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Home My WebLink AboutBudget Modification 05.16.25 Approved RMH A-23-021 UCSF.pdf co 7.4 County of Fresno ,o DEPARTMENT OF PUBLIC HEALTH o 1856 � FRES David Luchini, Director Dr. Rais Vohra, Interim Health Officer May 28, 2025 Kenny Banh, MD The Regents of the University of California, San Francisco 115 N Fresno St Fresno, CA 93701 Re: Budget Modification for Agreement#23-021 with The Regents of the University of California, San Francisco for Rural Mobile Health Dear Dr. Banh, The County's Agreement#23-021 with The Regents of the University of California, San Francisco (UCSF), approved by the Board of Supervisors on January 3, 2023, allows changes to object level in the budget Exhibit B that do not exceed ten percent (10%) of the maximum compensation payable to UCSF with written approval of the County's Department of Public Health Director or designee. In accordance with the modification clause on page fifteen (15), section fifteen (15) of the Agreement #23-021, the Department provides this letter as notice of approval of UCSF's Budget Modification Request dated May 16, 2025. Exhibit B of the Agreement shall be replaced by the attached Revised Exhibit B, reflecting the Budget Modification Request dated May 16, 2025 received from UCSF. Respectful e vid Luchini, RN P N Director Promotion,preservation,and protection of the community's health 1221 Fulton Street, Fresno, CA 93721 1 P.O. Box 11867, Fresno, CA 93721 (559) 600-3200 1 FAX(559) 600-7687 The County of Fresno is an Equal Employment Opportunity Employer www.fresnocountyca.gov I www.fcdph.org Revised Exhibit B The Regents of the University of California, San Francisco Subrecipient Expenditure Plan Budget Period: December 13,2022 through November 12,2025 Budget Category Original Budget Revised Budget 5/16/25 Personnel Medical Director,Assistant Medical Director,Associate Dean(0.85 FTE) $ 644,122.00 $ 402,872.27 decrease Project Manager $ 204,225.00 $ 120,377.66 decrease Physician Coverage(0.15 FTE) $ 63,380.00 $ 132,442.44 increase Clinical Manager $ 183,099.00 $ 127,162.78 decrease Nurse#1 $ 128,349.00 $ 334,779.17 increase Midlevel Provider#1 $ 391,806.00 $ 118,874.68 decrease Comm Support(0.2 FTE) $ 25,462.00 $ 73,918.24 increase Operations Coordinator#1 $ 122,000.00 $ 192,967.31 increase IT Support(0.2 FTE) $ 25,463.00 $ 17,776.06 decrease Finance Support $ 16,901.00 $ 9,534,89 decrease Medical Assistant#1 $ 94,592.00 $ 121,952.11 increase Medical Assistant#2 $ 94,592.00 $ 125,311.84 increase Medical Assistant#3 $ 94,592.00 $ 118,407.26 increase Medical Assistant#4 $ 94,592.00 $ 116,073.34 increase Medical Assistant(#5 originally,increase to#5-12) $ 94,592.00 $ 368,264.39 increase Personnel Subtotal $ 2,277,767.00 $ 2,380,714.44 Fringe $ 842,008.00 $ 791,861.60 decrease Total Personnel $ 3,119,775.00 $ 3,172,576.04 Operating Costs IT Equipment $ 30,000.00 $ - decrease Lab Equipment $ 80,000.00 $ 4,788.73 decrease Insurance $ 110,000.00 $ 63,468.87 decrease Facility/Rent/RV Storage $ 192,000.00 $ 279,718.73 increase Clinic Supplies/PPE $ 48,000.00 $ 121,541.21 increase Shipping-testing $ 50,000.00 $ - decrease Connectivity&Internet $ 50,000.00 $ 11,413.05 decrease EMIR License/Support $ 40,000.00 $ 1,626.00 decrease Office Supplies $ 8,000.00 $ 58,098.66 increase Fuel $ 6,000.00 $ 9,488.37 increase Mileage $ 12,000.00 $ 13,928.36 increase UCSF Network Costs $ 20,000.00 $ 13,496.95 decrease GAEL $ 2,400.00 $ 27,602.06 increase Total Operating $ 648,400.00 $ 605,170.99 Direct Costs $ 3,768,175.00 $ 3,777,747.03 increase Indirect Costs(10%) $ 376,817.50 $ 367,245.47 decrease Total Direct and Indirect $ 4,144,992.50 $ 4,144,992.50 Other Costs Total Other $ - $ - GRAND TOTAL $ 4,144,992.50 $ 4,144,992.50 County of Fresno Department of Public Health BUDGET MODIFICATION REQUEST ORGANIZATION UCSF Fresno DATE 5/16/2025 CONTRACT# 23-021 CONTRACT SERVICES Rural Mobile Health List each budget line item and the amount to be increased or decreased. Please round off all figures to the nearest dollar. Total amount increased MUST EQUAL total amount decreased. Budget Approved Increase Decrease Proposed Line Item Budget + Budget Medical Director $644,122.00 $241,249.73 $402,872.27 Project Manager $204,225.00 $83,847.34 $120,377.66 Physician coverage $63,380.00 $69,062.44 $132,442.44 Clinical Manager $183.099.00 $55,936.22 $127,162.78 Nurse $128,349.00 $206,430.17 $334,779.17 Midlevel Provider $391,806.00 $272,931.32 $118,874.68 Comm Support $25,462.00 $48,456.24 $73,918.24 Operations Coordin $122,000.00 $70,967.31 $192,967.31 IT Support $25,463.00 $7,686.94 $17,776.06 Finance Support $16,901.00 $7,366.11 $9,534.89 Medical Assistant#1 $94,592.00 $27,360.11 $121,952.11 Medical Assistant#2 $94,592.00 $30,719.84 $125,311.84 Medical Assistant#3 $94,592.00 $23,815.26 $118,407.26 Medical Assistant#4 $94,592.00 $21,481.34 $116,073.34 Medical Assistant#5-12 $94,592.00 $273,672.39 $368,264.39 Fringe Benefits $842,008.00 $50,146.40 $791,861.60 IT Equipment $30,000.00 $30,000.00 $0.00 Lab Equipment $80,000.00 $75,211.27 $4,788.73 Insurance $110,000.00 $46,531.13 $63,468.87 Facility/Rent/RV $192,000.00 $87,718.73 $279,718.73 Clinic Supplies $48,000.00 $73,541.21 $121,541.21 Pagel Budget Modification Request Form(v.Dec 2023) County of Fresno Department of Public Health Shipping -testing $50,000.00 $50,000.00 $0.00 Connectivity $50,000.00 $38,586.95 $11,413.05 EMR License/Support $40,000.00 $38,374.00 $1,626.00 Office Supplies $8,000.00 $50,098.66 $58,098.66 Fuel $6,000.00 $3,488.37 $9,488.37 Mileage $12,000.00 $1,928.36 $13,928.36 UCSF Network $20,000.00 $6,503.05 $13,496.95 GAEL $2,400.00 $25,202.06 $27,602.06 TOTALS $3,768,175.00 $1,013,942.49 $1,004,370.46 $3,777,747.03 Assistant Dean of Undergraduate Medical Completed by: Kenny Banh, MD FACEP Title: Education, UCSF Fresno Provide a detailed explanation for each category where increases, decreases or changes for the specific line item were made. Why are the above changes necessary at this time? What impact, if any, will the increases and or decreases have on your contracted services? As UCSF Fresno Mobile Heal-continues to operate our rural mobile health contract we have seen cancelling of one of our primary service contracts outside of rural and as such have had to consolidate services and staff which are reflected in the adjusted rural spenddown.We have also reduced our staffing specifically in Nurse Practitioner coverage as we spend more time on health screening,testing and vaccinations than full provider visits and adjusted staff accordingly. None of these budget adjustments should affect our ability to complete the contract service requirements as most are cost shifts based on needs. County Use Only Approved/Denied: Approved Print Name: David Lu hini RN, P Director, De rtment of Public Health Signature: • J Date: Page 2 Budget Modification Request Form(v.Dec 2023)