HomeMy WebLinkAboutAgreement A-25-277 Amendment No. 2 to Agreement No. 24-618 with Central Star.pdf Agreement No. 25-277
1 AMENDMENT NO. 2 TO SERVICE AGREEMENT
2 This Amendment No. 2 to Service Agreement ("Amendment No. 2") is dated
3 June 24, 2025 and is between Central Star Behavioral Health, Inc., a for-profit
4 organization. ("Contractor"), and the County of Fresno, a political subdivision of the State of
5 California ("County").
6 Recitals
7 A. On June 23, 2020, the County and the Contractor entered into service Agreement No.
8 20-238 ("Agreement"), as amended by County Agreement No. 24-618 (Amendment No. 1)
9 effective December 3, 2024, for a 16-bed acute inpatient psychiatric health facility (PHF) to
10 provide inpatient psychiatric services to adolescent youth, twelve (12) years up to eighteen (18)
11 years of age.
12 B. The County and the Contractor now desire to amend the Agreement to extend the term
13 for an additional six (6) month base and optional six (6) month renewal term and increasing the
14 maximum compensation by Seven Million, Two Hundred Ninety-Two Thousand, One Hundred
15 Ninety-Five and No/100 Dollars ($7,292,195.00).
16 The parties therefore agree as follows:
17 1. Term. This Amendment extends the term of the Agreement through December 31, 2025.
18 The term of this Agreement may be extended for no more than one six-month period only upon
19 written approval of both parties at least thirty (30) days before the first day of the six-month
20 extension period. The County's DBH Director, or designee, is authorized to sign the written
21 approval on behalf of the County base on the Contractor's satisfactory performance. The
22 extension of this Agreement by the County is not a waiver or compromise of any default or
23 breach of this Agreement by the Contractor existing at the time of the extension whether or not
24 known to the County.
25 2. All references to Revised Exhibit C shall be deemed references to "Revised Exhibit C-1."
26 Revised Exhibit C-1 is attached and incorporated by this reference.
27 3. Section 5 of Amendment No. 1 (Agreement No. 24-618) beginning on Page 2, Line 23 is
28 amended to add the following:
1 "The maximum compensation payable to the contractor under this Agreement for
2 the period of July 1, 2025, through December 31, 2025, for Specialty Mental
3 Health Services shall not exceed Three Million, Five Hundred Forty-Nine
4 Thousand, Three Hundred Forty-One and No/100 Dollars ($3,549,341.00). The
5 maximum compensation payable to the contractor under this Agreement for the
6 period January 1, 2026, through June 30, 2026, for Specialty Mental Health
7 Services shall not exceed Three Million, Seven Hundred Forty-Two Thousand,
8 Eight Hundred Fifty-Four and No/100 Dollars ($3,742,854.00)."
9 4. A portion of Section 5 of Amendment No. 1 (Agreement No. 24-618) located at Page 3,
10 Lines 1 through 4 is deleted and replaced with the following:
11 "In no event shall the total maximum compensation amount under this
12 Agreement beginning July 1, 2020, through June 30, 2026, exceed Thirty-Six
13 Million, Two Hundred Twenty-Four Thousand, Four Hundred Seven and No/100
14 Dollars ($36,224,407.00)."
15 5. When both parties have signed this Amendment No. 2, the Agreement, Amendment 1,
16 and this Amendment No. 2 together constitute the Agreement.
17 6. The Contractor represents and warrants to the County that:
18 a. The Contractor is duly authorized and empowered to sign and perform its obligations
19 under this Amendment.
20 b. The individual signing this Amendment on behalf of the Contractor is duly authorized
21 to do so and his or her signature on this Amendment legally binds the Contractor to
22 the terms of this Amendment.
23 7. The parties agree that this Amendment may be executed by electronic signature as
24 provided in this section.
25 a. An "electronic signature" means any symbol or process intended by an individual
26 signing this Amendment to represent their signature, including but not limited to (1) a
27 digital signature; (2) a faxed version of an original handwritten signature; or (3) an
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1 electronically scanned and transmitted (for example by PDF document) version of an
2 original handwritten signature.
3 b. Each electronic signature affixed or attached to this Amendment (1) is deemed
4 equivalent to a valid original handwritten signature of the person signing this
5 Amendment for all purposes, including but not limited to evidentiary proof in any
6 administrative or judicial proceeding, and (2) has the same force and effect as the
7 valid original handwritten signature of that person.
8 c. The provisions of this section satisfy the requirements of Civil Code section 1633.5,
9 subdivision (b), in the Uniform Electronic Transaction Act (Civil Code, Division 3, Part
10 2, Title 2.5, beginning with section 1633.1).
11 d. Each party using a digital signature represents that it has undertaken and satisfied
12 the requirements of Government Code section 16.5, subdivision (a), paragraphs (1)
13 through (5), and agrees that each other party may rely upon that representation.
14 e. This Amendment is not conditioned upon the parties conducting the transactions
15 under it by electronic means and either party may sign this Amendment with an
16 original handwritten signature.
17 8. This Amendment may be signed in counterparts, each of which is an original, and all of
18 which together constitute this Amendment.
19 9. The Agreement, as previously amended and as amended by this Amendment No. 2 is
20 ratified and continued. All provisions of the Agreement as previously amended and not
21 amended by this Amendment No. 2 remain in full force and effect.
22 [SIGNATURE PAGE FOLLOWS]
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1 The parties are signing this Amendment No. 2 on the date stated in the introductory
2 clause.
3
CENTRAL STAR BEHAVIORAL HEALTH, COUNTY OF FRESNO
4 INC.
5
6 Kent Dunlap, President and CEO Ernest Buddy Mendes,'Chairman of the
7 1501 Hughes Way, Suite 150 Board of Supervisors of the County of Fresno
Long Beach, CA 90810 Attest:
8 Bernice E. Seidel
Clerk of the Board of Supervisors
9 County of Fresno, State of California
10
By: _
11 Deputy
12 For accounting use only:
13 Org No.: 56302112
Account No.: 7295
14 Fund No.: 0001
Subclass No.: 10000
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Revised Exhibit C-1 Page 1 of 32
Psychiatric Health Facility Services
Central Star Behavioral Health, Inc
Fiscal Year(FY)2025-26-JUL-DEC'25
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 Admistrator 0.67 $ 53,249 $ 53,249
1102 HR 0.86 30,123 30,123
1103 QA 1.07 44,867 44,867
1104 Training 0.52 19,126 19,126
1105 -
1106 -
1107
1108
1109
1110
1111
1112
1113
1114
1115 -
Direct Personnel Admin Salaries Subtotal 3.12 $ 147,365 $ 147,365
Acct# Program Position FTE Admin Program Total
1116 Director of Nursing(DON) 1.00 $ 70,304 $ 70,304
1117 Clinical Director 1.00 57,200 57,200
1118 Program Coordinator 1.00 45,001 45,001
1119 Social Worker 4.00 173,056 173,056
1120 Peer Support 2.00 47,840 47,840
1121 Recreation Therapist 1.00 37,440 37,440
1122 Rehabilitation Aid 3.00 72,883 72,883
1123 RN/NC 1.40 74,999 74,999
1124 YC/Safety Specialist 17.80 438,734 438,734
1125 LVN/LPT 9.00 345,758 345,758
1126 Admissions Coordinator 1.40 54,048 54,048
1127 Clerk/Discharge Coordinator 3.00 69,764 69,764
1128 Housekeeper 1.50 34,070 34,070
1129 -
1130 -
1131 -
1132 -
1133 -
1134 - -
Direct Personnel Program Salaries Subtotal 47.10 $ 1,521,096 $ 1,521,096
Admin Program Total
Direct Personnel Salaries Subtotal 50.22 $ 147,365 $ 1,521,096 $ 1,668,461
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit C-1 Page 2 of 32
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ 6,632 $ 68,450 $ 75,082
1202 Worker's Compensation 2,947 30,422 33,369
1203 Health Insurance 16,211 167,321 183,532
1204 Other(specify) - - -
1205 Other(specify) - -
1206 Other(specify) - - -
Direct Employee Benefits Subtotal: $ 25,790 $ 266,193 $ 291,983
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ 9,137 $ 94,308 $ 103,445
1302 FICA/MEDICARE/FUTA 2,312 24,694 27,006
1303 SUI 851 12,859 13,710
1304 Other(specify) - - -
1305 Other(specify) - -
1306 Other(specify) - - -
Direct Payroll Taxes&Expenses Subtotal: $ 12,300 $ 131,861 $ 144,161
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 185,455 $ 1,919,150 $ 2,104,606
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
9%1 91%
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $ -
2002 Client Housing Support
2003 Client Transportation&Support -
2004 Clothing, Food,&Hygiene 218,164
2005 Education Support
2006 Employment Support
2007 Household Items for Clients 3,219
2008 Medication Supports 455,700
2009 Program Supplies-Medical 35,491
2010 Utility Vouchers
2011 Translation Services 2,771
2012 Laudry Services 10,101
2013 Client Needs -
2014 Other(specify)
2015 Other(specify) -
2016 Other(specify) -
DIRECT CLIENT CARE TOTAL $ 725,446
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit C-1 Page 3 of 32
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 23,747
3002 Printing/Postage
3003 Office, Household&Program Supplies 18,007
3004 Advertising
3005 Staff Development&Training 7,085
3006 Staff Mileage 1,000
3007 Subscriptions&Memberships
3008 Vehicle Maintenance
3009 Recruitment 1,597
3010 Other(specify) -
3011 Other(specify)
3012 Other(specify)
DIRECT OPERATING EXPENSES TOTAL: $ 51,436
4000:DIRECT FACILITIES&EQUIPMENT
Acct# Line Item Description Amount
4001 Building Maintenance $ 5,182
4002 Rent/Lease Building 2,115
4003 Rent/Lease Equipment 6,196
4004 Rent/Lease Vehicles
4005 Security 989
4006 Utilities 300
4007 Other(specify) -
4008 Other(specify)
4009 Other(specify) -
4010 Other(specify) -
DIRECT FACILITIES/EQUIPMENT TOTAL: $ 14,782
5000:DIRECT SPECIAL EXPENSES
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $ -
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services (Specify) -
5004 Translation Services -
5005 Other(specify) -
5006 Other(specify) -
5007 Other(specify) -
5008 Other(specify)
DIRECT SPECIAL EXPENSES TOTAL: $ -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit C-1 Page 4 of 32
6000:INDIRECT EXPENSES
Acct# Line Item Description Amount
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate $ -
Administrative Overhead
6002 Professional Liability Insurance -
6003 Accounting/Bookkeeping -
6004 External Audit 3,424
6005 Insurance(Specify): 24,732
6006 Payroll Services 296
6007 Depreciation(Provider-Owned Equipment to be Usedfor Program Purposes)
6008 Personnel(Indirect Salaries&Benefits)
6009 Centralized Services Private/Other County 110,214
6010 Centralized Services Fiscal-Fresno 117,841
6011 Centralized Services Administration 273,980
6012 lCentralized Services Program 100,165
6013 1 Other(specify) -
INDIRECT EXPENSES TOTAL $ 630,652
INDIRECT COST RATE 21.61%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $ 21,863
7002 Copiers,Cell Phones,Tablets, Devices to Contain HIPAA Data
7003 Furniture&Fixtures 556
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 $ 22,419
TOTAL PROGRAM EXPENSES $ 3,549,341
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit C-1 Page 5 of 32
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Estimated Specialty Mental Health Services Billing Totals: $ 2,223,770
Estimated%of Clients who are Medi-Cal Beneficiaries 61%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 1,356,500
Federal Financial Participation (FFP)% 1 50% 678,250
8001 Medi-Cal Specialty Mental Health Services MEDI-CAL FFP TOTAL $ 678,250
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 $ 1,768,955
REALIGNMENT TOTAL $ 1,768,955
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(Private Insurance) 712,895
8405 Other(Out of County) 389,241
OTHER REVENUE TOTALI $ 1,102,136
TOTAL PROGRAM FUNDING SOURCES: $ 3,549,341
NET PROGRAM COST: $ (0)
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit C-1
Psychiatric Health Facility Services
Central Star Behavioral Health, Inc
Fiscal Year (FY) 2025-26 JUL-DEC'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
Administrator PHF/BHS/Fresno 0.67
Administrator CRT/BHS/Fresno 0.33
Total 1.00
Position Contract#/Name/Department/County FTE
QA PHF Bakersfield 0.41
QA PHF/BHS/Fresno 0.40
QA CRT/BHS/Fresno 0.19
QA
QA PHF/BHS/Fresno 0.67
QA CRT/BHS/Fresno 0.33
Total 2.00
Position Contract#/Name/Department/County FTE
HR PHF Bakersfield 0.88
HR PHF/BHS/Fresno 0.86
HR CRT/BHS/Fresno 0.48
HR TAY/BHS/Fresno 0.58
HR All-Star/BHS/Fresno 0.78
HR WRAP/BHS/Fresno 0.49
HR CRU/BHS/Merced 0.51
HR CBHST/BHS/Stanislaus 0.42
Total 5.00
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit C-1
Position Contract#/Name/Department/County FTE
Training PHF Bakersfield 0.53
Training PHF/BHS/Fresno 0.52
Training CRT/BHS/Fresno 0.29
Training TAY/BHS/Fresno 0.35
Training All-Star/BHS/Fresno 0.47
Training WRAP/BHS/Fresno 0.29
Training CRU/BHS/Merced 0.31
Training CBHST/BHS/Stanislaus 0.25
Total 3.00
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
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit C-1
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
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit C-1
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
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit C-1
Psychiatric Health Facility Services
Central Star Behavioral Health,Inc
Fiscal Year(FY)2025-26-JUL-DEC'25 Budget Narrative
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 2,104,606
Administrative Positions 147,365
1101 Admistrator 53,249 Administrator:Manages the overall day-to-day operation of the adolescent Psychiatric
Health Facility(PHF). Assures compliance with Federal,State,County and local laws and
regulations. He/she oversees and assures that there is a comprehensive quality
treatment program and supervision for all PHF patients and reviews and approves all
policies and procedures of the agency.The Administrator represents the CSBH agency
and its programs to governmental agencies and the community. (Remainder of FTE is
for overseeing the CRT).
PHF Fresno®7%11176.42 x 1040 x.67=$53,249
CRT Fresno®3%$76.42 x 1040 x.33=$26,227
1102 HR 30,123 Human Resources:This team manages all human resource clerical and administrative
tasks for the program staff.This position is responsible for supporting the development
of a positive working environment to enhance agency success and reduce legal risk,as
well as management team support and consultation,employee relations,interpretation
and administration of HR policies and procedures,staff recruitment and selection,
compensation,and employee benefits etc.
PHF Kern $33.68 x 1040 hrs.x 17.6%x 5 FTE=$30,8240
PHF Fresno $33.68 x 1040 hrs.x 17.2%x 5 FTE=$30,123M
CRT Fresno $33.68 x 1040 hrs.x 9.6%x 5 FTE=$16,8130
TAY Fresno $33.68 x 1040 hrs.x 11.6%x 5 FTE=$20,316M
All-Star Fresno $33.68 x 1040 hrs.x 15.6%x 5 FTE=$27,3210
WRAP Fresno $33.68 x 1040 hrs.x 9.8%x 5 FTE=$17,16311
CRU Merced $33.68 x 1040 hrs.x 10.2%x 5 FTE=$17,8640
CBHST Stanislaus$33.68 x 1040 hrs.x 8.4%x 5 FTE=$14,711
1103 QA 44,867 QA:This team is responsible for Utilization review and assisting in medical record
management by gathering and analyzing agency data and assisting in the agency's
quality control,quality assurance,and quality improvement efforts.
QA Director
PHF Kern $44.42 x 1040 hrs.x 41%x 1 FTE=$18,9410
PHF Fresno $44.42 1040 hrs.x 40%x 1 FTE=$18,479M
CRT Fresno $44.42 x 1040 hrs.x 16%1 FTE=$8,7777
QA Manager
PHF Fresno $37.87 x 1040 hrs.x 67%x 1 FTE =$26,388
CRT Fresno $37.87 x 1040 hrs.x 33%x 1 FTE=$12,9970
TOTAL=$44,867 FOR QA FOR FRESNO PHF
1104 Training 19,126 Training:This team has primary responsibility for development,coordination,and
supervision of training programs for Central Star PHF program.The Training Manager
regularly provides training.The position develops and maintains systems to track in-
service attendance.The position develops opportunities to host training for other
professionals or participate with other organizations in providing such trainings.
PHF Kern $35.64 x 1040 hrs.x 17.6%x 3 FTE=$19,57119
PHF Fresno $35.64 x 1040 hrs.x 17.2%x 3 FTE=$19,1260
CRT Fresno $35.64 x 1040 hrs.x 9.6%x 3 FTE=$10,6750
TAY Fresno $35.64 x 1040 hrs.x 11.6%x 3 FTE=$12,8990
All-Star Fresno $35.64 x 1040 hrs.x 15.6%x 3 FTE=$17,34719
WRAP Fresno $35.64 x 1040 hrs.x 9.8%x 3 FTE=$10,8970
CRU Merced $35.64 x 1040 hrs.x 10.2%x 3 FTE=$11,3420
CBHST Stanislaus$35.64 x 1040 hrs.x 8.4%x 3 FTE_$9,341
1105 0
1106 0
1107 0
1108 0
1109 0
1110 0
1111 0
1112 0
1113 0
1114 0
1115 0
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit C-1
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
Program Positions 1,521,096
1116 Director of Nursing(DON) 70,304 Director of Nursing:
Pay rate is$67.60per hour x 1040 hours for Jul'25-Dec'25=$70,304
The Director of Nursing ensures that each PHF client receives the nursing care,
treatment,medications,and diet,which have been ordered by the attending physician,
ensuring the overall quality of licensed nursing care for the PHF Unit. S/he participates
in budget development for the Nursing Department and is responsible for its
implementation and management. S/he selects,hires,and supervises all staff in the
Nursing Department.
1117 Clinical Director 57,200 Clinical Director:
Pay rate is$55 per hour x 1040 hours for Jul'25-Dec'25=$57,200
This position has primary responsibility for overseeing the provision of mental health
services,case management services and support services to clients and their families.
Has oversight of the Program and provides supervision to clinical staff.He/she acts as
liaison with external agencies and internal teams with other clinical&support staff.
Functions as a key management team member in all administrative and program duties.
1118 Program Coordinator 45,001 Program Coordinator:
Pay rate is$43.27 x 1040 hours for Jul'25-Dec'25=$45,001
The Coordinator assists the Director of Nursing in directing the activities of assigned
licensed and non-licensed personnel who provide health care services to clients of the
Central Star Youth Psychiatric Health Facility on a 24/7 basis.
1119 Social Worker 173,056 Social Worker:
Pay rate is$41.60 per hour x 4 FTE x 1040 hours for Jul'25-Dec'25=$173,056
The leader of each client's treatment team and is responsible for preparing a
comprehensive treatment plan for each client. This position manages the client's
journey from intake,evaluation and assessment,the provision of case management and
other therapeutic services,through discharge planning and final placement. This
position coordinates with other agencies such as Child Protective Services,Juvenile
Probation Department,and County Department of Mental Health.
1120 Peer Support 47,840 Peer Support Specialist/Counselor:
Pay rate is$23 per hour x 2 FTE x 1040 hours for Jul'25-Dec'25=$47,840
This team of 2,provides outreach,advocacy,training,and support for client's family
members throughout all stages of the treatment,transition,and aftercare.They
educate,coach,advocate,and act as role models.They collaborate with other team
members and providers to ensure proper,client-centered services are provided.This
position is part of a team that provides services to youth and their family.
1121 Recreation Therapist 37,440 Recreation therapist:
Pay rate is$36 per hour x 1040 hours for Jul'25-Dec'25=$37,440
The treatment team member who is responsible for providing recreational services to
adolescent clients within the Rehabilitation Program.These services are provided
through individualized and/or group activities to restore,establish and maintain
optimum level of social,vocational,and physical,functioning which include social
activities involving group participation,indoor and outdoor recreational activities,and
exercises.
1122 Rehabilitation Aid 72,883 Rehabilitation Aide:
Pay rate is$22.90 per hour x 2%OT=$23.36 per hour x 3 FTE x 1040 hours for Jul'25-
Dec'25=$72,883
The Rehabilitating Aide provides direct and indirect rehabilitation services to adolescent
clients through individualized and/or group activities.
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit C-1
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1123 RN/NC 74,999 Charge&Registered Nurse:
Pay rate is$51.51 per hour x 1.40 FTE x 1040 hours for Jul'25-Dec'25=$74,999
The Nurses are the treatment team members who are responsible for performing all
nursing duties and related nursing activities for clients. The Charge Nurse is also
responsible for the supervision of the Youth Counselor staff assigned to their respective
shift.Nursing staff is impacted by increased acuity due to the need to provide safe care
to persons served throughout the shift and during crisis.Nurses then provide reports to
the next shift to ensure safe continuity of care.This may lead to overtime as they
complete documentation,thoroughly document incidents/interventions,and required
reporting.
1124 YC/Safety Specialist 438,734 Youth Counselor/Safety Specialist:
Pay rate is$22.36 per hour x 6%OT=$23.70 per hour x 17.80 FTE x 1040 hours for
Jul'25-Dec'25=$438,734
These positions are responsible for providing direct care to meet the physical and
psychosocial needs of adolescents.This care is provided through direct and indirect
physical and verbal interactions with clients,modeling appropriate behaviors for clients,
and monitoring daily client activities.(1.0 FTE Youth Counselor serves as a designated
Safety Specialist).All direct cares staff are required to have training hours,48 for full-
time and 24 for on-call.Direct care staff are not typically able to provide care and
participate in training at the same time.Some training courses are also in person,such
as yearly ProACT training.To ensure coverage,on-call staff provide coverage while
direct care staff trains.
Youth high acuity and Conservatorship requires Physician ordered interventions such as
1:1 supervision,line of sight supervision,which requires additional Youth Counselors.
Conservatorship leads to those persons served remaining on the unit long term,due to
lack of placement and programs designed to address aggressive or destructive
behaviors.
•Increased acuity leads to the need for additional staff to maintain the safety of the
clients served which causes the use of staff not previously scheduled to support the
unit.It also causes OT for staff to remain on the unit while waiting for additional staff to
be arranged.Staffing is adjusted to the acuity level of the unit,however,the need for
extra support at night may be unpredictable.Preemptively overstaffing the unit on a
regular basis would lead to increased overspending of the Youth Counselor line item,
therefore an increase in the FTEs of Youth Counselor/Safety Specialists is requested.
This also increases safety without the use of a Security Guard company,which appears
punitive to the person served.The use of increased YCs would allow for therapeutic
interventions during crisis and could focus on the prevention of escalation to the point
of crisis.
1125 LVN/LPT 345,758 LVN/LPT:
Pay rate is$36.00 per hour x 2.6%OT=$36.94 per hour x 9 FTE x 1040 hours for Jul'25-
Dec'25=$345,758
This position includes shift differential pay,and increased FTE to cover shifts for staff
absences due to PTO and Training through use of on call staff and overtime. This
position provides direct client care including medications and supervision of nursing
activities performed by professional and para-professional nursing personnel on the
unit.Nursing staff is impacted by increased acuity due to the need to provide safe care
to youths served throughout the shift and during crisis.Staff then provide reports to the
next shift to ensure safe continuity of care.This may lead to overtime as they complete
documentation,thoroughly document incidents/interventions,and required reporting.
All direct care staff are required to have training hours,48 for full-time and 24 for on-
call.Direct care staff are not typically able to provide care and participate in training at
the same time.Some training courses are also in person,such as yearly ProACT training.
To ensure coverage,on-call staff provides coverage while direct care staff trains.
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit C-1
PROGRAM EXPENSE
11 ACCT# LINE ITEM A DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1126 Admissions Coordinator 54,048 Admissions Coordinator:
Pay rate is$35.56 per hour x 4.3%OT=$37.12 per hour x 1.40 FTE x 1040 hours for
Jul'25-Dec'25=$54,048
This Coordinator is responsible for interviewing all prospective admissions,conducting
the initial assessment,and collecting documentation,ensuring appropriate admission at
Central Star Psychiatric Health Facility. This person maintains liaison with parents and
other legal guardians,county agencies,insurance companies and other payors,
hospitals,and health care facilities,augments existing social services by providing
discharge-planning services,provides direct services to clients,offers consultation and
supervision to staff,and acts as liaison to outside agencies.Increased FTE to cover
weekend days where the referral to intake numbers fall as a result of not having a
dedicated person to manage the process.
1127 Clerk/Discharge Coordinator 69,764 Clerk/Receptionist/Discharge Coordinator:
Pay rate is$22.36 x 3 FTE x 1040 hours for Jul'25-Dec'25=$69,764
This position provides reception,clerical and administrative support.They will provide a
large variety of data management and clerical tasks related to admissions and
discharges for the Psychiatric Health Facility.These positions monitor the timeliness of
documentation,admission/discharge tasks and other time-sensitive activities. Includes
collaboration with other departments and outside agencies to process client referrals
and assist in completing the admission or discharge process.
1128 Housekeeper 34,070 Housekeeper:
Pay rate is$21.84 x 1.50 FTE x 1040 hours for Jul'25-Dec'25=$34,070
This position performs a variety of tasks to ensure that the facility is in a clean,orderly,
sanitary,and attractive condition.
1129 0
1130 0
1131 0
1132 0
1133 0
1134 10 1 -
Direct Employee Benefits
1201 Retirement 75,082 Retirement:based on 4.5%of salary expense.This includes ESOP,401k employer match,
and Life Insurance/AD&D.The total benefits and especially the retirement benefit has
been underfunded in the PHF contract. This adjusts the total benefits to be 26%of
wages which is on par with our other County contracts.
1202 Worker's Compensation 33,369 Worker Compensation:based on 2%of salary expense
1203 Health Insurance 183,532 Health insurance:based on 11%of salary expense
1204 Other(specify) -
1205 Other(specify)
1206 1 Other(specify)
Direct Payroll Taxes&Expenses: 144,161
1301 OASDI 103,445 OASDI Payroll Taxes:based on 2024 rates at 6.2%.
1302 FICA/MEDICARE/FUTA 27,006 FICA Payroll Taxes:based on 2024 rates 1.45%plus FUTA at.8%per the first$7,000 of
each employee wages.
1303 SUI 13,710 SUI Payroll Taxes:based on 2024 rates at 3.8%plus ETT at.1% =3.9%,calculated on the
first$7,000 of each employee's wages.($7,000 x#of FTE x 3.9%)
1304 Other(specify) -
1305 Other(specify)
1306 Other(specify)
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit C-1
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2000:DIRECT CLIENT SUPPORT 725,446
2001 Child Care -
2002 Client Housing Support
2003 Client Transportation&Support -
2004 Clothing,Food,&Hygiene 218,164 This item includes the cost of meals and food for clients.Morrison Supplier cost per year
is estimated at$428,952 per Contract,at$214,476 for six months.Plus$3,688 for
snacks not covered by Supplier.Total Cost for six months is$218,164.
2005 Education Support -
2006 Employment Support -
2007 Household Items for Clients 3,219 Clothes and hygiene items for six months$3,219 for clothes and items needed for
personal hygiene.
2008 Medication Supports 455,700 Medication Supports-Psychiatrists,Nurse Practitioner,and MD services.Psychiatrists
evaluate,diagnose,and collaborate with other team members to treat our youngsters
for different mental health disorders.They have the credentials to prescribe medication
and are responsible for medication management and consultation when a patient needs
a medical or neurological evaluation.Included is a Medical Director(Dr.Brar)who
provides services for the PHF program along with supporting management in the overall
coordination and quality control of psychiatrist,primary care physician,and psychiatric
nurse practitioner services,including services provided via telepsychiatry.Includes
contracted medical doctor(Dr.Grossman).This cost is based on actuals,rates are as
follows,$126K for Dr.Saadaabadi,$37K Dr.Bhatia,$62K Dr.Cheema,$573K Dr.Brar,
$110K Dr.Grossman yearly($86.4K annual+$23,6K for follow up appointments).
Nutritionist is$3,400 yearly.Total per year is$911,400,for six months is$455,700.
2009 Program Supplies-Medical 35,491 Program Supplies Medical-Contracted with Omnicare Pharmacy,Medline Industries,
Lab Diagnostics,X-rays,and other suppliers.This cost is based on current trend.This
cost varies based on census and needed services per client and program supplies.This
budget is based on trend Jul'24-Jan'25+3%COLA.
2010 Utility Vouchers -
2011 Translation Services 2,771 Translation Services:This cost is based on current trend.It varies based on the need and
lengths of stay of some clients needing this service.This budget is based on trend Jul'24-
Jan'25+3%COLA.
2012 Laudry Services 10,101 Laundry&Linen:The supply,cleaning,and management of linens.This includes
cleaning and replacement of bed and bath linen.This budget is based on trend Jul'24-
Jan'25+3%COLA.
2013 Client Needs -
2014 Other(specify)
2015 Other(specify)
2016 1 Other(specify)
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit C-1
PROGRAM EXPENSE
ACcr#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
3000:DIRECT OPERATING EXPENSES 51,436
3001 Telecommunications 23,747 Telephone:This cost includes the cost of landline,internet&phones which includes Wi-
Fi for staff tablets.This is based on actuals,Central IT department forecast,and size of
facility.Fiber line for Millbrook thru ATT•Coax line for Millbrook thru Comcast•Mobile
phone service for emergency phone at the PHF-LTE for laptops in case of a major
system outage/disaster at the facility•Managed SDWAN for WAN network connectivity
Access Point Management(Arista)-Hosted VOIP Phone system for 25 handsets and
network switch.The cost of TPX Phone internet$28,994,Comcast$2,840,Verizon$960,
Comcast Fiber$7,812, Arista Cloud,and$450+TMobile$336=$41,392+$6,101 in
Employee Phone/internet reimbursement$6,101(includes($1536=for 8 staff from
HR/QA/Training at 20%allocation at$80 per month)+$965 =(for Administrator at
$120 per month at 67%for PHF)+3600=for the Coordinator,DON,and Director at
$100 per month)for full year.Total full year is$47,493,23,747 for six months.We are
also waiting on the release of new rates happening annually.We would like to have
$2,041 buffer for new rates in case of inflation.
3002 Printing/Postage -
3003 Office,Household&Program Supplies 18,007 This line item includes various program services such as confidential material shredding
service,water dispenser fee,postage,carrier,and license fees.This includes city license,
Join Commission,Fire department inspection.This cost also includes various household
items such as cleaning supplies,and food disposable supplies such as cups and paper
plates used mostly by clients.The yearly cost is FedEx,First Choice,Office Depot,Pacific
Shredding,Subscriptions,and Licenses.This budget is for 6 months+3%COLA.
3004 Advertising -
3005 Staff Development&Training 7,085 Staff Training/Registration:This cost includes on-going program required education,
Education training,Staff Certifications,and training materials for staff.This cost is based
on current trend+3%COLA.
3006 Staff Mileage 1,000 Staff Mileage/Vehicle maintenance:Estimated staff travel reimbursement for supplies
shopping,training,and meetings for 6 months at current trend of$971 per six months+
$29, 3%COLA.
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance
3009 Recruitment 1,597 Recruitment: Fees for background check and random drug testing.This cost is based on
current trend.
3010 Other(specify) -
3011 Other(specify)
3012 Other(specify)
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit C-1
PROGRAM EXPENSE
ACcr#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
4000:DIRECT FACILITIES&EQUIPMENT 14,782
4001 Building Maintenance 5,182 Building Maintenance:This cost includes six months of repairs and maintenance for PHF
facility,Fresno County invoices for 6 months were$4,834.We are adding$348 for six
months($58 monthly)for shared allocation cost at 3433 W Shaw for Central Star
Admin.
PHF Kernl1117.6%1112,0263357
PHF Fresno[07.2%S2,026[$348
CRT Fresno®.6%1112,0263194
TAY Fresnol11.6%S2,026[]$235
All-Star Fresno®5.6%t$2,026G$316
WRAP Fresno®.8%$2,026[S199
CRU Merced®0.2%$2,0263207
CBHST Stanislaus8.4%$2,026r$107
4002 Rent/Lease Building 2,115 Rent/Lease Building:Administration area at 3433 W Shaw a shared cost of Central Star
Administration staff.Allocation as follows:
Jul-Dec'2026 rent for 15%of space for Admin Central is$12,296 for six months.
PHF Kernl17.6%11I355.2[]$2,164
PHF Fresno®7.2%S347.11]$2,115
CRT Fresno9.6%%93.8[]$1,180
TAY Fresnol11.6%S234.1[]$1,426
All-Star Fresno®5.6%t$314.8G$1,918
WRAP Fresno®.8%$197.8C$1,205
CRU Mercedl10.2%$205.9C$1,254
CBHST Stanislaus8.4%$169.51$1,033
4003 Rent/Lease Equipment 6,196 Rent/Lease Equipment:Copier lease,toner,and equipment maintenance.This is based
on Central IT department trend.We have two copiers that cost average$373 per item
per month=2 x$373 x 6=$4,476-We then pay for usage(printing)for these two
copiers and two printers onsite•We pay.0055 black/.055 color per print and get toner
and support included.This is based on 6 months trend at$1720.Total amount for PHF
Fresno is$6196 for six months.
4004 Rent/Lease Vehicles -
4005 Security 989 Security:Camaras and Security services cost.Security is for the cost of service and the
monthly fee for shared cost for management location,the methodology is based on
Programs'direct wages percentages.This is for the cost of service and security cost.Can
potentially decrease significantly if Fresno County covers the costs at the new location.
The cost is based on current trend+3%COLA.
4006 Utilities 300 Utilities:Cost of utilities for the Central Administration shared location at 3433 W Shaw.
The cost is allocated among Central programs,trend for PHF is$305 for six months.
This cost doesn't include PHF location.
PHF Kern $1771 x 17.6% =$312
PHF Fresno $1771 x 17.2% =$3050
CRT Fresno $1771 x 9.6%=$1700
TAY Fresno $1771 x 11.6% _$205M
All-Star Fresno $1771 x 15.6% =$276M
WRAP Fresno $1771 x 9.8% _$1741]
CRU Merced $1771 x 10.2% =$181M
CBHST Stanislaus $1771 x 8.4% _$149
4007 Other(specify)
4008 Other(specify)
4009 Other(specify)
4010 1 Other(specify)
5000:DIRECT SPECIAL EXPENSES
5001 Consultant(Network&Data Management)
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify)
5004 Translation Services
5005 Other(specify)
5006 Other(specify)
5007 Other(specify)
5008 1 Other(specify)
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit C-1
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
6000:INDIRECT EXPENSES 630,652
6001 Administrative Overhead
6002 Professional Liability Insurance -
6003 Accounting/Bookkeeping -
6004 External Audit 3,424 External Audit:This is for external annual audits fees as per county agreement.Annual
cost for PHF Fresno from Supplier is approximately$6,847 per year,$3,424 for six
months. The
allocation is based on revenue projection as follows: PHF
Fresno 23%, $6,847
All-Star Fresno 11%,$3,275
TAY Fresno 10%,$2,977
WRAP Fresno 13%,$3,870
CRT Fresno 9%,$2,679
CRU Merced 11%,$3,275
CBHST 6%,$1,786
PHF Kern 17%,$5,061
6005 Insurance(Specify): 24,732 Liability Insurance:General liability,property,and professional liability.The cost for PHF
Fresno is at$4,122 per month.Insurance cost report file will be provided along with this
budget.The cost of insurance is based on multiple factors that are calculated in an
extensive worknbook with multiple worksheets.Will be provided as requested.
6006 Payroll Services 296 Payroll services:ADP supplier fee for printed and electronic payroll check stubs.Fresno
PHF receives approximately 65 paycheck processes per pay period x 26 pay periods per
year x$.35 cents per payment process=$.35 x 65 x 26=$592/2(six month term)_
$296 for six months.
6007 Depreciation(Provider-Owned Equipment to be Used
6008 Personnel(Indirect Salaries&Benefits) -
6009 Centralized Services Private/Other County 110,214 This item includes centralized fiscal service allowed profit from private insurance and
other counties.Calculated at 10%of the total other revenue.Calculates as yearly Other
Revenue Private$1,425,790+Other Revenue Out of County$778,482=$2,204,272 x
.10=$220,427/2=$110,214 for six months.
6010 Centralized Services Fiscal-Fresno 117,841 This item includes centralized fiscal allowed profit from Fresno County.Calculated at 4%
of the total expenses minus all Centralized Services line items 6009-6012.Calculation is
$2,970,363*.04=$118,815
6011 Centralized Services Administration 273,980 Centralized services-Administrative Overhead-This is an allocation from Stars
Behavioral Health Group of operations administration,business development and
contract management with multiple counties,health plans,and insurance companies,
information technology,human resources,communications,finance,and associated
fringe benefits and expenses.The cost is developed from allocating the SBHG costs
among all the programs within all the SBHG companies.This results in significant
savings for all programs. Because rather than staff each program for all necessary
services above,the services are performed by fewer employees and then shared among
all SBHG programs.The SBHG support provides oversight of all programs to ensure
consistency with our standard policies and procedures.Calculated at 9.3%of the total
expenses(Contract budget:less centralized services private/other County,Fiscal,
Program and Administration,line items 6009-6012).Our current actual trend is 9.3%of
total expenses less centralized services costs.Total indirect costs without the added
profit from Fresno and private/other county is under 15%.Calculation is$2,970,363
.093=$276,244
6012 Centralized Services Program 100,165 Centralized Program Services:Is comprised of the SBHG corporate and regional support
in the numerous areas including support from the Senior Administrator as well as
services provided for Program Development and Evaluation(e.g.,tracking and reporting
outcomes,and implementation of practices),Quality&Compliance(e.g.,internal chart
audits,compliance audits,and TJC-readiness preparation),and Training(e.g.,TIP and
Core Practice trainings provided company-wide).There is a significant cost advantage to
all the SBHG company programs in sharing these costs rather than building them into
each program.SBHG support provides oversight of all programs to ensure consistency
with our standard policies and procedures.Calculated at 3.4%of the total expenses
(Contract budget:less centralized services private/other County,Fiscal,Program and
Administration,line items 6009-6012).Our current actual trend is 3.4%of total
expenses less centralized services costs.Calculated as$2,970,363*.034=$100,992.
6013 Other s ecif
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit C-1
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
7000:DIRECT FIXED ASSETS 22,419
7001 Computer Equipment&Software 21,863 The annual services are for Microsoft Office,$21,090,Azure Microsoft Cloud data
center,$10,000,Microsoft web online app,$3,060,Microsoft CoPilot,$1,566,Microsoft
email protection,$1,914,PDF Pro$1,150,Security awareness$1,131,Misc software
badge maker app,PDF writer app,Dragon naturally speaking software,$3,815.The total
is$43,726 annually, $21,863 for six months.
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA -
7003 Furniture&Fixtures 556 For furniture replacement and repair.
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 1 Other(specify)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 3,549,341
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 3,549,341
BUDGET CHECK: -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit C-1
Psychiatric Health Facility Services
Central Star Behavioral Health, Inc
Fiscal Year(FY)2025-26-JAN-JUN'26
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 Admistrator 0.67 $ 57,509 $ 57,509
1102 HR 0.86 32,533 32,533
1103 QA 1.07 47,361 47,361
1104 Training 0.52 20,656 20,656
1105 -
1106 -
1107
1108
1109
1110
1111
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 3.12 $ 158,060 $ 158,060
Acct# Program Position FTE Admin Program Total
1116 Director of Nursing(DON) 1.00 $ 75,928 $ 75,928
1117 Clinical Director 1.00 61,776 61,776
1118 Program Coordinator 1.00 48,601 48,601
1119 Social Worker 4.00 186,900 186,900
1120 Peer Support 2.00 51,667 51,667
1121 Recreation Therapist 1.00 40,435 40,435
1122 Rehabilitation Aid 3.00 78,707 78,707
1123 RN/NC 1.40 80,998 80,998
1124 YC/Safety Specialist 17.80 473,865 473,865
1125 LVN/LPT 9.00 373,379 373,379
1126 Admissions Coordinator 1.40 58,322 58,322
1127 Clerk/Discharge Coordinator 3.00 75,345 75,345
1128 Housekeeper 1.50 36,796 36,796
1129 - -
1130 -
1131 -
1132 -
1133 -
1134 -
Direct Personnel Program Salaries Subtotal 47.10 $ 1,642,719 $ 1,642,719
Admin Program Total
Direct Personnel Salaries Subtotal 50.22 $ 158,060 $ 1,642,719 $ 1,800,779
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit C-1
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ 7,113 $ 73,923 $ 81,036
1202 Worker's Compensation 3,161 32,854 36,016
1203 Health Insurance 17,387 180,700 198,087
1204 Other(specify) - - -
1205 Other(specify) - -
1206 Other(specify) - - -
Direct Employee Benefits Subtotal: $ 27,661 $ 287,477 $ 315,139
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ 9,800 $ 101,849 $ 111,649
1302 FICA/MEDICARE 2,467 26,458 28,925
1303 SUI 852 12,859 13,711
1304 Other(specify) - - -
1305 Other(specify) - -
1306 Other(specify) - - -
Direct Payroll Taxes&Expenses Subtotal: $ 13,119 $ 141,166 $ 154,285
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 198,840 $ 2,071,363 $ 2,270,203
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
9%1 91%
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $ -
2002 Client Housing Support
2003 Client Transportation&Support -
2004 Clothing, Food,&Hygiene 218,164
2005 Education Support -
2006 Employment Support -
2007 Household Items for Clients 3,219
2008 Medication Supports 455,700
2009 Program Supplies-Medical 35,491
2010 Utility Vouchers -
2011 Translation Services 2,771
2012 Laudry Services 10,101
2013 Other(specify) -
2014 Other(specify)
2015 Other(specify) -
2016 Other(specify) -
DIRECT CLIENT CARE TOTAL $ 725,446
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit C-1
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 23,747
3002 Printing/Postage -
3003 Office, Household&Program Supplies 18,007
3004 Advertising -
3005 Staff Development&Training 7,085
3006 Staff Mileage 1,000
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance -
3009 Recruitment 1,597
3010 Other(specify) -
3011 Other(specify)
3012 Other(specify)
DIRECT OPERATING EXPENSES TOTAL: $ 51,436
4000:DIRECT FACILITIES&EQUIPMENT
Acct# Line Item Description Amount
4001 Building Maintenance $ 5,182
4002 Rent/Lease Building 2,179
4003 Rent/Lease Equipment 6,196
4004 Rent/Lease Vehicles -
4005 Security 989
4006 Utilities 300
4007 Other(specify) -
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
DIRECT FACILITIES/EQUIPMENT TOTAL:j $ 14,846
5000:DIRECT SPECIAL EXPENSES
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $ -
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services (Specify) -
5004 Translation Services -
5005 Other(specify) -
5006 Other(specify) -
5007 Other(specify) -
5008 Other(specify)
DIRECT SPECIAL EXPENSES TOTAL: $ -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit C-1
6000:INDIRECT EXPENSES
Acct# Line Item Description Amount
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate $ -
Administrative Overhead
6002 Professional Liability Insurance -
6003 Accounting/Bookkeeping -
6004 External Audit 3,424
6005 Insurance(Specify): 24,732
6006 Payroll Services 296
6007 Depreciation(Provider-Owned Equipment to be Usedfor Program Purposes) -
6008 Personnel(Indirect Salaries&Benefits) -
6009 Centralized Services Private/Other County 110,214
6010 Centralized Services Fiscal-Fresno 124,512
6011 Centralized Services Administration 289,491
6012 lCentralized Services Program 105,835
6013 1 Other(specify) -
INDIRECT EXPENSES TOTAL $ 658,504
INDIRECT COST RATE 21.35%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $ 21,863
7002 Copiers,Cell Phones,Tablets, Devices to Contain HIPAA Data -
7003 Furniture&Fixtures 556
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 $ 22,419
TOTAL PROGRAM EXPENSES $ 3,742,854
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Estimated Specialty Mental Health Services Billing Totals: $ 2,223,770
Estimated%of Clients who are Medi-Cal Beneficiaries 61%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 1,356,500
Federal Financial Participation (FFP)% 50% 678,250
8001 Medi Cal Specialty Mental Health Services MEDI-CAL FFP TOTAL $ 678,250
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $ -
8102 SABG $ -
SUBSTANCE USE DISORDER FUNDS TOTAL $ -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit C-1
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment 1 $ 2,640,718
REALIGNMENT TOTAL $ 2,640,718
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(Private Insurance) 712,895
8405 1 Other(Out of County) 389,241
OTHER REVENUE TOTALI $ 1,102,136
TOTAL PROGRAM FUNDING SOURCES: $ 3,742,854
NET PROGRAM COST: $ (0)
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Psychiatric Health Facility Services
Central Star Behavioral Health, Inc
Fiscal Year (FY) 2025-26 JAN-JUN'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
Administrator PHF/BHS/Fresno 0.67
Administrator CRT/BHS/Fresno 0.33
Total 1.00
Position Contract#/Name/Department/County FTE
QA PHF Bakersfield 0.41
QA PHF/BHS/Fresno 0.40
QA CRT/BHS/Fresno 0.19
QA
QA PHF/BHS/Fresno 0.67
QA CRT/BHS/Fresno 0.33
Total 2.00
Position Contract#/Name/Department/County FTE
HR PHF Bakersfield 0.88
HR PHF/BHS/Fresno 0.86
HR CRT/BHS/Fresno 0.48
HR TAY/BHS/Fresno 0.58
HR All-Star/BHS/Fresno 0.78
HR W RAP/BHS/Fresno 0.49
HR CRU/BHS/Merced 0.51
HR CBHST/BHS/Stanislaus 0.42
Total 5.00
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Position Contract#/Name/Department/County FTE
Training PHF Bakersfield 0.53
Training PHF/BHS/Fresno 0.52
Training CRT/BHS/Fresno 0.29
Training TAY/BHS/Fresno 0.35
Training All-Star/BHS/Fresno 0.47
Training WRAP/BHS/Fresno 0.29
Training CRU/BHS/Merced 0.31
Training CBHST/BHS/Stanislaus 0.25
Total 3.00
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
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Total 0.00
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Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit C-1
Psychiatric Health Facility Services
Central Star Behavioral Health,Inc
Fiscal Year(FY)2025-26-JAN-JUN'26 Budget Narrative
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 2,270,203
Administrative Positions 158,060
1101 Admistrator 57,509 Administrator:Manages the overall day-to-day operation of the adolescent Psychiatric
Health Facility(PHF). Assures compliance with Federal,State,County and local laws and
regulations. He/she oversees and assures that there is a comprehensive quality
treatment program and supervision for all PHF patients and reviews and approves all
policies and procedures of the agency.The Administrator represents the CSBH agency
and its programs to governmental agencies and the community. (Remainder of FTE is
for overseeing the CRT).
PHF Fresno G$79.48 x 1040 x 67%=$57,509
CRT Fresno $79.48 x 1040 x 33%=$28,326
1102 HR 32,533 Human Resources:This team manages all human resource clerical and administrative
1103 QA 47,361 QA:This team is responsible for utilization review and assisting in medical record
1104 Training 20,656 Training:This team has primary responsibility for development,coordination,and
1105 0 -
1106 0
1107 0
1108 0
1109 0
1110 0
1111 0
1112 0
1113 0
1114 0
1115 10
Program Positions 1,642,719 0
1116 Director of Nursing(DON) 75,928 Director of Nursing: Pay
rate is$70.30per hour x 1080 hours for Jan-Jun'26=$75,928 The
Director of Nursing ensures that each PHF client receives the nursing care,treatment,
medications,and diet,which have been ordered by the attending physician,ensuring
the overall quality of licensed nursing care for the PHF Unit. S/he participates in budget
development for the Nursing Department and is responsible for its implementation and
management. S/he selects,hires,and supervises all staff in the Nursing Department.
1117 Clinical Director 61,776 Clinical Director:
Pay rate is$57.20 per hour x 1080 hours for Jan-Jun'26=$61,776 This
position has primary responsibility for overseeing the provision of mental health
services,case management services and support services to clients and their families.
Has oversight of the Program and provides supervision to clinical staff.He/she acts as
liaison with external agencies and internal teams with other clinical&support staff.
Functions as a key management team member in all administrative and program duties.
1118 Program Coordinator 48,601 Program Coordinator:
Pay rate is$45.00 x 1080 hours for Jan-Jun'26=$48,601 The
Coordinator assists the Director of Nursing in directing the activities of assigned licensed
and non-licensed personnel who provide health care services to clients of the Central
Star Youth Psychiatric Health Facility on a 24/7 basis.
1119 Social Worker 186,900 Social Worker: Pay
rate is$43.26 per hour x 4 FTE x 1080 hours for Jan-Jun'26=$186,900 The
leader of each client's treatment team and is responsible for preparing a comprehensive
treatment plan for each client. This position manages the client's journey from intake,
evaluation and assessment,the provision of case management and other therapeutic
services,through discharge planning and final placement. This position coordinates
with other agencies such as Child Protective Services,Juvenile Probation Department,
and County Department of Mental Health.
1120 Peer Support 51,667 Peer Support Specialist/Counselor: Pay
rate is$23.92 per hour x 2 FTE x 1080 hours for Jan-Jun'26=$51,667 This
team of 2,provides outreach,advocacy,training,and support for client's family
members throughout all stages of the treatment,transition,and aftercare.They
educate,coach,advocate,and act as role models.They collaborate with other team
members and providers to ensure proper,client-centered services are provided.This
position is part of a team that provides services to youth and their family.
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit C-1
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1121 Recreation Therapist 40,435 Recreation therapist: Pay
rate is$37.44 per hour x 1080 hours for Jan-Jun'26=$40,435 The
treatment team member who is responsible for providing recreational services to
adolescent clients within the Rehabilitation Program.These services are provided
through individualized and/or group activities to restore,establish and maintain
optimum level of social,vocational,and physical,functioning which include social
activities involving group participation,indoor and outdoor recreational activities,and
exercises.
1122 Rehabilitation Aid 78,707 Rehabilitation Aide: Pay
rate is$23.82 per hour x 2%OT=$24.292 per hour x 3 FTE x 1080 hours for Jan-Jun'26=
$78,707 The
Rehabilitating Aide provides direct and indirect rehabilitation services to adolescent
clients through individualized and/or group activities.
1123 RN/NC 80,998 Charge&Registered Nurse: Pay rate is
$51.51 per hour x 1.40 FTE x 1040 hours for Jul'25-Dec'25=$74,999 The Nurses are
the treatment team members who are responsible for performing all nursing duties and
related nursing activities for clients. The Charge Nurse is also responsible for the
supervision of the Youth Counselor staff assigned to their respective shift.Nursing staff
is impacted by increased acuity due to the need to provide safe care to persons served
throughout the shift and during crisis.Nurses then provide reports to the next shift to
ensure safe continuity of care.This may lead to overtime as they complete
documentation,thoroughly document incidents/interventions,and required reporting.
1124 YC/Safety Specialist 473,865 Youth Counselor/Safety Specialist: Pay
rate is$23.25 per hour x 6%OT=$24.649 per hour x 17.80 FTE x 1080 hours for Jan-
Jun'26=$473,865 These
positions are responsible for providing direct care to meet the physical and psychosocial
needs of adolescents.This care is provided through direct and indirect physical and
verbal interactions with clients,modeling appropriate behaviors for clients,and
monitoring daily client activities.(1.0 FTE Youth Counselor serves as a designated Safety
Specialist).All direct cares staff are required to have training hours,48 for full-time and
24 for on-call.Direct care staff are not typically able to provide care and participate in
training at the same time.Some training courses are also in person,such as yearly
ProACT training.To ensure coverage,on-call staff provide coverage while direct care
staff trains.
Youth high acuity and Conservatorship requires Physician ordered interventions such as
1:1 supervision,line of sight supervision,which requires additional Youth Counselors.
Conservatorship leads to those persons served remaining on the unit long term,due to
lack of placement and programs designed to address aggressive or destructive
behaviors.
•Increased acuity leads to the need for additional staff to maintain the safety of the
clients served which causes the use of staff not previously scheduled to support the
unit.It also causes OT for staff to remain on the unit while waiting for additional staff to
be arranged.Staffing is adjusted to the acuity level of the unit,however,the need for
extra support at night may be unpredictable.Preemptively overstaffing the unit on a
regular basis would lead to increased overspending of the Youth Counselor line item,
therefore an increase in the FTEs of Youth Counselor/Safety Specialists is requested.
This also increases safety without the use of a Security Guard company,which appears
punitive to the person served.The use of increased YCs would allow for therapeutic
interventions during crisis and could focus on the prevention of escalation to the point
of crisis.
1125 LVN/LPT 373,379 LVN/LPT:
Pay rate is$37.44 per hour x 2.6%OT=$38.413 per hour x 9 FTE x 1080 hours for Jan-
Jun'26=$373,379 This
position includes shift differential pay,and increased FTE to cover shifts for staff
absences due to PTO and Training through use of on call staff and overtime. This
position provides direct client care including medications and supervision of nursing
activities performed by professional and para-professional nursing personnel on the
unit.Nursing staff is impacted by increased acuity due to the need to provide safe care
to youths served throughout the shift and during crisis.Staff then provide reports to the
next shift to ensure safe continuity of care.This may lead to overtime as they complete
documentation,thoroughly document incidents/interventions,and required reporting.
All direct care staff are required to have training hours,48 for full-time and 24 for on-
call.Direct care staff are not typically able to provide care and participate in training at
the same time.Some training courses are also in person,such as yearly ProACT training.
To ensure coverage,on-call staff provides coverage while direct care staff trains.
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit C-1
PROGRAM EXPENSE
ACCT#J LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1126 Admissions Coordinator 58,322 Admissions Coordinator: Pay
rate is$36.98 per hour x 4.3%OT=$38.573 per hour x 1.40 FTE x 1080 hours for Jan-
Jun'26=$58,322 This
Coordinator is responsible for interviewing all prospective admissions,conducting the
initial assessment,and collecting documentation,ensuring appropriate admission at
Central Star Psychiatric Health Facility. This person maintains liaison with parents and
other legal guardians,county agencies,insurance companies and other payors,
hospitals,and health care facilities,augments existing social services by providing
discharge-planning services,provides direct services to clients,offers consultation and
supervision to staff,and acts as liaison to outside agencies.Increased FTE to cover
weekend days where the referral to intake numbers fall as a result of not having a
dedicated person to manage the process.
1127 Clerk/Discharge Coordinator 75,345 Clerk/Receptionist/Discharge Coordinator: Pay
rate is$23.25 x 3 FTE x 1080 hours for Jan-Jun'26=$75,345 This
position provides reception,clerical and administrative support.They will provide a
large variety of data management and clerical tasks related to admissions and
discharges for the Psychiatric Health Facility.These positions monitor the timeliness of
documentation,admission/discharge tasks and other time-sensitive activities. Includes
collaboration with other departments and outside agencies to process client referrals
and assist in completing the admission or discharge process.
1128 Housekeeper 36,796 Housekeeper:
Pay rate is$22.71 x 1.50 FTE x 1080 hours for Jan-Jun'26=$36,796 This
position performs a variety of tasks to ensure that the facility is in a clean,orderly,
sanitary,and attractive condition.
1129 0
1130 0
1131 0
1132 0
1133 0 0
1134 10 1 - 0
0
Direct Employee Benefits 0
1201 Retirement 81,036 Retirement:based on 4.5%of salary expense.This includes ESOP,401k employer match,
and Life Insurance/AD&D.The total benefits and especially the retirement benefit has
been underfunded in the PHF contract. This adjusts the total benefits to be 26%of
wages which is on par with our other County contracts.
1202 Worker's Compensation 36,016 Worker Compensation:based on 2%of salary expense
1203 Health Insurance 198,087 Health insurance:based on 11%of salary expense
1204 Other(specify) -
1205 Other(specify)
1206 1 Other(specify)
0
Direct Payroll Taxes&Expenses: 154,285 0
1301 OASDI 111,649 OASDI Payroll Taxes:based on 2024 rates at 6.2%.
1302 FICA/MEDICARE 28,925 FICA Payroll Taxes:based on 2024 rates 1.45%plus FUTA at.8%per the first$7,000 of
each employee wages.
1303 SUI 13,711 SUI Payroll Taxes:based on 2024 rates at 3.8%plus ETT at.1% =3.9%,calculated on the
first$7,000 of each employee's wages.($7,000 x#of FTE x 3.9%)
1304 Other(specify) -
1305 Other(specify)
1306 Other(specify)
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit C-1
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2000:DIRECT CLIENT SUPPORT 725,446
2001 Child Care -
2002 Client Housing Support
2003 Client Transportation&Support -
2004 Clothing,Food,&Hygiene 218,164 This item includes the cost of meals and food for clients.Morrison Supplier cost per year
2005 Education Support -
2006 Employment Support -
2007 Household Items for Clients 3,219 Clothes and hygiene items for six months$3,219 for clothes and items needed for
2008 Medication Supports 455,700 Medication Supports-Psychiatrists,Nurse Practitioner,and MD services.Psychiatrists
2009 Program Supplies-Medical 35,491 Program Supplies Medical-Contracted with Omnicare Pharmacy,Medline Industries,
2010 Utility Vouchers -
2011 Translation Services 2,771 Translation Services:This cost is based on current trend.It varies based on the need and
2012 Laudry Services 10,101 Laundry&Linen:The supply,cleaning,and management of linens.This includes
2013 Other(specify) -
2014 Other(specify)
2015 Other(specify)
2016 1 Other(specify)
3000:DIRECT OPERATING EXPENSES 51,436
3001 Telecommunications 23,747 Telephone:This cost includes the cost of landline,internet&phones which includes Wi-
Fi for staff tablets.This is based on actuals,Central IT department forecast,and size of
facility.Fiber line for Millbrook thru ATT•Coax line for Millbrook thru Comcast•Mobile
phone service for emergency phone at the PHF•LTE for laptops in case of a major
system outage/disaster at the facility-Managed SDWAN for WAN network connectivity
•Access Point Management(Arista)•Hosted VOIP Phone system for 25 handsets and
network switch.The cost of TPX Phone internet$28,994,Comcast$2,840,Verizon$960,
Comcast Fiber$7,812, Arista Cloud,and$450+TMobile$336=$41,392+$6,101 in
Employee Phone/internet reimbursement$6,101(includes($1536=for 8 staff from
HR/CW/Training at 20%allocation at$80 per month)+$965 =(for Administrator at
$120 per month at 67%for PHF)+3600=for the Coordinator,DON,and Director at
$100 per month)for full year.Total full year is$47,493,23,747 for six months.We are
also waiting on the release of new rates happening annually.We would like to have
$2,041 buffer for new rates in case of inflation.
3002 Printing/Postage -
3003 Office,Household&Program Supplies 18,007 This line item includes various program services such as confidential material shredding
3004 Advertising -
3005 Staff Development&Training 7,085 Staff Training/Registration:This cost includes on-going program required education,
3006 Staff Mileage 1,000 Staff Mileage/Vehicle maintenance:Estimated staff travel reimbursement for supplies
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance -
3009 Recruitment 1,597 Recruitment: Fees for background check and random drug testing.This cost is based on
3010 Other(specify) -
3011 Other(specify)
3012 Other(specify)
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit C-1
PROGRAM EXPENSE
ACcr#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
4000:DIRECT FACILITIES&EQUIPMENT 14,846
4001 Building Maintenance 5,182 Building Maintenance:This cost includes six months of repairs and maintenance for PHF
facility,Fresno County invoices for 6 months were$4,834.We are adding$58 monthly
for shared allocation cost at 3433 W Shaw for Central Star Admin.
4002 Rent/Lease Building 2,179 Rent/Lease Building:Administration area at 3433 W Shaw a shared cost of Central Star
Administration staff.Allocation as follows:
Jul-Dec'2026 rent for 15%of space for Admin Central is$12,668 for six months,
additional$373 for rent increase from Term 1. PHF KernO
17.6%$355.21$2,230
PHF Fresnol17.2%$347.1[$2,179
CRT Fresno®.6%$193.80$1,216
TAY Fresnol11.6%I$234.1[$1,470
All-Star Fresno®5.6%$314.81$1,976
WRAP Fresno9.8%I$197.81$1,242
CRU Merced®0.2%I$205.9[$1,292
CBHST Stanislaus8.4%t$169.51$1,064
4003 Rent/Lease Equipment 6,196 Rent/Lease Equipment:Copier lease,toner,and equipment maintenance.This is based
4004 Rent/Lease Vehicles -
4005 Security 989 Security:Camaras and Security services cost.Security is for the cost of service and the
4006 Utilities 300 Utilities:Cost of utilities for the Central Administration shared location at 3433 W Shaw.
4007 Other(specify) -
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
5000:DIRECT SPECIAL EXPENSES
5001 Consultant(Network&Data Management)
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify)
5004 Translation Services
5005 Other(specify)
5006 Other(specify)
5007 Other(specify)
5008 Other(specify)
6000:INDIRECT EXPENSES 658,504
6001 Administrative Overhead -
6002 Professional Liability Insurance
6003 Accounting/Bookkeeping -
6004 External Audit 3,424 External Audit:This is for external annual audits fees as per county agreement.Annual
6005 Insurance(Specify): 24,732 Liability Insurance:General liability,property,and professional liability.The cost for PHF
6006 Payroll Services 296 Payroll services:ADP supplier fee for printed and electronic payroll check stubs.Fresno
6007 Depreciation(Provider-Owned Equipment to be Used -
6008 Personnel(Indirect Salaries&Benefits) -
6009 Centralized Services Private/Other County 110,214 This item includes centralized fiscal service allowed profit from private insurance and
6010 Centralized Services Fiscal-Fresno 124,512 This item includes centralized fiscal allowed profit from Fresno County.Calculated at 4%
6011 Centralized Services Administration 289,491 Centralized services-Administrative Overhead-This is an allocation from Stars
6012 Centralized Services Program 105,835 Centralized Program Services:Is comprised of the SBHG corporate and regional support
6013 1 Other(specify)
7000:DIRECT FIXED ASSETS 22,419
7001 Computer Equipment&Software 21,863 The annual services are for Microsoft Office,$21,090,Azure Microsoft Cloud data
center,$10,000,Microsoft web onl app,$3,060,Microsoft Copilot,$1,566,Microsoft
email protection,$1,914,PDF Pro$1,150,Security awareness$1,131,Misc software
badge maker app,PDF writer app,Dragon naturally speaking software,$3,815.The total
is$43,726 annually, $21,863 for six months.
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA -
7003 Furniture&Fixtures 556 For furniture replacement and repair.
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 Other(specify)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 3,742,854
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 3,742,854
BUDGET CHECK: -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020