The URL can be used to link to this page

Home My WebLink AboutAgreement A-24-573 Amendment No. 1 to Agreement 22-306 with Exodus.pdf Agreement No. 24-573 1 AMENDMENT NO. 1 TO SERVICE AGREEMENT 2 This Amendment No. 1 to Service Agreement No. 22-306 ("Amendment No. 1") is dated 3 November 5, 2024 and is between Exodus Recovery, Inc., a for-profit Corporation ("Contractor"), 4 and the County of Fresno, a political subdivision of the State of California ("County"). 5 Recitals 6 A. On July 12, 2022, the County and the Contractor entered into County Agreement No. 22- 7 306 ("Agreement"), for Contractor to operate a sixteen (16) bed acute inpatient Psychiatric 8 Health Facility (PHF) to provide psychiatric services to adults, age 18 and older, who may be 9 admitted on a voluntary or involuntary basis and may include Medi-Cal beneficiaries, Medicare 10 and Medicare/Medi-Cal beneficiaries, and indigent/ uninsured individuals, and jail inmates 11 (referred by the current subcontractor of Behavioral Health services within the County Jail); 12 B. Contractor previously provided services under the Agreement at 4411 Kings Canyon 13 Road, Fresno, CA 93702. County now leases the building with an address of 3127 N. Millbrook 14 Avenue, Fresno, CA 93703 (collectively, the "Building"), and desires to relocate its Adult PHF to 15 the Building. 16 C. The County and the Contractor now desire to amend the Agreement to modify the 17 location where services are provided, modify the budget for additional resource availability, and 18 make revisions to insurance requirements. 19 The parties therefore agree as follows: 20 1. That all references to the location of"4411 E. Kings Canyon Road, Fresno, CA 93702" in 21 Agreement shall be deemed references to "3127 N. Millbrook Avenue, Fresno, CA 93703". 22 2. Contractor may continue to provide services at the current site, 4411 E. Cesar Chavez 23 Blvd, Fresno CA 93702 if there are any delays in relocation including but not limited to 24 construction, licensure, and permits. Changes to the date in which relocation funds be spent, as 25 specified in Section 4 of the Agreement, may be made with the written approval of County's 26 DBH Director, or designee for unpreventable delays as determined by the County's DBH 27 Director. 28 1 1 3. All references in the Agreement to "Exhibit U, shall be deemed references to "Revised 2 Exhibit U. Revised Exhibit C is attached and incorporated by this reference. 3 4. A portion of section 4 of the Agreement located at page 5, lines 2 through 26 is deleted 4 and replaced with the following: 5 "In no event shall compensation paid for actual services performed at the Adult PHF 6 under this Agreement during the period of July 1, 2024 through June 30, 2025 be in excess of 7 Six Million, Five Hundred and Nine Thousand, One Hundred Twenty Five and No/100 Dollars 8 ($6,509,125.00). 9 If this Agreement is extended for the first optional 12-month extension period, in 10 no event shall compensation paid for actual services performed at the Adult PHF under this 11 Agreement during the period of July 1, 2025 through June 30, 2026 be in excess of Six Million, 12 Five Hundred Eighty Five Thousand, One Hundred Eight and No/100 Dollars ($6,585,108.00). 13 If this Agreement is extended for the second optional 12-month extension period, 14 in no event shall compensation paid for actual services performed at the Adult PHF under this 15 Agreement during the period of July 1, 2026 through June 30, 2027 be in excess of Six Million, 16 Seven Hundred Fifty-Four Thousand, Eight Hundred Sixty Five and No/100 Dollars ($6,754, 17 865.00). 18 In addition, in no event shall compensation paid for relocation costs during the period 19 effective upon execution through March 31, 2025, exceed Sixty-Two Thousand Five Hundred 20 and No/100 Dollars ($62,500.00). 21 B. Adult PHF Total Maximum Compensation 22 In no event shall the total maximum compensation amount under this Agreement 23 for the initial term (FY 2022-23, FY 2023-24, FY 2024-25), plus relocation costs, combined for 24 the services provided at the Adult PHF exceed Nineteen Million, Eighty-Five Thousand, Six 25 Hundred Ninety Five and No/100 Dollars ($19,085,695.00). 26 In no event shall the total maximum compensation amount under this Agreement 27 for the initial term (FY 2022-23, FY 2023-24, FY 2024-25), plus one (1) 12-month extension 28 period (FY 2025-26), plus relocation costs, combined for services provided at the Adult PHF 2 1 exceed Twenty-Five Million, Six Hundred Seventy Thousand, Eight Hundred Three and No/100 2 Dollars ($25,670,803.00). 3 In no event shall the total maximum compensation amount under this Agreement 4 for the initial term (FY 2022-23, FY 2023-24, FY 2024-25), plus two (2) 12-month extension 5 periods (FY 2025-26 & FY 2026-27), plus relocation costs, combined for services provided at 6 the Adult PHF exceed Thirty-Two Million, Four Hundred Twenty Five Thousand, Six Hundred 7 Sixty Eight and No/100 Dollars ($32,425,668.00). 8 5. Section 10 of the Agreement located at page thirteen, line 4 through page 16, line 3 is 9 deleted in its entirety and replaced with the following: 10 "The Contractor shall comply with all insurance requirements in Exhibit P 11 "Insurance Requirements" to this Agreement. Exhibit P is attached and 12 incorporated by this reference." 13 6. When both parties have signed this Amendment No. 1, the Agreement, and this 14 Amendment No. 1 together constitute the Agreement. 15 7. The Contractor represents and warrants to the County that: 16 a. The Contractor is duly authorized and empowered to sign and perform its obligations 17 under this Amendment. 18 b. The individual signing this Amendment on behalf of the Contractor is duly authorized 19 to do so and his or her signature on this Amendment legally binds the Contractor to 20 the terms of this Amendment. 21 8. The parties agree that this Amendment may be executed by electronic signature as 22 provided in this section. 23 a. An "electronic signature" means any symbol or process intended by an individual 24 signing this Amendment to represent their signature, including but not limited to (1) a 25 digital signature; (2) a faxed version of an original handwritten signature; or (3) an 26 electronically scanned and transmitted (for example by PDF document) version of an 27 original handwritten signature. 28 3 1 b. Each electronic signature affixed or attached to this Amendment (1) is deemed 2 equivalent to a valid original handwritten signature of the person signing this 3 Amendment for all purposes, including but not limited to evidentiary proof in any 4 administrative or judicial proceeding, and (2) has the same force and effect as the 5 valid original handwritten signature of that person. 6 c. The provisions of this section satisfy the requirements of Civil Code section 1633.5, 7 subdivision (b), in the Uniform Electronic Transaction Act (Civil Code, Division 3, Part 8 2, Title 2.5, beginning with section 1633.1). 9 d. Each party using a digital signature represents that it has undertaken and satisfied 10 the requirements of Government Code section 16.5, subdivision (a), paragraphs (1) 11 through (5), and agrees that each other party may rely upon that representation. 12 e. This Amendment is not conditioned upon the parties conducting the transactions 13 under it by electronic means and either party may sign this Amendment with an 14 original handwritten signature. 15 9. This Amendment may be signed in counterparts, each of which is an original, and all of 16 which together constitute this Amendment. 17 10. The Agreement as amended by this Amendment No. 1 is ratified and continued. All 18 provisions of the Agreement and not amended by this Amendment No. 1 remain in full force and 19 effect. 20 [SIGNATURE PAGE FOLLOWS] 21 22 23 24 25 26 27 28 4 1 The parties are signing this Amendment No. 1 on the date stated in the introductory 2 clause. 3 Exodus Recovery, Inc. County of Fresno 4 6 'l ana Murp y Nathan Magsig, Chairman of the Board of resident/CE _0 Supervisors of the County of Fresno 7 Chairman of Board, or esident Or any Vice President Attest: 8 Bernice E. Seidel Clerk of the Board of Supervisors 9 County of Fresno, State of California 10 LeeA n Skorohod Secretary of Corporation, or By: ;14' 11 any Assistant Secretary, or Deputy Chief Financial Officer, or 12 Any Assistant Treasurer 13 14 Mailing Address: 9808 Venice Blvd. Suite 700 15 Culver City, CA 90232 Phone.: (310)945-3350 16 Contact: Luana Murphy, President/CEO 17 For accounting use only: 18 Org No.: 56302494 Account No.: 7295 19 Fund No.: 0001 Subclass No.: 10000 20 21 22 23 24 25 26 27 28 5 Revised Exhibit C ADULT PSYCHIATRIC HEALTH FACILITY(PHF) Exodus Recovery, Inc. Fiscal Year(FY)2024-25 PROGRAM EXPENSES 1000:DIRECT SALARIES&BENEFITS Direct Employee Salaries Acct# Administrative Position FTE Admin Program Total 1101 Program Director 1.00 $ 149,928 $ 149,928 1102 Health Information Specialist 1.00 47,895 47,895 1103 Health Information Manager 0.50 43,384 43,384 1104 Program Support Assistant 1.00 48,925 48,925 1105 Peer Advocate 1.50 65,520 65,520 1106 Clinical Services Director 1.00 109,273 109,273 1107 Driver 0.50 22,495 22,495 1108 QI Assoc II 1.00 74,504 74,504 1109 Unit Secretary 1.00 44,990 44,990 1110 - - 1111 1112 1113 1114 1115 - Direct Personnel Admin Salaries Subtotal 8.50 $ 606,914 $ 606,914 Acct# Program Position FTE Admin Program Total 1116 Recreational Therapist 1.00 $ 81,597 $ 81,597 1117 Social Services Coordinator 2.80 242,667 242,667 1118 Prorgram Nurse(LVN/LPTN) 8.40 761,780 761,780 1119 Prorgram Nurse(RN) 4.20 505,941 505,941 1120 Mental Health Worker 14.70 753,282 753,282 1121 - 1122 - 1123 - 1124 - 1125 - 1126 - 1127 - 1128 - 1129 - 1130 - 1131 - 1132 - 1133 - 1134 - Direct Personnel Program Salaries Subtotal 31.10 $ 2,345,267 $ 2,345,267 Admin Program Total Direct Personnel Salaries Subtotall 39.60 1 $ 606,914 1 $ 2,345,267 1 $ 2,952,181 Direct Employee Benefits Acct# Description Admin Program Total 1201 Retirement $ 28,415 $ - $ 28,415 1202 Worker's Compensation 113,662 - 113,662 1203 Health Insurance 204,591 - 204,591 1204 Admin Fee 28,415 - 28,415 1205 1 Other(specify) - - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C 1206 10ther(specify) - - Direct Employee Benefits Subtotal: $ 375,083 $ - $ 375,083 Direct Payroll Taxes&Expenses: Acct# Description Admin Program Total 1301 OASDI $ 176,176 $ - $ 176,176 1302 FICA/MEDICARE 176,176 - 176,176 1303 SUI 96,613 - 96,613 1304 Other(specify) - 1305 10ther(specify) - - 1306 Other(specify) Direct Payroll Taxes&Expenses Subtotal: $ 448,965 $ - $ 448,965 DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total $ 1,430,962 $ 2,345,267 $ 3,776,229 DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program 38% 62% 2000: DIRECT CLIENT SUPPORT Acct# Line Item Description Amount 2001 Child Care $ - 2002 Client Housing Support - 2003 Client Transportation&Support - 2004 Clothing, Food,&Hygiene - 2005 Education Support - 2006 Employment Support - 2007 Household Items for Clients - 2008 Medication Supports - 2009 Program Supplies-Medical 17,819 2010 Utility Vouchers - 2011 Program Supplies-Therapeutic 20,882 2012 Other(specify) - 2013 Other(specify) - 2014 Other(specify) - 2015 Other(specify) - 2016 Other(specify) - DIRECT CLIENT CARE TOTAL $ 38,701 3000: DIRECT OPERATING EXPENSES Acct# Line Item Description Amount 3001 Telecommunications $ 18,186 3002 Printing/Postage 550 3003 Office, Household&Program Supplies 61,882 3004 Advertising - 3005 Staff Development&Training 5,312 3006 Staff Mileage 250 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance 3,298 3009 Staff Orientation/Recruitment 6,417 3010 Other(specify) - 3011 Other(specify) - 3012 Other(specify) - DIRECT OPERATING EXPENSES TOTAL: $ 95,895 4000: DIRECT FACILITIES&EQUIPMENT Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C Acct# Line Item Description Amount 4001 Building Maintenance $ 16,046 4002 Rent/Lease Building - 4003 Rent/Lease Equipment 789 4004 Rent/Lease Vehicles 4,800 4005 Security 267,249 4006 Utilities 31,276 4007 Janitorial 110,124 4008 Business Taxes/Lic Permits 4,600 4009 Other(specify) - 4010 10ther(specify) - DIRECT FACILITIES/EQUIPMENT TOTAL:j $ 434,884 5000: DIRECT SPECIAL EXPENSES Acct# Line Item Description Amount 5001 Consultant(Network&Data Management) $ 16,326 5002 HMIS(Health Management Information System) - 5003 Other-Contracted Services 772,418 5004 X-Ray and EKG Services 30,000 5005 Medication Supports 39,788 5006 Food Service 382,606 5007 Laundry Service 35,340 5008 Medical Waste Disposal 12,139 DIRECT SPECIAL EXPENSES TOTAL:j 1,288,617 6000: INDIRECT EXPENSES Acct# Line Item Description Amount Administrative Overhead 6001 Administrative Overhead Administrative Overhead 6002 Professional Liability Insurance - 6003 Accounting/Bookkeeping 1,000 6004 External Audit - 6005 Insurance(Specify): 6,300 6006 Payroll Services - 6007 Depreciation(Provider-OwnedEquipment to be Usedfor Program Purposes) 6008 Personnel(Indirect Salaries&Benefits) - 6009 Indirect 849,016 6010 Other(specify): 6011 Other(specify) - 6012 Other(specify) - 6013 1 Other(specify) - INDIRECT EXPENSES TOTAL $ 856,316 INDIRECT COST RATE 15.15% 7000: DIRECT FIXED ASSETS Acct# Line Item Description Amount 7001 Computers&Software $ 8,483 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data - 7003 Furniture&Fixtures 10,000 7004 Leasehold/Tenant/Building Improvements - 7005 Other Assets over$500 with Lifespan of 2 Years+ d- Fresno 7006 Assets over$5,000/unit(Specify)7007 Other(specify)County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C 7008 Other(specify) - FIXED ASSETS EXPENSES TOTAL $ 18,483 TOTAL PROGRAM EXPENSES $ 6,509,125 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): PHF Bed Day 5,658 790.90 4,474,912 8010 10ther(Specify) 0 - Estimated Specialty Mental Health Services Billing Totals: 1 5,6581 $ 4,474,912 Estimated%of Clients who are Medi-Cal Beneficiaries 82% Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 3,669,428 Federal Financial Participation(FFP)% 53% 1,948,466 MEDI-CAL FFP TOTAL $ 1,948,466 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 Realignment $ 4,560,658 REALIGNMENT TOTAL $ 4,560,658 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 JCFTN-Capital Facilities&Technology MHSA TOTAL $ - 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: $ 6,509,125 NET PROGRAM COST: $ - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C ADULT PSYCHIATRIC HEALTH FACILITY(PHF) Exodus Recovery,Inc. Fiscal Year(FY)2024-25 Budget Narrative PROGRAM EXPENSE ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000:DIRECT SALARIES&BENEFITS 3,776,229 Administrative Positions 606,914 1101 Program Director 149,928 Administrative Services 1.00 FTE-The Program Director shall oversee all clinical and administrative activities for the Exodus Recovery,Inc.(Exodus)contracted programs and other contracted/certified services.They work in conjunction with the Exodus Executive Staff member responsible for each program,including assessments,case management and multi-disciplinary functions. 1102 Health Information Specialist 47,895 Administrative Services 1.00 FTE-i.Provides data and billing support to contracted/certified services and/or programs.Responsible for all billing related tasks including collection of billing data and data entry into the EMR.Collects and ensures medical records are assembled in standard order and are accurate and complete. Ensures files are stored in the designated area according to storage procedures. Maintains administrative data and the integrity of the medical records.Performs other clerical tasks as needed,such as answering phones,faxing,and corresponding with outside vendors. 1103 Health Information Manager 43,384 Administrative Services 0.50 FTE-Oversees the data entry and appropriate billing for the PHF.Oversees and concurrent reviews for KEPRO and monitors records to ensure compliance for DHCS. 1104 Program Support Assistant 48,925 Administrative Services 1.00 FTE;increase in annual salary to is due to SB 525- Provides administrative support to facilitate orderly operations at the respective programs. 1105 Peer Advocate 65,520 Administrative Services 1.5 FTE;increase in annual salary is due to SB 525-i.The Peer Advocate functions as part of the treatment team and is generally the first program site contact for clients. They are actively involved in providing direct or indirect care and supervision of the clients under the discretion of the Program Director. 1106 Clinical Services Director 109,273 Administrative Services 1.00 FTE-DHCS Clinical Services Director is needed to oversee the clinical services in the program.We cannot have a dual role as held previously. 1107 Driver 22,495 Administrative Services 0.50 FTE Due to SB 1152,we included a driver to provide transportation to discharge locations.Previously our MHWs were used as drivers but due to the acuity of the unit it is not always possible to take someone away from the floor to do a transport.This position will support the new mandate and provide coverage for the position. 1108 QI Assoc II 74,504 Administrative Services 1.00 FTE-In previous years a QI Associate I position was shared between the CSC and PHF.The QI Associate I position was a lay person without clinical knowledge.We are increasing education requirements and placing a full position due to the continuous needs for record review due to the implementation of Kepro and their 3-day concurrent review process. 1109 Unit Secretary 44,990 Administrative Services 1.00 FTE-Due to the new layout of the facility,there is a need for a unit secretary in the visiting area during business hours.The PHF entrance is a visible entrance and will require constant staffing to ensure they guide community members to the appropriate building. 1110 0 1111 0 1112 0 1113 0 1114 0 1115 0 Program Positions 2,345,267 1116 Recreational Therapist 81,597 Direct Services 1.00 FTE;experienced high vacancy and increased salary,requesting licensed staff if possible-Provides activities to restore,establish and maintain optimum levels of social,vocational and physical functioning and to minimize residual disabilities of patients.Coordinates all activities with the multidisciplinary staff and works toward the goals to meet all the objectives of each patient's interdisciplinary treatment plan. 1117 Social Services Coordinator 242,667 Direct Services 2.80 FTE-Position vacant as of 08'24.Prorated at 10 months for FY 24- 25;experienced high vacancy,salary reflects market adjustment to be aligned with community standard;requesting licensed staff if possible- Exodus Recovery,Inc. (Exodus)shall employ individuals to provide therapeutic interventions,psychosocial assessments,initiate contacts with a variety of community resources;and implement linkages and discharge planning for clients in the Exodus Recovery Urgent PHF. Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f7/2020 Revised Exhibit C PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1118 Prorgram Nurse(LVN/LPTN) 761,780 Direct Services 8.40 FTE;includes coverage when staff is out,corrected the FTE to reflect 2 staff(4.2 FTE=1 staff 24/7)$40/HR X 17,472 for salaries+$40/H R X 1,572.5 for sick and PTO-i.The Nurse is a treatment team member who is responsible for providing care to meet the physical and psychological needs of clients through providing direct and indirect services in a manner consistent with Rehabilitation and Recovery principles. Performs comprehensive screening and assessment(if within scope of practice)services to clients as well as providing education,crisis intervention, and medication services in collaboration with Exodus providers.The Nurse also performs activities that may be carried out only by professional nursing personnel. 1119 Prorgram Nurse(RN) 505,941 Direct Services 4.20 FTE-i.The Nurse is a treatment team member who is responsible for providing care to meet the physical and psychological needs of clients through providing direct and indirect services in a manner consistent with Rehabilitation and Recovery principles. Performs comprehensive screening and assessment(if within scope of practice)services to clients as well as providing education,crisis intervention, and medication services in collaboration with Exodus providers.The Nurse also performs activities that may be carried out only by professional nursing personnel. (RN Only)-supervision and delegation of duties to licensed and unlicensed personnel. 1120 Mental Health Worker 753,282 Direct Servies 14.70 FTE;increase in annual salary due to SB 525-The Mental Health Worker(MHW)is an integral part of the treatment team. The MHW is actively involved in providing direct or indirect care and supervision of the clients. The MHW is responsible for the transportation of clients,through driving them in the vehice to designated locations. 1121 0 1122 0 1123 0 1124 0 1125 0 1126 0 1127 0 1128 0 1129 0 1130 0 1131 0 1132 0 1133 0 1134 10 Direct Employee Benefits 433,185 1201 Retirement 28,415 1202 Worker's Compensation 83,077 1203 Health Insurance 302,636 1204 Admin Fee 47,472 1205 Other(specify) - 1206 Other(specify) - Direct Payroll Taxes&Expenses: 160,219 1301 OASDI 176,176 L32FICA/MEDICARE 154,285 SUI 5,934 Other(specify) - Other(specify) Other(specify) - 2000:DIRECT CLIENT SUPPORT 38,701 2001 Child Care - 2002 Client Housing Support 2003 Client Transportation&Support 2004 Clothing,Food,&Hygiene 2005 Education Support 2006 Employment Support 2007 Household Items for Clients 2008 Medication Supports - 2009 Program Supplies-Medical 17,819 Medical and Covid Supplies;adjusting for CPI and based on YTD spending 2010 Utility Vouchers - 2011 Program Supplies-Therapeutic 20,882 Games,TV services and activity supplies for Clients;adjusting for CPI;increasing budget line to allow for purchases to comply with DHCS requirements 2012 Other(specify) - 2013 Other(specify) 2014 Other(specify) 2015 Other(specify) 2016 Other(specify) Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f7/2020 Revised Exhibit C PROGRAM EXPENSE ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 3000:DIRECT OPERATING EXPENSES 95,895 3001 Telecommunications 18,186 Phone and Internet usage for the program.-Due to delay in moving of CSC,the PHF will be bearing the full cost at this location. Budget reflects 2 months split and 10 months full as circuit being installed any day now. Amount adjusted to PY actuals plus CPI.We have used 3%although the average over the past several years has been closer to 3.39%. Also,only includes voice and data circuits plus the ongoing license/support fees for the additional telephones 3002 Printing/Postage 550 Program related Postage&Delivery cost 3003 Office,Household&Program Supplies 61,882 Office,Household&Program Supplies including but not limited to:paper,pens,folders, personal hygiene supplies,laundry supplies,medical records storage,shredding,toner 3004 Advertising - 3005 Staff Development&Training 5,312 On-going staff Training,including external training resources to meet state education requirements,plus Mental Health Conferences,Management meetings,and accreditation manuals 3006 Staff Mileage 250 Mileage,Parking and Travel Expense 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance 3,298 Fuel($3,034),Oil Changes($120),Tire Rotation($144)total cost split with CSC Youth (50%) 3009 Staff Orientation/Recruitment 6,417 Staff Recruitment&Orientation plus LiveSan and Background checks 3010 Other(specify) - 3011 Other(specify) 3012 Other(specify) 4000:DIRECT FACILITIES&EQUIPMENT 434,884 4001 Building Maintenance 16,046 Building maintenance&repairs plus employee security badges 4002 Rent/Lease Building - 4003 Rent/Lease Equipment 789 Misc Equip Costs including Cisco license fees 4004 Rent/Lease Vehicles 4,800 Client Transport Vehicle total costs split with CSC Youth(50%) 4005 Security 267,249 Security Personnel:6 months at current rate(avg 12 hrs/day or 2.1 FTE)and 6 months 1 security 24/7 or 4.2 FTEs due to distance to CSU 4006 Utilities 31,276 Cost of six months average utility costs at current site;based on prior year actuals 4007 Janitorial 110,124 Facility Janitorial Services,increase due to SB 525 impacts;contracted out 4008 Business Taxes/Lic Permits 4,600 Annual local permits and business taxes and state licensing fee(DHCS)and special assessments(OSHPD) 4009 Other(specify) - 4010 Other(specify) 5000:DIRECT SPECIAL EXPENSES 1,288,617 5001 Consultant(Network&Data Management) 16,326 Network&Data Management cost for IT firm support,network monitoring and offsite back-up for program IT system 5002 HMIS(Health Management Information System) - 5003 Other-Contracted Services 772,418 Locum and Psychiatrist/NPs to meet licensing requirements,and nursing registry to ensure licensing staffing ratios 5004 X-Ray and EKG Services 30,000 Contracted mobile diagnostic and imaging services to save on external transports 5005 Medication Supports 39,788 Client Medication 5006 Food Service 382,606 Client Food Service,increase covers SB525 salary adjustment plus CPI increase 5007 Laundry Service 35,340 Contracted Client Laundry Service for the rental and laundering of the blankets,sheets, pillowcases,and absorbent pads 5008 Medical Waste Disposal 12,139 Biohazard Cleaning Restoration and Disposal Services 6000:INDIRECT EXPENSES 856,316 6001 Administrative Overhead - 6002 Professional Liability Insurance - 6003 Accounting/Bookkeeping 1,000 Consulting Accounting Service 6004 External Audit - 6005 Insurance(Specify): 6,300 Professional Liability&Vehicle Service 6006 Payroll Services - 6007 Depreciation(Provider-Owned Equipment to be Used 6008 Personnel(Indirect Salaries&Benefits) - 6009 Indirect 849,016 Indirect Expense 15%of costs 6010 Other(specify): - 6011 Other(specify) 6012 Other(specify) 6013 1 Other(specify) 7000:DIRECT FIXED ASSETS 18,483 7001 Computers&Software 8,483 Staff computer replacement 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA - 7003 Furniture&Fixtures 10,000 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) Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f7/2020 Revised Exhibit C PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 7008 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 8003 Crisis Services 8004 Medication Support 8005 Collateral 8006 Plan Development 8007 Assessment 8008 Rehabilitation 8009 Other(Specify):PHF Bed Day 8010 1 Other(Specify) TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 6,509,125 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 6,509,125 BUDGET CHECK: - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit C ADULT PSYCHIATRIC HEALTH FACILITY (PHF) Exodus Recovery, Inc. 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 22-304/Exodus Recovery/CSC/Fresno County Health Information Manager/Supervisor 50.00 Health Information Manager/Supervisor 22-306/Exodus Recovery/PHF/Fresno County 50.00 Total 100.00 Position Contract#/Name/Department/County FTE Driver/Mental Health Worker 22-304/Exodus Recovery/CSC/Fresno County 50.00 Driver/Mental Health Worker 22-306/Exodus Recovery/CSC/Fresno County 50.00 Total 100.00 Position Contract#/Name/Department/County FTE Total 0.00 Position lContract#/Name/Department/County FTE Revised Exhibit C 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 Revised Exhibit C 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 Revised Exhibit C 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 Revised Exhibit C ADULT PSYCHIATRIC HEALTH FACILITY(PHF) Exodus Recovery,Inc. Fiscal Year(FY)2025-26 PROGRAM EXPENSES 1000:DIRECT SALARIES&BENEFITS Direct Employee Salaries Acct# Administrative Position FTE Admin I Program I Total 1101 Program Director 1.00 $ 154,426 $ 154,426 1102 Health Information Specialist 1.00 49,332 49,332 1103 Health Information Manager 0.50 44,685 44,685 1104 Program Support Assistant 1.00 50,393 50,393 1105 Peer Advocate 1.50 78,000 78,000 1106 Clinical Services Director 1.00 112,551 112,551 1107 Driver 0.50 23,170 23,170 1108 QI Assoc II 1.00 76,739 76,739 1109 Unit Secretary 1.00 46,340 46,340 1110 - - 1111 1112 1113 1114 1115 - - Direct Personnel Admin Salaries Subtotal 8.50 $ 635,636 $ 635,636 Acct# Program Position FTE Admin Program Total 1116 Recreational Therapist 1.00 $ 84,044 $ 84,044 1117 Social Services Coordinator 2.80 291,200 291,200 1118 Prorgram Nurse(LVN/LPTN) 8.40 784,633 784,633 1119 Prorgram Nurse(RN) 4.20 521,119 521,119 1120 Mental Health Worker 14.70 775,881 775,881 1121 1122 - 1123 1124 1125 1126 1127 1128 1129 1130 1131 1132 1133 1134 - Direct Personnel Program Salaries Subtotal 31.10 $ 2,456,877 $ 2,456,877 Admin Program Total Direct Personnel Salaries Subtotal 39.60 $ 635,636 $ 2,456,877 $ 3,092,513 Direct Employee Benefits Acct# Description Admin Program Total 1201 Retirement $ 28,415 $ - $ 28,415 1202 Worker's Compensation 113,662 113,662 1203 Health Insurance 204,591 204,591 1204 Admin Fee 28,415 28,415 1205 Other(specify) - - 1206 Other(specify) Revised Exhibit C Direct Employee Benefits Subtotal: $ 375,083 $ $ 375,083 Direct Payroll Taxes&Expenses: Acct# Description Admin Program Total 1301 OASDI $ 176,176 $ $ 176,176 1302 FICA/MEDICARE 176,176 176,176 1303 SUI 96,613 96,613 1304 Other(specify) - 1305 Other(specify) 1306 Other(specify) Direct Payroll Taxes&Expenses Subtotal: $ 448,965 $ $ 448,965 DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total $ 824,048 $ 2,456,877 $ 3,916,561 DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program 21% 63% 2000:DIRECT CLIENT SUPPORT Acct# Line Item Description Amount 2001 Child Care $ 2002 Client Housing Support 2003 Client Transportation&Support 2004 Clothing, Food,&Hygiene 2005 Education Support 2006 Employment Support 2007 Household Items for Clients 2008 Medication Supports - 2009 Program Supplies-Medical 18,354 2010 Utility Vouchers - 2011 Program Supplies-Therapeutic 21,508 2012 Other(specify) - 2013 Other(specify) 2014 Other(specify) 2015 Other(specify) 2016 Other(specify) DIRECT CLIENT CARE TOTAL $ 39,862 3000:DIRECT OPERATING EXPENSES Acct# Line Item Description Amount 3001 Telecommunications $ 9,339 3002 Printing/Postage 569 3003 Office,Household&Program Supplies 64,048 3004 Advertising - 3005 Staff Development&Training 5,498 3006 Staff Mileage 259 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance 3,413 3009 Staff Orientation/Recruitment 6,642 3010 Other(specify) - 3011 Other(specify) 3012 Other(specify) - DIRECT OPERATING EXPENSES TOTAL: $ 89,768 4000:DIRECT FACILITIES&EQUIPMENT Acct# I Line Item Description Amount 4001 1 Building Maintenance 1 $ 16,608 Revised Exhibit C 4002 Rent/Lease Building 4003 Rent/Lease Equipment 817 4004 Rent/Lease Vehicles 4,968 4005 Security 178,913 4006 Utilities 4007 Janitorial 113,978 4008 Business Taxes/Lic Permits 4,761 4009 Other(specify) - 4010 Other(specify) DIRECT FACILITIES/EQUIPMENTTOTAL: $ 320,045 5000:DIRECT SPECIAL EXPENSES Acct# Line Item Description Amount 5001 Consultant(Network&Data Management) $ 16,897 5002 HMIS(Health Management Information System) - 5003 Other-Contracted Services 799,453 5004 X-Ray and EKG Services 31,050 5005 Medication Supports 41,181 5006 Food Service 395,997 5007 Laundry Service 36,577 5008 Medical Waste Disposal 12,564 DIRECT SPECIAL EXPENSES TOTAL: $ 1,333,719 6000:INDIRECT EXPENSES Acct# Line Item Description Amount Administrative Overhead 6001 Administrative Overhead Administrative Overhead 6002 Professional Liability Insurance - 6003 Accounting/Bookkeeping 1,000 6004 External Audit - 6005 Insurance(Specify): 6,489 6006 Payroll Services - 6007 Depreciation(Provider-Owned Equipment to be UsedforProgram Purposes) - 6008 Personnel(Indirect Salaries&Benefits) - 6009 Indirect 858,927 6010 Other(specify) - 6011 Other(specify) 6012 Other(specify) 6013 1 Other(specify) - INDIRECT EXPENSES TOTAL $ 866,416 INDIRECT COST RATE 15.15% 7000:DIRECT FIXED ASSETS Acct# Line Item Description Amount 7001 Computers&Software $ 8,737 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data 7003 Furniture&Fixtures 10,000 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 $ 18,737 TOTAL PROGRAM EXPENSES 1 $ 6,585,108 Revised Exhibit C 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):PHF Bed Day 5,658 790.90 4,474,912 8010 Other(Specify) 0 - - Estimated Specialty Mental Health Services Billing Totals: 15,6581 $ 4,474,912 Estimated%of Clients who are Medi-Cal Beneficiaries 82% Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 3,669,428 Federal Financial Participation(FFP)% 1 53% 1,948,466 MEDI-CAL FFP TOTAL $ 1,948,466 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 $ 4,636,642 REALIGNMENT TOTAL $ 4,636,642 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 Other(Specify) 8405 Other(Specify) OTHER REVENUE TOTAL $ TOTAL PROGRAM FUNDING SOURCES: $ 6,585,108 NET PROGRAM COST: $ - Revised Exhibit C ADULT PSYCHIATRIC HEALTH FACILITY(PHF) Exodus Recovery,Inc. Fiscal Year(FY)2025-26 Budget Narrative PROGRAM EXPENSE ACCT# LINE ITEM AMT I DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000:DIRECT SALARIES&BENEFITS 3,916,561 Administrative Positions 635,636 1101 Program Director 154,426 Administrative Services 1.00 FTE-The Program Director shall oversee all clinical and administrative activities for the Exodus Recovery,Inc.(Exodus)contracted programs and other contracted/certified services.They work in conjunction with the Exodus Executive Staff member responsible for each program,including assessments,case management and multi-disciplinary functions. 1102 Health Information Specialist 49,332 Administrative Services 1.00 FTE-i.Provides data and billing support to contracted/certified services and/or programs.Responsible for all billing related tasks including collection of billing data and data entry into the EMR.Collects and ensures medical records are assembled in standard order and are accurate and complete. Ensures files are stored in the designated area according to storage procedures. Maintains administrative data and the integrity of the medical records.Performs other clerical tasks as needed,such as answering phones,faxing,and corresponding with outside vendors. 1103 Health Information Manager 44,685 Administrative Services 0.50 FTE-Oversees the data entry and appropriate billing for the PHF.Oversees and concurrent reviews for KEPRO and monitors records to ensure compliance for DHCS. 1104 Program Support Assistant 50,393 Administrative Services 1.00 FTE;increase in annual salary to is due to SB 525-Provides administrative support to facilitate orderly operations at the respective programs. 1105 Peer Advocate 78,000 Administrative Services 1.5 FTE;increase in annual salary is due to SB 525-i.The Peer Advocate functions as part of the treatment team and is generally the first program site contact for clients.They are actively involved in providing direct or indirect care and supervision of the clients under the discretion of the Program Director. 1106 Clinical Services Director 112,551 Administrative Services 1.00 FTE-DHCS Clinical Services Director is needed to oversee the clinical services in the program.We cannot have a dual role as held previously. 1107 Driver 23,170 Administrative Services 0.50 FTE Due to SB 1152,we included a driver to provide transportation to discharge locations.Previously our MHWs were used as drivers but due to the acuity of the unit it is not always possible to take someone away from the floor to do a transport.This position will support the new mandate and provide coverage for the position. 1108 QI Assoc II 76,739 Administrative Services 1.00 FTE-In previous years a QI Associate I position was shared between the CSC and PHF.The QI Associate I position was a lay person without clinical knowledge.We are increasing education requirements and placing a full position due to the continuous needs for record review due to the implementation of Kepro and their 3 day concurrent review process. 1109 Unit Secretary 46,340 Administrative Services 1.00 FTE-Due to the new layout of the facility,there is a need for a unit secretary in the visiting area during business hours.The PHF entrance is a visible entrance and will require constant staffing to ensure they guide community members to the appropriate building. 1110 0 1111 0 1112 0 1113 0 1114 0 1115 0 Program Positions 2,456,877 1116 Recreational Therapist 84,044 Direct Services 1.00 FTE;experienced high vacancy and increased salary,requesting licensed staff if possible-Provides activities to restore,establish and maintain optimum levels of social,vocational and physical functioning and to minimize residual disabilities of patients.Coordinates all activities with the multidisciplinary staff and works toward the goals to meet all the objectives of each patient's interdisciplinary treatment plan. 1117 Social Services Coordinator 291,200 Direct Services 2.80 FTE-Position vacant as of 08'24.Prorated at 10 months for FY 24- 25;experienced high vacancy and increased salary to be more competitive;requesting licensed staff if possible-Exodus Recovery,Inc.(Exodus)shall employ individuals to provide therapeutic interventions,psychosocial assessments,initiate contacts with a variety of community resources;and implement linkages and discharge planning for clients in the Exodus Recovery Urgent PHF. 1118 Prorgram Nurse(LVN/LPTN) 784,633 Direct Services 8.40 FTE;includes coverage when staff is out,corrected the FTE to reflect 2 staff(4.2 FTE=1 staff 24/7)$40/HR X 17,472 for salaries+$40/HR X 1572.5 for sick and PTO-I.The Nurse is a treatment team member who is responsible for providing care to meet the physical and psychological needs of clients through providing direct and indirect services in a manner consistent with Rehabilitation and Recovery principles. Performs comprehensive screening and assessment(if within scope of practice)services to clients as well as providing education,crisis intervention, and medication services in collaboration with Exodus providers.The Nurse also performs activities that may be carried out only by professional nursing personnel. Revised Exhibit C 1119 Prorgram Nurse(RN) 521,119 Direct Services 4.20 FTE-i.The Nurse is a treatment team member who is responsible for providing care to meet the physical and psychological needs of clients through providing direct and indirect services in a manner consistent with Rehabilitation and Recovery principles. Performs comprehensive screening and assessment(if within scope of practice)services to clients as well as providing education,crisis intervention, and medication services in collaboration with Exodus providers.The Nurse also performs activities that may be carried out only by professional nursing personnel. (RN Only)-supervision and delegation of duties to licensed and unlicensed personnel. 1120 Mental Health Worker 775,881 Direct Servies 14.70 FTE;increase in annual salary due to SB 525-The Mental Health Worker(MHW)is an integral part ofthe treatment team.The MHW is actively involved in providing direct or indirect care and supervision of the clients.The MHW is responsible for the transportation of clients,through driving them in the vehice to designated locations. 1121 0 1122 0 1123 0 1124 0 1125 0 1126 0 1127 0 1128 0 1129 0 1130 0 1131 0 1132 0 1133 0 1134 0 Direct Employee Benefits 375,083 1201 Retirement 28,415 1202 Worker's Compensation 113,662 1203 Health Insurance 204,591 1204 Admin Fee 28,415 1205 Other(specify) - 1206 Other(specify) - Direct Payroll Taxes&Expenses: 448,965 1301 OASDI 176,176 1302 FICA/MEDICARE 176,176 1303 SUI 96,613 1304 Other(specify) - 1305 Other(specify) 1306 Other(specify) 2000:DIRECT CLIENT SUPPORT 39,862 2001 Child Care - 2002 Client Housing Support 2003 Client Transportation&Support - 2004 Clothing,Food,&Hygiene 2005 Education Support - 2006 Employment Support - 2007 Household Items for Clients - 2008 Medication Supports - 2009 Program Supplies-Medical 18,354 Medical and Covid Supplies;adjusting for CPI and based on YTD spending 2010 Utility Vouchers - 2011 Program Supplies-Therapeutic 21,508 Games,TV services and activity supplies for Clients;adjusting for CPI;increasing budget line to allow for purchases to comply with DHCS requirements 2012 Other(specify) - 2013 Other(specify) - 2014 Other(specify) 2015 Other(specify) - 2016 Other(specify) 3000:DIRECT OPERATING EXPENSES 89,768 3001 Telecommunications 9,339 Phone and Internet usage for the program 3002 Printing/Postage 569 Program related Postage&Delivery cost 3003 Office,Household&Program Supplies 64,048 Office,Household&Program Supplies including but not limited to:paper,pens,folders, personal hygiene supplies,laundry supplies,medical records storage,shredding,toner 3004 Advertising - 3005 Staff Development&Training 5,498 On-going staff Training,including external training resources to meet state education requirements,plus Mental Health Conferences,Management meetings,and accreditation manuals 3006 Staff Mileage 259 Mileage,Parking and Travel Expense 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance 3,413 Fuel($3,140),Oil Changes($125),Tire Rotation($148)total cost split with CSC Youth (50%) 3009 Staff Orientation/Recruitment 6,642 Staff Recruitment&Orientation plus LiveSan and Background checks 3010 Other(specify) - 3011 Other(specify) Revised Exhibit C 3012 Other(specify) - 4000:DIRECT FACILITIES&EQUIPMENT 320,045 4001 Building Maintenance 16,608 Building maintenance&repairs plus employee security badges 4002 Rent/Lease Building - 4003 Rent/Lease Equipment 817 Misc Equip Costs including Cisco license fees 4004 Rent/Lease Vehicles 4,968 Client Transport Vehicle total costs split with CSC Youth 4005 Security 178,913 Security Personnel:average 12 hours daily or 2.1 FTEs(this assumes the CSU opens in its new permanent home by 7/1/25) 4006 Utilities - 4007 Janitorial 113,978 Facility Janitorial Services,increase due to SB 525 impacts;contracted out 4008 Business Taxes/Lic Permits 4,761 Annual local permits and business taxes and state licensing fee(DHCS)and special assessments(OSHPD) 4009 Other(specify) - 4010 Other(s ecif) 5000:DIRECT SPECIAL EXPENSES 1,333,719 5001 Consultant(Network&Data Management) 16,897 Network&Data Management cost for IT firm support,network monitoring and offsite back-up for program IT system 5002 HMIS(Health Management Information System) - 5003 Other-Contracted Services 799,453 Locum and Psych iatrist/N Ps to meet licensing requirements,and nursing registry to ensure licensing staffing ratios 5004 X-Ray and EKG Services 31,050 Contracted mobile diagnostic and imaging services to save on external transports 5005 Medication Supports 41,181 Client Medication 5006 Food Service 395,997 Client Food Service,increase covers SB525 salary adjustment plus CPI increase 5007 Laundry Service 36,577 Contracted Client Laundry Service for the rental and laundering of the blankets,sheets, pillow cases,and absorbent pads 5008 Medical Waste Disposal 12,564 Biohazard Cleaning Restoration and Disposal Services 6000:INDIRECT EXPENSES 866,416 6001 Administrative Overhead - 6002 Professional Liability Insurance 6003 Accounting/Bookkeeping 1,000 Consulting Accounting Service 6004 External Audit - 6005 Insurance(Specify): 6,489 Professional Liability&Vehicle Service 6006 Payroll Services - 6007 Depreciation(Provider-Owned Equipment to be Used - 6008 Personnel(Indirect Salaries&Benefits) - 6009 Indirect 858,927 Indirect Expense 6010 Other(specify): - 6011 Other(specify) 6012 Other(specify) - 6013 Other(specify) - 7000:DIRECT FIXED ASSETS 18,737 7001 Computers&Software 8,737 Staff computer replacement 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA - 7003 Furniture&Fixtures 10,000 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 Other(specify) PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL ACCT ff LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED BY THE RFP 8001 Mental Health Services 8002 Case Management 8003 Crisis Services 8004 Medication Support 8005 Collateral 8006 Plan Development 8007 Assessment 8008 Rehabilitation 8009 Other(Specify):PHF Bed Day 8010 Other(Specify) TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 6,585,108 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 6,585,108 BUDGETCHECK: - Revised Exhibit C ADULT PSYCHIATRIC HEALTH FACILITY(PHF) Exodus Recovery, Inc. Fiscal Year(FY)2025-26 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 Health Information Manager/Supervisor 22-304/Exodus Recovery/CSC/Fresno County 50.00 Health Information Manager/Supervisor 22-306/Exodus Recovery/PHF/Fresno County 50.00 Total 100.00 Position (Contract#/Name/Department/County I FTE Driver/Mental Health Worker 22-304/Exodus Recovery/CSC/Fresno County 50.00 Driver/Mental Health Worker 22-306/Exodus Recovery/CSC/Fresno County 50.00 Total 100.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Revised Exhibit C 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 Revised Exhibit C 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 Revised Exhibit C Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Revised Exhibit C ADULT PSYCHIATRIC HEALTH FACILITY(PHF) Exodus Recovery,Inc. Fiscal Year(FY)2026-27 PROGRAM EXPENSES 1000:DIRECT SALARIES&BENEFITS Direct Employee Salaries Acct# Administrative Position FTE Admin I Program I Total 1101 Program Director 1.00 $ 159,058 $ 159,058 1102 Health Information Specialist 1.00 50,812 50,812 1103 Health Information Manager 0.50 46,026 46,026 1104 Program Support Assistant 1.00 51,905 51,905 1105 Peer Advocate 1.50 80,340 80,340 1106 Clinical ServicesDi rector 1.00 115,924 115,924 1107 Driver 0.50 23,865 23,865 1108 QI Assoc II 1.00 79,041 79,041 1109 Unit Secretary 1.00 47,730 47,730 1110 - - 1111 1112 1113 1114 1115 - - Direct Personnel Admin Salaries Subtotal 8.50 $ 654,701 $ 654,701 Acct# Program Position FTE Admin Program Total 1116 Recreational Therapist 1.00 $ 86,566 $ 86,566 1117 Social Services Coordinator 2.80 299,936 299,936 1118 Prorgram Nurse(LVN/LPTN) 8.40 808,169 808,169 1119 Prorgram Nurse(RN) 4.20 536,753 536,753 1120 Mental Health Worker 14.70 799,157 799,157 1121 1122 - 1123 1124 1125 1126 1127 1128 1129 1130 1131 1132 1133 1134 - Direct Personnel Program Salaries Subtotal 31.10 $ 2,530,581 $ 2,530,581 Admin Program Total Direct Personnel Salaries Subtotal 39.60 $ 654,701 $ 2,530,581 $ 3,185,282 Direct Employee Benefits Acct# Description Admin Program Total 1201 Retirement $ 28,415 $ $ 28,415 1202 Worker's Compensation 113,662 113,662 1203 Health Insurance 204,591 204,591 1204 Admin Fee 28,415 28,415 1205 Other(specify) - - 1206 Other(specify) Revised Exhibit C Direct Employee Benefits Subtotal: $ 375,083 $ $ 375,083 Direct Payroll Taxes&Expenses: Acct# Description Admin Program Total 1301 OASDI $ 176,176 $ $ 176,176 1302 FICA/MEDICARE 176,176 176,176 1303 SUI 96,613 96,613 1304 Other(specify) - 1305 Other(specify) 1306 Other(specify) Direct Payroll Taxes&Expenses Subtotal: $ 448,965 $ $ 448,965 DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total $ 824,048 $ 2,530,581 $ 4,009,330 DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program 21% 63% 2000:DIRECT CLIENT SUPPORT Acct# Line Item Description Amount 2001 Child Care $ 2002 Client Housing Support 2003 Client Transportation&Support 2004 Clothing, Food,&Hygiene 2005 Education Support 2006 Employment Support 2007 Household Items for Clients 2008 Medication Supports - 2009 Program Supplies-Medical 18,905 2010 Utility Vouchers - 2011 Program Supplies-Therapeutic 22,153 2012 Other(specify) - 2013 Other(specify) 2014 Other(specify) 2015 Other(specify) 2016 Other(specify) DIRECT CLIENT CARE TOTAL $ 41,058 3000:DIRECT OPERATING EXPENSES Acct# Line Item Description Amount 3001 Telecommunications $ 9,619 3002 Printing/Postage 569 3003 Office,Household&Program Supplies 66,290 3004 Advertising - 3005 Staff Development&Training 5,663 3006 Staff Mileage 267 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance 3,532 3009 Staff Orientation/Recruitment 6,841 3010 Other(specify) - 3011 Other(specify) 3012 Other(specify) - DIRECT OPERATING EXPENSES TOTAL: $ 92,781 4000:DIRECT FACILITIES&EQUIPMENT Acct# I Line Item Description Amount 4001 1 Building Maintenance 1 $ 16,897 Revised Exhibit C 4002 Rent/Lease Building 4003 Rent/Lease Equipment 842 4004 Rent/Lease Vehicles 5,117 4005 Security 184,280 4006 Utilities 4007 Janitorial 117,967 4008 Business Taxes/Lic Permits 4,927 4009 Other(specify) - 4010 Other(specify) - DIRECT FACILITIES/EQUIPMENT TOTAL:1 330,030 5000:DIRECT SPECIAL EXPENSES Acct# Line Item Description Amount 5001 Consultant(Network&Data Management) $ 17,404 5002 HMIS(Health Management Information System) - 5003 Other-Contracted Services 823,437 5004 X-Ray and EKG Services 31,982 5005 Medication Supports 42,416 5006 Food Service 407,877 5007 Laundry Service 37,857 5008 Medical Waste Disposal 12,941 DIRECT SPECIAL EXPENSES TOTAL: $ 1,373,914 6000:INDIRECT EXPENSES Acct# Line Item Description Amount Administrative Overhead 6001 Administrative Overhead Administrative Overhead 6002 Professional Liability Insurance - 6003 Accounting/Bookkeeping 1,000 6004 External Audit - 6005 Insurance(Specify): 6,684 6006 Payroll Services - 6007 Depreciation(Provider-Owned Equipment to be UsedforProgram Purposes) - 6008 Personnel(Indirect Salaries&Benefits) - 6009 Indirect 881,069 6010 Other(specify) - 6011 Other(specify) 6012 Other(specify) 6013 1 Other(specify) - INDIRECT EXPENSES TOTAL $ 888,753 INDIRECT COST RATE 15.15% 7000:DIRECT FIXED ASSETS Acct# Line Item Description Amount 7001 Computers&Software $ 8,999 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data - 7003 Furniture&Fixtures 10,000 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 $ 18,999 TOTAL PROGRAM EXPENSES $ 6,754,865 Revised Exhibit C 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):PHF Bed Day 5,658 790.90 4,474,912 8010 Other(Specify) 0 - - Estimated Specialty Mental Health Services Billing Totals: 15,6581 $ 4,474,912 Estimated%of Clients who are Medi-Cal Beneficiaries 82% Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 3,669,428 Federal Financial Participation(FFP)% 1 53% 1,948,466 MEDI-CAL FFP TOTAL $ 1,948,466 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 $ 4,806,399 REALIGNMENT TOTAL $ 4,806,399 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 Other(Specify) 8405 Other(Specify) OTHER REVENUE TOTAL $ TOTAL PROGRAM FUNDING SOURCES: $ 6,754,865 NET PROGRAM COST: $ - Revised Exhibit C ADULT PSYCHIATRIC HEALTH FACILITY(PHF) Exodus Recovery,Inc. Fiscal Year(FY)2026-27 Budget Narrative PROGRAM EXPENSE ACCT#J LINE ITEM AMT I DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000:DIRECT SALARIES&BENEFITS 4,009,330 Administrative Positions 654,701 1101 Program Director 159,058 Administrative Services 1.00 FTE-The Program Director shall oversee all clinical and administrative activities for the Exodus Recovery,Inc.(Exodus)contracted programs and other contracted/certified services.They work in conjunction with the Exodus Executive Staff member responsible for each program,including assessments,case management and multi-disciplinary functions. 1102 Health Information Specialist 50,812 Administrative Services 1.00 FTE-i.Provides data and billing support to contracted/certified services and/or programs.Responsible for all billing related tasks including collection of billing data and data entry into the EMR.Collects and ensures medical records are assembled in standard order and are accurate and complete. Ensures files are stored in the designated area according to storage procedures. Maintains administrative data and the integrity of the medical records.Performs other clerical tasks as needed,such as answering phones,faxing,and corresponding with outside vendors. 1103 Health Information Manager 46,026 Administrative Services 0.50 FTE-Oversees the data entry and appropriate billing for the PHF.Oversees and concurrent reviews for KEPRO and monitors records to ensure compliance for DHCS. 1104 Program Support Assistant 51,905 Administrative Services 1.00 FTE;increase in annual salary to is due to SB 525-Provides administrative support to facilitate orderly operations at the respective programs. 1105 Peer Advocate 80,340 Administrative Services 1.5 FTE;increase in annual salary is due to SB 525-i.The Peer Advocate functions as part of the treatment team and is generally the first program site contact for clients.They are actively involved in providing direct or indirect care and supervision of the clients under the discretion of the Program Director. 1106 Clinical Services Director 115,924 Administrative Services 1.00 FTE-DHCS Clinical Services Director is needed to oversee the clinical services in the program.We cannot have a dual role as held previously. 1107 Driver 23,865 Administrative Services 0.50 FTE Due to SB 1152,we included a driver to provide transportation to discharge locations.Previously our MHWs were used as drivers but due to the acuity of the unit it is not always possible to take someone away from the floor to do a transport.This position will support the new mandate and provide coverage for the position. 1108 QI Assoc II 79,041 Administrative Services 1.00 FTE-In previous years a QI Associate I position was shared between the CSC and PHF.The QI Associate I position was a lay person without clinical knowledge.We are increasing education requirements and placing a full position due to the continuous needs for record review due to the implementation of Kepro and their 3 day concurrent review process. 1109 Unit Secretary 47,730 Administrative Services 1.00 FTE-Due to the new layout of the facility,there is a need for a unit secretary in the visiting area during business hours.The PHF entrance is a visible entrance and will require constant staffing to ensure they guide community members to the appropriate building. 1110 0 1111 0 1112 0 1113 0 1114 0 1115 0 Program Positions 2,530,581 1116 Recreational Therapist 86,566 Direct Services 1.00 FTE;experienced high vacancy and increased salary,requesting licensed staff if possible-Provides activities to restore,establish and maintain optimum levels of social,vocational and physical functioning and to minimize residual disabilities of patients.Coordinates all activities with the multidisciplinary staff and works toward the goals to meet all the objectives of each patient's interdisciplinary treatment plan. 1117 Social Services Coordinator 299,936 Direct Services 2.80 FTE-Position vacant as of 08'24.Prorated at 10 months for FY 24- 25;experienced high vacancy and increased salary to be more competitive;requesting licensed staff if possible-Exodus Recovery,Inc.(Exodus)shall employ individuals to provide therapeutic interventions,psychosocial assessments,initiate contacts with a variety of community resources;and implement linkages and discharge planning for clients in the Exodus Recovery Urgent PHF. Revised Exhibit C 1118 Prorgram Nurse(LVN/LPTN) 808,169 Direct Services 8.40 FTE;includes coverage when staff is out,corrected the FTE to reflect 2 staff(4.2 FTE=1 staff 24/7)$40/HR X 17,472 for salaries+$40/HR X 1572.5 for sick and PTO-i.The Nurse is a treatment team member who is responsible for providing care to meet the physical and psychological needs of clients through providing direct and indirect services in a manner consistent with Rehabilitation and Recovery principles. Performs comprehensive screening and assessment(if within scope of practice)services to clients as well as providing education,crisis intervention, and medication services in collaboration with Exodus providers.The Nurse also performs activities that may be carried out only by professional nursing personnel. 1119 Prorgram Nurse(RN) 536,753 Direct Services 4.20 FTE-i.The Nurse is a treatment team member who is responsible for providing care to meet the physical and psychological needs of clients through providing direct and indirect services in a manner consistent with Rehabilitation and Recovery principles. Performs comprehensive screening and assessment(if within scope of practice)services to clients as well as providing education,crisis intervention, and medication services in collaboration with Exodus providers.The Nurse also performs activities that may be carried out only by professional nursing personnel. (RN Only)-supervision and delegation of duties to licensed and unlicensed personnel. 1120 Mental Health Worker 799,157 Direct Servies 14.70 FTE;increase in annual salary due to SB 525-The Mental Health Worker(MHW)is an integral part ofthe treatment team.The MHW is actively involved in providing direct or indirect care and supervision of the clients.The MHW is responsible for the transportation of clients,through driving them in the vehice to designated locations. 1121 0 1122 0 1123 0 1124 0 1125 0 1126 0 1127 0 1128 0 1129 0 1130 0 1131 0 1132 0 1133 0 1134 0 Direct Employee Benefits 375,083 1201 Retirement 28,415 1202 Worker's Compensation 113,662 1203 Health Insurance 204,591 1204 Admin Fee 28,415 1205 Other(specify) - 1206 Other(specify) - Direct Payroll Taxes&Expenses: 448,965 1301 OASDI 176,176 1302 FICA/MEDICARE 176,176 1303 SUI 96,613 1304 Other(specify) - 1305 Other(specify) 1306 Other(specify) 2000:DIRECT CLIENT SUPPORT 41,058 2001 Child Care - 2002 Client Housing Support 2003 Client Transportation&Support - 2004 Clothing,Food,&Hygiene 2005 Education Support - 2006 Employment Support - 2007 Household Items for Clients - 2008 Medication Supports - 2009 Program Supplies-Medical 18,905 Medical and Covid Supplies;adjusting for CPI and based on YTD spending 2010 Utility Vouchers - 2011 Program Supplies-Therapeutic 22,153 Games,TV services and activity supplies for Clients;adjusting for CPI;increasing budget line to allow for purchases to comply with DHCS requirements 2012 Other(specify) - 2013 Other(specify) - 2014 Other(specify) 2015 Other(specify) - 2016 Other(specify) 3000:DIRECT OPERATING EXPENSES 92,781 3001 Telecommunications 9,619 Phone and Internet usage for the program 3002 Printing/Postage 569 Program related Postage&Delivery cost Revised Exhibit C 3003 Office,Household&Program Supplies 66,290 Office,Household&Program Supplies including but not limited to:paper,pens,folders, personal hygiene supplies,laundry supplies,medical records storage,shredding,toner 3004 Advertising - 3005 Staff Development&Training 5,663 On-going staff Training,including external training resources to meet state education requirements,plus Mental Health Conferences,Management meetings,and accreditation manuals 3006 Staff Mileage 267 Mileage,Parking and Travel Expense 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance 3,532 Fuel($3,250),Oil Changes($130),Tire Rotation($152)total cost split with CSC Youth (50%) 3009 Staff Orientation/Recruitment 6,841 Staff Recruitment&Orientation plus LiveSan and Background checks 3010 Other(specify) - 3011 Other(specify) 3012 Other(specify) 4000:DIRECT FACILITIES&EQUIPMENT 330,030 4001 Building Maintenance 16,897 Building maintenance&repairs plus employee security badges 4002 Rent/Lease Building - 4003 Rent/Lease Equipment 842 Misc Equip Costs including Cisco license fees 4004 Rent/Lease Vehicles 5,117 Client Transport Vehicle total costs split with CSC Youth 4005 Security 184,280 Security Personnel:average 12 hours daily or 2.1 FTEs 4006 Utilities - 4007 Janitorial 117,967 Facility Janitorial Services,increase due to SB 525 impacts;contracted out 4008 Business Taxes/Lic Permits 4,927 Annual local permits and business taxes and state licensing fee(DHCS)and special assessments(OSHPD) 4009 Other(specify) - 4010 Other(specify) 5000:DIRECT SPECIAL EXPENSES 1,373,914 5001 Consultant(Network&Data Management) 17,404 Network&Data Management cost for IT firm support,network monitoring and offsite back-up for program IT system 5002 HMIS(Health Management Information System) - 5003 Other-Contracted Services 823,437 Locum and Psych iatrist/N Ps to meet licensing requirements,and nursing registry to ensure licensing staffing ratios 5004 X-Ray and EKG Services 31,982 Contracted mobile diagnostic and imaging services to save on external transports 5005 Medication Supports 42,416 Client Medication 5006 Food Service 407,877 Client Food Service,increase covers SB525 salary adjustment plus CPI increase 5007 Laundry Service 37,857 Contracted Client Laundry Service for the rental and laundering of the blankets,sheets, pillow cases,and absorbent pads 5008 Medical Waste Disposal 12,941 Biohazard Cleaning Restoration and Disposal Services 6000:INDIRECT EXPENSES 888,753 6001 Administrative Overhead - 6002 Professional Liability Insurance - 6003 Accounting/Bookkeeping 1,000 Consulting Accounting Service 6004 External Audit - 6005 Insurance(Specify): 6,684 Professional Liability&Vehicle Service 6006 Payroll Services - 6007 Depreciation(Provider-Owned Equipment to be Used 6008 Personnel(Indirect Salaries&Benefits) - 6009 Indirect 881,069 Indirect Expense 6010 Other(specify): - 6011 Other(specify) - 6012 Other(specify) 6013 Other(specify) 7000:DIRECT FIXED ASSETS 18,999 7001 Computers&Software 8,999 Staff computer replacement 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA - 7003 Furniture&Fixtures 10,000 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 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 8003 Crisis Services Revised Exhibit C 8004 Medication Support 8005 Collateral 8006 Plan Development 8007 Assessment 8008 Rehabilitation 8009 Other(Specify):PHF Bed Day 8010 Other(Specify) TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 6,754,865 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 6,754,865 BUDGET CHECK: - Revised Exhibit C ADULT PSYCHIATRIC HEALTH FACILITY(PHF) Exodus Recovery, Inc. Fiscal Year(FY)2026-27 PARTIAL FTE DETAIL For all positions with FTE's split among multiple programs/contracts the below must be filled out Position lContract#/Name/Department/County FTE Health Information Manager/Supervisor 22-304/Exodus Recovery/CSC/Fresno County 50.00 Health Information Manager/Supervisor 22-306/Exodus Recovery/PHF/Fresno County 50.00 Total 100.00 Position Contract#/Name/Department/County FTE Driver/Mental Health Worker 22-304/Exodus Recovery/CSC/Fresno County 50.00 Driver/Mental Health Worker 22-306/Exodus Recovery/CSC/Fresno County 50.00 Total 100.00 Position Contract#/Name/Department/County FTE Total 0.00 Position lContract#/Name/Department/County I FTE Revised Exhibit C 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 Revised Exhibit C 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 Revised Exhibit C Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Revised Exhibit C ADULT PSYCHIATRIC HEALTH FACILITY(PHF) Exodus Recovery,Inc. Budget PHF Reloc OTC PROGRAM EXPENSES 1000:DIRECT SALARIES&BENEFITS Direct Employee Salaries Acct# Administrative Position FTE Admin I Program I Total 1101 $ 1102 1103 1104 1105 1106 1107 1108 1109 1110 1111 1112 1113 1114 1115 Direct Personnel Admin Salaries Subtotal 0.00 $ $ Acct# Program Position FTE Admin Program Total 1116 Excess Staff $ 1,500 $ 1,500 1117 - 1118 1119 1120 1121 1122 1123 1124 1125 1126 1127 1128 1129 1130 1131 1132 1133 1134 Direct Personnel Program Salaries Subtotal 0.00 $ 1,500 $ 1,500 Admin Program Total Direct Personnel Salaries Subtotal 0.00 $ $ 1,500 $ 1,500 Direct Employee Benefits Acct# Description Admin Program Total 1201 $ - 1202 1203 1204 1205 1206 Revised Exhibit C Direct Employee Benefits Subtotal: $ $ $ Direct Payroll Taxes&Expenses: Acct# Description Admin Program Total 1301 $ 1302 1303 1304 1305 1306 Direct Payroll Taxes&Expenses Subtotal: $ $ - $ DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total $ $ 1,500 $ 1,500 DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program 0% 100% 2000:DIRECT CLIENT SUPPORT Acct# Line Item Description Amount 2001 Child Care $ 2002 Client Housing Support - 2003 Client Transportation&Support 5,000 2004 Clothing, Food,&Hygiene - 2005 Education Support 2006 Employment Support 2007 Household Items for Clients 2008 Medication Supports 2009 Program Supplies-Medical 2010 Utility Vouchers 2011 Program Supplies-Therapeutic 2012 Other(specify) 2013 Other(specify) 2014 Other(specify) 2015 Other(specify) 2016 Other(specify) DIRECT CLIENT CARE TOTAL $ 5,000 3000:DIRECT OPERATING EXPENSES Acct# Line Item Description Amount 3001 Telecommunications 3002 Printing/Postage 3003 Office,Household&Program Supplies 3004 Advertising 3005 Staff Development&Training 3006 Staff Mileage 3007 Subscriptions&Memberships 3008 Vehicle Maintenance 3009 Staff Orientation/Recruitment 3010 Other(specify) 3011 Other(specify) 3012 Other(specify) DIRECT OPERATING EXPENSES TOTAL: $ 4000:DIRECT FACILITIES&EQUIPMENT Acct# I Line Item Description Amount 4001 1 Building Maintenance Revised Exhibit C 4002 Rent/Lease Building 4003 Rent/Lease Equipment 4004 Rent/Lease Vehicles 4005 Security 4006 Utilities 4007 Janitorial 4008 Business Taxes/Lic Permits 4009 Other(specify) 4010 Other(specify) DIRECT FACILITIES/EQUIPMENT TOTAL:1 $ 5000:DIRECT SPECIAL EXPENSES Acct# Line Item Description Amount 5001 Consultant(Network&Data Management) 5002 HMIS(Health Management Information System) 5003 Other-Contracted Services 5004 X-Ray and EKG Services 5005 Medication Supports 5006 Food Service 5007 Laundry Service 5008 Medical Waste Disposal DIRECT SPECIAL EXPENSES TOTAL: $ 6000:INDIRECT EXPENSES Acct# Line Item Description Amount Administrative Overhead 6001 Administrative Overhead Administrative Overhead 6002 Professional Liability Insurance 6003 Accounting/Bookkeeping 6004 External Audit 6005 Insurance(Specify): 6006 Payroll Services 6007 Depreciation(Provider-Owned Equipment to be UsedforProgram Purposes) 6008 Personnel(Indirect Salaries&Benefits) 6009 Indirect 6010 Other(specify):Office Contents Relocation 10,000 6011 Other(specify):Electronics Relocation 7,500 6012 Other(specify) 6013 1 Other(specify) - INDIRECT EXPENSES TOTAL $ 17,500 INDIRECT COST RATE 38.89% 7000:DIRECT FIXED ASSETS Acct# Line Item Description Amount 7001 Computers&Software $ 9,000 7002 Copiers,Cell Phones,Tablets, Devices to Contain HIPAA Data 7003 Furniture&Fixtures 1,500 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):Artwork 28,000 7008 Other(specify) FIXED ASSETS EXPENSES TOTAL $ 38,500 TOTAL PROGRAM EXPENSES $ 62,500 Revised Exhibit C 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):PHF Bed Day 0 8010 Other(Specify) 0 Estimated Specialty Mental Health Services Billing Totals: 0 $ Estimated%of Clients who are Medi-Cal Beneficiaries 82% Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries - Federal Financial Participation(FFP)% 1 53% MEDI-CAL FFP TOTAL $ 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 $ 62,500 REALIGNMENT TOTAL $ 62,500 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 Other(Specify) 8405 Other(Specify) OTHER REVENUE TOTAL $ TOTAL PROGRAM FUNDING SOURCES: $ 62,500 NET PROGRAM COST: $ - Revised Exhibit C ADULT PSYCHIATRIC HEALTH FACILITY(PHF) Exodus Recovery,Inc. Budget PHF Reloc OTC Budget Narrative PROGRAM EXPENSE ACCT#j LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000:DIRECT SALARIES&BENEFITS Administrative Positions - 1101 1102 1103 1104 1105 1106 1107 1108 1109 1110 1111 1112 1113 1114 1115 Program Positions 1,500 1116 Excess Staff 1,500 Excess Staff needed as both sites will be functional for part of the move day 1117 - 1118 1119 1120 1121 1122 1123 1124 1125 1126 1127 1128 1129 1130 1131 1132 1133 1134 Direct Employee Benefits - 1201 Retirement - 1202 Worker's Compensation - 1203 Health Insurance 1204 Admin Fee - 1205 Other(specify) 1206 Other(specify) - Direct Payroll Taxes&Expenses: - 1301 OASDI 1302 FICA/MEDICARE 1303 SUI 1304 Other(specify) 1305 Other(specify) 1306 Other(specify) 2000:DIRECT CLIENT SUPPORT 5,000 2001 Child Care 2002 Client Housing Support 2003 Client Transportation&Support 5,000 Transport of clients(max.16)from old site to new site 2004 Clothing,Food,&Hygiene 2005 Education Support 2006 Employment Support 2007 Household Items for Clients 2008 Medication Supports 2009 Program Supplies-Medical 2010 Utility Vouchers 2011 Program Supplies-Therapeutic 2012 Other(specify) 2013 Other(specify) 2014 Other(specify) 2015 Other(specify) Revised Exhibit C 2016 Other(specify) 3000:DIRECT OPERATING EXPENSES - 3001 Telecommunications 3002 Printing/Postage - 3003 Office,Household&Program Supplies 3004 Advertising - 3005 Staff Development&Training 3006 Staff Mileage - 3007 Subscriptions&Memberships 3008 Vehicle Maintenance - 3009 Staff Orientation/Recruitment 3010 Other(specify) - 3011 Other(specify) 3012 Other(specify) - 4000:DIRECT FACILITIES&EQUIPMENT - 4001 Building Maintenance - 4002 Rent/Lease Building 4003 Rent/Lease Equipment - 4004 Rent/Lease Vehicles 4005 Security - 4006 Utilities 4007 Janitorial - 4008 Business Taxes/LicPermits 4009 Other(specify) - 4010 1 Other(specify) 5000:DIRECT SPECIAL EXPENSES 5001 Consultant(Network&Data Management) 5002 HMIS(Health Management Information System) - 5003 Other-Contracted Services 5004 X-Ray and EKG Services - 5005 Medication Supports 5006 Food Service - 5007 Laundry Service 5008 Medical Waste Disposal - 6000:INDIRECT EXPENSES 17,500 6001 Administrative Overhead - 6002 Professional Liability Insurance - 6003 Accounting/Bookkeeping 6004 External Audit 6005 Insurance(Specify): 6006 Payroll Services 6007 Depreciation(Provider-Owned Equipment to be Used 6008 Personnel(Indirect Salaries&Benefits) 6009 Indirect 6010 Other(specify):Office Contents Relocation 10,000 Relocation Costs of Office Contents 6011 Other(specify):Electronics Relocation 7,500 Relocation Costs of Electronics 6012 Other(specify) - 6013 Other(specify) 7000:DIRECT FIXED ASSETS 38,500 7001 Computers&Software 9,000 WOW and Printers 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA 7003 Furniture&Fixtures 1,500 Dryer 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):Artwork 28,000 Numerous artwork pieces for clinical and office spaces 7008 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 8003 Crisis Services 8004 Medication Support 8005 Collateral 8006 Plan Development 8007 Assessment Revised Exhibit C 8008 Rehabilitation 8009 Other(Specify):PHF Bed Day 8010 Other(Specify) TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 62,500 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 62,500 BUDGETCHECK: - Exhibit P Insurance Requirements 1. Required Policies Without limiting the County's right to obtain indemnification from the Contractor or any third parties, Contractor, at its sole expense, shall maintain in full force and effect the following insurance policies throughout the term of this Agreement. (A) Commercial General Liability. Commercial general liability insurance with limits of not less than Two Million Dollars ($2,000,000) per occurrence and an annual aggregate of Four Million Dollars ($4,000,000). This policy must be issued on a per occurrence basis. Coverage must include products, completed operations, property damage, bodily injury, personal injury, and advertising injury. The Contractor shall obtain an endorsement to this policy naming the County of Fresno, its officers, agents, employees, and volunteers, individually and collectively, as additional insureds, but only insofar as the operations under this Agreement are concerned. Such coverage for additional insureds will apply as primary insurance and any other insurance, or self-insurance, maintained by the County is excess only and not contributing with insurance provided under the Contractor's policy. (B) Automobile Liability. Automobile liability insurance with limits of not less than One Million Dollars ($1,000,000) per occurrence for bodily injury and for property damages. Coverage must include any auto used in connection with this Agreement. (C)All-Risk Property Insurance. All-Risk Property Insurance with no coinsurance penalty provision in an amount that will cover the total of County purchased and owned property in possession of Contractor(s) and/or used in the execution of this Agreement. Contractor must name the County as an Additional Loss Payee. (D)Workers Compensation. Workers compensation insurance as required by the laws of the State of California with statutory limits. (E) Employer's Liability. Employer's liability insurance with limits of not less than One Million Dollars ($1,000,000) per occurrence for bodily injury and for disease. (F) Professional Liability. Professional liability insurance with limits of not less than One Million Dollars ($1,000,000) per occurrence and an annual aggregate of Three Million Dollars ($3,000,000). If this is a claims-made policy, then (1)the retroactive date must be prior to the date on which services began under this Agreement; (2)the Contractor shall maintain the policy and provide to the County annual evidence of insurance for not less than five years after completion of services under this Agreement; and (3) if the policy is canceled or not renewed, and not replaced with another claims-made policy with a retroactive date prior to the date on which services begin under this Agreement, then the Contractor shall purchase extended reporting coverage on its claims-made policy for a minimum of five years after completion of services under this Agreement. (G)Molestation Liability. Sexual abuse/ molestation liability insurance with limits of not less than Two Million Dollars ($2,000,000) per occurrence, with an annual aggregate of Four Million Dollars ($4,000,000). This policy must be issued on a per occurrence basis. P-1 Exhibit P (H) Cyber Liability. Cyber liability insurance with limits of not less than Two Million Dollars ($2,000,000) per occurrence. Coverage must include claims involving Cyber Risks. The cyber liability policy must be endorsed to cover the full replacement value of damage to, alteration of, loss of, or destruction of intangible property (including but not limited to information or data) that is in the care, custody, or control of the Contractor. Definition of Cyber Risks. "Cyber Risks" include but are not limited to (i) Security Breach, which may include Disclosure of Personal Information to an Unauthorized Third Party; (ii) data breach; (iii) breach of any of the Contractor's obligations under [identify the Article, section, or exhibit containing data security obligations] of this Agreement; (iv) system failure; (v) data recovery; (vi) failure to timely disclose data breach or Security Breach; (vii)failure to comply with privacy policy; (viii) payment card liabilities and costs; (ix) infringement of intellectual property, including but not limited to infringement of copyright, trademark, and trade dress; (x) invasion of privacy, including release of private information; (xi) information theft; (xii) damage to or destruction or alteration of electronic information; (xiii) cyber extortion; (xiv) extortion related to the Contractor's obligations under this Agreement regarding electronic information, including Personal Information; (xv) fraudulent instruction; (xvi)funds transfer fraud; (xvii) telephone fraud; (xviii) network security; (xix) data breach response costs, including Security Breach response costs; (xx) regulatory fines and penalties related to the Contractor's obligations under this Agreement regarding electronic information, including Personal Information; and (xxi) credit monitoring expenses. 2. Additional Requirements (A) Verification of Coverage. Within 30 days after the Contractor signs this Agreement, and at any time during the term of this Agreement as requested by the County's Risk Manager or the County Administrative Office, the Contractor shall deliver, or cause its broker or producer to deliver, to the County Risk Manager, at 2220 Tulare Street, 16th Floor, Fresno, California 93721, or HRRiskManagement@fresnocountyca.gov, and by mail or email to the person identified to receive notices under this Agreement, certificates of insurance and endorsements for all of the coverages required under this Agreement. (i) Each insurance certificate must state that: (1) the insurance coverage has been obtained and is in full force; (2) the County, its officers, agents, employees, and volunteers are not responsible for any premiums on the policy; and (3) the Contractor has waived its right to recover from the County, its officers, agents, employees, and volunteers any amounts paid under any insurance policy required by this Agreement and that waiver does not invalidate the insurance policy. (ii) The commercial general liability insurance certificate must also state, and include an endorsement, that the County of Fresno, its officers, agents, employees, and volunteers, individually and collectively, are additional insureds insofar as the operations under this Agreement are concerned. The commercial general liability insurance certificate must also state that the coverage shall apply as primary insurance and any other insurance, or self-insurance, maintained by the County P-2 Exhibit P shall be excess only and not contributing with insurance provided under the Contractor's policy. (iii) The automobile liability insurance certificate must state that the policy covers any auto used in connection with this Agreement. (iv) The professional liability insurance certificate, if it is a claims-made policy, must also state the retroactive date of the policy, which must be prior to the date on which services began under this Agreement. (v) The cyber liability insurance certificate must also state that it is endorsed, and include an endorsement, to cover the full replacement value of damage to, alteration of, loss of, or destruction of intangible property (including but not limited to information or data) that is in the care, custody, or control of the Contractor. (B) Acceptability of Insurers. All insurance policies required under this Agreement must be issued by admitted insurers licensed to do business in the State of California and possessing at all times during the term of this Agreement an A.M. Best, Inc. rating of no less than A: VI I. (C) Notice of Cancellation or Change. For each insurance policy required under this Agreement, the Contractor shall provide to the County, or ensure that the policy requires the insurer to provide to the County, written notice of any cancellation or change in the policy as required in this paragraph. For cancellation of the policy for nonpayment of premium, the Contractor shall, or shall cause the insurer to, provide written notice to the County not less than 10 days in advance of cancellation. For cancellation of the policy for any other reason, and for any other change to the policy, the Contractor shall, or shall cause the insurer to, provide written notice to the County not less than 30 days in advance of cancellation or change. The County in its sole discretion may determine that the failure of the Contractor or its insurer to timely provide a written notice required by this paragraph is a breach of this Agreement. (D) County's Entitlement to Greater Coverage. If the Contractor has or obtains insurance with broader coverage, higher limits, or both, than what is required under this Agreement, then the County requires and is entitled to the broader coverage, higher limits, or both. To that end, the Contractor shall deliver, or cause its broker or producer to deliver, to the County's Risk Manager certificates of insurance and endorsements for all of the coverages that have such broader coverage, higher limits, or both, as required under this Agreement. (E) Waiver of Subrogation. The Contractor waives any right to recover from the County, its officers, agents, employees, and volunteers any amounts paid under the policy of worker's compensation insurance required by this Agreement. The Contractor is solely responsible to obtain any policy endorsement that may be necessary to accomplish that waiver, but the Contractor's waiver of subrogation under this paragraph is effective whether or not the Contractor obtains such an endorsement. (F) County's Remedy for Contractor's Failure to Maintain. If the Contractor fails to keep in effect at all times any insurance coverage required under this Agreement, the County may, in addition to any other remedies it may have, suspend or terminate this P-3 Exhibit P Agreement upon the occurrence of that failure, or purchase such insurance coverage, and charge the cost of that coverage to the Contractor. The County may offset such charges against any amounts owed by the County to the Contractor under this Agreement. (G)Subcontractors. The Contractor shall require and verify that all subcontractors used by the Contractor to provide services under this Agreement maintain insurance meeting all insurance requirements provided in this Agreement. This paragraph does not authorize the Contractor to provide services under this Agreement using subcontractors. P-4