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Home My WebLink AboutAgreement A-22-259 with Exodus.pdf Agreement No. 22-259 1 AMENDMENT III to AGREEMENT 2 THIS THIRD AMENDMENT TO AGREEMENT (hereinafter"Amendment III") is made and 3 entered into this 21St day of June , 2022, by and between COUNTY OF FRESNO, a Political 4 Subdivision of the State of California, Fresno, California (hereinafter"COUNTY"), and EXODUS 5 RECOVERY, INC, a for-profit California corporation, whose address is 9800 Venice Blvd, Suite 700, 6 Culver City, CA 90232 (hereinafter"CONTRACTOR"). 7 WITNESSETH: 8 WHEREAS, COUNTY and CONTRACTOR entered into COUNTY Agreement No. 16-221, 9 dated May 24, 2016, as amended by COUNTY Amendment No. 16-221-1, dated June 18, 2019, and 10 COUNTY Amendment No. 16-221-2, dated June 8, 2021 (hereinafter collectively referred to as 11 "COUNTY Agreement No. A-16-221"), whereby CONTRACTOR agreed to operate an adult crisis 12 stabilization center (Adult CSC), for those 18 years of age and older, and a youth crisis stabilization 13 center (Youth CSC), for those up to 18 years of age, who may be admitted on a voluntary basis or 14 involuntary basis regardless of the source of payment, and who are referred by COUNTY's 15 Department of Behavioral Health (DBH), DBH contracted providers, law enforcement, hospital 16 emergency rooms, other COUNTY Departments, other agencies, and Emergency Medical Services 17 transports; and 18 WHEREAS, COUNTY and CONTRACTOR now desire to amend the Agreement, regarding 19 changes as stated below and restate the Agreement in its entirety. 20 NOW, THEREFORE, for good and valuable consideration, the receipt and adequacy of which 21 is hereby acknowledged, COUNTY and CONTRACTOR agree as follows: 22 1. That all references in the COUNTY Agreement No. A-16-221 to "Revised Exhibit B-1-a" 23 be changed to read "Revised Exhibit B-1-b", attached hereto and incorporated herein by this 24 reference. 25 2. That all references in the COUNTY Agreement No. A-16-221 to "Revised Exhibit B-2-a" 26 be changed to read "Revised Exhibit B-2-b", attached hereto and incorporated herein by this 27 reference. 28 - 1 - 1 3. That COUNTY Agreement No. 16-221, as set forth in Amendment II (COUNTY 2 Amendment No. 16-221-2), Page Three (3), beginning with Line Thirteen (13), with the word "The" and 3 ending on Line Twenty-Five (25) with the word "Agreement" be deleted and the following inserted in its 4 place: 5 "The maximum amount for the Adult CSC for the period July 1, 2021 through June 30, 6 2022, shall not exceed Thirteen Million, Nine Hundred Seventy-Three Thousand, Seven Hundred 7 Forty-Two and No/100 Dollars ($13,973,742.00). 8 For the period July 1, 2021 through June 30, 2022, it is understood by CONTRACTOR 9 and COUNTY that CONTRACTOR estimates to generate Five Million, Four Hundred Twenty-Four 10 Thousand, Nine Hundred Eighty-Nine and No/100 Dollars ($5,424,989.00) in Medi-Cal Federal 11 Financial Participation (FFP) with Eight Million, Five Hundred Forty-Eight Thousand, Seven Hundred 12 Fifty-Three and No/100 Dollars ($8,548,753.00) in other revenue sources to offset CONTRACTOR's 13 program costs, as set forth in Revised Exhibit B-1-b. 14 In no event shall the total maximum compensation for actual adult crisis stabilization 15 services performed at the Adult CSC under the terms and conditions of this Agreement be in excess of 16 Fifty-One Million, Five Thousand, Nine Hundred Eleven and No/100 Dollars ($51,005,911.00) during 17 the total six (6) year term of this Agreement." 18 4. That COUNTY Agreement No. 16-221, as set forth in Amendment II (COUNTY 19 Amendment No. 16-221-2), Page Four (4), beginning with Line One (1), with the word "The" and 20 ending on Line Thirteen (13) with the word "Agreement" be deleted and the following inserted in its 21 place: 22 "The maximum amount for the Youth CSC for the period July 1, 2021 through June 30, 23 2022, shall not exceed Five Million, Seven Hundred Seven Thousand, Five Hundred Eighty-Three and 24 No/100 Dollars ($5,707,583.00). 25 For the period July 1, 2021 through June 30, 2022, it is understood by CONTRACTOR 26 and COUNTY that CONTRACTOR estimates to generate Two Million, Two Hundred Fifteen 27 Thousand, Eight Hundred Five and No/100 Dollars ($2,215,805.00) in Medi-Cal Federal 28 Financial Participation (FFP) with Three Million, Four Hundred Ninety-One Thousand, Seven Hundred - 2 - 1 Seventy-Eight and No/100 Dollars ($3,491,778.00) in other revenue sources to offset 2 CONTRACTOR's program costs, as set forth in Revised Exhibit B-2-b. 3 In no event shall the total maximum compensation for actual youth crisis stabilization 4 services performed at the Youth CSC under the terms and conditions of this Agreement be in excess 5 of Twenty Million, Seven Hundred Eighty-Three Thousand, Seven Hundred Two and No/100 Dollars 6 ($20,783,702.00) during the total six (6) year term of this Agreement." 7 5. That COUNTY Agreement No. 16-221, as set forth in Amendment II (COUNTY 8 Amendment No. 16-221-2), Page Four (4), beginning with Line Seventeen (17), with the word "The" 9 and ending on Line Twenty-Three (23) with the word "Agreement" be deleted and the following 10 inserted in its place: 11 "The total maximum compensation amount for all actual services for the sixth period of 12 the contract term, July 1, 2021 through June 30, 2022, shall not exceed Twenty Million, Three Hundred 13 Eighty Thousand, Four Hundred Eighty-Five and No/100 Dollars ($20,380,485.00). 14 In no event shall the total maximum compensation amount for all actual services 15 provided by CONTRACTOR to COUNTY under the terms and conditions of this Agreement be in 16 excess of Seventy-Four Million, Seven Thousand, Four Hundred Eighty-Three and No/100 Dollars 17 ($74,007,483.00) during the total six (6) year term of this Agreement." 18 6. ELECTRONIC SIGNATURE: The parties agree that this Agreement may be executed 19 by electronic signature as provided in this section. An "electronic signature" means any symbol or 20 process intended by an individual signing this Agreement to represent their signature, including but not 21 limited to (1) a digital signature; (2) a faxed version of an original handwritten signature; or (3) an 22 electronically scanned and transmitted (for example by PDF document) of a handwritten signature. 23 Each electronic signature affixed or attached to this Agreement (1) is deemed equivalent to a valid 24 original handwritten signature of the person signing this Agreement for all purposes, including but not 25 limited to evidentiary proof in any administrative or judicial proceeding, and (2) has the same force and 26 effect as the valid original handwritten signature of that person. The provisions of this section satisfy 27 the requirements of Civil Code section 1633.5, subdivision (b), in the Uniform Electronic Transaction 28 Act (Civil Code, Division 3, Part 2, Title 2.5, beginning with section 1633.1). Each party using a digital - 3 - 1 signature represents that it has undertaken and satisfied the requirements of Government Code 2 section 16.5, subdivision (a), paragraphs (1) through (5), and agrees that each other party may rely 3 upon that representation. This Agreement is not conditioned upon the parties conducting the 4 transactions under it by electronic means and either party may sign this Agreement with an original 5 handwritten signature. 6 7. COUNTY and CONTRACTOR agree that this Amendment III is sufficient to amend the 7 Agreement and, that upon execution of this Amendment III, the Agreement, Amendment I, Amendment 8 II and this Amendment III together shall be considered the Agreement. 9 8. The Agreement, as hereby amended, is ratified, and continued. All provisions, terms, 10 covenants, conditions, and promises contained in the Agreement and not amended herein shall 11 remain in full force and effect. This Amendment III shall be effective retroactive to December 1, 2021. 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 - 4 - 1 IN WITNESS WHEREOF, the parties hereto have executed this Amendment III as of the day 2 and year first hereinabove written. 3 4 CONTRACTOR COUNTY OF FRESNO XODUS RECOVERY, INC. 5 (Authorized Signa ure Brian Pacheco, Chairman of the Board of 7 Supervisors of the County of Fresno Luana Murphy, President/ E 8 Print Name& Title 9 (�/'�— ATTEST: (Authorized Signature) Bernice E. Seidel 10 Clerk of the Board of Supervisors 11SWpefa(yjQQQ County of Fresno, State of California Print Name & Title 12 By: Deputy 13 MAILING ADDRESS: Exodus Recovery, Inc. 14 9808 Venice Boulevard, Suite 700 Culver City, CA 90232 15 Contact: Luana Murphy, President/CEO 16 (310) 945-3350 17 FOR ACCOUNTING USE ONLY: 18 Fund: 0001 Subclass: 10000 19 Org: 56302110 Account: 7295 20 Fiscal Year Ault CSC Youth CSC Access Line FURS TOTAL: 21 FY 2016-17 $ 6,527,765 $2,640,397 $266,285 $ 9,434,447 22 FY 2017-18 $6,723,623 $2,719,657 $296,883 $9,740,163 23 FY 2018-19 $7,536,051 $3,078,105 $307,445 $ 10,921,601 FY 2019-20 $8,026,971 $3,278,685 $318,384 $ 11,624,040 24 FY 2020-21 $8,217.759 $3,359,275 $329,713 $ 11,906,747 25 FY 2021-22 $ 13,973,742 $ 5,707,583 $329,713 $ 369,447 $20,380,485 26 TOTAL: $ 51,005,911 $20,783,702 $1,848,423 $369,447 $74,007,483 27 28 - 5- Revised Exhibit B-1-b ADULT CRISIS STABILIZATION CENTER(CSC) Exodus Recovery,Inc. Fiscal Year(FY)2021-22 PROGRAM EXPENSES 1000:DIRECT SALARIES&BENEFITS Direct Employee Salaries Acct# Administrative Position FTE Admin Program Total 1101 Program Director 0.71 $ 106,492 $ 106,492 1102 Assistant Program Director 0.71 88,756 88,756 1103 Admin Clerk 0.14 5,907 5,907 1104 Health Information Specialist 2.13 101,899 101,899 1105 Health Information Specialist(Supervisor) 0.36 20,675 20,675 1106 Program Support Assistant 0.78 32,490 32,490 1107 Quality Improvement Director 0.71 72,363 72,363 1108 Senior Data Specialist 0.71 26,582 26,582 1109 - - 1110 1111 1112 1113 1114 1115 Direct Personnel Admin Salaries Subtotal 6.25 $ 455,164 $ 455,164 Acct# Program Position FTE Admin Program Total 1116 Peer Advocate 1.19 $ 36,994 $ 36,994 1117 Discharge Planner 0.14 7,975 7,975 1118 Social Services Coordinator 4.69 272,913 272,913 1119 Program Nurse(LVN/LPTN) 27.90 1,788,552 1,788,552 1120 Program Nurse(RN) 17.89 1,972,414 1,972,414 1121 Mental Health Worker 28.83 1,271,525 1,271,525 1122 1123 1124 1125 1126 1127 1128 1129 1130 1131 1132 1133 1134 Direct Personnel Program Salaries Subtotall 80.64 1 $ 5,350,373 1 $ 5,350,373 Admin Program Total Direct Personnel Salaries Subtotal 86.89 $ 455,164 $ 5,350,373 $ 5,805,537 Direct Employee Benefits Acct# Description Admin Program Total 1201 Retirement $ 58,055 $ $ 58,055 1202 Worker's Compensation 232,221 232,221 1203 Health Insurance 417,999 417,999 1204 Admin Fee 58,055 58,055 1205 Other(specify) - - 1206 1 Other(specify) I - I I - Direct Employee Benefits Subtotal: $ 766,330 $ $ 766,330 Direct Payroll Taxes&Expenses: Acct# Description Admin Program Total 1301 OASDI $ 359,943 $ $ 359,943 1302 FICA/MEDICARE 359,943 359,943 1303 SUI 197,388 197,388 1304 Other(specify) - - 1305 Other(specify) 1306 1 Other(specify) I - I - Direct Payroll Taxes&Expenses Subtotal: $ 917,274 $ - $ 917,274 DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total $ 2,138,768 $ 5,350,373 $ 7,489,141 DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin I Program 29Y 71% 2000:DIRECT CLIENT SUPPORT Fresno County Department ofBehavioral Health Contract Budget Narrative Revised 2t7/2020 Revised Exhibit B-1-b Acct# Line Item Description Amount 2001 Child Care $ 2002 Client Housing Support - 2003 Client Transportation&Support 4,851 2004 Clothing,Food,&Hygiene 128,513 2005 Education Support - 2006 1 Employment Support 2007 Household Items for Clients - 2008 Medication Supports 15,946 2009 Program Supplies-Medical 94,656 2010 Utility Vouchers - 2011 Laundry Service 40,401 2012 Other(specify) - 2013 Other(specify) 2014 Other(specify) 2015 Other(specify) 2016 Other(specify) - DIRECT CLIENT CARE TOTAL $ 284,367 3000:DIRECT OPERATING EXPENSES Acct# Line Item Description Amount 3001 Telecommunications $ 44,242 3002 Printing/Postage 1,807 3003 Office,Household&Program Supplies 109,346 3004 Advertising - 3005 Staff Development&Training 24,884 3006 1 Staff Mileage 5,301 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance - 3009 Legal Notices/Advertising 2,428 3010 Personnel/Contracted Parking/Parking 2,397,688 3011 Flex Funds 72,418 3012 Other(specify) - DIRECT OPERATING EXPENSES TOTAL: $ 2,658,114 4000:DIRECT FACILITIES&EQUIPMENT Acct# Line Item Description Amount 4001 Building Maintenance $ 36,021 4002 Rent/Lease Building - 4003 Rent/Lease Equipment 53,067 4004 Rent/Lease Vehicles - 4005 Security 1,406,528 4006 Utilities 40,968 4007 Janitorial 124,130 4008 Business Taxes/License Permits 10,510 4009 Other(specify) - 4010 Other(specify) - DIRECT FACILITIES/EQUIPMENT TOTAL: $ 1,671,224 5000:DIRECT SPECIAL EXPENSES Acct# Line Item Description Amount 5001 Consultant(Network&Data Management) $ - 5002 HMIS(Health Management Information System) 5003 Contractual/Consulting Services (Specify) - 5004 Translation Services 2,788 5005 Other(specify) - 5006 1 Other(specify) 5007 Other(specify) i - 5008 1 Other(specify) I - DIRECT SPECIAL EXPENSES TOTAL:j$ 2,788 6000:INDIRECT EXPENSES Acct# Line Item Description Amount Administrative Overhead 6001 Use this line and only this line for approved indirect cost rate $ - Administrative Overhead 6002 Professional Liability Insurance 28,430 6003 Accounting/Bookkeeping 710 6004 External Audit - 6005 Insurance(Specify): 6006 Payroll Services 6007 Depreciation(Provider-0wned Equipment to be UsedforProgrom Purposes) - 6008 Personnel(indirect salaries&Benefits) - 6009 Indirect Costs 1,822,662 6010 Other(specify) 6011 Other(specify) Fresno County Department ofBehavioral Fleahb Contract Budget Narrative Revised 2/7/2020 Revised Exhibit B-1-b 6012 Other(specify) 6013 Other(specify) INDIRECT EXPENSES TOTAL $ 1,851,802 INDIRECT COST RATE 15.28% 7000:DIRECT FIXED ASSETS Acct# Line Item Description Amount 7001 Computer Equipment&Software $ 9,206 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data - 7003 Furniture&Fixtures 7,100 7004 Leasehold/Tenant/Building Improvements - 7005 Other Assets over$500 with Lifespan of 2 Years+ - 7006 lAssets over$5,000/unit(Specify) 7007 Other(specify) 7008 Other(specify) FIXED ASSETS EXPENSES TOTAL $ 16,306 TOTAL PROGRAM EXPENSES $ 13,973,742 PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) Acct# Line Item Description 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 - - 8009 Other(Specify):Crisis Stabilization UC 106,654 119.74 12,770,690 8010 Other(Specify) 0 - - Estimated Specialty Mental Health Services Billing Totals: 1 106,6541 $ 12,770,690 Estimated%of Clients who are Medi-Cal Beneficiaries 80% Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 10,216,552 Federal Financial Participation(FFP)% 1 53% 5,424,989 MEDI-CAL FFP TOTAL $ 5,424,989 8100-SUBSTANCE USE DISORDER FUNDS Acct# Line Item Description Amount 8101 Drug Medi-Cal $ - 8102 ISABG $ - SUBSTANCE USE DISORDER FUNDS TOTAL $ 8200-REALIGNMENT Acct# Line Item Description Amount 8201 lRealignment $ 8,423,646 REALIGNMENT TOTAL $ 8,423,646 8300-MENTAL HEALTH SERVICE ACT(MHSA) Acct# MHSA Component MHSA Program Name Amount 8301 CSS-Community Services&Supports $ - 8302 PEI-Prevention&Early Intervention - 8303 INN-Innovations - 8304 WET-Workforce Education&Training - 8305 CFTN-Capital Facilities&Technology MHSA TOTAL $ 8400-OTHER REVENUE Acct# Line Item Description Amount 8401 Client Fees $ 8402 Client Insurance 8403 Grants(Specify) - 8404 Private Insurance Income 125,107 8405 Other(Specify) - OTHER REVENUE TOTAL $ 125,107 TOTAL PROGRAM FUNDING SOURCES: $ 13,973,742 NET PROGRAM COST: $ Fresno County Depamnent ofBehavioral Flealth Cont-act Budget Nam five Revised 2/7/2020 Revised Exhibit B-1-b ADULT CRISIS STABILIZATION CENTER(CSC) Exodus Recovery,Inc. Fiscal Year(FY)2021-22 PARTIAL FTE DETAIL For all positions with FTE's split among multiple programs/contracts the below must be filled out Position Contract#/Name/Department/County FTE% Program Director 16-221/Youth Crisis Stabilization Center/Fresno 29.00 16-221/Adult Crisis Stabilization Center/Fresno 71.00 Total 100.00 Position Contract#/Name/Department/County FTE% Assistant Program Director 16-221/Youth Crisis Stabilization Center/Fresno 29.00 16-221/Adult Crisis Stabilization Center/Fresno 71.00 Tota I 100.00 Position Contract#/Name/Department/County FTE% Admin Clerk 16-221/Youth Crisis Stabilization Center/Fresno 29.00 16-221/Adult Crisis Stabilization Center/Fresno 71.00 Total 100.00 Position Contract#/Name/Department/County FTE% Health Information Specialist 16-221/Youth Crisis Stabilization Center/Fresno 29.00 16-221/Adult Crisis Stabilization Center/Fresno 71.00 Tota I 100.00 Position Contract#/Name/Department/County FTE% Health Information Specialist(Supervisor) 16-221/Youth Crisis Stabilization Center/Fresno 29.00 16-221/Adult Crisis Stabilization Center/Fresno 71.00 Total 100.00 Position Contract#/Name/Department/County FTE% Program Support Assistant 16-221/Youth Crisis Stabilization Center/Fresno 29.00 16-221/Adult Crisis Stabilization Center/Fresno 71.00 Total 100.00 Position lContract#/Name/Department/County FTE% Quality Improvement Director 16-221/Youth Crisis Stabilization Center/Fresno 29.00 16-221/Adult Crisis Stabilization Center/Fresno 71.00 Fresno County Department ofBehavioral Health Contract Budget Narrative Revised 2/7/2020 Total 100.00 Position Contract#/Name/Department/County FTE% Senior Data Specialist 16-221/Youth Crisis Stabilization Center/Fresno 29.00 16-221/Adult Crisis Stabilization Center/Fresno 71.00 Tota I 100.00 Position Contract#/Name/Department/County FTE% Peer Advocate 16-221/Youth Crisis Stabilization Center/Fresno 29.00 16-221/Adult Crisis Stabilization Center/Fresno 71.00 Total 100.00 Position Contract#/Name/Department/County FTE% Discharge Planner 16-221/Youth Crisis Stabilization Center/Fresno 29.00 16-221/Adult Crisis Stabilization Center/Fresno 71.00 Tota I 100.00 Position Contract#/Name/Department/County FTE% Social Services Coordinator 16-221/Youth Crisis Stabilization Center/Fresno 29.00 16-221/Adult Crisis Stabilization Center/Fresno 71.00 Total 100.00 Position Contract#/Name/Department/County FTE% Program Nurse(LVN/LPTN) 16-221/Youth Crisis Stabilization Center/Fresno 29.00 16-221/Adult Crisis Stabilization Center/Fresno 71.00 Tota I 100.00 Position Contract#/Name/Department/County FTE% Program Nurse(RN) 16-221/Youth Crisis Stabilization Center/Fresno 29.00 16-221/Adult Crisis Stabilization Center/Fresno 71.00 Total 100.00 Position Contract#/Name/Department/County FTE% Mental Health Worker 16-221/Youth Crisis Stabilization Center/Fresno 29.00 16-221/Adult Crisis Stabilization Center/Fresno 71.00 Fresno County Department ofBehavioral Health Contract Budget Narrative Revised 2/7/2020 Total 100.00 Position Contract#/Name/Department/County FTE Total 0.00 Fresno County Department ofBehavioral Health Contract Budget Narrative Revised 2t7/2020 Revised Exhibit 13-1-b ADULT CRISIS STABILIZATION CENTER(CSC) Exodus Recovery,Inc. Fiscal Year(FY)2021-22 Budget Narrative PROGRAM EXPENSE ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000:DIRECT SALARIES&BENEFITS 7,489,141 Administrative Positions 455,164 1101 Program Director 106,492 Administrative Services 1.00 FTE 1102 Assistant Program Director 88,756 Administrative Services 1.00 FTE 1103 Admin Clerk 5,907 Administrative Services 0.20 FTE 1104 Health Information Specialist 101,899 Administrative Services 3.00 FTE 1105 Health Information Specialist(Supervisor) 20,675 Administrative Services 0.50 FTE 1106 Program Support Assistant 32,490 Administrative Services 1.10 FTE 1107 Quality Improvement Director 72,363 Administrative Services 1.00 FTE 1108 Senior Data Specialist 26,582 Administrative Services 1.00 FTE 1109 - 1110 1111 1112 1113 1114 1115 Program Positions 5,350,373 1116 Peer Advocate 36,994 Direct Services 1.67 FTE 1117 Discharge Planner 7,975 Direct Services 0.20 FTE 1118 Social Services Coordinator 272,913 Direct Services 3.80 FTE 1119 Program Nurse(LVN/LPTN) 1,788,552 Direct Services 22.50 FTE 1120 Program Nurse(RN) 1,972,414 Direct Services 16.80 FTE 1121 Mental Health Worker 1,271,525 Direct Services 28.00 FTE 1122 - 1123 1124 1125 1126 1127 1128 1129 1130 1131 1132 1133 1134 Direct Employee Benefits 766,330 1201 Retirement 58,055 1202 Worker's Compensation 232,221 1203 Health Insurance 417,999 1204 Admin Fee 58,055 1205 Other(specify) - 1206 Other(specify) - Direct Payroll Taxes&Expenses: 917,274 1301 OASDI 359,943 1302 FICA/MEDICARE 359,943 1303 SUI 197,388 1304 Other(specify) - 1305 Other(specify) 1306 Other(specify) - 2000:DIRECT CLIENT SUPPORT 284,367 2001 Child Care - 2002 Client Housing Support - 2003 Client Transportation&Support 4,851 Vehicle lease,Fuel and Maintenance for Clients 2004 Clothing,Food,&Hygiene 128,513 Food Service 2005 Education Support - 2006 Employment Support 2007 Household Items for Clients - 2008 Medication Supports 15,946 Client Medication 2009 Program Supplies-Medical 94,656 Program Medical Supplies 2010 Utility Vouchers - 2011 Laundry Service 40,401 Client Laundry Service 2012 Other(specify) - 2013 Other(specify) 2014 Other(specify) 2015 Other(specify) Fresno County Department ofBehavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit B-1-b PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 2016 Other(specify) - 3000:DIRECT OPERATING EXPENSES 2,658,114 3001 Telecommunications 44,242 Program Telephone and Internet 3002 Printing/Postage 1,807 Program Postage&Delivery Cost 3003 Office,Household&Program Supplies 109,346 Office Supply and Equipment Cost 3004 Advertising - 3005 Staff Development&Training 24,884 Staff Training Cost 3006 Staff Mileage 5,301 Staff Mileage&Vehicle Maintenance Cost 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance 3009 Legal Notices/Advertising 2,428 Legal Fees 3010 Personnel/Contracted Parking/Parking 2,397,688 Personnel related expenses including registry nurses as needed,parking and relocation 3011 Flex Funds 72,418 Clothing&Hygiene Products 3012 1 Other(specify) 4000:DIRECT FACILITIES&EQUIPMENT 1,671,224 4001 Building Maintenance 36,021 Building maintenance&repairs 4002 Rent/Lease Building - 4003 Rent/Lease Equipment 53,067 Leased computer cost 4004 Rent/Lease Vehicles 4005 Security 1,406,528 Security Personnel 4006 Utilities 40,968 Facility Utility 4007 Janitorial 124,130 Facility Janitorial 4008 Business Taxes/License Permits 10,510 Business License,Permits fees 4009 Other(specify) - 4010 1 Other(specify) 5000:DIRECT SPECIAL EXPENSES 2,788 5001 Consultant(Network&Data Management) - 5002 HMIS(Health Management Information System) 5003 Contractual/Consulting Services (Specify) - 5004 Translation Services 2,788 Client translation Services 5005 Other(specify) - 5006 Other(specify) 5007 Other(specify) 5008 1 Other(specify) 6000:INDIRECT EXPENSES 1,851,802 6001 Administrative Overhead - 6002 Professional Liability Insurance 28,430 6003 Accounting/Bookkeeping 710 External Accounting Services 6004 External Audit - 6005 Insurance(Specify): 6006 Payroll Services 6007 Depreciation(Provider-Owned Equipment to be Used 6008 Personnel(Indirect Salaries&Benefits) - 6009 Indirect Costs 1,822,662 Expense provides corporate management,fiscal services,payroll,human resources, accounts payable and other administrative functions. 6010 Other(specify) - 6011 Other(specify) 6012 Other(specify) 6013 1 Other(specify) 7000:DIRECT FIXED ASSETS 16,306 7001 Computer Equipment&Software 9,206 Staff Computer replacement 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA - 7003 Furniture&Fixtures 7,100 Staff&Client Furniture replacement 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 1 Other(specify) PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED BY THE RFP 8001 Mental Health Services 8002 Case Management Fresno County Department ofBehaviorel Health Contract BudgetMnative Revised 2/7/2020 Revised Exhibit B-1-b PROGRAM EXPENSE ACCT#j LINE ITEM I AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 8003 Crisis Services 8004 Medication Support 8005 Collateral 8006 Plan Development 8007 Assessment 8008 Rehabilitation 8009 Other(Specify):Crisis Stabilization UC 8010 1 Other(Specify) TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 13,973,742 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 13,973,742 BUDGET CHECK: - Fresno County Depatiment ofBehavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit B-2-b YOUTH CRISIS STABILIZATION CENTER(CSC) Exodus Recovery,Inc. Fiscal Year(FY)2021-22 PROGRAM EXPENSES 1000:DIRECT SALARIES&BENEFITS Direct Employee Salaries Acct# Administrative Position FTE Admin Program Total 1101 Program Director 0.29 $ 43,497 $ 43,497 1102 Assistant Program Director 0.29 36,252 36,252 1103 Admin Clerk 0.06 2,413 2,413 1104 Health Information Specialist 0.87 41,621 41,621 1105 Health Information Specialist(Supervisor) 0.15 8,445 8,445 1106 Program Support Assistant 0.32 13,270 13,270 1107 Quality Improvement Director 0.29 29,557 29,557 1108 Senior Data Specialist 0.29 10,858 10,858 1109 - - 1110 1111 1112 1113 1114 1115 Direct Personnel Admin Salaries Subtotal 2.56 $ 185,913 $ 185,913 Acct# Program Position FTE Admin Program Total 1116 Peer Advocate 0.48 $ 15,110 $ 15,110 1117 Discharge Planner 0.06 3,257 3,257 1118 Social Services Coordinator 1.91 111,471 111,471 1119 Program Nurse(LVN/LPTN) 11.40 730,536 730,536 1120 Program Nurse(RN) 7.31 805,634 805,634 1121 Mental Health Worker 11.77 519,355 519,355 1122 1123 1124 1125 1126 1127 1128 1129 1130 1131 1132 1133 1134 Direct Personnel Program Salaries Subtotall 32.93 1 $ 2,185,363 1 $ 2,185,363 Admin Program Total Direct Personnel Salaries Subtotal 35.49 $ 185,913 $ 2,185,363 $ 2,371,276 Direct Employee Benefits Acct# Description Admin Program Total 1201 Retirement $ 23,713 $ - $ 23,713 1202 Worker's Compensation 94,851 94,851 1203 Health Insurance 170,732 170,732 1204 Admin Fee 23,713 23,713 1205 Other(specify) - - 1206 1 Other(specify) - Direct Employee Benefits Subtotal: $ 313,009 $ - $ 313,009 Direct Payroll Taxes&Expenses: Acct# Description Admin Program Total 1301 OASDI $ 147,019 $ $ 147,019 1302 FICA/MEDICARE 147,019 147,019 1303 SUI 80,623 80,623 1304 Other(specify) - - 1305 Other(specify) 1306 1 Other(specify) I - I I - Direct Payroll Taxes&Expenses Subtotal: $ 374,661 $ $ 374,661 DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total $ 873,583 $ 2,185,363 $ 3,058,946 DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin I Program 29% 71% 2000:DIRECT CLIENT SUPPORT Fresno County Depattment ofBehavioral Health Contract Budget Narrative Revised 2t7/2020 Revised Exhibit B-2-b Acct# Line Item Description Amount 2001 Child Care $ 2002 Client Housing Support 2003 Client Transportation&Support 1,981 2004 Clothing,Food,&Hygiene 52,491 2005 Education Support - 2006 1 Employment Support 2007 Household Items for Clients - 2008 Medication Supports 6,513 2009 Program Supplies-Medical 38,662 2010 Utility Vouchers - 2011 Laundry Service 16,502 2012 Other(specify) - 2013 Other(specify) 2014 Other(specify) 2015 Other(specify) 2016 Other(specify) - DIRECT CLIENT CARE TOTAL $ 116,149 3000:DIRECT OPERATING EXPENSES Acct# Line Item Description Amount 3001 Telecommunications $ 18,071 3002 Printing/Postage 738 3003 Office,Household&Program Supplies 44,662 3004 Advertising - 3005 Staff Development&Training 10,164 3006 1 Staff Mileage 2,165 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance - 3009 Legal Notices/Advertising 992 3010 Personnel/Contracted Parking/Parking 979,337 3011 Flex Funds 29,579 3012 Other(specify) - DIRECT OPERATING EXPENSES TOTAL: $ 1,085,708 4000:DIRECT FACILITIES&EQUIPMENT Acct# Line Item Description Amount 4001 Building Maintenance $ 14,713 4002 Rent/Lease Building - 4003 Rent/Lease Equipment 21,675 4004 Rent/Lease Vehicles - 4005 Security 574,497 4006 Utilities 16,733 4007 Janitorial 50,701 4008 Business Taxes/License Permits 4,293 4009 Other(specify) - 4010 Other(specify) - DIRECT FACILITIES/EQUIPMENT TOTAL: $ 682,612 5000:DIRECT SPECIAL EXPENSES Acct# Line Item Description Amount 5001 Consultant(Network&Data Management) $ - 5002 HMIS(Health Management Information System) 5003 Contractual/Consulting Services (Specify) - 5004 Translation Services 1,139 5005 Other(specify) - 5006 1 Other(specify) 5007 Other(specify) i - 5008 1 Other(specify) I - DIRECT SPECIAL EXPENSES TOTAL:j$ 1,139 6000:INDIRECT EXPENSES Acct# Line Item Description Amount Administrative Overhead 6001 Use this line and only this line for approved indirect cost rate $ - Administrative Overhead 6002 Professional Liability Insurance 11,612 6003 Accounting/Bookkeeping 290 6004 External Audit - 6005 Insurance(Specify): 6006 Payroll Services 6007 Depreciation(Provider-0wned Equipment to be UsedforProgrom Purposes) - 6008 Personnel(indirect salaries&Benefits) - 6009 Other(specify) 744,467 6010 Other(specify) 6011 Other(specify) Fresno County Department ofBehavioral Fleahb Contract Budget Narrative Revised 2/7/2020 Revised Exhibit B-2-b 6012 Other(specify) 6013 Other(specify) INDIRECT EXPENSES TOTAL $ 756,369 INDIRECT COST RATE 15.28% 7000:DIRECT FIXED ASSETS Acct# Line Item Description Amount 7001 Computer Equipment&Software $ 3,760 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data - 7003 Furniture&Fixtures 2,900 7004 Leasehold/Tenant/Building Improvements - 7005 Other Assets over$500 with Lifespan of 2 Years+ - 7006 lAssets over$5,000/unit(Specify) 7007 Other(specify) 7008 Other(specify) FIXED ASSETS EXPENSES TOTAL $ 6,660 TOTAL PROGRAM EXPENSES $ 5,707,583 PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) Acct# Line Item Description 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 lRehabilitation 0 8009 Other(Specify):Crisis Stabilization UC 43,562 119.74 5,216,114 8010 Other(Specify) 0 - - Estimated Specialty Mental Health Services Billing Totals: 143,5621 $ 5,216,114 Estimated%of Clients who are Medi-Cal Beneficiaries 80% Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 4,172,891 Federal Financial Participation(FFP)% 1 53% 2,215,805 MEDI-CAL FFP TOTAL $ 2,215,805 8100-SUBSTANCE USE DISORDER FUNDS Acct# Line Item Description Amount 8101 Drug Medi-Cal $ - 8102 ISABG $ - SUBSTANCE USE DISORDER FUNDS TOTAL $ 8200-REALIGNMENT Acct# Line Item Description Amount 8201 lRealignment $ 3,440,695 REALIGNMENT TOTAL $ 3,440,695 8300-MENTAL HEALTH SERVICE ACT(MHSA) Acct# MHSA Component MHSA Program Name Amount 8301 CSS-Community Services&Supports $ - 8302 PEI-Prevention&Early Intervention - 8303 INN-Innovations - 8304 WET-Workforce Education&Training - 8305 CFTN-Capital Facilities&Technology MHSA TOTAL $ 8400-OTHER REVENUE Acct# Line Item Description Amount 8401 Client Fees $ 8402 Client Insurance 8403 Grants(Specify) - 8404 Private Insurance Income 51,083 8405 Other(Specify) - OTHER REVENUE TOTALI$ 51,083 TOTAL PROGRAM FUNDING SOURCES: $ 5,707,583 NET PROGRAM COST: $ Fresno County Depamnent ofBehavioral Flealth Cont-act Budget Narnnive Revised 2/7/2020 Revised Exhibit B-2-b YOUTH CRISIS STABILIZATION CENTER(CSC) Exodus Recovery,Inc. Fiscal Year(FY)2021-22 PARTIAL FTE DETAIL For all positions with FTE's split among multiple programs/contracts the below must be filled out Position Contract#/Name/Department/County FTE% Program Director 16-221/Youth Crisis Stabilization Center/Fresno 29.00 16-221/Adult Crisis Stabilization Center/Fresno 71.00 Total 100.00 Position Contract#/Name/Department/County FTE% Assistant Program Director 16-221/Youth Crisis Stabilization Center/Fresno 29.00 16-221/Adult Crisis Stabilization Center/Fresno 71.00 Tota I 100.00 Position Contract#/Name/Department/County FTE% Admin Clerk 16-221/Youth Crisis Stabilization Center/Fresno 29.00 16-221/Adult Crisis Stabilization Center/Fresno 71.00 Total 100.00 Position Contract#/Name/Department/County FTE% Health Information Specialist 16-221/Youth Crisis Stabilization Center/Fresno 29.00 16-221/Adult Crisis Stabilization Center/Fresno 71.00 Tota I 100.00 Position Contract#/Name/Department/County FTE% Health Information Specialist(Supervisor) 16-221/Youth Crisis Stabilization Center/Fresno 29.00 16-221/Adult Crisis Stabilization Center/Fresno 71.00 Total 100.00 Position Contract#/Name/Department/County FTE% Program Support Assistant 16-221/Youth Crisis Stabilization Center/Fresno 29.00 16-221/Adult Crisis Stabilization Center/Fresno 71.00 Total 100.00 Position lContract#/Name/Department/County FTE% Quality Improvement Director 16-221/Youth Crisis Stabilization Center/Fresno 29.00 16-221/Adult Crisis Stabilization Center/Fresno 71.00 Fresno County Department ofBehavioral Health Contract Budget Narrative Revised 2/7/2020 Total 100.00 Position Contract#/Name/Department/County FTE% Senior Data Specialist 16-221/Youth Crisis Stabilization Center/Fresno 29.00 16-221/Adult Crisis Stabilization Center/Fresno 71.00 Tota I 100.00 Position Contract#/Name/Department/County FTE% Peer Advocate 16-221/Youth Crisis Stabilization Center/Fresno 29.00 16-221/Adult Crisis Stabilization Center/Fresno 71.00 Total 100.00 Position Contract#/Name/Department/County FTE% Discharge Planner 16-221/Youth Crisis Stabilization Center/Fresno 29.00 16-221/Adult Crisis Stabilization Center/Fresno 71.00 Tota I 100.00 Position Contract#/Name/Department/County FTE% Social Services Coordinator 16-221/Youth Crisis Stabilization Center/Fresno 29.00 16-221/Adult Crisis Stabilization Center/Fresno 71.00 Total 100.00 Position Contract#/Name/Department/County FTE% Program Nurse(LVN/LPTN) 16-221/Youth Crisis Stabilization Center/Fresno 29.00 16-221/Adult Crisis Stabilization Center/Fresno 71.00 Tota I 100.00 Position Contract#/Name/Department/County FTE% Program Nurse(RN) 16-221/Youth Crisis Stabilization Center/Fresno 29.00 16-221/Adult Crisis Stabilization Center/Fresno 71.00 Total 100.00 Position Contract#/Name/Department/County FTE% Mental Health Worker 16-221/Youth Crisis Stabilization Center/Fresno 29.00 16-221/Adult Crisis Stabilization Center/Fresno 71.00 Fresno County Department ofBehavioral Health Contract Budget Narrative Revised 2/7/2020 Total 100.00 Position Contract#/Name/Department/County FTE Total 0.00 Fresno County Department ofBehavioral Health Contract Budget Narrative Revised 2t7/2020 Revised Exhibit B-2-b YOUTH CRISIS STABILIZATION CENTER(CSC) Exodus Recovery,Inc. Fiscal Year(FY)2021-22 Budget Narrative PROGRAM EXPENSE ACCT#I LINE ITEM I AMT I DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000:DIRECT SALARIES&BENEFITS 3,058,946 Administrative Positions 185,913 1101 Program Director 43,497 Administrative Services 0.29 FTE 1102 Assistant Program Director 36,252 Administrative Services 0.29 FTE 1103 Admin Clerk 2,413 Administrative Services 0.06 FTE 1104 Health Information Specialist 41,621 Administrative Services 0.87 FTE 1105 Health Information Specialist(Supervisor) 8,445 Administrative Services 0.15 FTE 1106 Program Support Assistant 13,270 Administrative Services 0.32 FTE 1107 Quality Improvement Director 29,557 Administrative Services 0.29 FTE 1108 Senior Data Specialist 10,858 Administrative Services 0.29 FTE 1109 - 1110 1111 1112 1113 1114 1115 Program Positions 2,185,363 1116 Peer Advocate 15,110 Direct Services 0.48 FTE 1117 Discharge Planner 3,257 Direct Services 0.06 FTE 1118 Social Services Coordinator 111,471 Direct Services 1.91 FTE 1119 Program Nurse(LVN/LPTN) 730,536 Direct Services 11.40 FTE 1120 Program Nurse(RN) 805,634 Direct Services 7.11 FTE 1121 Mental Health Worker 519,355 Direct Services 11.77 FTE 1122 - 1123 1124 1125 1126 1127 1128 1129 1130 1131 1132 1133 1134 Direct Employee Benefits 313,009 1201 Retirement 23,713 1202 Worker's Compensation 94,851 1203 Health Insurance 170,732 1204 Admin Fee 23,713 1205 Other(specify) - 1206 Other(specify) - Direct Payroll Taxes&Expenses: 374,661 1301 OASDI 147,019 1302 FICA/MEDICARE 147,019 1303 SUI 80,623 1304 Other(specify) - 1305 Other(specify) 1306 Other(specify) - 2000:DIRECT CLIENT SUPPORT 116,149 2001 Child Care - 2002 Client Housing Support - 2003 Client Transportation&Support 1,981 Vehicle lease,Fuel and Maintenance for Clients 2004 Clothing,Food,&Hygiene 52,491 Food Service 2005 Education Support - 2006 Employment Support 2007 Household Items for Clients - 2008 Medication Supports 6,513 Client Medication 2009 Program Supplies-Medical 38,662 Program Medical Supplies 2010 Utility Vouchers - 2011 Laundry Service 16,502 Client Laundry Service 2012 Other(specify) - 2013 Other(specify) 2014 Other(specify) 2015 Other(specify) Fresno County Department ofBehavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit B-2-b PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 2016 Other(specify) - 3000:DIRECT OPERATING EXPENSES 1,085,708 3001 Telecommunications 18,071 Program Telephone and Internet 3002 Printing/Postage 738 Program Postage&Delivery Cost 3003 Office,Household&Program Supplies 44,662 Office Supply and Equipment Cost 3004 Advertising - 3005 Staff Development&Training 10,164 Staff Training Cost 3006 Staff Mileage 2,165 Staff Mileage&Vehicle Maintenance Cost 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance 3009 Legal Notices/Advertising 992 Legal Fees 3010 Personnel/Contracted Parking/Parking 979,337 Personnel related expenses including registry nurses as needed,parking and relocation 3011 Flex Funds 29,579 Client Flex Funds 3012 1 Other(specify) 4000:DIRECT FACILITIES&EQUIPMENT 682,612 4001 Building Maintenance 14,713 Building maintenance&repairs 4002 Rent/Lease Building - 4003 Rent/Lease Equipment 21,675 Leased computer cost 4004 Rent/Lease Vehicles 4005 Security 574,497 Security Personnel 4006 Utilities 16,733 Facility Utility 4007 Janitorial 50,701 Facility Janitorial 4008 Business Taxes/License Permits 4,293 Business License,Permits fees 4009 Other(specify) - 4010 1 Other(specify) 5000:DIRECT SPECIAL EXPENSES 1,139 5001 Consultant(Network&Data Management) - 5002 HMIS(Health Management Information System) 5003 Contractual/Consulting Services (Specify) - 5004 Translation Services 1,139 Client translation Services 5005 Other(specify) - 5006 Other(specify) 5007 Other(specify) 5008 1 Other(specify) 6000:INDIRECT EXPENSES 756,369 6001 Administrative Overhead - 6002 Professional Liability Insurance 11,612 6003 Accounting/Bookkeeping 290 External Accounting Services 6004 External Audit - 6005 Insurance(Specify): 6006 Payroll Services 6007 Depreciation(Provider-Owned Equipment to be Used 6008 Personnel(Indirect Salaries&Benefits) - 6009 Indirect Costs 744,467 Expense provides corporate management,fiscal services,payroll,human resources, accounts payable and other administrative functions. 6010 Other(specify) - 6011 Other(specify) 6012 Other(specify) 6013 1 Other(specify) 7000:DIRECT FIXED ASSETS 6,660 7001 Computer Equipment&Software 3,760 Staff Computer replacement 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA - 7003 Furniture&Fixtures 2,900 Staff&Client Furniture replacement 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 1 Other(specify) PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED BY THE RFP 8001 Mental Health Services 8002 Case Management Fresno County Depattnx:nt ofBehaviorel Health Contract BudgetMnative Revised 2/7/2020 Revised Exhibit B-2-b PROGRAM EXPENSE ACCT#j LINE ITEM I AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 8003 Crisis Services 8004 Medication Support 8005 Collateral 8006 Plan Development 8007 Assessment 8008 Rehabilitation 8009 Other(Specify):Crisis Stabilization UC 8010 1 Other(Specify) TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 5,707,583 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 5,707,583 BUDGET CHECK: - Fresno County Depatiment ofBehavioral Health Contract Budget Narrative Revised 2t7/2020