Medication Support 0 - -
8005 Collateral 0 - -
8006 Plan Development 0 - -
8007 Assessment 0 - -
8008 Rehabilitation 0 - -
0 -$
Consultant (Network & Data Management)
HMIS (Health Management Information System)
Contractual/Consulting Services (Psychiatrist Fees)
Translation Services
Administrative Overhead
Professional Liability Insurance
Accounting/Bookkeeping
External Audit
Depreciation (Provider-Owned Equipment to be Used for Program Purposes)
SPECIAL EXPENSES TOTAL:
Line Item Description
Line Item Description
Computer Equipment & Software
Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data
Furniture & Fixtures
Leasehold/Tenant/Building Improvements
Other Assets over $500 with Lifespan of 2 Years +
ADMINISTRATIVE EXPENSES TOTAL
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
Line Item Description
Estimated Specialty Mental Health Services Billing Totals:
FIXED ASSETS EXPENSES TOTAL
TOTAL PROGRAM EXPENSES 410,777$
Fresno County Department of Behavioral Health Contract Budget Template Revised 9/12/2019
Revised Exhibit C
Page 17 of 77
0%
-
0%-
-$
Acct # Amount
8101 Drug Medi-Cal -$
8102 SABG -$
-$
Acct # Amount
8201 Realignment -$
-$
Acct # MHSA Component Amount
8301 CSS - Community Services & Supports 102,777$
8302 PEI - Prevention & Early Intervention -
8303 INN - Innovations -
8304 WET - Workforce Education & Training -
8305 CFTN - Capital Facilities & Technology -
102,777$
Acct # Amount
8401 Client Fees -$
8402 Client Insurance -
8403 Grants (Specify) 308,000
8404 Other (Specify) -
8405 Other (Specify) -
308,000$
Estimated % of Clients who are Medi-Cal Beneficiaries
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries
Line Item Description
REALIGNMENT TOTAL
8300 - MENTAL HEALTH SERVICE ACT (MHSA)
MHSA Program Name
Federal Financial Participation (FFP) %
MEDI-CAL FFP TOTAL
8100 - SUBSTANCE USE DISORDER FUNDS
Line Item Description
SUBSTANCE USE DISORDER FUNDS TOTAL
8200 - REALIGNMENT
OTHER REVENUE TOTAL
TOTAL PROGRAM FUNDING SOURCES:410,777$
NET PROGRAM COST: -$
MHSA TOTAL
8400 - OTHER REVENUE
Line Item Description
PATH
Fresno County Department of Behavioral Health Contract Budget Template Revised 9/12/2019
Revised Exhibit C
Page 18 of 77
ACCT # LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 270,888
Employee Salaries 215,761
1101 Executive Director 838 Position will provide agency specific staff oversight and represent and maintain the
collaborative relationship between agencies.
1102 Executive Assistant 267 This position will assist Executive Director with staff oversight and representing and
maintaining the collaborative relationship between agencies.
1103 Regional Director 2,752 Provide program management and direction. Ensures operations are running
smoothly and in compliance with contract requirements.
1104 Program Manager 78,223 Provides supervision of all staff and direct oversight of program management.
1105 Admin Specialist 13,396 Provides administrative support for the program.
1106 Outreach Worker 78,326 Provides outreach and engagement services, provides linkage to needed services.
1107 Case Managers 41,959 Provides case management and oversees the physical and mental wellness of
individuals to ensure they are supported and can achieve the best outcomes, and
referrals to appropriate linkages.
1108 0 -
1109 0 -
1110 0 -
1111 0 -
1112 0 -
1113 0 -
1114 0 -
1115 0 -
1116 0 -
1117 0 -
1118 0 -
1119 0 -
1120 0 -
Employee Benefits 36,679
1101 Retirement 2,805 Cost of 401K
1102 Worker's Compensation 5,394 Workers Comp Insurance
1103 Health Insurance 28,480 Cost of Medical, Vision, Dental, Life and Long Term Disability Insurance
1104 Other (Specify)-
1105 Other (Specify)-
1106 Other (Specify)-
Payroll Taxes & Expenses:18,448
1201 OASDI -
1202 FICA/MEDICARE 16,506 Cost of FICA/Medicare
1203 SUI 1,942 Cost of SUI
1204 Other (Specify)-
1205 Other (Specify)-
1206 Other (Specify)-
2000: CLIENT SUPPORT 16,500
2001 Child Care -
2002 Client Housing Support 5,500 Support clients with things such as rent, security deposits, board and care,
emergency housing such as hotels/motels, groceries, utilities, and household
supplies.
2003 Client Transportation & Support 3,000 Provides bus passes, bus tokens or any transportation assistance for clients, such as
taxi service or gas.
2004 Clothing, Food, & Hygiene 3,550 Outreach expenses that supports clients with clothing, food, water, blankets, and
hygiene supplies. Also, includes miscellaneous client support items such as pet food,
groceries, DMV identification, and birth certificates.
2005 Education Support 225 Assist with education expenses such as books and registration.
2006 Employment Support 225 Cost of employment assistance such as interview clothes, DMV records, ID Cards or
birth certificates.
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies - Medical -
Projects For Assistance in Transition From Homelessness -OEL
Kings View
Fiscal Year (FY 2023-24) Budget Narrative
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 9/12/2019
Revised Exhibit C
Page 19 of 77
ACCT # LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2010 Utility Vouchers -
2011 Other (Program Supplies) 4,000 Cost to supply showers trailer with items such as soap, shampoo, and towels for
client usage.
2012 Other (Specify)-
2013 Other (Specify)-
2014 Other (Specify)-
2015 Other (Specify)-
2016 Other (Specify)-
3000: OPERATING EXPENSES 22,908
3001 Telecommunications 4,100 Cost of landline telephone services, cell phones service, data connectivity.
3002 Printing/Postage 67 Anticipat courier services and postage necessary for program. Business cards and
other special printing in bulk that is less cost effective to outsource rather than
utilization of a copier.
3003 Office Supplies & Equipment 1,791 Includes desk supplies & minor equipment used by staff in the course of providing
services.
3004 Advertising -
3005 Staff Development & Training 750 Minor shared cost for continuation of staff development and training. Also, includes
HMIS training fees.
3006 Staff Mileage 180 Reimbursements to staff for personal vehicle use when lease vehicle not available
and require to provide services or other program needs, paid at IRS rate. Any travel
transportation fees, such as parking fees.
3007 Subscriptions & Memberships 100 Minor shared cost of special subscription necessary for staff to provide services or
job tasks, such as an online subscription.
3008 Vehicle Maintenance 15,750 Auto repairs & maintenance required to maintain 1 leased truck to haul client
showers, 1 shared leased vehicle, and 2 county owened vans for client
transportation and program needs, such as oil changes and car washes. Yearly
cost of GPS vehicle tracking service, fuel and D fees.
3009 Other (Staff Recruitment)170 Thorough background check and drug testing.
3010 Other (Specify)-
3011 Other (Specify)-
3012 Other (Specify)-
4000: FACILITIES & EQUIPMENT 35,763
4001 Building Maintenance 8,194 Shared copier maintenance and minor building repairs and maintenance. Annual
Janitorial Services to maintain client showers clean.
4002 Rent/Lease Building 8,640 Share cost of building space, anticipating moving locations.
4003 Rent/Lease Equipment 2,160 Shared copier lease.
4004 Rent/Lease Vehicles 13,012 The cost of 1 shared lease vehicles to assist with program and client needs and cost
of 1 lease truck to haul client showers.
4005 Security -
4006 Utilities 3,757 Shared cost of gas and electric.
4007 Other (Specify)-
4008 Other (Specify)-
4009 Other (Specify)-
4010 Other (Specify)-
5000: SPECIAL EXPENSES 11,932
5001 Consultant (Network & Data Management) 11,732 Kings View Information Technology Department (KVIT) will provide hardware and
software support successful data collection. Information services and management
consisting of managed internet service provider, network and desktop management,
project management, technology procurement, telecommunication management,
strategic technology planning, system documentation, application/data hosting,
access to data/documents/application 24/7. After hours support via email and
phone 24/7.
5002 HMIS (Health Management Information
System)
-
5003 Contractual/Consulting Services (Psychiatrist
Fees)
-
5004 Translation Services 200 Anticipat translation services to assist clients.
5005 Other (Specify)-
5006 Other (Specify)-
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 9/12/2019
Revised Exhibit C
Page 20 of 77
ACCT # LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
5007 Other (Specify)-
5008 Other (Specify)-
6000: ADMINISTRATIVE EXPENSES 50,186
6001 Administrative Overhead 37,343 Expenses provides corporate management, fiscal services, payroll, human resources,
accounts payable and other administrative functions. Limited at 10% per PATH Grant
maximum.
6002 Professional Liability Insurance 3,483 Cost general and professional liability insurance.
6003 Accounting/Bookkeeping -
6004 External Audit -
6005 Insurance (Liability):9,360 Cost of personal property, accidental and auto insurance.
6006 Payroll Services -
6007 Depreciation (Provider-Owned Equipment to
be Used for Program Purposes)
-
6008 Other (Specify)-
6009 Other (Specify)-
6010 Other (Specify)-
6011 Other (Specify)-
6012 Other (Specify)-
7000: FIXED ASSETS 2,600
7001 Computer Equipment & Software 2,500 Computer software needs to support staff & anticipating shared cost for
replacement of computer equipment.
7002 Copiers, Cell Phones, Tablets, Devices to
Contain HIPAA Data
-
7003 Furniture & Fixtures 100 Anticipat shared cost for replacement of furniture needs.
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over $500 with Lifespan of 2
Years +
-
7006 Assets over $5,000/unit (Specify)-
7007 Other (Specify)-
7008 Other (Specify)-
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:410,777
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:410,777
-
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 9/12/2019
Revised Exhibit C
Page 21 of 77
Employee Salaries
Acct # Position FTE Admin Direct Total
1101 Executive Director 0.01 -$ 863$ 863$
1102 Executive Assistant 0.01 - 275 275
1103 Regional Director 0.02 - 2,834 2,834
1104 Program Manager 0.70 - 80,563 80,563
1105 Admin Specialist 0.26 - 13,798 13,798
1106 Outreach Worker 2.00 - 80,683 80,683
1107 Case Managers 0.80 - 36,780 36,780
1108 -
1109 -
1110 - - -
1111 - - -
1112 - - -
1113 - - -
1114 - - -
1115 - - -
1116 - - -
1117 - - -
1118 - - -
1119 - - -
1120 - -
Personnel Salaries Subtotal 3.79 -$ 215,796$ 215,796$
Employee Benefits
Acct # Admin Direct Total
1101 -$ 2,805$ 2,805$
1102 - 5,395 5,395
1103 - 28,486 28,486
1104 - - -
1105 - - -
1106 - - -
-$ 36,686$ 36,686$
0.156613133
Payroll Taxes & Expenses:
Acct # Admin Direct Total
1201 -$ -$ -$
1202 - 16,508 16,508
1203 - 1,942 1,942
1204 - - -
1205 - - -
1206 - - -
-$ 18,450$ 18,450$
-$ 270,932$ 270,932$
Retirement
Worker's Compensation
Health Insurance
Other (Specify)
Other (Specify)
Other (Specify)
Projects For Assistance in Transition From Homelessness -OEL
Kings View
Fiscal Year (FY 2024-25)
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Description
Other (Specify)
Other (Specify)
Other (Specify)
Payroll Taxes & Expenses Subtotal:
EMPLOYEE SALARIES & BENEFITS TOTAL:
Employee Benefits Subtotal:
Employee Benefits %:
Description
OASDI
FICA/MEDICARE
SUI
Fresno County Department of Behavioral Health Contract Budget Template Revised 9/12/2019
Revised Exhibit C
Page 22 of 77
2000: CLIENT SUPPORT
Acct # Amount
2001 -$
2002 5,800
2003 3,000
2004 4,600
2005 225
2006 225
2007 -
2008 -
2009 -
2010 -
2011 5,000
2012 -
2013 -
2014 -
2015 -
2016 -
18,850$
3000: OPERATING EXPENSES
Acct # Amount
3001 4,100$
3002 67
3003 1,791
3004 -
3005 750
3006 180
3007 100
3008 15,750
3009 170
3010 -
3011 -
3012 -
22,908$
4000: FACILITIES & EQUIPMENT
Acct # Amount
4001 8,113$
4002 8,640
4003 2,160
4004 13,012
4005 -
4006 3,757
4007 Other (Specify)-
4008 Other (Specify)-
4009 Other (Specify)-
4010 Other (Specify) -
35,682$
5000: SPECIAL EXPENSES
Acct # Amount
Line Item Description
Household Items for Clients
Medication Supports
Program Supplies - Medical
Utility Vouchers
Other (Program Supplies)
Other (Specify)
Child Care
Client Housing Support
Client Transportation & Support
Clothing, Food, & Hygiene
Education Support
Employment Support
Telecommunications
Printing/Postage
Office Supplies & Equipment
Advertising
Staff Development & Training
Staff Mileage
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
DIRECT CLIENT CARE TOTAL
Line Item Description
OPERATING EXPENSES TOTAL:
Line Item Description
Building Maintenance
Rent/Lease Building
Rent/Lease Equipment
Rent/Lease Vehicles
Subscriptions & Memberships
Vehicle Maintenance
Other (Staff Recruitment)
Other (Specify)
Other (Specify)
Other (Specify)
FACILITIES/EQUIPMENT TOTAL:
Line Item Description
Security
Utilities
Fresno County Department of Behavioral Health Contract Budget Template Revised 9/12/2019
Revised Exhibit C
Page 23 of 77
5001 11,744$
5002
5003 -
5004 200
5005 Other (Specify)-
5006 Other (Specify)-
5007 Other (Specify)-
5008 Other (Specify) -
11,944$
6000: ADMINISTRATIVE EXPENSES
Acct # Amount
6001 37,343$
6002 3,483
6003 -
6004 -
6005 Insurance (Liability):9,360
6006 Payroll Services -
6007 -
6008 Other (Specify)-
6009 Other (Specify)-
6010 Other (Specify)-
6011 Other (Specify)-
6012 Other (Specify) -
50,186$
7000: FIXED ASSETS
Acct # Amount
7001 175$
7002 -
7003 100
7004 -
7005 -
7006 Assets over $5,000/unit (Specify)-
7007 Other (Specify)-
7008 Other (Specify) -
275$
Acct # Service Units Rate Amount
8001 Mental Health Services 0 - -$
8002 Case Management 0 - -
8003 Crisis Services 0 - -
8004 Medication Support 0 - -
8005 Collateral 0 - -
8006 Plan Development 0 - -
8007 Assessment 0 - -
8008 Rehabilitation 0 - -
0 -$
Consultant (Network & Data Management)
HMIS (Health Management Information System)
Contractual/Consulting Services (Specify)
Translation Services
Administrative Overhead
Professional Liability Insurance
Accounting/Bookkeeping
External Audit
Depreciation (Provider-Owned Equipment to be Used for Program Purposes)
SPECIAL EXPENSES TOTAL:
Line Item Description
Line Item Description
Computer Equipment & Software
Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data
Furniture & Fixtures
Leasehold/Tenant/Building Improvements
Other Assets over $500 with Lifespan of 2 Years +
ADMINISTRATIVE EXPENSES TOTAL
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
Line Item Description
Estimated Specialty Mental Health Services Billing Totals:
FIXED ASSETS EXPENSES TOTAL
TOTAL PROGRAM EXPENSES 410,777$
Fresno County Department of Behavioral Health Contract Budget Template Revised 9/12/2019
Revised Exhibit C
Page 24 of 77
0%
-
0%-
-$
Acct # Amount
8101 Drug Medi-Cal -$
8102 SABG -$
-$
Acct # Amount
8201 Realignment -$
-$
Acct # MHSA Component Amount
8301 CSS - Community Services & Supports 102,777$
8302 PEI - Prevention & Early Intervention -
8303 INN - Innovations -
8304 WET - Workforce Education & Training -
8305 CFTN - Capital Facilities & Technology -
102,777$
Acct # Amount
8401 Client Fees -$
8402 Client Insurance -
8403 Grants (Specify) 308,000
8404 Other (Specify) -
8405 Other (Specify) -
308,000$
Estimated % of Clients who are Medi-Cal Beneficiaries
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries
Line Item Description
REALIGNMENT TOTAL
8300 - MENTAL HEALTH SERVICE ACT (MHSA)
MHSA Program Name
Federal Financial Participation (FFP) %
MEDI-CAL FFP TOTAL
8100 - SUBSTANCE USE DISORDER FUNDS
Line Item Description
SUBSTANCE USE DISORDER FUNDS TOTAL
8200 - REALIGNMENT
OTHER REVENUE TOTAL
TOTAL PROGRAM FUNDING SOURCES:410,777$
NET PROGRAM COST: -$
MHSA TOTAL
8400 - OTHER REVENUE
Line Item Description
PATH
Fresno County Department of Behavioral Health Contract Budget Template Revised 9/12/2019
Revised Exhibit C
Page 25 of 77
ACCT # LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 270,932
Employee Salaries 215,796
1101 Executive Director 863 Position will provide agency specific staff oversight and represent and maintain the
collaborative relationship between agencies.
1102 Executive Assistant 275 This position will assist Executive Director with staff oversight and representing and
maintaining the collaborative relationship between agencies.
1103 Regional Director 2,834 Provide program management and direction. Ensures operations are running
smoothly and in compliance with contract requirements.
1104 Program Manager 80,563 Provides supervision of all staff and direct oversight of program management.
1105 Admin Specialist 13,798 Provides administrative support for the program.
1106 Outreach Worker 80,683 Provides outreach and engagement services, provides linkage to needed services.
1107 Case Managers 36,780 Provides case management and oversees the physical and mental wellness of
individuals to ensure they are supported and can achieve the best outcomes, and
referrals to appropriate linkages.
1108 0 -
1109 0 -
1110 0 -
1111 0 -
1112 0 -
1113 0 -
1114 0 -
1115 0 -
1116 0 -
1117 0 -
1118 0 -
1119 0 -
1120 0 -
Employee Benefits 36,686
1101 Retirement 2,805 Cost of 401K
1102 Worker's Compensation 5,395 Workers Comp Insurance
1103 Health Insurance 28,486 Cost of Medical, Vision, Dental, Life and Long Term Disability Insurance
1104 Other (Specify)-
1105 Other (Specify)-
1106 Other (Specify)-
Payroll Taxes & Expenses:18,450
1201 OASDI -
1202 FICA/MEDICARE 16,508 Cost of FICA/Medicare
1203 SUI 1,942 Cost of SUI
1204 Other (Specify)-
1205 Other (Specify)-
1206 Other (Specify)-
2000: CLIENT SUPPORT 18,850
2001 Child Care -
2002 Client Housing Support 5,800 Support clients with things such as rent, security deposits, board and care,
emergency housing such as hotels/motels, groceries, utilities, and household
supplies.
2003 Client Transportation & Support 3,000 Provides bus passes, bus tokens or any transportation assistance for clients, such as
taxi service or gas.
2004 Clothing, Food, & Hygiene 4,600 Outreach expenses that supports clients with clothing, food, water, blankets, and
hygiene supplies. Also, includes miscellaneous client support items such as pet food,
groceries, DMV identification, and birth certificates.
2005 Education Support 225 Assist with education expenses such as books and registration.
2006 Employment Support 225 Cost of employment assistance such as interview clothes, DMV records, ID Cards or
birth certificates.
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies - Medical -
Projects For Assistance in Transition From Homelessness -OEL
Kings View
Fiscal Year (FY 2024-25) Budget Narrative
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 9/12/2019
Revised Exhibit C
Page 26 of 77
ACCT # LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2010 Utility Vouchers -
2011 Other (Program Supplies) 5,000 Cost to supply showers trailer with items such as soap, shampoo, and towels for
client usage.
2012 Other (Specify)-
2013 Other (Specify)-
2014 Other (Specify)-
2015 Other (Specify)-
2016 Other (Specify)-
3000: OPERATING EXPENSES 22,908
3001 Telecommunications 4,100 Cost of landline telephone services, cell phones service, data connectivity.
3002 Printing/Postage 67 Anticipating courier services and postage necessary for program. Business cards and
other special printing in bulk that is less cost effective to outsource rather than
utilization of a copier.
3003 Office Supplies & Equipment 1,791 Includes desk supplies & minor equipment used by staff in the course of providing
services.
3004 Advertising -
3005 Staff Development & Training 750 Minor shared cost for continuation of staff development and training. Also, includes
HMIS training fees.
3006 Staff Mileage 180 Reimbursements to staff for personal vehicle use when lease vehicle not available
and require to provide services or other program needs, paid at IRS rate. Any travel
transportation fees, such as parking fees.
3007 Subscriptions & Memberships 100 Minor shared cost of special subscription necessary for staff to provide services or
job tasks, such as an online subscription.
3008 Vehicle Maintenance 15,750 Auto repairs & maintenance required to maintain 1 leased truck to haul client
showers, 1 shared leased vehicle, and 2 county owened vans for client
transportation and program needs, such as oil changes and car washes. Yearly
cost of GPS vehicle tracking service, fuel and D fees.
3009 Other (Staff Recruitment)170 Thorough background check and drug testing.
3010 Other (Specify)-
3011 Other (Specify)-
3012 Other (Specify)-
4000: FACILITIES & EQUIPMENT 35,682
4001 Building Maintenance 8,113 Shared copier maintenance and minor building repairs and maintenance. Annual
Janitorial Services to maintain client showers clean.
4002 Rent/Lease Building 8,640 Share cost of building space, anticipating moving locations.
4003 Rent/Lease Equipment 2,160 Shared copier lease.
4004 Rent/Lease Vehicles 13,012 The cost of 1 shared lease vehicles to assist with program and client needs and cost
of 1 lease truck to haul client showers.
4005 Security -
4006 Utilities 3,757 Shared cost of gas and electric.
4007 Other (Specify)-
4008 Other (Specify)-
4009 Other (Specify)-
4010 Other (Specify)-
5000: SPECIAL EXPENSES 11,944
5001 Consultant (Network & Data Management) 11,744 Kings View Information Technology Department (KVIT) will provide hardware and
software support successful data collection. Information services and management
consisting of managed internet service provider, network and desktop management,
project management, technology procurement, telecommunication management,
strategic technology planning, system documentation, application/data hosting,
access to data/documents/application 24/7. After hours support via email and
phone 24/7.
5002 HMIS (Health Management Information
System)
-
5003 Contractual/Consulting Services (Specify)-
5004 Translation Services 200 Anticipat translation services to assist clients.
5005 Other (Specify)-
5006 Other (Specify)-
5007 Other (Specify)-
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 9/12/2019
Revised Exhibit C
Page 27 of 77
ACCT # LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
5008 Other (Specify)-
6000: ADMINISTRATIVE EXPENSES 50,186
6001 Administrative Overhead 37,343 Expenses provides corporate management, fiscal services, payroll, human resources,
accounts payable and other administrative functions. Limited at 10% per PATH Grant
maximum.
6002 Professional Liability Insurance 3,483 Cost general and professional liability insurance.
6003 Accounting/Bookkeeping -
6004 External Audit -
6005 Insurance (Liability):9,360 Cost of personal property, accidental and auto insurance.
6006 Payroll Services -
6007 Depreciation (Provider-Owned Equipment to
be Used for Program Purposes)
-
6008 Other (Specify)-
6009 Other (Specify)-
6010 Other (Specify)-
6011 Other (Specify)-
6012 Other (Specify)-
7000: FIXED ASSETS 275
7001 Computer Equipment & Software 175 Computer software needs to support staff & anticipating shared cost for
replacement of computer equipment.
7002 Copiers, Cell Phones, Tablets, Devices to
Contain HIPAA Data
-
7003 Furniture & Fixtures 100 Anticipat shared cost for replacement of furniture needs.
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over $500 with Lifespan of 2
Years +
-
7006 Assets over $5,000/unit (Specify)-
7007 Other (Specify)-
7008 Other (Specify)-
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:410,777
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:410,777
-
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 9/12/2019
Revised Exhibit C
Page 28 of 77
Employee Salaries
Acct # Position FTE Admin Direct Total
1101 Executive Director 0.01 -$ 889$ 889$
1102 Executive Assistant 0.01 - 283 283
1103 Regional Director 0.02 - 2,919 2,919
1104 Program Manager 0.70 - 82,977 82,977
1105 Admin Specialist 0.26 - 14,210 14,210
1106 Outreach Worker 2.00 - 83,082 83,082
1107 Case Managers 0.80 - 37,886 37,886
1108 -
1109 -
1110 - - -
1111 - - -
1112 - - -
1113 - - -
1114 - - -
1115 - - -
1116 - - -
1117 - - -
1118 - - -
1119 - - -
1120 - - -
Personnel Salaries Subtotal 3.79 -$ 222,246$ 222,246$
Employee Benefits
Acct # Admin Direct Total
1101 -$ 2,890$ 2,890$
1102 - 5,556 5,556
1103 - 29,337 29,337
1104 - - -
1105 - - -
1106 - - -
-$ 37,783$ 37,783$
0.15661477
Payroll Taxes & Expenses:
Acct # Admin Direct Total
1201 -$ -$ -$
1202 - 17,002 17,002
1203 - 2,000 2,000
1204 - - -
1205 - -
1206 - -
-$ 19,002$ 19,002$
-$ 279,031$ 279,031$
Retirement
Worker's Compensation
Health Insurance
Other (Specify)
Other (Specify)
Other (Specify)
Projects For Assistance in Transition From Homelessness -OEL
Kings View
Fiscal Year (FY 2025-26)
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Description
Other (Specify)
Other (Specify)
Other (Specify)
Payroll Taxes & Expenses Subtotal:
EMPLOYEE SALARIES & BENEFITS TOTAL:
Employee Benefits Subtotal:
Employee Benefits %:
Description
OASDI
FICA/MEDICARE
SUI
Fresno County Department of Behavioral Health Contract Budget Template Revised 9/12/2019
Revised Exhibit C
Page 29 of 77
2000: CLIENT SUPPORT
Acct # Amount
2001 -$
2002 4,000
2003 2,100
2004 2,900
2005 200
2006 200
2007 -
2008 -
2009 -
2010 -
2011 2,326
2012 -
2013 -
2014 -
2015 -
2016 -
11,726$
3000: OPERATING EXPENSES
Acct # Amount
3001 4,100$
3002 67
3003 866
3004 -
3005 750
3006 180
3007 100
3008 15,750
3009 170
3010 -
3011 -
3012 -
21,983$
4000: FACILITIES & EQUIPMENT
Acct # Amount
4001 8,113$
4002 8,640
4003 2,160
4004 13,012
4005 -
4006 3,757
4007 Other (Specify)-
4008 Other (Specify)-
4009 Other (Specify)-
4010 Other (Specify) -
35,682$
5000: SPECIAL EXPENSES
Acct # Amount
Line Item Description
Household Items for Clients
Medication Supports
Program Supplies - Medical
Utility Vouchers
Other (Program Supplies)
Other (Specify)
Child Care
Client Housing Support
Client Transportation & Support
Clothing, Food, & Hygiene
Education Support
Employment Support
Telecommunications
Printing/Postage
Office Supplies & Equipment
Advertising
Staff Development & Training
Staff Mileage
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
DIRECT CLIENT CARE TOTAL
Line Item Description
OPERATING EXPENSES TOTAL:
Line Item Description
Building Maintenance
Rent/Lease Building
Rent/Lease Equipment
Rent/Lease Vehicles
Subscriptions & Memberships
Vehicle Maintenance
Other (Staff Recruitment)
Other (Specify)
Other (Specify)
Other (Specify)
FACILITIES/EQUIPMENT TOTAL:
Line Item Description
Security
Utilities
Fresno County Department of Behavioral Health Contract Budget Template Revised 9/12/2019
Revised Exhibit C
Page 30 of 77
5001 11,744$
5002 -
5003 -
5004 200
5005 Other (Specify)-
5006 Other (Specify)-
5007 Other (Specify)-
5008 Other (Specify) -
11,944$
6000: ADMINISTRATIVE EXPENSES
Acct # Amount
6001 37,343$
6002 3,483
6003 -
6004 -
6005 Insurance (Liability):9,360
6006 Payroll Services -
6007 -
6008 Other (Specify)-
6009 Other (Specify)-
6010 Other (Specify)-
6011 Other (Specify)-
6012 Other (Specify) -
50,186$
7000: FIXED ASSETS
Acct # Amount
7001 175$
7002 -
7003 50
7004 -
7005 -
7006 Assets over $5,000/unit (Specify)-
7007 Other (Specify)-
7008 Other (Specify) -
225$
Acct # Service Units Rate Amount
8001 Mental Health Services 0 - -$
8002 Case Management 0 - -
8003 Crisis Services 0 - -
8004 Medication Support 0 - -
8005 Collateral 0 - -
8006 Plan Development 0 - -
8007 Assessment 0 - -
8008 Rehabilitation 0 - -
0 -$
Consultant (Network & Data Management)
HMIS (Health Management Information System)
Contractual/Consulting Services (Specify)
Translation Services
Administrative Overhead
Professional Liability Insurance
Accounting/Bookkeeping
External Audit
Depreciation (Provider-Owned Equipment to be Used for Program Purposes)
SPECIAL EXPENSES TOTAL:
Line Item Description
Line Item Description
Computer Equipment & Software
Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data
Furniture & Fixtures
Leasehold/Tenant/Building Improvements
Other Assets over $500 with Lifespan of 2 Years +
ADMINISTRATIVE EXPENSES TOTAL
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
Line Item Description
Estimated Specialty Mental Health Services Billing Totals:
FIXED ASSETS EXPENSES TOTAL
TOTAL PROGRAM EXPENSES 410,777$
Fresno County Department of Behavioral Health Contract Budget Template Revised 9/12/2019
Revised Exhibit C
Page 31 of 77
0%
-
0%-
-$
Acct # Amount
8101 Drug Medi-Cal -$
8102 SABG -$
-$
Acct # Amount
8201 Realignment -$
-$
Acct # MHSA Component Amount
8301 CSS - Community Services & Supports 102,777$
8302 PEI - Prevention & Early Intervention -
8303 INN - Innovations -
8304 WET - Workforce Education & Training -
8305 CFTN - Capital Facilities & Technology -
102,777$
Acct # Amount
8401 Client Fees -$
8402 Client Insurance -
8403 Grants (Specify) 308,000
8404 Other (Specify) -
8405 Other (Specify) -
308,000$
Estimated % of Clients who are Medi-Cal Beneficiaries
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries
Line Item Description
REALIGNMENT TOTAL
8300 - MENTAL HEALTH SERVICE ACT (MHSA)
MHSA Program Name
Federal Financial Participation (FFP) %
MEDI-CAL FFP TOTAL
8100 - SUBSTANCE USE DISORDER FUNDS
Line Item Description
SUBSTANCE USE DISORDER FUNDS TOTAL
8200 - REALIGNMENT
OTHER REVENUE TOTAL
TOTAL PROGRAM FUNDING SOURCES:410,777$
NET PROGRAM COST: -$
MHSA TOTAL
8400 - OTHER REVENUE
Line Item Description
PATH
Fresno County Department of Behavioral Health Contract Budget Template Revised 9/12/2019
Revised Exhibit C
Page 32 of 77
ACCT # LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 279,031
Employee Salaries 222,246
1101 Executive Director 889 Position will provide agency specific staff oversight and represent and maintain the
collaborative relationship between agencies.
1102 Executive Assistant 283 This position will assist Executive Director with staff oversight and representing and
maintaining the collaborative relationship between agencies.
1103 Regional Director 2,919 Provide program management and direction. Ensures operations are running
smoothly and in compliance with contract requirements.
1104 Program Manager 82,977 Provides supervision of all staff and direct oversight of program management.
1105 Admin Specialist 14,210 Provides administrative support for the program and assist with medical billing and
records.
1106 Outreach Worker 83,082 Provides outreach and engagement services, provides linkage to needed services.
1107 Case Managers 37,886 Provides case management and oversees the physical and mental wellness of
individuals to ensure they are supported and can achieve the best outcomes, and
referrals to appropriate linkages.
1108 0 -
1109 0 -
1110 0 -
1111 0 -
1112 0 -
1113 0 -
1114 0 -
1115 0 -
1116 0 -
1117 0 -
1118 0 -
1119 0 -
1120 0 -
Employee Benefits 37,783
1101 Retirement 2,890 Cost of 401K
1102 Worker's Compensation 5,556 Workers Comp Insurance
1103 Health Insurance 29,337 Cost of Medical, Vision, Dental, Life and Long Term Disability Insurance
1104 Other (Specify)-
1105 Other (Specify)-
1106 Other (Specify)-
Payroll Taxes & Expenses:19,002
1201 OASDI -
1202 FICA/MEDICARE 17,002 Cost of FICA/Medicare
1203 SUI 2,000 Cost of SUI
1204 Other (Specify)-
1205 Other (Specify)-
1206 Other (Specify)-
2000: CLIENT SUPPORT 11,726
2001 Child Care -
2002 Client Housing Support 4,000 Support clients with things such as rent, security deposits, board and care,
emergency housing such as hotels/motels, groceries, utilities, and household
supplies.
2003 Client Transportation & Support 2,100 Provides bus passes, bus tokens or any transportation assistance for clients, such as
taxi service or gas.
2004 Clothing, Food, & Hygiene 2,900 Outreach expenses that supports clients with clothing, food, water, blankets, and
hygiene supplies. Also, includes miscellaneous client support items such as pet food,
groceries, DMV identification, and birth certificates.
2005 Education Support 200 Assist with education expenses such as books and registration.
2006 Employment Support 200 Cost of employment assistance such as interview clothes, DMV records, ID Cards or
birth certificates.
2007 Household Items for Clients -
2008 Medication Supports -
Projects For Assistance in Transition From Homelessness -OEL
Kings View
Fiscal Year (FY 2025-26) Budget Narrative
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 9/12/2019
Revised Exhibit C
Page 33 of 77
ACCT # LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2009 Program Supplies - Medical -
2010 Utility Vouchers -
2011 Other (Program Supplies) 2,326 Cost to supply showers trailer with items such as soap, shampoo, and towels for
client usage.
2012 Other (Specify)-
2013 Other (Specify)-
2014 Other (Specify)-
2015 Other (Specify)-
2016 Other (Specify)-
3000: OPERATING EXPENSES 21,983
3001 Telecommunications 4,100 Cost of landline telephone services, cell phones service, data connectivity.
3002 Printing/Postage 67 Anticipating courier services and postage necessary for program. Business cards and
other special printing in bulk that is less cost effective to outsource rather than
utilization of a copier.
3003 Office Supplies & Equipment 866 Includes desk supplies & minor equipment used by staff in the course of providing
services.
3004 Advertising -
3005 Staff Development & Training 750 Minor shared cost for continuation of staff development and training. Also, includes
HMIS training fees.
3006 Staff Mileage 180 Reimbursements to staff for personal vehicle use when lease vehicle not available
and require to provide services or other program needs, paid at IRS rate. Any travel
transportation fees, such as parking fees.
3007 Subscriptions & Memberships 100 Minor shared cost of special subscription necessary for staff to provide services or
job tasks, such as an online subscription.
3008 Vehicle Maintenance 15,750 Auto repairs & maintenance required to maintain 1 leased truck to haul client
showers, 1 shared leased vehicle, and 2 county owned vans for client transportation
and program needs, such as oil changes and car washes. Yearly cost of GPS vehicle
tracking service, fuel and D fees.
3009 Other (Staff Recruitment)170 Thorough background check and drug testing.
3010 Other (Specify)-
3011 Other (Specify)-
3012 Other (Specify)-
4000: FACILITIES & EQUIPMENT 35,682
4001 Building Maintenance 8,113 Shared copier maintenance and minor building repairs and maintenance. Annual
Janitorial Services to maintain client showers clean.
4002 Rent/Lease Building 8,640 Share cost of building space, anticipating moving locations.
4003 Rent/Lease Equipment 2,160 Shared copier lease.
4004 Rent/Lease Vehicles 13,012 The cost of 1 shared lease vehicles to assist with program and client needs and cost
of 1 lease truck to haul client showers.
4005 Security -
4006 Utilities 3,757 Shared cost of gas and electric.
4007 Other (Specify)-
4008 Other (Specify)-
4009 Other (Specify)-
4010 Other (Specify)-
5000: SPECIAL EXPENSES 11,944
5001 Consultant (Network & Data Management) 11,744 Kings View Information Technology Department (KVIT) will provide hardware and
software support successful data collection. Information services and management
consisting of managed internet service provider, network and desktop management,
project management, technology procurement, telecommunication management,
strategic technology planning, system documentation, application/data hosting,
access to data/documents/application 24/7. After hours support via email and
phone 24/7.
5002 HMIS (Health Management Information
System)
-
5003 Contractual/Consulting Services (Specify)-
5004 Translation Services 200 Anticipat translation services to assist clients.
5005 Other (Specify)-
5006 Other (Specify)-
5007 Other (Specify)-
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 9/12/2019
Revised Exhibit C
Page 34 of 77
ACCT # LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
5008 Other (Specify)-
6000: ADMINISTRATIVE EXPENSES 50,186
6001 Administrative Overhead 37,343 Expenses provides corporate management, fiscal services, payroll, human resources,
accounts payable and other administrative functions. Limited at 10% per PATH Grant
maximum.
6002 Professional Liability Insurance 3,483 Cost general and professional liability insurance.
6003 Accounting/Bookkeeping -
6004 External Audit -
6005 Insurance (Liability):9,360 Cost of personal property, accidental and auto insurance.
6006 Payroll Services -
6007 Depreciation (Provider-Owned Equipment to
be Used for Program Purposes)
-
6008 Other (Specify)-
6009 Other (Specify)-
6010 Other (Specify)-
6011 Other (Specify)-
6012 Other (Specify)-
7000: FIXED ASSETS 225
7001 Computer Equipment & Software 175 Computer software needs to support staff & anticipating shared cost for
replacement of computer equipment.
7002 Copiers, Cell Phones, Tablets, Devices to
Contain HIPAA Data
-
7003 Furniture & Fixtures 50 Anticipat shared cost for replacement of furniture needs.
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over $500 with Lifespan of 2
Years +
-
7006 Assets over $5,000/unit (Specify)-
7007 Other (Specify)-
7008 Other (Specify)-
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:410,777
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:410,777
-
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 9/12/2019
Revised Exhibit C
Page 35 of 77
Employee Salaries
Acct # Position FTE Admin Direct Total
1101 Executive Director 0.01 -$ 790$ 790$
1102 Executive Assistant 0.01 - 252 252
1103 Regional Director 0.02 - 2,593 2,593
1104 Program Manager 0.30 - 31,603 31,603
1105 Admin Specialist 0.08 - 3,885 3,885
1106 Case Managers 0.80 - 33,654 33,654
1107 -
1108 -
1109 - - -
1110 - - -
1111 - - -
1112 - - -
1113 - - -
1114 - - -
1115 - - -
1116 - - -
1117 - - -
1118 - - -
1119 - - -
1120 - - -
Personnel Salaries Subtotal 1.21 -$ 72,777$ 72,777$
Employee Benefits
Acct # Admin Direct Total
1101 -$ 1,375$ 1,375$
1102 - 1,812 1,812
1103 - 6,819 6,819
1104 - -
1105 - - -
1106 - - -
-$ 10,006$ 10,006$
0.13$
Payroll Taxes & Expenses:
Acct # Admin Direct Total
1201 -$ -$ -$
1202 - 5,568 5,568
1203 - 437 437
1204 - - -
1205 - - -
1206 - - -
-$ 6,005$ 6,005$
-$ 88,788$ 88,788$
Other (specify)
Employee Benefits Subtotal:
Employee Benefits %:
Description
1000: SALARIES & BENEFITS
Retirement
Worker's Compensation
Health Insurance
Other (specify)
Other (specify)
OASDI
FICA/MEDICARE
SUI
Other (specify)
PROGRAM EXPENSES
PATH Program- SMHS
Kings View
Fiscal Year (FY 2021-22)
Description
Payroll Taxes & Expenses Subtotal:
Other (Specify)
Other (specify)
EMPLOYEE SALARIES & BENEFITS TOTAL:
Revised Exhibit C
Page 36 of 77
2000: CLIENT SUPPORT
Acct # Amount
2001 -$
2002 25,000
2003
2004 740
2005
2006
2007 -
2008 -
2009 -
2010 -
2011 2,372
2012 -
2013 -
2014 -
2015 -
2016 -
28,112$
3000: OPERATING EXPENSES
Acct # Amount
3001 1,330$
3002 350
3003 1,023
3004 -
3005 640
3006 150
3007 50
3008 2,167
3009 300
3010
3011 -
3012 -
6,010$
4000: FACILITIES & EQUIPMENT
Acct # Amount
4001 1,324$
4002 2,052
4003 240
4004 830
4005 -
4006 675
4007 Other (specify)
4008 Other (specify)
4009 Other (specify)
4010 Other (specify)
5,121$
5000: SPECIAL EXPENSES
Acct # Amount
Other (specify)
Other (specify)
Clothing, Food, & Hygiene
Other (specify)
Other (specify)
Office Supplies & Equipment
Utility Vouchers
Program Supplies - Medical
Medication Supports
Household Items for Clients
Employment Support
Staff Mileage
Subscriptions & Memberships
Other (specify)
Other (specify)
Other (specify)
Telecommunications
Printing/Postage
Client Transportation & Support
Client Housing Support
Child Care
Other (Staff Recruitment)
Rent/Lease Vehicles
Security
Utilities
Rent/Lease Equipment
FACILITIES/EQUIPMENT TOTAL:
OPERATING EXPENSES TOTAL:
Staff Development & Training
Vehicle Maintenance
Line Item Description
Line Item Description
Line Item Description
Line Item Description
DIRECT CLIENT CARE TOTAL
Other (specify)
Other (Program Supplies)
Advertising
Rent/Lease Building
Building Maintenance
Education Support
Revised Exhibit C
Page 37 of 77
5001 5,046$
5002 -
5003 34,571
5004 -
5005 Other (specify)
5006 Other (specify)-
5007 Other (specify)-
5008 Other (specify) -
39,617$
6000: ADMINISTRATIVE EXPENSES
Acct # Amount
6001 20,789$
6002 1,680
6003 -
6004 -
6005 Insurance (Liability)360
6006 Payroll Services -
6007 -
6008 Other (specify)
6009 Other (specify)
6010 Other (specify)
6011 Other (specify)-
6012 Other (specify) -
22,829$
7000: FIXED ASSETS
Acct # Amount
7001 3,050$
7002
7003 500
7004 -
7005 -
7006 Assets over $5,000/unit (Specify)-
7007 Other (specify)-
7008 Other (specify) -
3,550$
Acct # Service Units Rate Amount
8001 Mental Health Services - -$
8002 Case Management 160 3.75 600
8003 Crisis Services 64 6.75 432
8004 Medication Support 2,870 8.00 22,960
8005 Collateral -
8006 Plan Development 850 4.50 3,825
8007 Assessment 2,950 4.50 13,275
8008 Rehabilitation 33,838 4.50 152,271
40,732 193,363$
Contractual/Consulting Services (Psychiatrist Fees)
Translation Services
Consultant (Network & Data Management)
Furniture & Fixtures
Line Item Description
Administrative Overhead
Depreciation (Provider-Owned Equipment to be Used for Program Purposes)
HMIS (Health Management Information System)
External Audit
Estimated Specialty Mental Health Services Billing Totals:
Line Item Description
Computer Equipment & Software
Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data
Other Assets over $500 with Lifespan of 2 Years +
PROGRAM FUNDING SOURCES
194,027$ TOTAL PROGRAM EXPENSES
FIXED ASSETS EXPENSES TOTAL
ADMINISTRATIVE EXPENSES TOTAL
SPECIAL EXPENSES TOTAL:
Line Item Description
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
Professional Liability Insurance
Accounting/Bookkeeping
Leasehold/Tenant/Building Improvements
Revised Exhibit C
Page 38 of 77
75%
145,022
85%123,268.91
123,269$
Acct # Amount
8101 Drug Medi-Cal -$
8102 SABG -$
-$
Acct # Amount
8201 Realignment -$
-$
Acct # MHSA Component Amount
8301 CSS - Community Services & Supports 69,756$
8302 PEI - Prevention & Early Intervention -
8303 INN - Innovations -
8304 WET - Workforce Education & Training -
8305 CFTN - Capital Facilities & Technology -
69,756$
Acct # Amount
8401 Client Fees -$
8402 Client Insurance -
8403 Grants (Specify) -
8404 Other Revenue 1 1,002
8405 Other Revenue 2 -
1,002$
8200 - REALIGNMENT
Client Rents
Estimated % of Clients who are Medi-Cal Beneficiaries
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries
Federal Financial Participation (FFP) %
MHSA Program Name
8300 - MENTAL HEALTH SERVICE ACT (MHSA)
Line Item Description
REALIGNMENT TOTAL
NET PROGRAM COST:
TOTAL PROGRAM FUNDING SOURCES:194,027$
0$
SUBSTANCE USE DISORDER FUNDS TOTAL
MEDI-CAL FFP TOTAL
MHSA TOTAL
Line Item Description
8100 - SUBSTANCE USE DISORDER FUNDS
OTHER REVENUE TOTAL
Line Item Description
8400 - OTHER REVENUE
Revised Exhibit C
Page 39 of 77
Budget Narrative
ACCT # LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 88,788
Employee Salaries 72,777
1101 Executive Director 790 Position will provide agency specific staff oversight and represent and maintain the
collaborative relationship between agencies.
1102 Executive Assistant 252 This position will assist Executive Director with staff oversight and representing and
maintaining the collaborative relationship between agencies.
1103 Regional Director 2,593 Provide program management and direction. Ensures operations are running
smoothly and in compliance with contract requirements.
1104 Program Manager 31,603 Provides supervision of all staff and direct oversight of program management.
1105 Admin Specialist 3,885 Provides administrative support for the program and assist with medical billing and
records.
1106 Case Managers 33,654 Provides case management and oversees the physical and mental wellness of
individuals to ensure they are supported and can achieve the best outcomes, and
referrals to appropriate linkages.
1107 0 -
1108 0 -
1109 0 -
1110 0 -
1111 0 -
1112 0 -
1113 0 -
1114 0 -
1115 0 -
1116 0 -
1117 0 -
1118 0 -
1119 0 -
1120 0 -
Employee Benefits 10,006
1101 Retirement 1,375 Cost of 401K
1102 Worker's Compensation 1,812 Workers Comp Insurance
1103 Health Insurance 6,819 Cost of Medical, Vision, Dental, Life and Long Term Disability Insurance
1104 Other (Specify)-
1105 Other (specify)-
1106 Other (specify)-
Payroll Taxes & Expenses:6,005
1201 OASDI -
1202 FICA/MEDICARE 5,568 Cost of FICA/Medicare
1203 SUI 437 Cost of SUI
1204 Other (specify)-
1205 Other (specify)-
1206 Other (specify)-
2000: CLIENT SUPPORT 28,112
2001 Child Care -
2002 Client Housing Support 25,000 Support clients with rent, security deposits, board and care, emergency housing
such as hotels/motels, groceries and household supplies.
2003 Client Transportation & Support -
2004 Clothing, Food, & Hygiene 740 Outreach expenses that supports clients with clothing, food, water, blankets, and
hygiene supplies. Also, includes miscellaneous client support items such as pet food,
groceries, DMV identification, and birth certificates.
2005 Education Support -
2006 Employment Support -
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies - Medical -
2010 Utility Vouchers -
2011 Other (Program Supplies) 2,372 Cost of supplies for client groups such as notepads, therapy balls, puzzles or art
supplies.
PATH Program- SMHS
Kings View
Fiscal Year (FY 2021-22)
Revised Exhibit C
Page 40 of 77
ACCT # LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2012 Other (specify)-
2013 Other (specify)-
2014 Other (specify)-
2015 Other (specify)-
2016 Other (specify)-
3000: OPERATING EXPENSES 6,010
3001 Telecommunications 1,330 Cost of landline telephone services, cell phones service, data connectivity.
3002 Printing/Postage 350 Anticipat courier services and postage necessary for program. Business cards and
other special printing in bulk that less cost effective to outsource rather than
utilization of a copier.
3003 Office Supplies & Equipment 1,023 Includes all supplies used by staff in the course of providing services. Also, includes
program supplies such as snacks for clients or outreach supplies.
3004 Advertising -
3005 Staff Development & Training 640 Minor shared cost for continuation of staff development and training. Also includes
HMIS training fees.
3006 Staff Mileage 150 Reimbursements to staff for personal vehicle use when lease vehicle not available
and require to provide services or other program needs, paid at IRS rate. Any travel
transportation fees, such as parking fees.
3007 Subscriptions & Memberships 50 Minor shared cost of special subscription necessary for staff to provide services or
job tasks, such as an online subscription.
3008 Vehicle Maintenance 2,167 Minor auto repairs & maintenance required to maintain 1 shared leased vehicle for
client transportation and program needs, such as oil changes and car washes. Yearly
cost of GPS vehicle tracking service, auto fuel, and DMV fees.
3009 Other (Staff Recruitment)300 Thorough background check and drug testing.
3010 Other (specify)-
3011 Other (specify)-
3012 Other (specify)-
4000: FACILITIES & EQUIPMENT 5,121
4001 Building Maintenance 1,324 Shared copier maintenance and minor building repairs and maintenance.
4002 Rent/Lease Building 2,052 Building space lease, anticipating moving locations.
4003 Rent/Lease Equipment 240 Shared copier lease.
4004 Rent/Lease Vehicles 830 The cost of 2 shared lease vehicles to assist with program needs.
4005 Security -
4006 Utilities 675 The cost of gas and electric.
4007 Other (specify)-
4008 Other (specify)-
4009 Other (specify)-
4010 Other (specify)-
5000: SPECIAL EXPENSES 39,617
5001 Consultant (Network & Data Management) 5,046 Kings View Information Technology Department (KVIT) will provide hardware and
software support for successful data collection. A database will be designed for this
program. KVIT will procure equipment, software & other services from approved &
authorized vendors. Provide online, onsite, or phone-based emergency support-
24/7 from the KVIT Help Desk.
5002 HMIS (Health Management Information
System)
-
5003 Contractual/Consulting Services (Psychiatrist
Fees)
34,571 Yearly cost to contract with Physician to provide services and treatments to clients at
4 hours per week.
5004 Translation Services -
5005 Other (specify)-
5006 Other (specify)-
5007 Other (specify)-
5008 Other (specify)-
6000: ADMINISTRATIVE EXPENSES 22,829
6001 Administrative Overhead 20,789 Expenses provides program management, fiscal services, payroll, human resources,
accounts payable and other administrative functions.
6002 Professional Liability Insurance 1,680 Cost general and professional liability insurance.
6003 Accounting/Bookkeeping -
6004 External Audit -
6005 Insurance (Liability)360 Cost of personal property, accidental and auto insurance.
Revised Exhibit C
Page 41 of 77
ACCT # LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
6006 Payroll Services -
6007 Depreciation (Provider-Owned Equipment to
be Used for Program Purposes)
-
6008 Other (specify)-
6009 Other (specify)-
6010 Other (specify)-
6011 Other (specify)-
6012 Other (specify)-
7000: FIXED ASSETS 3,550
7001 Computer Equipment & Software 3,050 Computer software needs to support staff & anticipat shared cost for
replacement of computer equipment.
7002 Copiers, Cell Phones, Tablets, Devices to
Contain HIPAA Data
-
7003 Furniture & Fixtures 500 Anticipat shared cost for replacement furniture needs.
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over $500 with Lifespan of 2
Years +
-
7006 Assets over $5,000/unit (Specify)-
7007 Other (specify)-
7008 Other (specify)-
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:194,027
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:194,027
-
Revised Exhibit C
Page 42 of 77
Employee Salaries
Acct # Position FTE Admin Direct Total
1101 Executive Director 0.01 813$ 813$
1102 Executive Assistant 0.01 259 259
1103 Regional Director 0.02 2,671 2,671
1104 Program Manager 0.30 32,551 32,551
1105 Admin Specialist 0.08 4,002 4,002
1106 Case Managers 1.06 45,930 45,930
1107 -
1108 -
1109 - - -
1110 - - -
1111 - - -
1112 - - -
1113 - - -
1114 - - -
1115 - - -
1116 - - -
1117 - - -
1118 - - -
1119 - - -
1120 - - -
Personnel Salaries Subtotal 1.47 -$ 86,226$ 86,226$
Employee Benefits
Acct # Admin Direct Total
1101 -$ 1,630$ 1,630$
1102 - 2,147 2,147
1103 - 8,080 8,080
1104 - -
1105 - - -
1106 - - -
-$ 11,857$ 11,857$
0.127031573
Payroll Taxes & Expenses:
Acct # Admin Direct Total
1201 -$ -$
1202 - 6,596 6,596
1203 - 517 517
1204 - - -
1205 - -
1206 - -
-$ 7,113$ 7,113$
-$ 105,196$ 105,196$
Other (Specify)
Other (Specify)
Other (Specify)
Payroll Taxes & Expenses Subtotal:
EMPLOYEE SALARIES & BENEFITS TOTAL:
Employee Benefits Subtotal:
Employee Benefits %:
Description
OASDI
FICA/MEDICARE
SUI
Retirement
Worker's Compensation
Health Insurance
Other (Specify)
Other (Specify)
Other (Specify)
PATH Program- SMHS
Kings View
Fiscal Year (FY 2022-23)
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Description
Revised Exhibit C
Page 43 of 77
2000: CLIENT SUPPORT
Acct # Amount
2001 -$
2002 39,691
2003
2004 2,115
2005
2006
2007 -
2008 -
2009 -
2010 -
2011 2,000
2012 -
2013 -
2014 -
2015 -
2016 -
43,806$
3000: OPERATING EXPENSES
Acct # Amount
3001 1,330$
3002 250
3003 1,174
3004 -
3005 835
3006 150
3007 50
3008 1,020
3009 300
3010 -
3011 -
3012 -
5,109$
4000: FACILITIES & EQUIPMENT
Acct # Amount
4001 1,224$
4002 2,052
4003 240
4004 830
4005
4006 675
4007 Other (Specify)
4008 Other (Specify)
4009 Other (Specify)-
4010 Other (Specify) -
5,021$
5000: SPECIAL EXPENSES
Acct # Amount
FACILITIES/EQUIPMENT TOTAL:
Line Item Description
Security
Utilities
OPERATING EXPENSES TOTAL:
Line Item Description
Building Maintenance
Rent/Lease Building
Rent/Lease Equipment
Rent/Lease Vehicles
Subscriptions & Memberships
Vehicle Maintenance
Other (Staff Recruitment)
Other (Specify)
Other (Specify)
Other (Specify)
Telecommunications
Printing/Postage
Office Supplies & Equipment
Advertising
Staff Development & Training
Staff Mileage
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
DIRECT CLIENT CARE TOTAL
Line Item Description
Household Items for Clients
Medication Supports
Program Supplies - Medical
Utility Vouchers
Other (Program Supplies)
Other (Specify)
Child Care
Client Housing Support
Client Transportation & Support
Clothing, Food, & Hygiene
Education Support
Employment Support
Line Item Description
Revised Exhibit C
Page 44 of 77
5001 5,937$
5002
5003 34,571
5004 -
5005 Other (Specify)
5006 Other (Specify)-
5007 Other (Specify)-
5008 Other (Specify) -
40,508$
6000: ADMINISTRATIVE EXPENSES
Acct # Amount
6001 24,459$
6002 1,680
6003
6004
6005 Insurance (Liability):360
6006 Payroll Services
6007 -
6008 Other (Specify)
6009 Other (Specify)
6010 Other (Specify)-
6011 Other (Specify)-
6012 Other (Specify) -
26,499$
7000: FIXED ASSETS
Acct # Amount
7001 2,050$
7002
7003 100
7004 -
7005 -
7006 Assets over $5,000/unit (Specify)-
7007 Other (Specify)-
7008 Other (Specify) -
2,150$
Acct # Service Units Rate Amount
8001 Mental Health Services -$
8002 Case Management 164 3.75 615
8003 Crisis Services 61 6.75 412
8004 Medication Support 2,981 8.25 24,593
8005 Collateral -
8006 Plan Development 2,000 4.50 9,000
8007 Assessment 2,965 4.50 13,343
8008 Rehabilitation 39,829 5.00 199,145
48,000 247,108$
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
Line Item Description
Estimated Specialty Mental Health Services Billing Totals:
FIXED ASSETS EXPENSES TOTAL
TOTAL PROGRAM EXPENSES 228,289$
Line Item Description
Computer Equipment & Software
Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data
Furniture & Fixtures
Leasehold/Tenant/Building Improvements
Other Assets over $500 with Lifespan of 2 Years +
ADMINISTRATIVE EXPENSES TOTAL
Administrative Overhead
Professional Liability Insurance
Accounting/Bookkeeping
External Audit
Depreciation (Provider-Owned Equipment to be Used for Program Purposes)
SPECIAL EXPENSES TOTAL:
Line Item Description
Consultant (Network & Data Management)
HMIS (Health Management Information System)
Contractual/Consulting Services (Psychiatrist Fees)
Translation Services
Revised Exhibit C
Page 45 of 77
75%
185,331
85%157,531
157,531$
Acct # Amount
8101 Drug Medi-Cal -$
8102 SABG -$
-$
Acct # Amount
8201 Realignment (0)$
(0)$
Acct # MHSA Component Amount
8301 CSS - Community Services & Supports 69,756$
8302 PEI - Prevention & Early Intervention -
8303 INN - Innovations -
8304 WET - Workforce Education & Training -
8305 CFTN - Capital Facilities & Technology -
69,756$
Acct # Amount
8401 Client Fees -$
8402 Client Insurance -
8403 Grants (Specify)
8404 Other (Specify) 1,002
8405 Other (Specify) -
1,002$
Client Rents
OTHER REVENUE TOTAL
TOTAL PROGRAM FUNDING SOURCES:228,289$
NET PROGRAM COST: -$
MHSA TOTAL
8400 - OTHER REVENUE
Line Item Description
Line Item Description
REALIGNMENT TOTAL
8300 - MENTAL HEALTH SERVICE ACT (MHSA)
MHSA Program Name
Federal Financial Participation (FFP) %
MEDI-CAL FFP TOTAL
8100 - SUBSTANCE USE DISORDER FUNDS
Line Item Description
SUBSTANCE USE DISORDER FUNDS TOTAL
8200 - REALIGNMENT
Estimated % of Clients who are Medi-Cal Beneficiaries
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries
Revised Exhibit C
Page 46 of 77
Budget Narrative
ACCT # LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 105,196
Employee Salaries 86,226
1101 Executive Director 813 Position will provide agency specific staff oversight and represent and maintain the
collaborative relationship between agencies.
1102 Executive Assistant 259 This position will assist Executive Director with staff oversight and representing and
maintaining the collaborative relationship between agencies.
1103 Regional Director 2,671 Provide program management and direction. Ensures operations are running
smoothly and in compliance with contract requirements.
1104 Program Manager 32,551 Provides supervision of all staff and direct oversight of program management.
1105 Admin Specialist 4,002 Provides administrative support for the program and assist with medical billing and
records.
1106 Case Managers 45,930 Provides case management and oversees the physical and mental wellness of
individuals to ensure they are supported and can achieve the best outcomes, and
referrals to appropriate linkages.
1107 0 -
1108 0 -
1109 0 -
1110 0 -
1111 0 -
1112 0 -
1113 0 -
1114 0 -
1115 0 -
1116 0 -
1117 0 -
1118 0 -
1119 0 -
1120 0 -
Employee Benefits 11,857
1101 Retirement 1,630 Cost of 401K
1102 Worker's Compensation 2,147 Workers Comp Insurance
1103 Health Insurance 8,080 Cost of Medical, Vision, Dental, Life and Long Term Disability Insurance
1104 Other (Specify)-
1105 Other (Specify)-
1106 Other (Specify)-
Payroll Taxes & Expenses:7,113
1201 OASDI -
1202 FICA/MEDICARE 6,596 Cost of FICA/Medicare
1203 SUI 517 Cost of SUI
1204 Other (Specify)-
1205 Other (Specify)-
1206 Other (Specify)-
2000: CLIENT SUPPORT 43,806
2001 Child Care -
2002 Client Housing Support 39,691 Support clients with things such as rent, security deposits, board and care,
emergency housing such as hotels/motels, groceries, utilities, and household
supplies.
2003 Client Transportation & Support -
2004 Clothing, Food, & Hygiene 2,115 Outreach expenses that supports clients with clothing, food, water, blankets, and
hygiene supplies. Also, includes miscellaneous client support items such as pet food,
groceries, DMV identification, and birth certificates.
2005 Education Support -
2006 Employment Support -
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies - Medical -
2010 Utility Vouchers -
PATH Program- SMHS
Kings View
Fiscal Year (FY 2022-23)
Revised Exhibit C
Page 47 of 77
ACCT # LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2011 Other (Program Supplies) 2,000 Cost of supplies for client groups such as notepads, therapy balls, puzzles or art
supplies.
2012 Other (Specify)-
2013 Other (Specify)-
2014 Other (Specify)-
2015 Other (Specify)-
2016 Other (Specify)-
3000: OPERATING EXPENSES 5,109
3001 Telecommunications 1,330 Cost of landline telephone services, cell phones service, data connectivity.
3002 Printing/Postage 250 Anticipat courier services and postage necessary for program. Business cards and
other special printing in bulk that less cost effective to outsource rather than
utilization of a copier.
3003 Office Supplies & Equipment 1,174 Includes all supplies and minor equipment used by staff in the course of providing
services.
3004 Advertising -
3005 Staff Development & Training 835 Minor shared cost for continuation of staff development and training. Also, includes
HMIS training fees.
3006 Staff Mileage 150 Reimbursements to staff for personal vehicle use when lease vehicle not available
and require to provide services or other program needs, paid at IRS rate. Any travel
transportation fees, such as parking fees.
3007 Subscriptions & Memberships 50 Minor shared cost of special subscription necessary for staff to provide services or
job tasks, such as an online subscription.
3008 Vehicle Maintenance 1,020 Minor auto repairs & maintenance required to maintain 1 shared leased vehicle for
client transportation and program needs, such as oil changes and car washes. Yearly
cost of GPS vehicle tracking service, auto fuel, and DMV fees.
3009 Other (Staff Recruitment)300 Thorough background check and drug testing.
3010 Other (Specify)-
3011 Other (Specify)-
3012 Other (Specify)-
4000: FACILITIES & EQUIPMENT 5,021
4001 Building Maintenance 1,224 Shared copier maintenance, minor building repairs and maintenance to facility.
4002 Rent/Lease Building 2,052 Share cost of building space, anticipating moving locations.
4003 Rent/Lease Equipment 240 Shared copier lease.
4004 Rent/Lease Vehicles 830 The cost of 1 shared lease vehicles to assist with program needs.
4005 Security -
4006 Utilities 675 Shared cost of gas and electric.
4007 Other (Specify)-
4008 Other (Specify)-
4009 Other (Specify)-
4010 Other (Specify)-
5000: SPECIAL EXPENSES 40,508
5001 Consultant (Network & Data Management) 5,937 Kings View Information Technology Department (KVIT) will provide hardware and
software support successful data collection. Information services and management
consisting of managed internet service provider, network and desktop management,
project management, technology procurement, telecommunication management,
strategic technology planning, system documentation, application/data hosting,
access to data/documents/application 24/7. After hours support via email and
phone 24/7.
5002 HMIS (Health Management Information
System)
-
5003 Contractual/Consulting Services (Psychiatrist
Fees)
34,571 Yearly cost to contract with Physician to provide services and treatments to clients at
4 hours per week.
5004 Translation Services -
5005 Other (Specify)-
5006 Other (Specify)-
5007 Other (Specify)-
5008 Other (Specify)-
6000: ADMINISTRATIVE EXPENSES 26,499
Revised Exhibit C
Page 48 of 77
ACCT # LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
6001 Administrative Overhead 24,459 Expenses provides corporate management, fiscal services, payroll, human resources,
accounts payable and other administrative functions.
6002 Professional Liability Insurance 1,680 Cost general and professional liability insurance.
6003 Accounting/Bookkeeping -
6004 External Audit -
6005 Insurance (Liability):360 Cost of personal property, accidental and auto insurance.
6006 Payroll Services -
6007 Depreciation (Provider-Owned Equipment to
be Used for Program Purposes)
-
6008 Other (Specify)-
6009 Other (Specify)-
6010 Other (Specify)-
6011 Other (Specify)-
6012 Other (Specify)-
7000: FIXED ASSETS 2,150
7001 Computer Equipment & Software 2,050 Computer software needs to support staff & anticipat shared cost for
replacement of computer equipment.
7002 Copiers, Cell Phones, Tablets, Devices to
Contain HIPAA Data
-
7003 Furniture & Fixtures 100 Anticipat shared cost for replacement of furniture needs.
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over $500 with Lifespan of 2
Years +
-
7006 Assets over $5,000/unit (Specify)-
7007 Other (Specify)-
7008 Other (Specify)-
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:228,289
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:228,289
-
Revised Exhibit C
Page 49 of 77
Employee Salaries
Acct # Position FTE Admin Direct Total
1101 Executive Director 0.01 838$ 838$
1102 Executive Assistant 0.01 267 267
1103 Regional Director 0.02 2,752 2,752
1104 Program Manager 0.30 33,524 33,524
1105 Admin Specialist 0.08 4,122 4,122
1106 Case Managers 1.06 47,314 47,314
1107 -
1108 -
1109 - - -
1110 - - -
1111 - - -
1112 - - -
1113 - - -
1114 - - -
1115 - - -
1116 - - -
1117 - - -
1118 - - -
1119 - - -
1120 - -
Personnel Salaries Subtotal 1.47 -$ 88,817$ 88,817$
Employee Benefits
Acct # Admin Direct Total
1101 -$ 1,679$ 1,679$
1102 - 2,212 2,212
1103 - 8,322 8,322
1104 - - -
1105 - - -
1106 - - -
-$ 12,213$ 12,213$
0.127026886
Payroll Taxes & Expenses:
Acct # Admin Direct Total
1201 -$ -$
1202 - 6,795 6,795
1203 - 533 533
1204 - - -
1205 - -
1206 - -
-$ 7,328$ 7,328$
-$ 108,358$ 108,358$
Other (Specify)
Other (Specify)
Other (Specify)
Payroll Taxes & Expenses Subtotal:
EMPLOYEE SALARIES & BENEFITS TOTAL:
Employee Benefits Subtotal:
Employee Benefits %:
Description
OASDI
FICA/MEDICARE
SUI
Retirement
Worker's Compensation
Health Insurance
Other (Specify)
Other (Specify)
Other (Specify)
PATH Program- SMHS
Kings View
Fiscal Year (FY 2023-24)
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Description
Revised Exhibit C
Page 50 of 77
2000: CLIENT SUPPORT
Acct # Amount
2001 -$
2002 36,004
2003 -
2004 2,115
2005 -
2006 -
2007 -
2008 -
2009 -
2010 -
2011 2,000
2012 -
2013 -
2014 -
2015 -
2016 -
40,119$
3000: OPERATING EXPENSES
Acct # Amount
3001 1,330$
3002 250
3003 1,174
3004 -
3005 835
3006 150
3007 50
3008 1,020
3009 300
3010 -
3011 -
3012 -
5,109$
4000: FACILITIES & EQUIPMENT
Acct # Amount
4001 1,224$
4002 2,052
4003 240
4004 830
4005
4006 675
4007 Other (Specify)
4008 Other (Specify)-
4009 Other (Specify)-
4010 Other (Specify) -
5,021$
5000: SPECIAL EXPENSES
Acct # Amount
FACILITIES/EQUIPMENT TOTAL:
Line Item Description
Security
Utilities
OPERATING EXPENSES TOTAL:
Line Item Description
Building Maintenance
Rent/Lease Building
Rent/Lease Equipment
Rent/Lease Vehicles
Subscriptions & Memberships
Vehicle Maintenance
Other (Staff Recruitment)
Other (Specify)
Other (Specify)
Other (Specify)
Telecommunications
Printing/Postage
Office Supplies & Equipment
Advertising
Staff Development & Training
Staff Mileage
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
DIRECT CLIENT CARE TOTAL
Line Item Description
Household Items for Clients
Medication Supports
Program Supplies - Medical
Utility Vouchers
Other (Program Supplies)
Other (Specify)
Child Care
Client Housing Support
Client Transportation & Support
Clothing, Food, & Hygiene
Education Support
Employment Support
Line Item Description
Revised Exhibit C
Page 51 of 77
5001 5,937$
5002
5003 35,096
5004 -
5005 Other (Specify)-
5006 Other (Specify)-
5007 Other (Specify)-
5008 Other (Specify) -
41,033$
6000: ADMINISTRATIVE EXPENSES
Acct # Amount
6001 24,459$
6002 1,680
6003
6004
6005 Insurance (Liability):360
6006 Payroll Services -
6007 -
6008 Other (Specify)-
6009 Other (Specify)-
6010 Other (Specify)-
6011 Other (Specify)-
6012 Other (Specify) -
26,499$
7000: FIXED ASSETS
Acct # Amount
7001 2,050$
7002 -
7003 100
7004 -
7005 -
7006 Assets over $5,000/unit (Specify)-
7007 Other (Specify)-
7008 Other (Specify) -
2,150$
Acct # Service Units Rate Amount
8001 Mental Health Services -$
8002 Case Management 164 3.75 615
8003 Crisis Services 61 6.75 412
8004 Medication Support 2,981 8.25 24,593
8005 Collateral -
8006 Plan Development 2,000 4.50 9,000
8007 Assessment 2,965 4.50 13,343
8008 Rehabilitation 39,829 5.00 199,145
48,000 247,108$
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
Line Item Description
Estimated Specialty Mental Health Services Billing Totals:
FIXED ASSETS EXPENSES TOTAL
TOTAL PROGRAM EXPENSES 228,289$
Line Item Description
Computer Equipment & Software
Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data
Furniture & Fixtures
Leasehold/Tenant/Building Improvements
Other Assets over $500 with Lifespan of 2 Years +
ADMINISTRATIVE EXPENSES TOTAL
Administrative Overhead
Professional Liability Insurance
Accounting/Bookkeeping
External Audit
Depreciation (Provider-Owned Equipment to be Used for Program Purposes)
SPECIAL EXPENSES TOTAL:
Line Item Description
Consultant (Network & Data Management)
HMIS (Health Management Information System)
Contractual/Consulting Services (Psychiatrist Fees)
Translation Services
Revised Exhibit C
Page 52 of 77
75%
185,331
85%157,531
157,531$
Acct # Amount
8101 Drug Medi-Cal -$
8102 SABG -$
-$
Acct # Amount
8201 Realignment (0)$
(0)$
Acct # MHSA Component Amount
8301 CSS - Community Services & Supports 69,756$
8302 PEI - Prevention & Early Intervention -
8303 INN - Innovations -
8304 WET - Workforce Education & Training -
8305 CFTN - Capital Facilities & Technology -
69,756$
Acct # Amount
8401 Client Fees -$
8402 Client Insurance -
8403 Grants (Specify) -
8404 Other (Specify) 1,002
8405 Other (Specify) -
1,002$
Client Rents
OTHER REVENUE TOTAL
TOTAL PROGRAM FUNDING SOURCES:228,289$
NET PROGRAM COST: -$
MHSA TOTAL
8400 - OTHER REVENUE
Line Item Description
Line Item Description
REALIGNMENT TOTAL
8300 - MENTAL HEALTH SERVICE ACT (MHSA)
MHSA Program Name
Federal Financial Participation (FFP) %
MEDI-CAL FFP TOTAL
8100 - SUBSTANCE USE DISORDER FUNDS
Line Item Description
SUBSTANCE USE DISORDER FUNDS TOTAL
8200 - REALIGNMENT
Estimated % of Clients who are Medi-Cal Beneficiaries
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries
Revised Exhibit C
Page 53 of 77
Budget Narrative
ACCT # LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 108,358
Employee Salaries 88,817
1101 Executive Director 838 Position will provide agency specific staff oversight and represent and maintain the
collaborative relationship between agencies.
1102 Executive Assistant 267 This position will assist Executive Director with staff oversight and representing and
maintaining the collaborative relationship between agencies.
1103 Regional Director 2,752 Provide program management and direction. Ensures operations are running
smoothly and in compliance with contract requirements.
1104 Program Manager 33,524 Provides supervision of all staff and direct oversight of program management.
1105 Admin Specialist 4,122 Provides administrative support for the program and assist with medical billing and
records.
1106 Case Managers 47,314 Provides case management and oversees the physical and mental wellness of
individuals to ensure they are supported and can achieve the best outcomes, and
referrals to appropriate linkages.
1107 0 -
1108 0 -
1109 0 -
1110 0 -
1111 0 -
1112 0 -
1113 0 -
1114 0 -
1115 0 -
1116 0 -
1117 0 -
1118 0 -
1119 0 -
1120 0 -
Employee Benefits 12,213
1101 Retirement 1,679 Cost of 401K
1102 Worker's Compensation 2,212 Workers Comp Insurance
1103 Health Insurance 8,322 Cost of Medical, Vision, Dental, Life and Long Term Disability Insurance
1104 Other (Specify)-
1105 Other (Specify)-
1106 Other (Specify)-
Payroll Taxes & Expenses:7,328
1201 OASDI -
1202 FICA/MEDICARE 6,795 Cost of FICA/Medicare
1203 SUI 533 Cost of SUI
1204 Other (Specify)-
1205 Other (Specify)-
1206 Other (Specify)-
2000: CLIENT SUPPORT 40,119
2001 Child Care -
2002 Client Housing Support 36,004 Support clients with things such as rent, security deposits, board and care,
emergency housing such as hotels/motels, groceries, utilities, and household
supplies.
2003 Client Transportation & Support -
2004 Clothing, Food, & Hygiene 2,115 Outreach expenses that supports clients with clothing, food, water, blankets, and
hygiene supplies. Also, includes miscellaneous client support items such as pet food,
groceries, DMV identification, and birth certificates.
2005 Education Support -
2006 Employment Support -
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies - Medical -
2010 Utility Vouchers -
PATH Program- SMHS
Kings View
Fiscal Year (FY 2023-24)
Revised Exhibit C
Page 54 of 77
ACCT # LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2011 Other (Program Supplies) 2,000 Cost of supplies for client groups such as notepads, therapy balls, puzzles or art
supplies.
2012 Other (Specify)-
2013 Other (Specify)-
2014 Other (Specify)-
2015 Other (Specify)-
2016 Other (Specify)-
3000: OPERATING EXPENSES 5,109
3001 Telecommunications 1,330 Cost of landline telephone services, cell phones service, data connectivity.
3002 Printing/Postage 250 Anticipat courier services and postage necessary for program. Business cards and
other special printing in bulk that is less cost effective to outsource rather than
utilization of a copier.
3003 Office Supplies & Equipment 1,174 Includes all supplies and minor equipment used by staff in the course of providing
services.
3004 Advertising -
3005 Staff Development & Training 835 Minor shared cost for continuation of staff development and training. Also, includes
HMIS training fees.
3006 Staff Mileage 150 Reimbursements to staff for personal vehicle use when lease vehicle not available
and require to provide services or other program needs, paid at IRS rate. Any travel
transportation fees, such as parking fees.
3007 Subscriptions & Memberships 50 Minor shared cost of special subscription necessary for staff to provide services or
job tasks, such as an online subscription.
3008 Vehicle Maintenance 1,020 Minor auto repairs & maintenance required to maintain 1 shared leased vehicle for
client transportation and program needs, such as oil changes and car washes. Yearly
cost of GPS vehicle tracking service, auto fuel, and DMV fees.
3009 Other (Staff Recruitment)300 Thorough background check and drug testing.
3010 Other (Specify)-
3011 Other (Specify)-
3012 Other (Specify)-
4000: FACILITIES & EQUIPMENT 5,021
4001 Building Maintenance 1,224 Shared copier maintenance, minor building repairs and maintenance to facility.
4002 Rent/Lease Building 2,052 Share cost of building space, anticipating moving locations.
4003 Rent/Lease Equipment 240 Shared copier lease.
4004 Rent/Lease Vehicles 830 The cost of 1 shared lease vehicles to assist with program needs.
4005 Security -
4006 Utilities 675 Shared cost of gas and electric.
4007 Other (Specify)-
4008 Other (Specify)-
4009 Other (Specify)-
4010 Other (Specify)-
5000: SPECIAL EXPENSES 41,033
5001 Consultant (Network & Data Management) 5,937 Kings View Information Technology Department (KVIT) will provide hardware and
software support successful data collection. Information services and management
consisting of managed internet service provider, network and desktop management,
project management, technology procurement, telecommunication management,
strategic technology planning, system documentation, application/data hosting,
access to data/documents/application 24/7. After hours support via email and
phone 24/7.
5002 HMIS (Health Management Information
System)
-
5003 Contractual/Consulting Services (Psychiatrist
Fees)
35,096 Yearly cost to contract with Physician to provide services and treatments to clients at
4 hours per week.
5004 Translation Services -
5005 Other (Specify)-
5006 Other (Specify)-
5007 Other (Specify)-
5008 Other (Specify)-
6000: ADMINISTRATIVE EXPENSES 26,499
Revised Exhibit C
Page 55 of 77
ACCT # LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
6001 Administrative Overhead 24,459 Expenses provides corporate management, fiscal services, payroll, human resources,
accounts payable and other administrative functions.
6002 Professional Liability Insurance 1,680 Cost general and professional liability insurance.
6003 Accounting/Bookkeeping -
6004 External Audit -
6005 Insurance (Liability):360 Cost of personal property, accidental and auto insurance.
6006 Payroll Services -
6007 Depreciation (Provider-Owned Equipment to
be Used for Program Purposes)
-
6008 Other (Specify)-
6009 Other (Specify)-
6010 Other (Specify)-
6011 Other (Specify)-
6012 Other (Specify)-
7000: FIXED ASSETS 2,150
7001 Computer Equipment & Software 2,050 Computer software needs to support staff & anticipat shared cost for
replacement of computer equipment.
7002 Copiers, Cell Phones, Tablets, Devices to
Contain HIPAA Data
-
7003 Furniture & Fixtures 100 Anticipat shared cost for replacement of furniture needs.
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over $500 with Lifespan of 2
Years +
-
7006 Assets over $5,000/unit (Specify)-
7007 Other (Specify)-
7008 Other (Specify)-
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:228,289
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:228,289
-
Revised Exhibit C
Page 56 of 77
Employee Salaries
Acct # Position FTE Admin Direct Total
1101 Executive Director 0.01 863$ 863$
1102 Executive Assistant 0.01 275 275
1103 Regional Director 0.02 2,834 2,834
1104 Program Manager 0.30 34,527 34,527
1105 Admin Specialist 0.08 4,245 4,245
1106 Case Managers 1.20 55,171 55,171
1107 -
1108 -
1109 - - -
1110 - - -
1111 - - -
1112 - - -
1113 - - -
1114 - - -
1115 - - -
1116 - - -
1117 - - -
1118 - - -
1119 - - -
1120 - -
Personnel Salaries Subtotal 1.61 -$ 97,915$ 97,915$
Employee Benefits
Acct # Admin Direct Total
1101 -$ 1,851$ 1,851$
1102 - 2,438 2,438
1103 - 9,175 9,175
1104 - - -
1105 - - -
1106 - - -
-$ 13,464$ 13,464$
0.127027257
Payroll Taxes & Expenses:
Acct # Admin Direct Total
1201 -$ -$ -$
1202 - 7,491 7,491
1203 - 587 587
1204 - - -
1205 - - -
1206 - - -
-$ 8,078$ 8,078$
-$ 119,457$ 119,457$
Other (Specify)
Other (Specify)
Other (Specify)
Payroll Taxes & Expenses Subtotal:
EMPLOYEE SALARIES & BENEFITS TOTAL:
Employee Benefits Subtotal:
Employee Benefits %:
Description
OASDI
FICA/MEDICARE
SUI
Retirement
Worker's Compensation
Health Insurance
Other (Specify)
Other (Specify)
Other (Specify)
PATH Program- SMHS
Kings View
Fiscal Year (FY 2024-25)
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Description
Revised Exhibit C
Page 57 of 77
2000: CLIENT SUPPORT
Acct # Amount
2001 -$
2002 23,798
2003 -
2004 2,115
2005 -
2006 -
2007 -
2008 -
2009 -
2010 -
2011 2,000
2012 -
2013 -
2014 -
2015 -
2016 -
27,913$
3000: OPERATING EXPENSES
Acct # Amount
3001 1,330$
3002 250
3003 974
3004 -
3005 835
3006 150
3007 50
3008 1,020
3009 300
3010 -
3011 -
3012 -
4,909$
4000: FACILITIES & EQUIPMENT
Acct # Amount
4001 1,224$
4002 2,177
4003 240
4004 830
4005
4006 740
4007 Other (Specify)-
4008 Other (Specify)-
4009 Other (Specify)-
4010 Other (Specify) -
5,211$
5000: SPECIAL EXPENSES
Acct # Amount
FACILITIES/EQUIPMENT TOTAL:
Line Item Description
Security
Utilities
OPERATING EXPENSES TOTAL:
Line Item Description
Building Maintenance
Rent/Lease Building
Rent/Lease Equipment
Rent/Lease Vehicles
Subscriptions & Memberships
Vehicle Maintenance
Other (Staff Recruitment)
Other (Specify)
Other (Specify)
Other (Specify)
Telecommunications
Printing/Postage
Office Supplies & Equipment
Advertising
Staff Development & Training
Staff Mileage
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
DIRECT CLIENT CARE TOTAL
Line Item Description
Household Items for Clients
Medication Supports
Program Supplies - Medical
Utility Vouchers
Other (Program Supplies)
Other (Specify)
Child Care
Client Housing Support
Client Transportation & Support
Clothing, Food, & Hygiene
Education Support
Employment Support
Line Item Description
Revised Exhibit C
Page 58 of 77
5001 5,937$
5002
5003 36,149
5004 -
5005 Other (Specify)-
5006 Other (Specify)-
5007 Other (Specify)-
5008 Other (Specify) -
42,086$
6000: ADMINISTRATIVE EXPENSES
Acct # Amount
6001 24,459$
6002 1,730
6003
6004
6005 Insurance (Liability):374
6006 Payroll Services -
6007 -
6008 Other (Specify)-
6009 Other (Specify)-
6010 Other (Specify)-
6011 Other (Specify)-
6012 Other (Specify) -
26,563$
7000: FIXED ASSETS
Acct # Amount
7001 2,050$
7002 -
7003 100
7004 -
7005 -
7006 Assets over $5,000/unit (Specify)-
7007 Other (Specify)-
7008 Other (Specify) -
2,150$
Acct # Service Units Rate Amount
8001 Mental Health Services -$
8002 Case Management 164 3.75 615
8003 Crisis Services 61 6.75 412
8004 Medication Support 2,981 8.25 24,593
8005 Collateral -
8006 Plan Development 2,000 4.50 9,000
8007 Assessment 2,965 4.50 13,343
8008 Rehabilitation 39,829 5.00 199,145
48,000 247,108$
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
Line Item Description
Estimated Specialty Mental Health Services Billing Totals:
FIXED ASSETS EXPENSES TOTAL
TOTAL PROGRAM EXPENSES 228,289$
Line Item Description
Computer Equipment & Software
Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data
Furniture & Fixtures
Leasehold/Tenant/Building Improvements
Other Assets over $500 with Lifespan of 2 Years +
ADMINISTRATIVE EXPENSES TOTAL
Administrative Overhead
Professional Liability Insurance
Accounting/Bookkeeping
External Audit
Depreciation (Provider-Owned Equipment to be Used for Program Purposes)
SPECIAL EXPENSES TOTAL:
Line Item Description
Consultant (Network & Data Management)
HMIS (Health Management Information System)
Contractual/Consulting Services (Psychiatrist Fees)
Translation Services
Revised Exhibit C
Page 59 of 77
75%
185,331
85%157,531
157,531$
Acct # Amount
8101 Drug Medi-Cal -$
8102 SABG -$
-$
Acct # Amount
8201 Realignment (0)$
(0)$
Acct # MHSA Component Amount
8301 CSS - Community Services & Supports 69,756$
8302 PEI - Prevention & Early Intervention -
8303 INN - Innovations -
8304 WET - Workforce Education & Training -
8305 CFTN - Capital Facilities & Technology -
69,756$
Acct # Amount
8401 Client Fees -$
8402 Client Insurance -
8403 Grants (Specify) 1,002
8404 Other (Specify) -
8405 Other (Specify) -
1,002$ OTHER REVENUE TOTAL
TOTAL PROGRAM FUNDING SOURCES:228,289$
NET PROGRAM COST: -$
MHSA TOTAL
8400 - OTHER REVENUE
Line Item Description
Client Rents
Line Item Description
REALIGNMENT TOTAL
8300 - MENTAL HEALTH SERVICE ACT (MHSA)
MHSA Program Name
Federal Financial Participation (FFP) %
MEDI-CAL FFP TOTAL
8100 - SUBSTANCE USE DISORDER FUNDS
Line Item Description
SUBSTANCE USE DISORDER FUNDS TOTAL
8200 - REALIGNMENT
Estimated % of Clients who are Medi-Cal Beneficiaries
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries
Revised Exhibit C
Page 60 of 77
Budget Narrative
ACCT # LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 119,457
Employee Salaries 97,915
1101 Executive Director 863 Position will provide agency specific staff oversight and represent and maintain the
collaborative relationship between agencies.
1102 Executive Assistant 275 This position will assist Executive Director with staff oversight and representing and
maintaining the collaborative relationship between agencies.
1103 Regional Director 2,834 Provide program management and direction. Ensures operations are running
smoothly and in compliance with contract requirements.
1104 Program Manager 34,527 Provides supervision of all staff and direct oversight of program management.
1105 Admin Specialist 4,245 Provides administrative support for the program and assist with medical billing and
records.
1106 Case Managers 55,171 Provides case management and oversees the physical and mental wellness of
individuals to ensure they are supported and can achieve the best outcomes, and
referrals to appropriate linkages.
1107 0 -
1108 0 -
1109 0 -
1110 0 -
1111 0 -
1112 0 -
1113 0 -
1114 0 -
1115 0 -
1116 0 -
1117 0 -
1118 0 -
1119 0 -
1120 0 -
Employee Benefits 13,464
1101 Retirement 1,851 Cost of 401K
1102 Worker's Compensation 2,438 Workers Comp Insurance
1103 Health Insurance 9,175 Cost of Medical, Vision, Dental, Life and Long Term Disability Insurance
1104 Other (Specify)-
1105 Other (Specify)-
1106 Other (Specify)-
Payroll Taxes & Expenses:8,078
1201 OASDI -
1202 FICA/MEDICARE 7,491 Cost of FICA/Medicare
1203 SUI 587 Cost of SUI
1204 Other (Specify)-
1205 Other (Specify)-
1206 Other (Specify)-
2000: CLIENT SUPPORT 27,913
2001 Child Care -
2002 Client Housing Support 23,798 Support clients with things such as rent, security deposits, board and care,
emergency housing such as hotels/motels, groceries, utilities, and household
supplies.
2003 Client Transportation & Support -
2004 Clothing, Food, & Hygiene 2,115 Outreach expenses that supports clients with clothing, food, water, blankets, and
hygiene supplies. Also, includes miscellaneous client support items such as pet food,
groceries, DMV identification, and birth certificates.
2005 Education Support -
2006 Employment Support -
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies - Medical -
2010 Utility Vouchers -
PATH Program- SMHS
Kings View
Fiscal Year (FY 2024-25)
Revised Exhibit C
Page 61 of 77
ACCT # LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2011 Other (Program Supplies) 2,000 Cost of supplies for client groups such as notepads, therapy balls, puzzles or art
supplies.
2012 Other (Specify)-
2013 Other (Specify)-
2014 Other (Specify)-
2015 Other (Specify)-
2016 Other (Specify)-
3000: OPERATING EXPENSES 4,909
3001 Telecommunications 1,330 Cost of landline telephone services, cell phones service, data connectivity.
3002 Printing/Postage 250 Anticipat courier services and postage necessary for program. Business cards and
other special printing in bulk that is less cost effective to outsource rather than
utilization of a copier.
3003 Office Supplies & Equipment 974 Includes all supplies and minor equipment used by staff in the course of providing
services.
3004 Advertising -
3005 Staff Development & Training 835 Minor shared cost for continuation of staff development and training. Also, includes
HMIS training fees.
3006 Staff Mileage 150 Reimbursements to staff for personal vehicle use when lease vehicle not available
and require to provide services or other program needs, paid at IRS rate. Any travel
transportation fees, such as parking fees.
3007 Subscriptions & Memberships 50 Minor shared cost of special subscription necessary for staff to provide services or
job tasks, such as an online subscription.
3008 Vehicle Maintenance 1,020 Minor auto repairs & maintenance required to maintain 1 shared leased vehicle for
client transportation and program needs, such as oil changes and car washes. Yearly
cost of GPS vehicle tracking service, auto fuel, and DMV fees.
3009 Other (Staff Recruitment)300 Thorough background check and drug testing.
3010 Other (Specify)-
3011 Other (Specify)-
3012 Other (Specify)-
4000: FACILITIES & EQUIPMENT 5,211
4001 Building Maintenance 1,224 Shared copier maintenance, minor building repairs and maintenance to facility.
4002 Rent/Lease Building 2,177 Share cost of building space, anticipating moving locations.
4003 Rent/Lease Equipment 240 Shared copier lease.
4004 Rent/Lease Vehicles 830 The cost of 1 shared lease vehicles to assist with program needs.
4005 Security -
4006 Utilities 740 Shared cost of gas and electric.
4007 Other (Specify)-
4008 Other (Specify)-
4009 Other (Specify)-
4010 Other (Specify)-
5000: SPECIAL EXPENSES 42,086
5001 Consultant (Network & Data Management) 5,937 Kings View Information Technology Department (KVIT) will provide hardware and
software support successful data collection. Information services and management
consisting of managed internet service provider, network and desktop management,
project management, technology procurement, telecommunication management,
strategic technology planning, system documentation, application/data hosting,
access to data/documents/application 24/7. After hours support via email and
phone 24/7.
5002 HMIS (Health Management Information
System)
-
5003 Contractual/Consulting Services (Psychiatrist
Fees)
36,149 Yearly cost to contract with Physician to provide services and treatments to clients at
4 hours per week.
5004 Translation Services -
5005 Other (Specify)-
5006 Other (Specify)-
5007 Other (Specify)-
5008 Other (Specify)-
6000: ADMINISTRATIVE EXPENSES 26,563
Revised Exhibit C
Page 62 of 77
ACCT # LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
6001 Administrative Overhead 24,459 Expenses provides corporate management, fiscal services, payroll, human resources,
accounts payable and other administrative functions.
6002 Professional Liability Insurance 1,730 Cost general and professional liability insurance.
6003 Accounting/Bookkeeping -
6004 External Audit -
6005 Insurance (Liability):374 Cost of personal property, accidental and auto insurance.
6006 Payroll Services -
6007 Depreciation (Provider-Owned Equipment to
be Used for Program Purposes)
-
6008 Other (Specify)-
6009 Other (Specify)-
6010 Other (Specify)-
6011 Other (Specify)-
6012 Other (Specify)-
7000: FIXED ASSETS 2,150
7001 Computer Equipment & Software 2,050 Computer software needs to support staff & anticipat shared cost for
replacement of computer equipment.
7002 Copiers, Cell Phones, Tablets, Devices to
Contain HIPAA Data
-
7003 Furniture & Fixtures 100 Anticipat shared cost for replacement of furniture needs.
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over $500 with Lifespan of 2
Years +
-
7006 Assets over $5,000/unit (Specify)-
7007 Other (Specify)-
7008 Other (Specify)-
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:228,289
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:228,289
-
Revised Exhibit C
Page 63 of 77
Employee Salaries
Acct # Position FTE Admin Direct Total
1101 Executive Director 0.01 889$ 889$
1102 Executive Assistant 0.01 283 283
1103 Regional Director 0.02 2,919 2,919
1104 Program Manager 0.30 35,562 35,562
1105 Admin Specialist 0.08 4,372 4,372
1106 Case Managers 1.20 56,830 56,830
1107 -
1108 -
1109 - - -
1110 - - -
1111 - - -
1112 - - -
1113 - - -
1114 - - -
1115 - - -
1116 - - -
1117 - - -
1118 - - -
1119 - - -
1120 - - -
Personnel Salaries Subtotal 1.61 -$ 100,855$ 100,855$
Employee Benefits
Acct # Admin Direct Total
1101 -$ 1,906$ 1,906$
1102 - 2,511 2,511
1103 - 9,451 9,451
1104 - - -
1105 - - -
1106 - - -
-$ 13,868$ 13,868$
0.127025418
Payroll Taxes & Expenses:
Acct # Admin Direct Total
1201 -$ -$ -$
1202 - 7,715 7,715
1203 - 605 605
1204 - - -
1205 - -
1206 - -
-$ 8,320$ 8,320$
-$ 123,043$ 123,043$
Other (Specify)
Other (Specify)
Other (Specify)
Payroll Taxes & Expenses Subtotal:
EMPLOYEE SALARIES & BENEFITS TOTAL:
Employee Benefits Subtotal:
Employee Benefits %:
Description
OASDI
FICA/MEDICARE
SUI
Retirement
Worker's Compensation
Health Insurance
Other (Specify)
Other (Specify)
Other (Specify)
PATH Program- SMHS
Kings View
Fiscal Year (FY 2025-26)
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Description
Revised Exhibit C
Page 64 of 77
2000: CLIENT SUPPORT
Acct # Amount
2001 -$
2002 22,055
2003 -
2004 2,115
2005 -
2006 -
2007 -
2008 -
2009 -
2010 -
2011 2,000
2012 -
2013 -
2014 -
2015 -
2016 -
26,170$
3000: OPERATING EXPENSES
Acct # Amount
3001 1,330$
3002 250
3003 974
3004 -
3005 835
3006 150
3007 50
3008 1,020
3009 300
3010 -
3011 -
3012 -
4,909$
4000: FACILITIES & EQUIPMENT
Acct # Amount
4001 1,224$
4002 2,243
4003 240
4004 830
4005
4006 740
4007 Other (Specify)-
4008 Other (Specify)-
4009 Other (Specify)-
4010 Other (Specify) -
5,277$
5000: SPECIAL EXPENSES
Acct # Amount
FACILITIES/EQUIPMENT TOTAL:
Line Item Description
Security
Utilities
OPERATING EXPENSES TOTAL:
Line Item Description
Building Maintenance
Rent/Lease Building
Rent/Lease Equipment
Rent/Lease Vehicles
Subscriptions & Memberships
Vehicle Maintenance
Other (Staff Recruitment)
Other (Specify)
Other (Specify)
Other (Specify)
Telecommunications
Printing/Postage
Office Supplies & Equipment
Advertising
Staff Development & Training
Staff Mileage
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
DIRECT CLIENT CARE TOTAL
Line Item Description
Household Items for Clients
Medication Supports
Program Supplies - Medical
Utility Vouchers
Other (Program Supplies)
Other (Specify)
Child Care
Client Housing Support
Client Transportation & Support
Clothing, Food, & Hygiene
Education Support
Employment Support
Line Item Description
Revised Exhibit C
Page 65 of 77
5001 5,937$
5002
5003 36,149
5004 -
5005 Other (Specify)-
5006 Other (Specify)-
5007 Other (Specify)-
5008 Other (Specify) -
42,086$
6000: ADMINISTRATIVE EXPENSES
Acct # Amount
6001 24,459$
6002 1,734
6003
6004
6005 Insurance (Liability):411
6006 Payroll Services -
6007 -
6008 Other (Specify)-
6009 Other (Specify)-
6010 Other (Specify)-
6011 Other (Specify)-
6012 Other (Specify) -
26,604$
7000: FIXED ASSETS
Acct # Amount
7001 100$
7002 -
7003 100
7004 -
7005 -
7006 Assets over $5,000/unit (Specify)-
7007 Other (Specify)-
7008 Other (Specify) -
200$
Acct # Service Units Rate Amount
8001 Mental Health Services -$
8002 Case Management 164 3.75 615
8003 Crisis Services 61 6.75 412
8004 Medication Support 2,981 8.25 24,593
8005 Collateral -
8006 Plan Development 2,000 4.50 9,000
8007 Assessment 2,965 4.50 13,343
8008 Rehabilitation 39,829 5.00 199,145
48,000 247,108$
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
Line Item Description
Estimated Specialty Mental Health Services Billing Totals:
FIXED ASSETS EXPENSES TOTAL
TOTAL PROGRAM EXPENSES 228,289$
Line Item Description
Computer Equipment & Software
Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data
Furniture & Fixtures
Leasehold/Tenant/Building Improvements
Other Assets over $500 with Lifespan of 2 Years +
ADMINISTRATIVE EXPENSES TOTAL
Administrative Overhead
Professional Liability Insurance
Accounting/Bookkeeping
External Audit
Depreciation (Provider-Owned Equipment to be Used for Program Purposes)
SPECIAL EXPENSES TOTAL:
Line Item Description
Consultant (Network & Data Management)
HMIS (Health Management Information System)
Contractual/Consulting Services (Psychiatrist Fees)
Translation Services
Revised Exhibit C
Page 66 of 77
75%
185,331
85%157,531
157,531$
Acct # Amount
8101 Drug Medi-Cal -$
8102 SABG -$
-$
Acct # Amount
8201 Realignment (0)$
(0)$
Acct # MHSA Component Amount
8301 CSS - Community Services & Supports 69,756$
8302 PEI - Prevention & Early Intervention -
8303 INN - Innovations -
8304 WET - Workforce Education & Training -
8305 CFTN - Capital Facilities & Technology -
69,756$
Acct # Amount
8401 Client Fees -$
8402 Client Insurance -
8403 Grants (Specify) 1,002
8404 Other (Specify) -
8405 Other (Specify) -
1,002$ OTHER REVENUE TOTAL
TOTAL PROGRAM FUNDING SOURCES:228,289$
NET PROGRAM COST: -$
MHSA TOTAL
8400 - OTHER REVENUE
Line Item Description
Client Rents
Line Item Description
REALIGNMENT TOTAL
8300 - MENTAL HEALTH SERVICE ACT (MHSA)
MHSA Program Name
Federal Financial Participation (FFP) %
MEDI-CAL FFP TOTAL
8100 - SUBSTANCE USE DISORDER FUNDS
Line Item Description
SUBSTANCE USE DISORDER FUNDS TOTAL
8200 - REALIGNMENT
Estimated % of Clients who are Medi-Cal Beneficiaries
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries
Revised Exhibit C
Page 67 of 77
Budget Narrative
ACCT # LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 123,043
Employee Salaries 100,855
1101 Executive Director 889 Position will provide agency specific staff oversight and represent and maintain the
collaborative relationship between agencies.
1102 Executive Assistant 283 This position will assist Executive Director with staff oversight and representing and
maintaining the collaborative relationship between agencies.
1103 Regional Director 2,919 Provide program management and direction. Ensures operations are running
smoothly and in compliance with contract requirements.
1104 Program Manager 35,562 Provides supervision of all staff and direct oversight of program management.
1105 Admin Specialist 4,372 Provides administrative support for the program and assist with medical billing and
records.
1106 Case Managers 56,830 Provides case management and oversees the physical and mental wellness of
individuals to ensure they are supported and can achieve the best outcomes, and
referrals to appropriate linkages.
1107 0 -
1108 0 -
1109 0 -
1110 0 -
1111 0 -
1112 0 -
1113 0 -
1114 0 -
1115 0 -
1116 0 -
1117 0 -
1118 0 -
1119 0 -
1120 0 -
Employee Benefits 13,868
1101 Retirement 1,906 Cost of 401K
1102 Worker's Compensation 2,511 Workers Comp Insurance
1103 Health Insurance 9,451 Cost of Medical, Vision, Dental, Life and Long Term Disability Insurance
1104 Other (Specify)-
1105 Other (Specify)-
1106 Other (Specify)-
Payroll Taxes & Expenses:8,320
1201 OASDI -
1202 FICA/MEDICARE 7,715 Cost of FICA/Medicare
1203 SUI 605 Cost of SUI
1204 Other (Specify)-
1205 Other (Specify)-
1206 Other (Specify)-
2000: CLIENT SUPPORT 26,170
2001 Child Care -
2002 Client Housing Support 22,055 Support clients with things such as rent, security deposits, board and care,
emergency housing such as hotels/motels, groceries, utilities, and household
supplies.
2003 Client Transportation & Support -
2004 Clothing, Food, & Hygiene 2,115 Outreach expenses that supports clients with clothing, food, water, blankets, and
hygiene supplies. Also, includes miscellaneous client support items such as pet food,
groceries, DMV identification, and birth certificates.
2005 Education Support -
2006 Employment Support -
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies - Medical -
2010 Utility Vouchers -
PATH Program- SMHS
Kings View
Fiscal Year (FY 2025-26)
Revised Exhibit C
Page 68 of 77
ACCT # LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2011 Other (Program Supplies) 2,000 Cost of supplies for client groups such as notepads, therapy balls, puzzles or art
supplies.
2012 Other (Specify)-
2013 Other (Specify)-
2014 Other (Specify)-
2015 Other (Specify)-
2016 Other (Specify) -
3000: OPERATING EXPENSES 4,909
3001 Telecommunications 1,330 Cost of landline telephone services, cell phones service, data connectivity.
3002 Printing/Postage 250 Anticipating courier services and postage necessary for program. Business cards and
other special printing in bulk that is less cost effective to outsource rather than
utilization of a copier.
3003 Office Supplies & Equipment 974 Includes all supplies and minor equipment used by staff in the course of providing
services.
3004 Advertising -
3005 Staff Development & Training 835 Minor shared cost for continuation of staff development and training. Also, includes
HMIS training fees.
3006 Staff Mileage 150 Reimbursements to staff for personal vehicle use when lease vehicle not available
and require to provide services or other program needs, paid at IRS rate. Any travel
transportation fees, such as parking fees.
3007 Subscriptions & Memberships 50 Minor shared cost of special subscription necessary for staff to provide services or
job tasks, such as an online subscription.
3008 Vehicle Maintenance 1,020 Minor auto repairs & maintenance required to maintain 1 shared leased vehicle for
client transportation and program needs, such as oil changes and car washes. Yearly
cost of GPS vehicle tracking service, auto fuel, and DMV fees.
3009 Other (Staff Recruitment)300 Thorough background check and drug testing.
3010 Other (Specify)-
3011 Other (Specify)-
3012 Other (Specify) -
4000: FACILITIES & EQUIPMENT 5,277
4001 Building Maintenance 1,224 Shared copier maintenance, minor building repairs and maintenance to facility.
4002 Rent/Lease Building 2,243 Share cost of building space, anticipating moving locations.
4003 Rent/Lease Equipment 240 Shared copier lease.
4004 Rent/Lease Vehicles 830 The cost of 1 shared lease vehicles to assist with program needs.
4005 Security -
4006 Utilities 740 Shared cost of gas and electric.
4007 Other (Specify)-
4008 Other (Specify)-
4009 Other (Specify)-
4010 Other (Specify) -
5000: SPECIAL EXPENSES 42,086
5001 Consultant (Network & Data Management) 5,937 Kings View Information Technology Department (KVIT) will provide hardware and
software support successful data collection. Information services and management
consisting of managed internet service provider, network and desktop management,
project management, technology procurement, telecommunication management,
strategic technology planning, system documentation, application/data hosting,
access to data/documents/application 24/7. After hours support via email and
phone 24/7.
5002 HMIS (Health Management Information
System)
-
5003 Contractual/Consulting Services (Psychiatrist
Fees)
36,149 Yearly cost to contract with Physician to provide services and treatments to clients at
4 hours per week.
5004 Translation Services -
5005 Other (Specify)-
5006 Other (Specify)-
5007 Other (Specify)-
5008 Other (Specify) -
6000: ADMINISTRATIVE EXPENSES 26,604
Revised Exhibit C
Page 69 of 77
ACCT # LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
6001 Administrative Overhead 24,459 Expenses provides corporate management, fiscal services, payroll, human resources,
accounts payable and other administrative functions.
6002 Professional Liability Insurance 1,734 Cost general and professional liability insurance.
6003 Accounting/Bookkeeping -
6004 External Audit -
6005 Insurance (Liability):411 Cost of personal property, accidental and auto insurance.
6006 Payroll Services -
6007 Depreciation (Provider-Owned Equipment to
be Used for Program Purposes)
-
6008 Other (Specify)-
6009 Other (Specify)-
6010 Other (Specify)-
6011 Other (Specify)-
6012 Other (Specify)-
7000: FIXED ASSETS 200
7001 Computer Equipment & Software 100 Computer software needs to support staff & anticipat shared cost for
replacement of computer equipment.
7002 Copiers, Cell Phones, Tablets, Devices to
Contain HIPAA Data
-
7003 Furniture & Fixtures 100 Anticipat shared cost for replacement of furniture needs.
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over $500 with Lifespan of 2
Years +
-
7006 Assets over $5,000/unit (Specify)-
7007 Other (Specify)-
7008 Other (Specify)-
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:228,289
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:228,289
-
Revised Exhibit C
Page 70 of 77
Exhibit E
Page 1 of 7
Employee Salaries
Acct # Position FTE Admin Direct Total
1101 Regional Director 0.03 3,890$ 3,890$
1102 Program Manager 0.03 2,686 2,686
1103 Outreach Workers 2.50 - 93,600 93,600
1104 Executive Director 0.01 - 1,580 1,580
1105 Executive Director Assistant 0.01 - 504 504
1106 - - -
1107 - - -
1108 - - -
1109 - - -
1110 - - -
1111 - - -
1112 - - -
1113 - - -
1114 - - -
1115 - - -
1116 - - -
1117 - - -
1118 - - -
1119 - - -
1120 - - -
Personnel Salaries Subtotal 2.58 -$ 102,260$ 102,260$
Employee Benefits
Acct # Admin Direct Total
1201 -$ 1,023$ 1,023$
1202 - 1,534 1,534
1203 - 17,292 17,292
1204 - -
1205 - -
1206 - -
-$ 19,849$ 19,849$
Payroll Taxes & Expenses:
Acct # Admin Direct Total
1301 -$ -$ -$
1302 - 7,823 7,823
1303 - 920 920
1304 - -
1305 - - -
1306 - - -
-$ 8,743$ 8,743$
-$ 130,852$ 130,852$
2000: CLIENT SUPPORT
Mobile Outreach Project
Kings View
Fiscal Year (FY 2021-22)
Description
Payroll Taxes & Expenses Subtotal:
Other (specify)
Other (Specify)
EMPLOYEE SALARIES & BENEFITS TOTAL:
Other (specify)
Other (Specify)
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Retirement
Worker's Compensation
Health Insurance
Other (specify)
Other (specify)
OASDI
FICA/MEDICARE
SUI
Employee Benefits Subtotal:
Description
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit C
Page 71 of 77
Exhibit E
Page 2 of 7
Acct # Amount
2001 -$
2002 19,550
2003 740
2004 Clothing, Food, & Hygiene 10,098
2005 Education Support -
2006 Employment Support -
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies - Medical -
2010 Utility Vouchers -
2011 Other (Specify)-
2012 -
2013 -
2014 -
2015 -
2016 -
30,388$
3000: OPERATING EXPENSES
Acct # Amount
3001 2,340$
3002 150
3003 1,676
3004 -
3005 1,100
3006 300
3007
3008 8,350
3009 900
3010
3011
3012
14,816$
4000: FACILITIES & EQUIPMENT
Acct # Amount
4001 4,120$
4002 10,600
4003 800
4004
4005
4006 1,920
4007
4008 -
4009 -
4010 -
17,440$
5000: SPECIAL EXPENSES
Acct # Amount
5001 8,993$
Security
Utilities
Rent/Lease Equipment
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Vehicle Maintenance
Line Item Description
Line Item Description
Line Item Description
Line Item Description
DIRECT CLIENT CARE TOTAL
Advertising
Rent/Lease Building
Building Maintenance
Other (Staff Recruitment)
Staff Development & Training
Child Care
Rent/Lease Vehicles
Client Transportation & Support
Client Housing Support
Other (Specify)
Other (Specify)
FACILITIES/EQUIPMENT TOTAL:
OPERATING EXPENSES TOTAL:
Other (specify)
Other (specify)
Other (specify)
Telecommunications
Printing/Postage
Consultant (Network & Data Management)
Staff Mileage
Subscriptions & Memberships
Other (Specify)
Other (Specify)
Office Supplies & Equipment
Other (Specify)
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit C
Page 72 of 77
Exhibit E
Page 3 of 7
5002 -
5003 -
5004 -
5005 -
5006 -
5007 -
5008 -
8,993$
6000: ADMINISTRATIVE EXPENSES
Acct # Amount
6001 25,061$
6002 2,000
6003 -
6004 -
6005 3,950
6006 -
6007 -
6008 -
6009 -
6010 -
6011 -
6012 -
31,011$
7000: FIXED ASSETS
Acct # Amount
7001 400$
7002 -
7003 -
7004 -
7005 -
7006 -
7007 -
7008 -
400$
Acct # Service Units Rate Amount
8001 Mental Health Services 0 - -$
8002 Case Management 0 - -
8003 Crisis Services 0 - -
8004 Medication Support 0 - -
8005 Collateral 0 - -
8006 Plan Development 0 - -
8007 Assessment 0 - -
8008 Rehabilitation 0 - -
0 -$
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Assets over $5,000/unit (Specify)
Other (Specify)
Other (Specify)
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
Estimated Specialty Mental Health Services Billing Totals:
Line Item Description
Administrative Overhead
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Professional Liability Insurance
Accounting/Bookkeeping
Line Item Description
Other (Specify)
Other (Specify)
PROGRAM FUNDING SOURCES
233,900$ TOTAL PROGRAM EXPENSES
FIXED ASSETS EXPENSES TOTAL
ADMINISTRATIVE EXPENSES TOTAL
SPECIAL EXPENSES TOTAL:
Line Item Description
Depreciation (Provider-Owned Equipment to be Used for Program Purposes)
External Audit
Computer Equipment & Software
Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data
Furniture & Fixtures
Leasehold/Tenant/Building Improvements
Insurance other
Other (Specify)
Other Assets over $500 with Lifespan of 2 Years +
Payroll Services
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit C
Page 73 of 77
Exhibit E
Page 4 of 7
0%
-
0%-
-$
Acct # Amount
8101 Drug Medi-Cal -$
8102 SABG -$
-$
Acct # Amount
8201 Realignment -$
-$
Acct # MHSA Component Amount
8301 CSS - Community Services & Supports -$
8302 PEI - Prevention & Early Intervention -
8303 INN - Innovations -
8304 WET - Workforce Education & Training -
8305 CFTN - Capital Facilities & Technology -
-$
Acct # Amount
8401 Client Fees -$
8402 Client Insurance -
8403 -
8404 140,000
8405 93,900
233,900$
Grants (Specify)
Other (CARES Act) (July 1, 2021 through December 31, 2021)
Other (CDBG-CV)
Estimated % of Clients who are Medi-Cal Beneficiaries
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries
Federal Financial Participation (FFP) %
MHSA Program Name
8300 - MENTAL HEALTH SERVICE ACT (MHSA)
Line Item Description
REALIGNMENT TOTAL
NET PROGRAM COST:
TOTAL PROGRAM FUNDING SOURCES:233,900$
-$
SUBSTANCE USE DISORDER FUNDS TOTAL
MEDI-CAL FFP TOTAL
MHSA TOTAL
Line Item Description
8100 - SUBSTANCE USE DISORDER FUNDS
OTHER REVENUE TOTAL
Line Item Description
8400 - OTHER REVENUE
8200 - REALIGNMENT
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit C
Page 74 of 77
Exhibit E
Page 5 of 7
Budget Narrative
ACCT # LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 130,852
Employee Salaries 102,260
1101 Regional Director 3,890 Provides program management and direction. Ensures operations are running
smoothly and in compliance with contract requirements.
1102 Program Manager 2,686 Provides supervision of all staff and direct oversight of program management.
1103 Outreach Workers 93,600 Provides outreach and engagement services, provide linkage to needed services. It
would be 3FTE the first 6 months and 2FTE the second half of the year.
1104 Executive Director 1,580 Position will provide agency specific staff oversight and represent and maintain the
collaborative relationship between agencies.
1105 Executive Director Assistant 504 This position will assist Executive Director with staff oversight and representing and
maintaining the collaborative relationship between agencies.
1106 0 -
1107 0 -
1108 0 -
1109 0 -
1110 0 -
1111 0 -
1112 0 -
1113 0 -
1114 0 -
1115 0 -
1116 0 -
1117 0 -
1118 0 -
1119 0 -
1120 0 -
Employee Benefits 19,849
1201 Retirement 1,023 Cost of 401K
1202 Worker's Compensation 1,534 Cost of Workers Comp insurance
1203 Health Insurance 17,292 Cost of Medical, Vision, Dental, Life and Long-Term Disability Insurance
1204 Other (specify)-
1205 Other (specify)-
1206 Other (specify)-
Payroll Taxes & Expenses:8,743
1301 OASDI -
1302 FICA/MEDICARE 7,823 Cost of FICA/Medicare
1303 SUI 920 Cost of SUI
1304 Other (specify)-
1305 Other (Specify)-
1306 Other (Specify) -
2000: CLIENT SUPPORT 30,388
2001 Child Care -
2002 Client Housing Support 19,550 Support clients with things such as rent, security deposits, board and care,
emergency housing such as hotels/motels, groceries, utilities, and household
supplies.
2003 Client Transportation & Support 740 Provides bus passes, bus tokens or any transportation assistance for clients, such as
taxi service or gas.
2004 Clothing, Food, & Hygiene 10,098 Outreach expenses that support clients with clothing, food, water, blankets, and
hygiene supplies. Also, includes miscellaneous client support items such as pet food,
groceries, DMV identification, and birth certificates.
2005 Education Support -
2006 Employment Support -
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies - Medical -
2010 Utility Vouchers -
2011 Other (Specify)-
2012 Other (Specify)-
Kings View
Mobile Outreach Project
Fiscal Year (FY 2021-22)
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit C
Page 75 of 77
Exhibit E
Page 6 of 7
ACCT # LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2013 Other (Specify)-
2014 Other (Specify)-
2015 Other (Specify)-
2016 Other (Specify) -
3000: OPERATING EXPENSES 14,816
3001 Telecommunications 2,340 Cost of landline telephone services, cell phones service, data connectivity.
3002 Printing/Postage 150 Anticipated courier services and postage necessary for program. Business cards and
other special printing in bulk that is less cost effective to outsource rather than
utilization of a copier.
3003 Office Supplies & Equipment 1,676 Includes desk supplies & minor equipment used by staff while providing services.
3004 Advertising -
3005 Staff Development & Training 1,100 Minor shared cost for continuation of staff development and training.
3006 Staff Mileage 300 Reimbursements to staff for personal vehicle use when lease vehicle not available
and require to provide services or other program needs, paid at IRS rate. Any travel
transportation fees, such as parking fees.
3007 Subscriptions & Memberships -
3008 Vehicle Maintenance 8,350 Minor auto repairs & maintenance required to maintain 1 van for client
transportation and program needs, such as oil changes and car washes. Cost of GPS,
vehicle tracking service, and auto fuel.
3009 Other (Staff Recruitment)900 Thorough background checks and drug testing.
3010 Other (specify)-
3011 Other (specify)-
3012 Other (specify) -
4000: FACILITIES & EQUIPMENT 17,440
4001 Building Maintenance 4,120 Estimate shared cost on copier maintenance, minor building repairs & maintenance
such as janitorial services and security alarm services.
4002 Rent/Lease Building 10,600 Shared cost of building lease.
4003 Rent/Lease Equipment 800 Estimate cost for shared copier lease.
4004 Rent/Lease Vehicles -
4005 Security -
4006 Utilities 1,920 Estimate shared cost for gas & electric, water & sewer.
4007 Other (Specify)-
4008 Other (Specify)-
4009 Other (Specify)-
4010 Other (Specify) -
5000: SPECIAL EXPENSES 8,993
5001 Consultant (Network & Data Management) 8,993 Kings View Information Technology Department (KVIT) will provide hardware and
software support successful data collection. Information services and management
consisting of managed internet service provider, network and desktop management,
project management, technology procurement, telecommunication management,
strategic technology planning, system documentation, application/data hosting,
access to data/documents/application 24/7. After hours support via email and
phone 24/7.
5002 Other (Specify)-
5003 Other (Specify)-
5004 Other (Specify)-
5005 Other (Specify)-
5006 Other (Specify)-
5007 Other (Specify)-
5008 Other (Specify) -
6000: ADMINISTRATIVE EXPENSES 31,011
6001 Administrative Overhead 25,061 Expenses provides corporate management, fiscal services, payroll, human resources,
accounts payable and other administrative functions. Expenses will also include for
Program Staff Accountant and QI Data Analyst positions salaries.
6002 Professional Liability Insurance 2,000 Cost general and professional liability insurance.
6003 Accounting/Bookkeeping -
6004 External Audit -
6005 Insurance other 3,950 Cost of personal property, accidental and auto insurance.
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit C
Page 76 of 77
Exhibit E
Page 7 of 7
ACCT # LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
6006 Payroll Services -
6007 Depreciation (Provider-Owned Equipment to
be Used for Program Purposes)
-
6008 Other (Specify)-
6009 Other (Specify)-
6010 Other (Specify)-
6011 Other (Specify)-
6012 Other (Specify) -
7000: FIXED ASSETS 400
7001 Computer Equipment & Software 400 Computer software needs to support staff & anticipating minor shared cost for
replacement of computer equipment.
7002 Copiers, Cell Phones, Tablets, Devices to
Contain HIPAA Data
-
7003 Furniture & Fixtures -
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over $500 with Lifespan of 2
Years +
-
7006 Assets over $5,000/unit (Specify)-
7007 Other (Specify)-
7008 Other (Specify) -
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:233,900
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:233,900
-
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit C
Page 77 of 77