HomeMy WebLinkAboutAgreement A-23-362 Amendment II to Agreement with RH Community Builders.pdf Agreement No. 23-362
1 AMENDMENT II TO AGREEMENT
2 THIS AMENDMENT, hereinafter referred to as "Amendment II", is made and entered into this
3 18th day of July , 2023, by and between the COUNTY OF FRESNO, a Political
4 Subdivision of the State of California, hereinafter referred to as "COUNTY", and RH COMMUNITY
5 BUILDERS LP, a limited California partnership, whose address is 352 Bedford Ave., Suite 110,
6 Fresno, California, 93711, hereinafter referred to as "CONTRACTOR" (collectively the "parties").
7 WHEREAS the parties entered into that certain Agreement, identified as COUNTY Agreement
8 No. 20-492, effective October 20, 2020, and COUNTY Amendment No. 23-307, effective July 1,
9 2023, whereby CONTRACTOR agreed to provide short-term lodging driven by peer-support services
10 to individuals who have a severe mental illness (SMI), are currently homeless, or at risk of
11 homelessness, are eligible for services, and have not previously engaged in ongoing outpatient
12 behavioral health services, and;
13 WHEREAS a new budget is needed in order for CONTRACTOR to draw down more Mental
14 Health Services Act funds from the state to allow for a longer length of stay at the program, as well as
15 aid in staff retention, so that CONTRACTOR can continue to provide short-term lodging services,
16 and;
17 WHEREAS the parties now desire to amend the Agreement regarding changes as stated
18 below.
19 NOW, THEREFORE, in consideration of their mutual promises, covenants and conditions,
20 hereinafter set forth, the sufficiency of which is hereby acknowledged, the parties agree as follows:
21 1. That the existing COUNTY Agreement No. 20-492, page four (4), Section four (4), line
22 twenty-three (23) beginning with the word "In", and ending on page four (4), line twenty-six (26) with
23 the word "Agreement" be deleted and the following inserted in its place:
24 "The maximum amount payable to CONTRACTOR for the period of July 1, 2023
25 through June 30, 2024 shall not exceed One Million Seven Hundred Forty-Six Thousand Two Hundred
26 Ten and No/100 Dollars ($1,746,210.00). It is understood by CONTRACTOR and COUNTY that the
27 total Mental Health Services Act (MHSA) funds payable under this agreement to CONTRACTOR shall
28 not exceed One Million Five Hundred Thousand and No/100 Dollars ($1,500,000.00). It is also
1 - COUNTY OF FRESNO
Fresno, CA
I understood by CONTRACTOR and COUNTY that CONTRACTOR is estimated to generate a
2 cumulative total of Two Hundred Forty-Six Thousand Two Hundred Ten and No/100 Dollars
3 ($246,210.00) in Medi-Cal Federal Financial Participation (FFP)for services under this Agreement.
4 The maximum amount payable to CONTRACTOR for the period of July 1, 2024 through
5 June 30, 2025 shall not exceed One Million Seven Hundred Ninety-Five Thousand Three Hundred
6 Eighty-Eight and No/100 Dollars ($1,795,388.00). It is understood by CONTRACTOR and COUNTY
7 that the total Mental Health Services Act (MHSA) funds payable under this agreement to
8 CONTRACTOR shall not exceed One Million Five Hundred Thousand and No/100 Dollars
9 ($1,500,000.00). It is also understood by CONTRACTOR and COUNTY that CONTRACTOR is
10 estimated to generate a cumulative total of Two Hundred Ninety-Five Thousand Three Hundred
11 Eighty-Eight and No/100 Dollars ($295,388.00) in Medi-Cal Federal Financial Participation (FFP) for
12 services under this Agreement.
13 In no event shall the maximum contract amount for all services provided by
14 CONTRACTOR to COUNTY under the terms and conditions of this Agreement be in excess of Eight
15 Million Two Hundred Twenty Thousand Eight Hundred Fourteen and No/100 ($8,220,814.00)."
16 2. That all references in existing COUNTY Agreement No. 20-492 to "Exhibit B" shall be
17 deemed references to "Revised Exhibit B-1" attached and incorporated by reference.
18 3. The Agreement as previously amended and as amended by this Amendment II is
19 ratified and continued. Except as otherwise provided in this Amendment II, all other provisions of the
20 Agreement as previously amended remain unchanged and in full force and effect.
21 4. When both parties have signed this Amendment II, the Agreement, Amendment I and
22 this Amendment II together constitute the Agreement. This Amendment II shall become effective July
23 18, 2023.
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28
- 2 - COUNTY OF FRESNO
Fresno, CA
1 The parties are signing this Agreement on the date stated in the introductory clause.
2
RH C MUNI BUI DERS LP COUNTY OF FRESNO
3
4
5 Chairma of Board, r President Sal ui er , Ch irman of the Board of
Su rs County of Fresno
6 352 W Bedford Ave Suite 110
Fresno, CA 93711
7
8
9
Attest:
10 Bernice E. Seidel
Clerk of the Board of Supervisors
11 County of Fresno, State of California
12
By:
13 Deputy
14 For accounting use only:
15 Fund/Subclass: 0001/10000
Org No.: 5630
16 Account No.: 7295
17
18
19
20
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24
25
26
27
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- 3 - COUNTY OF FRESNO
Fresno, CA
The Lodge Revised Exhibit B-1
RH Community Builders
Fiscal Year(FY)2023-2024
PROGRAM EXPENSES
1000:SALARIES&BENEFITS
Employee Salaries
Acct# Position FTE Admin Direct Total
1101 Director 0.33 $ 36,380 - 36,380
1102 Program Manager 1.00 65,000 19,844 84,844
1103 Clinical Supervisor 1.00 72,000 28,000 100,000
1104 Peer Supervisor 1.00 41,340 13,780 55,120
1105 Office Manager 1.00 46,300 - 46,300
1106 Fiscal Analyst 0.25 14,560 - 14,560
1107 Peer Support Specalist 1 3.00 - 115,756 115,756
1108 Peer Support Specalist 11 4.00 - 163,160 163,160
1109 Clinician 2.00 - 145,600 145,600
1110 Case Manager 2.00 - 99,840 99,840
1111 Overnight Security Monitor 1.50 - 56,224 56,224
1112 Janitor/Driver 1.00 - 39,520 39,520
1113 - - -
1114 - - -
ills - - -
1116 - - -
1117 - - -
1118 - - -
1119 - - -
1120 - - -
Personnel Salaries Subtotal l 18.08 1 $ 275,580 1 $ 681,724 1 957,304
Employee Benefits
Acct# Description Admin Direct Total 111
1201 Retirement $ 2,226 $ 5,725 $ 7,95
1202 Worker's Compensation 16,001 41,147 57,148
1203 Health Insurance 13,440 34,560 48,000
1204 Other(Specify)
1205 Other(Specify)
1206 Other(Specify)
Employee Benefits Subtotal: $ 31,667 81,432 113,099
Payroll Taxes&Expenses:
Acct# Description Admin Direct Total
1301 OASDI $ 16,589 $ 41,966 $ 58,555
1302 FICA/MEDICARE 3,880 9,415 13,295
1303 SUI 8,830 22,336 31,1661
1304 Employee Training Tax 287 677 964
1305 Other(Specify) - - -
1306 Other(Specify) - - -
Payroll Taxes&Expenses Subtotal: $ 29,596 $ 74,394 103,980
EMPLOYEE SALARIES&BENEFITS TOTAL: $ 336,833 $ 837,5501 $ 1,174,3:33
Fresno County Department of Behavioral Health Contract Budget Template Revised 2f712020
2000:CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $ -
2002 Client Housing Support -
2003 Client Transportation&Support 4,000
2004 Clothing,Food,&Hygiene 66,747
2005 Education Support
2006 Employment Support -
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies-Medical 2,400
2010 Utility Vouchers
2011 Other(Specify) -
2012 Other(Specify) -
2013 Other(Specify) -
2014 Other(Specify) -
2015 Other(Specify) -
2016 Other(Specify) -
DIRECT CLIENT CARE TOTAL $ 73,147
3000:OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 6,000
3002 Printing/Postage 2,000
3003 Office, Household&Program Supplies 25,000
3004 Advertising 2,500
3005 Staff Development&Training 5,000
3006 Staff Mileage 4,860
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance 1,200
3009 Auto Insurance 8,400
3010 Required Inurance Coverages 24,000
3011 Other(Specify) -
3012 Other(Specify) -
OPERATING EXPENSES TOTAL: $ 78, 60
4000:FACILITIES&EQUIPMENT
Acct# Line Item Description Amount
4001 Building Maintenance $ 22,548
4002 Rent/Lease Building 156,000
4003 Rent/Lease Equipment 4,200
4004 Rent/Lease Vehicles 6,000
4005 Security 6,000
4006 Utilities 32,400
4007 Other(Specify) -
4008 Other(Specify) -
4009 Other(Specify) -
4010 Other(Specify) -
FACILITIES/EQUI PM ENT TOTAL: $ 227,148
5000:SPECIAL EXPENSES
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $ 9,000
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services CFO
5004 ITranslation Services 4,500
5005 Other(Specify) -
5006 Other(Specify)
5007 Other(Specify)
5008 Other(Specify) -
SPECIAL EXPENSES TOTAL: $ 13,50€f
6000:ADMINISTRATIVE EXPENSES
Acct# Line Item Description Amount
6001 Administrative Overhead $ 157,572
6002 Professional Liability Insurance
6003 Accounting/Bookkeeping
6004 External Audit
6005 Insurance(Specify):
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) I
ADMINISTRATIVE EXPENSES TOTAL $ 157,5721
7000:FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $ 5,000
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data 1,500
7003 Furniture&Fixtures 15,000
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) -
FIXED ASSETS EXPENSES TOTAL $ 21,500
TOTAL PROGRAM EXPENSES1 $ 1.,746,210
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Service Units Rate Amount
8001 LPHA 960 257.35 $ 247,056
8002 Mental Health Rehab Specalist 960 193.62 185,875
8003 Peer Recovery Specalist 1,100 203.30 223,630
8004 Medication Support 0 -
8005 Collateral 0 - -
8006 Plan Development 0 -
8007 Assessment 0 - -
8008 lRehabilitation Q - -
Estimated Specialty Mental Health Services Billing Totals: 3,02E $ 656,561.
Estimated%of Clients who are Medi-Cal Beneficiaries 50%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 328,281
Federal Financial Participation(FFP)% 1 75% 246,210
MEDI-CAL FFP TOTAL $ 246,210
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $
8102 SABG $
SUBSTANCE USE DISORDER FUNDS TOTAL $
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment $ (Q
REALIGNMENT TOTAL $ (0)
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 1,500,000
8304 1 WET-Workforce Education&Training -
8305 jCFTN-Capital Facilities&Technology
MHSA TOTAL $ 1,500,000
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $
8402 Client Insurance
8403 Grants(Specify) _
8404 Other(Specify) _
8405 10ther(Specify) _
OTHER REVENUE TOTAL $
TOTAL PROGRAM FUNDING SOURCES: $ 1,746,210
NET PROGRAM COST:
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B-1
The Lodge
RH Community Builders
Fiscal Year(FY)2023-24
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%
Director The Lodge/DBH/Fresno County 33.00
CalAIM/ECM/Anthem 33.00
CalAIM/CS/Anthem 34.00
Total 100.00
Position Contract#/Name/Department/County FTE%
Fiscal Analyst The Lodge/DBH/Fresno County 0.25
Landlord Engagement/DSS/Fresno 0.25
CalAIM/ECM/Anthem 0.25
CalAIM/CS/Anthem 0.25
Total 1.00
Position Contract#/Name/Department/County FTE%
Total 0.00
Position Contract#/Name/Department/County FTE%
Total 0.00
Position Contract#/Name/Department/County FTE%
Total 0.00
Position Contract#/Name/Department/County FTE%
Total 0.00
Position Contract#/Name/Department/County
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Total 0.00
Position Contract#/Name/Department/County FTE%
Total 0.00
Position Contract#/Name/Department/County FTE%
Total 0.00
Position Contract#/Name/Department/County FTE%
Total 0.00
Position Contract#/Name/Department/County FTE%
Total 0.00
Position Contract#/Name/Department/County FTE%
Total 0.00
Position Contract#/Name/Department/County FTE%
Total 0.00
Position lContract#/Name/Department/County FTE%
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 217/2020
Total 0.00
Position Contract#/Name/Department/County FTE%
Total 0.00
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 217/2020
The Lodge Revised Exhibit B-1
RH Community Builders
Fiscal Year(FY)2023-2024 Budget Narrative
PROGRAM EXPENSE
ACCT#1 LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:SALARIES&BENEFITS 1,174,383
Employee Salaries 957,304
1101 Director 36,380 .33 FTE,responsible for overall management of the operations,budget,and compliance
1102 Program Manager 84,844 1 FTE responsible for day to day management,staff management,compliance with
contract
4 1103 Clinical Supervisor _ 100,000 1 FTE responsible for clinical oversight of the program -
1104 Peer Supervisor - - - -55,120 1 FTE responsible for peer oversight of the program - - -1105 Office Manager _ 46,300 1 FTE responsible for all admin operations including billing, -- -
1106 Fiscal Analyst 14,560 .25 FTE responsible for program
----------------------------------------- --- --------------------------------- -
1107 i Peer Support Specalist I _ _ 115,756 3 FTE peer support entry level,providing day to day_engagement
1108 Peer Support Specalist 11 -_ - - _- 163,160 4 FTE peer support senior level,providing day to day engagement - _ - -
1109 Clininan _ 145,600 2 FTE unlicensed clinician providing clinical services
1110 Case Manager-- --99,840 12 FTE case managers providing linking and engagement
1111 Overnight Security Monitor 56,224 .5 FTE
providing overnight monitoring of the property
1112 Janitor/Driver 1 39,520 1 FTE providing transportation to clients and cleaning of the site
1113 0
1114 0
Ills 0
1116 0
1117 0
---
1118 0 - _ _---
--- -- - --
1119 0
Employee Benefits 113,099
1201 Retirement 7,951 JTM match to employee contribution
1202 Workers Compensation 57,148 1workers Compensation expense based on employee classification
1203 I Health insurance -1--E-48,000 1 Employer health care cost
1204 (Other(Specify)
— Other(Specify)
1206 Other(Specify) -
Payroll Taxes&Expenses: 103,980
1301 OASDI 58,555 IOASDI for employee salaries -- _
1302 FICA/MEDICARE 13,295'FICA/MEDICARE for employee salaries
1303 SUI 31,166 tSUI for employee salaries
13-04 Employee Training Tax - - - 964 (E T for employee salaries
--- ---- - -
1305 Other(Specify) ----- -
-------- -------------- -------------
I 1306 Other(Specify) - - -------- --- ---- --- -- -----
2000:CLIENT SUPPORT 73,147
2001 1 Child Care
2002 [Client Housing Support _
2003 Client Transportation&Support 4,000 Bus passes and gas for transporting clients
2004 Clothing Food,&Hygiene 66,747 1 Includes items including but not limited to clothing and hygiene
2005Education -
2006 tttEmployment Support
2007 Household Items for Clients --- - - _ --- ---- -
2008 Medication Supports
- -- - -- ----- -- --- ---...-----n----------------------h--------------------
2009 Program Supplies-Medical 2,400 Medical supplies for clietns including presciption costs,over the counter medications,and
2010 Utility Vouchers
- ---------- -
2011 Other(Specify)_ ---- - -- ---- ---- --------
2012 Other(Specify)- - �- - _ _-- ----- - - -- --- ---
20131Other(Specify) - -- --- - - - - ---
2014 Other(Specify) -
!_2015_ Other(Specify)
------- - ---------- ---- ----------- -- ----- ---- ----
2016 TOther S eci -
3000.OPERATING EXPENSES 78,960
3001_Telecommunications _ _ 6,000 Cost of celiphones,landiine,and in_ternet
3002 Printing/Postage_- - -- -� 2,000 Includes business cards and postage - - - -
3003 Office,Household&Program Supplies - _25,000_Includes office supplies,cleaning supplies program supplies,and staff PPE
3004 Advertising 2,5_00 Includes staff uniform costs
L 3005 Staff Development&Training -- -� 5,000 Includes Pro-ACT,Motivational interviewing,and other trauma informed training -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2I7/2020
PROGRAM EXPENSE
JACCT#j LINE ITEM AMT I DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
3006 Staff Mileage 4,860 Mileage reimbursment for staff travel
3007 Subscriptions--&Memberships
3008 Vehicle Maintenance 1,200 Ongoing maintenance including oil changes,tires,and damage repair
- ------------------------- -- --- ----------------------
-----------------------
3009 Auto Insurance 8,400 Auto insurance for program vehicle
3010 Required Inurance Coverages - 24,00t) All insurances required by Fresno County Contract specific to The Lodge - --
3011 Other(Specify)
3012 Other(5 eci -
4000:FACILITIES&EQUIPMENT 227,148
4001 Building Maintenance 22,548 1 Minor repairs and maintenance to facility
---------------------------------------------------------- -------- ---------------------------------------- -
4002 Rent/Lease Building 156,000 Monthly rentforThe Lodge --
4003 1Rent/Lea5e Equipment - 4,200 Rent of equipement for program use --
4004 I Rent/Lease Vehicles 6,000 Monthly lease expense - -- - -
4005 ItSecurity - - - 6,000 124/7se-curitypatrol ------- _ _ __-
4006 1Utilities 32,400 Includes PGE and garbage
-- -- - - ---- - ----- - ---- - -------- -- --- ---------- - --
4007 Other(Specify)
- ---------------------- ---------- ----------------------------------------
4008 Other(Specify)
4009 1Other(Specify)------- - - ----- ---
4010 Other(Specify
5000:SPECIAL EXPENSES 13,500
5001 Consultant(Network&Data Management) 9,000 IT consulting services
-5002 �- -- -- ----------- ----------
System) - - -- --- -- ---------------------
5002 HMIS(Health Management Information - �
----- - -- --------1-------------- -------- ------------ ----------- -- --
5003 �Co ctual/Consulting Services CFO --
5004 Translation Services 4,500 Translation services when bilin ual staff are not avaliable
5005 Other(Specify)
5006 Other(Specify)
5007 Other(Specify) ----- ---------------- ----- ----
5008 Other(Specify)
6000;ADMINISTRATIVE EXPENSES 157,572
6001 Administrative Overhead 157,572 10%De Minimis
6002 (Professional Liability Insurance -
6003 Accounting/Bookkeeping
-------J--------
6004 (External Audit
--- ---------6005 Insurance(Specify): -_---- ----------------- .-- ------_--------------------------
----- ----- ----------------- ._.-..-- - ------ --- ----------
j 6006 Payroll Services --------------------------------------------------------------------------------
60077 Depreciation(Provider-Owned Equipment to
be Used for Program Purposes)
I
------ ---- ----
6008 Other(Specify)
6009 Other(Specify)
6010 Other(Spe cify)
-- - --— ----- — ----- ---------------------------------------------------------------------------- -- - - - ---
6011 Other(Specify)
- ---
6012 Other(Specify)(Specify)____________
--------
7000:FIXED ASSETS 21,S00
7001 Computer Equipment&Software _ _5,000 Replacement expense of staff computers and camera system for security
700-2 Copiers Cell Phones,Tablets,Devices to-- 1,500 Replacement expense of HlPAA compliant devices including(Pads for research collection
Contain HIPAA Data _
7003 Furniture&Fixtures 15,000 Replacement expense desks,common area furniture,and bed replacemetns
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)
.- - ------- ---------- -- ------ --- --- ---------
7G08 Other Seci -
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL SERVICE MIT-
ACCT#1 LINE ITEM AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED BY THE RFP.
8001 LP HA
8002 Mental Health Rehab Specalist
8003 Peer Recovery Specalist - --- ------------- -------- --- - --
8004 Medication Support
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
PROGRAM EXPENSE
JACCT#1 LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
8005 Collateral
- -- -- - - - —--
8006 Plan Development
8007 ,Assessment -
- --— -- -- ---
� 8008 Rehabilitation
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 1,746,220
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 1,746,210
BUDGET CHECK: -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 21712020
The Lodge Revised Exhibit B-1
RH Community Builders
Fiscal Year(FY)2024-2025
PROGRAM EXPENSES
1000:SALARIES&BENEFITS
Employee Salaries
Acct# Position FTE Admin Direct Total
1101 Director 0.33 $ 37,471 - 37,471
1102 Program Manager 1.00 67,000 29,000 96,00
1103 Clinical Supervisor 1.00 75,000 30,000 105,000
1104 Peer Supervisor 1.00 42,580 13,822 56,402
1105 1 Office Manager 1.00 47,689 47,689
1106 Fiscal Analyst 0.25 14,997 - 14,997
1107 Peer Support Specalist 1 3.00 - 119,228 119,228
1108 Peer Support Specalist 11 4.00 - 168,054 168,054
1109 Clinician 2.00 - 149,968 149,968
1110 Case Manager 2.00 - 102,835 102,835
1111 Overnight Security Monitor 1.50 - 57,911 57,911
1112 Janitor/Driver 1.00 - 40,706 40,706
1113 - - -
1114 -
1115
1116 -
1117 -
1118 -
1119 -
1120 t- - --
Personnel Salaries Subtotal 18.08 $ 284,737 $ 711,524 $ 996,261
Employee Benefits
Acct# Description Admin Direct Total
1201 Retirement $ 2,293 $ 5,897 $ 8,190
1202 Worker's Compensation 16,481 42,381 58,862
1203 Health Insurance 13,843 35,596 49,439
1204 Other(Specify)
1205 Other(Specify)
1206 Other(Specify)
Employee Benefits Subtotal:1 $ 32,617 1 $ 83,874 1 116,491
'Payroll Taxes&Expenses:
Acct# Description Admin Direct Total
1301 OASDI $ 17,086 $ 43,202 $ 60,288
1302 FICA/MEDICARE 3,996 10,103 14,099
1303 SUI 9,094 22,995 32,089
1304 Employee Training Tax 276 1 967 1 1,243
1305 Other(Specify) -
1306 Other(Specify) -
Payroll Taxes&Expenses Subtotal: $ 30,452 $ 77,267 $ 107,719
EMPLOYEE SALARIES&BENEFITS TOTAL: $ 347,806 $ 872,665 $ 11,220,4711
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
2000:CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $ -
2002 Client Housing Support -
2003 Client Transportation&Support 4,000
2004 Clothing, Food,&Hygiene 68,750
2005 Education Support
2006 Employment Support -
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies-Medical 2,400
2010 Utility Vouchers
2011 Other(Specify) -
2012 Other(Specify)
2013 Other(Specify)
2014 Other(Specify) -
2015 Other(Specify) -
2016 Other(Specify)
DIRECT CLIENT CARE TOTAL $ 75,150
3000:OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 6,000
3002 Printing/Postage 2,000
3003 Office, Household&Program Supplies 26,500
3004 Advertising 2,500
3005 Staff Development&Training 5,000
3006 Staff Mileage 4,860
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance 1,200
3009 Vechile Insurance 8,400
3010 Required Inurance Coverages 26,000
3011 Other(Specify)
3 112 Other(Specify) I -
OPERATING EXPENSES TOTAL: $ 82,460
4000:FACILITIES&EQUIPMENT
Acct# Line Item Description Amount
4001 Building Maintenance $ 24,136
4002 Rent/Lease Building 156,000
4003 Rent/Lease Equipment 4,200
4004 Rent/Lease Vehicles 6,000
4005 Security 6,000
4006 Utilities 32,400
4007 Other(Specify) -
4008 Other(Specify) _
4009 Other(Specify) -
4010 Other(Specify) -
FACILITIES/EQUIPMENT TOTAL: $ 228,736
5000:SPECIAL EXPENSES
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $ 10,500
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services CFO
5004 Translation Services 4,500
5005 Other(Specify) -
5006 Other(Specify) -
5007 Other(Specify)
5008 10ther(Specify)
SPECIAL EXPENSES TOTAL:1 $ 15,000
6000:ADMINISTRATIVE EXPENSES
Acct# Line Item Description Amount
6001 Administrative Overhead $ 161,071
6002 Professional Liability Insurance -
6003 Accounting/Bookkeeping
6004 External Audit
6005 Insurance(Specify): _
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to be Usedfor Program Purposes) -
6008 Other(Specify) -
6009 Other(Specify) -
6010 Other(Specify)
6011 Other(Specify)
6012 Other(Specify)
ADMINISTRATIVE EXPENSES TOTAL $ 161,071.
7000:FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $ 5,000
7002 Copiers,Cell Phones,Tablets, Devices to Contain HIPAA Data 1,500
7003 Furniture&Fixtures 6,000
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)
FIXED ASSETS EXPENSES TOTAL $ 12,500
TOTAL PROGRAM EXPENSES 1,795, 88
Fresno County Department of Behavioral Health Contract Budget Template Revised 217/2020
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Service Units Rate Amount
8001 LPHA 1,005 257.35 $ 258,637
8002 Mental Health Rehab Specialist 1,000 193.62 193,620
8003 Peer Recovery Specalist 1,650 203.30 335,445
8004 0 - -
8005 0 -
8006 0 -
8007 0 -
8008 1 1 0 - -
Estimated Specialty Mental Health Services Billing Totals: 1 3,655 $ 787,702
Estimated%of Clients who are Medi-Cal Beneficiaries 509,
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 393,851
Federal Financial Participation(FFP)% 1 75% 295,388
MEDI-CAL FFP TOTAL $ 295,ES
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $ -
8102 SABG $ -
SUBSTANCE USE DISORDER FUNDS TOTAL $ -
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment $ (0)
REALIGNMENT TOTAL $ (p)
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 1,500,000
8304 WET-Workforce Education&Training -
8305 JCFTN-Capital Facilities&Technolo -
MHSA TOTAL 1,500,000
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $
8402 Client Insurance -
8403 Grants(Specify)
8404 1 Other(Specify) -
8405 1 Other(Specify) -
OTHER REVENUE TOTA $
TOTAL PROGRAM FUNDING SOURCES: $ 1.,795,388
NET PROGRAM COST: $
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B-1
The Lodge
RH Community Builders
Fiscal Year(FY)2024-25
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%
Director The Lodge/DBH/Fresno County 33.00
CalAIM/ECM/Anthem 33.00
CalAIM/CS/Anthem 34.00
Total 100.00
Position Contract#/Name/Department/County FTE%
Fiscal Analyst The Lodge/DBH/Fresno County 0.25
Landlord Engagement/DSS/Fresno 0.25
CaIAIM/ECM/Anthem 0.25
CalAIM/CS/Anthem 0.25
Total 1.00
Position Contract#/Name/Department/County FTE%
Total 0.00
Position Contract#/Name/Department/County FTE%
Total 0.00
Position Contract#/Name/Department/County FTE%
Total 0.00
Position Contract#/Name/Department/County FTE%
Total 0.00
Position lContract#/Name/Department/County FTE%
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Total 0.00
Position Contract#/Name/Department/County FTE%
Tota I 0.00
Position Contract#/Name/Department/County FTE%
Total 0.00
Position Contract#/Name/Department/County FTE%
Total 0.00
Position Contract#/Name/Department/County FTE%
Total 0.00
Position Contract#/Name/Department/County FTE%
Total 0.00
Position Contract#/Name/Department/County FTE%
Total 0.00
Position lContract#/Name/Department/County FTE%
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 20/2020
Total 0.00
Position Contract#/Name/Department/County FTE%
Total 0.00
Fresno County Department of Behavioral Health Contract Budget Narrative Revised WON
The Lodge Revised Exhibit B-1
RH Community Builders
Fiscal Year(FY)2024-2025 Budget Narrative
PROGRAM EXPENSE
ACCT#1 LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:SALARIES&BENEFITS 1,220,471
Employee Salaries 996,261
1101 Director 37,471 .33 FTE,responsible for overall management of the operations,budget,and compliance
1102 Program Manager 96,000 1 FTE responsible for day today management,staff management,compliance with
contract
Clinical Supervisor 105,000 1 FTEresponsible for clinical oversight of the program
[110311- ----------- ---- - ---- -- ------ 1 FTE responsible fo---- ---e r---------------- -
1104 Peer Supervisor 56,402 1 FTE responsible for peer oversight of the program -
1105 Office Manager C 47,689 1 FTE responsible for all admin operations including billing, -
1106 fiscal Analyst _ _ 14,997 .25 FTE responsible for program_ _
f1107 Peer Support Specalist 1 119,228 3 FTE peer support entry level,providing day to day engagement -- -
1108 Peer Support Specal�st II 168,054 4 FTE peer support senior level,providing day to day engagement-
1109 Clinioan 149,968 2 FTE unlicensed clinician providing clinical services
- - - -- . -- --- - -- -- - ---
1110 Case Manager 102,835 12 FTE case managers providing linking and engagement
- - --- - - - -- - -- ---- --- --
1111 Overnight Security Monitor 57,911 1.5 FTE providing overnight monitoring of the property
------------------------- --- - - -------- ----- ------- -- -------- ------------ ---------- - ---- -- -----
1112 Janitor/Driver 40,706 1 FTE providing transportation to clients and cleaning of the site
1113 0
1114 0
-----------------
Ills 0
1116 0
111 0 -
1118 0
1119 0
Employee Benefits 116,491
1201 .Retirement _ 8,190 13%match to employee contribution
1202 I Worker's Compensation 58,862 Workers Compensation expense based on employee classification
1203 (Health Insurance 49,439 Employer health care cost
------
1204 Other(Specify) -- -
- -
1205 _Other(Specify)
1206 Other(Specify)
Payroll Taxes&Expenses: 107,719
1301 OASDI 60,288 OASDI for employee salaries -- - -
1302 FICA/MEDICARE 14,099 FICA/MEDICARE for employee salaries
1303 SUI 32,089 SUI for employee salaries
1304 Employee Training Tax 1,243 ETT for employee salaries -
1305 !Other(Specify)
-1306 Other IS eci -------------- ----
2000:CLIENT SUPPORT 75,150
2001 Child Care
2002 Client Housing Support
2003 Client Transportation&Support 4,000 Bus passes and gas for transporting clients
2004 Clothing,Food,&Hygiene 68,750 Includes client food,basic client items including but not limited to clothing and hygiene
products
2005 Education Support -- --
2006 Employment Support---------.--,--
2007 'Household Items for Clients -
2008 Medication Supports
2009 Program Supplies-Medical 2,400 Medical supplies for clients including presciption costs,over the counter medications,
(and PPE
2010 Utility Vou ehe rs -- -------------------------------- ------------ --------------------------------------------------
- ----------
2011 Other(Specify) -
2012 Other(Specify)
2013 Other(Specify)
2014 Other(Specify)
2015 Other(Specify)
-- - -- -- -- -- --.
201--6 Other S eci
3000:OPERATING EXPENSES 82,460
3001 Telecommunications 6,000 Cost of celiphones,landline,and internet ------
-
3002 Printing/Postage 2,000 Includes business cards and postage
3003 Office,Household&Program Supplies - 26,500 i Includes office supplies,cleaning supplies program supplies and staff PPE
I 3004 iAdvertising - I 2,500 Includes staff uniform costs
3005 IStaff Development&Training -_-)- 5,000 Includes Pro-ACT,Motivational Interviewing,and other trauma informed training-
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2012020
PROGRAM EXPENSE
ACCT# LINE ITEM AMT I DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
3006 ,Staff Mileage _ 4,860 Mileage reimbursment for staff travel -
3007
P _ P
3008 Vehicle Maintenance 1,200 Ongoing maintenance includingoil changes,tires, age rep and damage air
- ---e-------- -----g -- -----
3009 l g � S'
Vechile Insurance 8,400 Auto insurance for program vehicle
3010 Required Inurance Coverages 26,000 All insurances required by Fresno County Contract specific to The Lodge-
-- - - ---- - - - -
-- -------- --
3011 Other Seci —
3012 10ther(Specifv) - - - _ - -_- j
4000:FACILITIES&EQUIPMENT 228,736
4001 Building Maintenance _ __- --— - 24,136 Minor repairs and maintenance to facility
4002 Rent/Lease Building 156,000 Monthly rentforThe Lodge
4003 Rent/Lease Equipment 4,200 of equipement for program use
4004 Rent/Lease Vehicles 6,000 Monthly lease expense___________
4005 Security 6,000 24/7 security patrol
4006 Utilities _ 32,400 Includes PGE and garbage _
4007 Other(Specify) -_— -
4008 Other(Specify)-
4009 Other(Specify)
4010 Other(Specify)
5000:SPECIAL EXPENSES 1S,000
5001 Consultant(Network&Data Management) 10,500 IT consulting services
- - -- - ---- - - --- f- -
5002 HMIS(Health Management Information
System) _
5003 Contractual/Consulting Services -
5004 Translation Services 4,500 Translation services when bilingual staff are not avaliable
-------------------------------------------------------------
5005 Other(Specify) -- ---
5006 Other(Specify) -
5007 Other(Specify)
5008 Other(Specify) —
60W:ADMINISTRATIVE EXPENSES 161,071
6001 Administrative Overhead 161,071 10%De Minimis - -
6002 Professional Liability Insurance
6003 Accounting/Bookkeeping
6004 External Audit
- -----------------------------------
600- Insurance(Specify)_ -
------- ------- - - -------------------- ------------ -- --- - -- --- - -----------------------
6006 Payroll Services-- - - __ -
6007 1 Depreciation(Provider-Owned Equipment to
-- ----- ----
!be Used for Program Purposes) --- - -- - -._ __ __ _- - --- --- -----
6008 1 Other(Specify) _
_ - -- -
6009 Other(Specify)_ ( p fy)
6010 f Other(Specify) - --- - --- -- --- -- - -------- --- ---
_
6011 TOther(Specify) _
---- ---- — -------- - --- ----t
f --------
6012 Other S eci -
70W:FIXED ASSETS 12,500
7001 Computer_Equipment&Software 5,000_Replacement expense of staff computers and camera system for security _
7002 Copiers,Cell Phones,Tablets,Devices to 1,500 Replacement expense of HIPAA compliant devices including iPads for research collection
Contain HIPAA Data
7003 Furniture&Fixtures 6,000 Replacement expense desks,common area furniture,and bed repiacemetns
-- -- ----- -- -- -- - -- ------- -------
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)
PROGRAM FUNDING SOURCES
8000-SNORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL SERVICE"WIT
ACCT# LINE ITEM AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED BY THE RFP.
8001 LPHA
8002 Mental Health Rehab Specialist
8003 Peer Recovery Specalist
8004 0 -----------
- -- --- -- ---. ------- -- -
8005 0
8006 0
8007 .0
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 21712020
PROGRAM EXPENSE
Accr#j LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
8008 10
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 1,795,388
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 1,795,388
BUDGETCHECK: -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020