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HomeMy WebLinkAboutAgreement A-25-279 Amendment No. 1 to Agreement No. 23-275 with Central Star.pdf Agreement No. 25-279 1 AMENDMENT NO. # 1 TO SERVICE AGREEMENT 2 This Amendment No. 1 to Service Agreement ("Amendment No. 1") is dated 3 June 24, 2025 and is between Central Star Behavioral Health, Inc., a for-profit 4 corporation ("Contractor"), and the County of Fresno, a political subdivision of the State of 5 California ("County"). 6 Recitals 7 A. On June 20, 2023, the County and the Contractor entered into County Agreement No. 8 23-275 ("Agreement") to provide Crisis Residential Treatment Services for a 16-bed crisis 9 residential treatment program. 10 B. As the Department of Behavioral Health ("DBH") continues to complete the County 11 procurement process, an extension is required to continue providing services uninterrupted to 12 persons served. 13 C. The County and the Contractor now desire to amend the Agreement to extend the term 14 for an additional six (6) month base and optional six (6) month renewal term, adjust the Fiscal 15 Year 2024-2025 budget for salary increases and utilities costs, increasing the maximum 16 compensation by Three Million, Two Hundred Ninety-Five Thousand, Five Hundred Sixty-Five 17 and No/100 Dollars ($3,295,565.00) to a total of Eight Million, Seven Hundred Ninety-Five 18 Thousand, Five Hundred Sixty-Five and No/100 Dollars ($8,795,565.00). 19 The parties therefore agree as follows: 20 1. Term. This Amendment extends the term of the Agreement through December 31, 2025. 21 The term of this Agreement may be extended for no more than one six-month period only upon 22 written approval of both parties at least thirty (30) days before the first day of the six-month 23 extension period. The County's DBH Director, or designee, is authorized to sign the written 24 approval on behalf of the County based on the Contractor's satisfactory performance. The 25 extension of this Agreement by the County is not a waiver or compromise of any default or 26 breach of this Agreement by the Contractor existing at the time of the extension whether or not 27 known to the County. 28 1 1 2. All references to Exhibit F shall be deemed references to "Revised Exhibit F". Revised 2 Exhibit F is attached and incorporated by this reference. 3 3. Section 4.2 of the Agreement, beginning on Page 8, Lines 11 through 18 is deleted in its 4 entirety and replaced with the following: 5 "Specialty Mental Health Services Maximum Compensation. The maximum 6 compensation payable to the Contractor under this Agreement for the period of 7 July 1, 2023, through June 30, 2024 for Specialty Mental Health Services is Two 8 Million, Seven Hundred Fifty-Thousand and No/100 Dollars ($2,750,000.00), 9 which is not a guaranteed sum, but shall be paid only for actual costs incurred. 10 The maximum compensation payable to the Contractor under this Agreement for 11 the period of July 1, 2024, through June 30, 2025 for Specialty Mental Health 12 Services is Two Million, Eight Hundred Seventy-Nine Thousand, Six Hundred 13 Forty-Eight and No/100 Dollars ($2,879,648.00), which is not a guaranteed sum, 14 but shall be paid only for actual costs incurred. The maximum compensation 15 payable to the contractor under this Agreement for the period of July 1, 2025, 16 through December 31, 2025, for Specialty Mental Health Services is One Million, 17 Five Hundred Thirty-Two Thousand, Nine Hundred One and No/100 Dollars 18 ($1,532,901.00), which is not a guaranteed sum, but shall be paid only for actual 19 costs. The maximum compensation payable to the contractor under this 20 Agreement for the period January 1, 2026, through June 30, 2026, for Specialty 21 Mental Health Services is One Million, Six Hundred Thirty-Three Thousand, 22 Sixteen and No/100 Dollars ($1,633,016.00), which is not a guaranteed sum, but 23 shall be paid for only actual costs incurred. 24 4. A portion of Section 4.3 of the Agreement, starting on Page 8, Lines 19 through 22 is 25 deleted and replaced with the following: 26 "Total Maximum Compensation. In no event shall the maximum contract 27 amount for all actual services provided by the Contractor to County under the 28 terms and conditions of the Agreement be in excess of Eight Million, Seven 2 1 Hundred Ninety-Five Thousand, Five Hundred Sixty-Five No/Dollars 2 ($8,795,565.00) during the entire term of this Agreement." 3 5. When both parties have signed this Amendment No. 1, the Agreement, and this 4 Amendment No. 1 together constitute the Agreement. 5 6. The Contractor represents and warrants to the County that: 6 a. The Contractor is duly authorized and empowered to sign and perform its obligations 7 under this Amendment. 8 b. The individual signing this Amendment on behalf of the Contractor is duly authorized 9 to do so and his or her signature on this Amendment legally binds the Contractor to 10 the terms of this Amendment. 11 7. The parties agree that this Amendment may be executed by electronic signature as 12 provided in this section. 13 a. An "electronic signature" means any symbol or process intended by an individual 14 signing this Amendment to represent their signature, including but not limited to (1) a 15 digital signature; (2) a faxed version of an original handwritten signature; or (3) an 16 electronically scanned and transmitted (for example by PDF document) version of an 17 original handwritten signature. 18 b. Each electronic signature affixed or attached to this Amendment (1) is deemed 19 equivalent to a valid original handwritten signature of the person signing this 20 Amendment for all purposes, including but not limited to evidentiary proof in any 21 administrative or judicial proceeding, and (2) has the same force and effect as the 22 valid original handwritten signature of that person. 23 c. The provisions of this section satisfy the requirements of Civil Code section 1633.5, 24 subdivision (b), in the Uniform Electronic Transaction Act (Civil Code, Division 3, Part 25 2, Title 2.5, beginning with section 1633.1). 26 d. Each party using a digital signature represents that it has undertaken and satisfied 27 the requirements of Government Code section 16.5, subdivision (a), paragraphs (1) 28 through (5), and agrees that each other party may rely upon that representation. 3 1 e. This Amendment is not conditioned upon the parties conducting the transactions 2 under it by electronic means and either party may sign this Amendment with an 3 original handwritten signature. 4 8. This Amendment may be signed in counterparts, each of which is an original, and all of 5 which together constitute this Amendment. 6 9. The Agreement as amended by this Amendment No. 1 is ratified and continued. All 7 provisions of the Agreement not amended by this Amendment No. 1 remain in full force and 8 effect. 9 [SIGNATURE PAGE FOLLOWS] 10 11 12 13 14 15 16 17 18 19 20 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 CENTRAL STAR BEHAVIORAL HEALTH, COUNTY OF FRESNO 4 INC. 5 6 Kent Dunlap, President a d CEO Ernest Buddy Mend , 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.: 56302117 Account No.: 7295 14 Fund No.: 0001 Subclass No.: 10000 15 16 17 18 19 20 21 22 23 24 25 26 27 28 5 Revised Exhibit F Crisis Residential Treatment Central Star Behavioral Health Inc. Fiscal Year(FY)2024-25 PROGRAM EXPENSES 1000:DIRECT SALARIES&BENEFITS Direct Employee Salaries Acct# Administrative Position FTE Admin Program Total 1101 Administrator 0.33 $ 58,577 $ 58,577 1102 DON/RN 0.18 18,426 18,426 1103 Clinical Supervisor 0.45 47,277 47,277 1104 Human Resources 0.52 28,785 28,785 1105 Quality Assurance 0.52 38,159 38,159 1106 Training 0.26 22,196 22,196 1107 1108 1109 1110 1111 1112 1113 1114 1115 Direct Personnel Admin Salaries Subtotal 2.26 $ 213,420 $ 213,420 Acct# Program Position FTE Admin Program Total 1116 Program Manager 1.00 $ 91,800 $ 91,800 1117 Program Coordinator 1.00 81,600 81,600 1118 Recovery Counselor 9.00 407,484 407,484 1119 Mental Health Specialist 2.50 198,582 198,582 1120 Resource Specialist 1.00 55,073 55,073 1121 Peer Counselor 1.00 46,225 46,225 1122 LVN/LPT 4.50 333,731 333,731 1123 Household Coach 2.00 89,220 89,220 1124 Clerk,Unit/EMIR 1.00 46,225 46,225 1125 - - 1126 1127 1128 1129 1130 1131 1132 1133 1134 Direct Personnel Program Salaries Subtotal 23.00 $ 1,349,940 $ 1,349,940 Admin Program Total Direct Personnel Salaries Subtotal 25.26 $ 213,420 $ 1,349,940 $ 1,563,360 Direct Employee Benefits Acct# Description Admin Program Total 1201 Retirement $ 7,470 $ 47,248 $ 54,718 1202 Worker's Compensation 4,269 26,999 31,268 1203 Health Insurance 25,611 161,993 187,604 1204 Other(specify) - - - 1205 Other(specify) 1206 Other(specify) Direct Employee Benefits Subtotal: $ 37,350 $ 236,240 $ 273,590 Direct Payroll Taxes&Expenses: Acct# Description Admin Program Total 1301 OASDI $ 13,233 $ 83,697 $ 96,930 1302 FICA/MEDICARE/FUTA 3,222 20,863 24,085 1303 SUI 617 6,279 6,896 1304 Other(specify) - - - 1305 Other(specify) 1306 Other(specify) Direct Payroll Taxes&Expenses Subtotal: $ 17,072 $ 110,839 $ 127,911 DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total $ 267,842 $ 1,697,019 $ 1,964,861 DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program 14% 86% Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f7/2020 Revised Exhibit F 2000:DIRECT CLIENT SUPPORT Acct A Line Item Description Amount 2001 Child Care $ 2002 Client Housing Support 2003 Client Transportation&Support 2,655 2004 Clothing,Food,&Hygiene 85,500 2005 Education Support - 2006 1 Employment Support - 2007 Household Items for Clients 1,088 2008 Medication Supports - 2009 Program Supplies-Medical 15,000 2010 Utility Vouchers - 2011 Nitritional Services 3,297 2012 Medical Waste Disposal 2,085 2013 ClinentActitivites 635 2014 Client Needs 500 2015 Other(specify) - 2016 Other(specify) DIRECT CLIENT CARE TOTAL $ 110,760 3000:DIRECT OPERATING EXPENSES Acct p Line Item Description Amount 3001 Telecommunications $ 33,754 3002 Printing/Postage 13,120 3003 Office,Household&Program Supplies 17,839 3004 Advertising - 3005 Staff Development&Training 2,422 3006 1 Staff Mileage 372 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance 9,733 3009 Recruitment 13,897 3010 Business License 3,063 3011 Liability Insurance 24,000 3012 Other(specify) DIRECT OPERATING EXPENSES TOTAL: $ 118,200 4000:DIRECT FACILITIES&EQUIPMENT Acct A Line Item Description Amount 4001 Building Maintenance $ 15,552 4002 Rent/Lease Building 2,479 4003 Rent/Lease Equipment - 4004 Rent/Lease Vehicles 4005 Security - 4006 lUtilities 82,000 4007 Depreciation 5,736 4008 Other(specify) - 4009 Other(specify) 4010 Other(specify) - DIRECTFACILITIES/EQUIPMENT TOTAL: $ 105,767 5000:DIRECT SPECIAL EXPENSES Acct p Line Item Description Amount 5001 Consultant(Network&Data Management) $ 5002 HMIS(Health Management Information System) - 5003 Contractual/Consulting Services (Specify) 104,456 5004 Translation Services 573 5005 Centralized Services Program 96,250 5006 1 Other(specify) - 5007 Other(specify) 5008 Other(specify) DIRECT SPECIAL EXPENSES TOTAL: $ 201,279 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f7/2020 Revised Exhibit F 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 5,657 6005 Insurance(Specify): 6006 Payroll Services 500 6007 DepreciationlProotde.-Owned Equipment to be Usedfor Program Purposes/ 6008 Personnel(indirect Salaries&Benefits) 6009 Centralized Fiscal Services.05 101,124 6010 Centralized Services Admin 247,500 6011 Other(specify) 6012 Other(specify) 6013 Other(specify) INDIRECT EXPENSES TOTAL $ 354,781 INDIRECT COST RATE 14.05% 7000:DIRECT FIXED ASSETS Acct# Line Item Description Amount 7001 Computer Equipment&Software $ 23,500 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data 7003 Furniture&Fixtures 500 7004 Leasehold/Tenant/Building Improvements - 7005 Other Assets over$500 with Lifespan of 2 Years+ - 7006 l Assets over$5,000/unit(Specify) - 7007 Other(specify) - 7008 Other(specify) - FIXED ASSETS EXPENSES TOTAL $ 24,000 TOTAL PROGRAM EXPENSES $ 2,879,648 PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) Acct# Estimated Specialty Mental Health Services Billing Totals: $ 2,750,000 Estimated%of Clients who are Medi-Cal Beneficiaries 90% Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 2,475,000 Federal Financial Participation(FFP)% 1 50% 1,237,500 8001 Medi-Cal Specialty Mental Health Services MEDI-CAL FFP TOTAL $ 1,237,500 8100-SUBSTANCE USE DISORDER FUNDS Acct# Line Item Description Amount 8101 Drug Medi-Cal $ - 8102 ISABG $ - SUBSTANCE USE DISORDER FUNDS TOTAL $ 8200-REALIGNMENT Acct# Line Item Description Amount 8201 lRealignment $ 1,642,148 REALIGNMENT TOTAL $ 1,642,148 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: $ 2,879,648 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit F NET PROGRAM COST: $ Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f7/2020 Revised Exhibit F Crisis Residential Treatment Central Star Behavioral Health 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 Administrator Crisis—Residential—Treatment—Fresno 0.33 Administrator Psychiatric Health Facility_Fresno 0.67 Total 1.00 Position Contract#/Name/Department/County FTE Clinical Supervisor Crisis—Residential—Treatment—Fresno 0.45 Clinical Supervisor Crisis—Residential—Unit 0.55 Total 1.00 Position Contract#/Name/Department/County FTE Director of Nursing Child—Welfare—Mental—Health—Services 0.01 Director of Nursing Crisis—Residential—Treatment—Fresno 0.18 Director of Nursing Crisis—Residential—Unit 0.40 Director of Nursing Psychiatric Health Facility_Kern 0.32 Director of Nursing Full Service Partnership_TAY_Fresno 0.04 Director of Nursing Teammates Wraparound_Fresno 0.05 Total 1.00 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit F Position Contract#/Name/Department/County FTE Human Resources (Manager/Coordinators/et Child Welfare Mental—Health—Services 0.76 Human Resources (Manager/Coordinators/et CBHST-STANISLAUS 0.40 Human Resources (Manager/Coordinators/et Crisis Residential Treatment Fresno 0.52 Human Resources (Manager/Coordinators/et Crisis Residential Unit 0.52 Human Resources (Manager/Coordinators/et Psychiatric Health Facility_Fresno 0.72 Human Resources (Manager/Coordinators/et Full Service Partnership_TAY_Fresno 0.32 Human Resources (Manager/Coordinators/et Teammates Wraparound_Fresno 0.76 Total 4.00 Position Contract#/Name/Department/County FTE Training (Manager/Coordinators/etc.) Child—Welfare—Mental—Health—Services 0.38 Training (Manager/Coordinators/etc.) CBHST-STANISLAUS 0.20 Training (Manager/Coordinators/etc.) Crisis—Residential—Treatment—Fresno 0.26 Training (Manager/Coordinators/etc.) Crisis Residential Unit 0.26 Training (Manager/Coordinators/etc.) Psychiatric Health Facility_Fresno 0.36 Training (Manager/Coordinators/etc.) Full Service Partnership_TAY_Fresno 0.16 Training (Manager/Coordinators/etc.) Teammates Wraparound_Fresno 0.38 Total 2.00 Position Contract#/Name/Department/County FTE Quality Assurance (Manager/Coordinators/et -Crisis—Residential—Treatment—Fresno 0.52 Quality Assurance (Manager/Coordinators/et Psych iatric_Health Facility_Fresno 0.74 Quality Assurance (Manager/Coordinators/etc Psychiatric Health Facility_Kern 0.74 Total 2.00 Position Contract#/Name/Department/County FTE Total 0.00 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit F 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 F 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 F Crisis Residential Treatment Central Star Behavioral Health 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 1,964,861 Administrative Positions 213,420 1101 Administrator 58,577 Administrator manages the overall day-to-day operation of the adolescent Psychiatric Health Facility(PHF)and Crisis Residential Treatment(CRT). Assures compliance with Federal,State,County and local laws and regulations. Oversees and assures that there is a comprehensive quality treatment program and supervision for all patients.Manages all employee relations. The Administrator represents the CSBH agency and its programs to governmental agencies and the community.FY24-25 shows higher than previous years because an overlap of former and current Administrators. 1102 DON/RN 18,426 The Director of Nursing will provide support to ensure proper disposition of drugs and management of all nursing staff.The Regional Director of Nursing is a registered nurse licensed to practice in the State of California. The Regional Director of Nursing provides oversight and is accountable to the governing body to provide optimum nursing care. The Regional Director of Nursing is responsible for evaluating nursing care through client care studies accomplished through the chart audit review,quality assurance or independently. The studies may be compiled from information in the medical record and other report forms. The studies are done to meet the goals and objectives of the facility and to provide a high quality of nursing care.Total nursing wages is the driver to allocate cost. 1103 Clinical Supervisor 47,277 This position has primary responsibility for oversight of mental health services,case management services,and client support services to the children,adults and their families who are enrolled in the Central Star Crisis Residential Treatment Facility and Crisis Residential Unit Program,The Clinical Supervisor reports to and collaborates with the Program Manager who has oversight of these programs. 1104 Human Resources 28,785 Human Resource staff manages all human resource clerical and administrative tasks for the program staff.These positions are 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.This allocation varies as programs budgets are added or reduced.We have five programs with Fresno,one with Modesto,one with Merced,and one with Kern County.FY24-25 Fresno is working on decreasing the WRAP program to 1/3 to share the other 2/3 with other providers.We have been able to keep a similar cost allocation because of the Kern County program we were granted. 1105 Quality Assurance 38,159 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.In the past we were sharing 2 CIA FTE to PHF Fresno and CRT,this year we are able to share allocation of one of the FTE,the Director,with PHF Kern. 1106 Training 22,196 Training staff develops and coordinates the provision of new employee orientation, required in-service training,and specialized clinical training to employees.Training staff regularly provides training,develops,and maintains systems to track in-service attendance.Training staff develops opportunities to host training for other professionals or participate with other organizations in providing such trainings. 1107 0 1108 0 1109 0 1110 0 1111 0 1112 0 1113 10 1114 10 1115 10 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit F PROGRAM EXPENSE ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE Program Positions 1,349,940 1116 Program Manager 91,800 Program Manager provides supervision of mental health and other support staff and has responsibility for planning and oversight of CRT program services delivery.Acts as a resource for therapists on issues related to treatment on specific cases or types of cases,review treatment plans and therapeutic techniques utilized,ensure that therapists provide treatment within the scope of licensure. 1117 Program Coordinator 81,600 The CRT Program Coordinator assists the CRT Program Manager in directing the activities of assigned non-licensed personnel who provide direct client care services to residents of the Central Star Crisis Resident Treatment Facility on a 24-hour 7 day a week basis. 1118 Recovery Counselor 407,484 The Recovery Counselors are pare-professional treatment team members who are responsible for providing direct care to meet the physical and psychosocial needs of the clients through direct and indirect physical and verbal interaction.Duties are performed under direct supervision of the Program Manager,or designee in most cases,but some tasks are accomplished independently.Recovery Counselors are peers and individuals with lived experiences.Are also responsible for working with families to provide support and education,and advocacy.Attends team meetings and participates in development of CRT. 1119 Mental Health Specialist 198,582 The MH Specialist has primary responsibility as clinical therapist and serves as the primary point of contact for case management.Will assess residents at start of treatment;develop and maintain CRT;and lead residents towards the fulfillment of CRT. Will coordinate the care and lead treatment based on each resident's choice;collect all documentation needed to develop CRTs with residents and support people;provide treatment using EBPs,e.g.,individual/group services,crisis intervention,family therapy, case management,and family support. 1120 Resource Specialist 55,073 Resource Specialists helps coordinate and develop community resources for all participants,including housing,vocational,educational services,transportation,and other social support services. 1121 Peer Counselor 46,225 Peer Counselors help consumers explore options given their available resources and formulate problem-solving plans.They also serve as informal counselors,offering consumers the opportunity to discuss issues surrounding relationships,feelings, attitudes,personal goals,and individual rights.Sometimes Peer Counselors help people learn independent living skills such as money management or various household skills. 1122 LVN/LPT 333,731 The LVN/LPT will maintain professional standards for medical management,including providing nursing assessments,dispensing of medication,and monitoring of side effects.Provide direct care including medication assessments and manage confidential health information.Essential responsibilities include completing resident medication intake/preparation for psychiatric care/evaluations and coordinating with psychiatric provider;evaluating residents for potential medication side effects and reporting to psychiatric provider;coordinating resident care by maintaining direct contact with psychiatric provider;and ensuring medication administration protocols are met. 1123 Household Coach 89,220 The Household coaches act as a"single point of responsibility'for residents for skill development such as cooking,cleaning,and other home related tasks.The Household Coaches are available as appropriate to resident needs,providing residents with individualized attention,and offering intensive services and support when needed. Household coaches does not supervise staff,they work directly with residents based on their care plan or needs. 1124 Clerk,Unit/EMR 46,225 The Clerk will be a receptionist,order supplies,perform clerical tasks for the managers and supervisors and maintain medical record for audits. 1125 0 - 1126 0 1127 0 1128 0 1129 0 1130 0 1131 0 1132 0 1133 0 1134 0 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit F PROGRAM EXPENSE ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE Direct Employee Benefits 1201 Retirement 54,718 based on 3.5%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. This adjusts the total benefits to be 26%of wages which is on par with our other County contracts. 1202 Worker's Compensation 31,268 Worker's compensation cost is based on 2%of salary expense. 1203 Health Insurance 187,604 Health Insurance is approximately 12%of salary expense. 1204 Other(specify) - 1205 Other(specify) 1206 1 Other(specify) Direct Payroll Taxes&Expenses: 127,911 1301 OASDI 96,930 The OASDI tax rate is 6.2%. 1302 FICA/MEDICARE/FUTA 24,085 The FICA/MEDICARE tax rate is 1.45%of total salaries,plus FUTA at.8%per first$7,000 of each employee wages. 1303 SUI 6,896 SUI is based on 3.8%,plus ETT at.1%for a total of 3.9%calculated on the first$7,000 for each employee wages($7,000 X#EE X 3.9%). 1304 Other(specify) - 1305 Other(specify) 1306 Other(specify) 2000:DIRECT CLIENT SUPPORT 110,760 2001 Child Care - 2002 Client Housing Support - 2003 Client Transportation&Support 2,655 Transportation for clients to various community social resources and support. 2004 Clothing,Food,&Hygiene 85,500 Cover cost of food,water,clothing,toiletries,and hygiene products for clients. 2005 Education Support - 2006 Employment Support - 2007 Household Items for Clients 1,088 Cleaning supplies for client rooms,bathrooms,kitchen and office 2008 Medication Supports - 2009 Program Supplies-Medical 15,000 Annual cost for RX meds w/o medical reimbursement and medical supplies(OTC meds, first aid supplies) 2010 Utility Vouchers - 2011 Nitritional Services 3,297 Consultant services to maintain healthy dietary requirements of clients 2012 Medical Waste Disposal 2,085 Stericycle services 2013 Clinent Actitivites 635 Client therapeutic supplies 2014 Client Needs 500 Cost of Birth certificate,DMV IDs,and different County and State documents as needed. 2015 Other(specify) - 2016 Other(specify) 3000:DIRECT OPERATING EXPENSES 118,200 3001 Telecommunications 33,754 This is the cost of telephone,cable,internet services,budget includes employee phone/internet reimbursement and software. 3002 Printing/Postage 13,120 This category includes copier lease cost,overages,and toner,the cost has been budgeted based on our current lease. 3003 Office,Household&Program Supplies 17,839 This includes the cost of facility supplies such as office,kitchen,rooms,and recreational areas. 3004 Advertising - 3005 Staff Development&Training 2,422 This cost comprises the on-going program-required education,training,and materials for the new staff. 3006 Staff Mileage 372 Staff travel mileage reimbursement,vehicle gas reimbursement for education and training,and program needs. 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance 9,733 Vehicle maintenance 3009 Recruitment 13,897 This is the cost of recruitment and hiring to cover for staff turnover over the course of the program. 3010 Business License 3,063 Includes business license,Bulletin Board System,The Joint Commission,and property taxes. 3011 Liability Insurance 24,000 Practice and property liability insurance per employee per year 3012 Other(specify) - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit F PROGRAM EXPENSE ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 4000:DIRECT FACILITIES&EQUIPMENT 105,767 4001 Building Maintenance 15,552 County's building allocated maintenance cost per County Contract 4002 Rent/Lease Building 2,479 Shared Administration staff building lease allocation 4003 Rent/Lease Equipment - 4004 Rent/Lease Vehicles 4005 Security - 4006 Utilities 82,000 County's building allocated utilities cost per County Contract and shared building charge allocation 4007 Depreciation 5,736 Vehicle depreciation 4008 Other(specify) - 4009 Other(specify) 4010 Other(specify) - 5000:DIRECT SPECIAL EXPENSES 201,279 5001 Consultant(Network&Data Management) - 5002 HMIS(Health Management Information System) - 5003 Contractual/Consulting Services (Specify) 104,456 Medication and behavioral support in conjunction with Nurse Practitioner 5004 Translation Services 573 Client translation fees as needed. 5005 Centralized Services Program 96,250 This cost is comprised of the SBHG corporate and regional support in areas including Program Development and Evaluation,Quality&Compliance,and Training.The cost of this support is allocated to all programs utilizing standard accounting practices and is budgeted at approximately at 6.5%of total program salaries. 5006 Other(specify) 5007 Other(specify) 5008 Other(specify) 6000:INDIRECT EXPENSES 354,781 6001 Administrative Overhead 6002 Professional Liability Insurance - 6003 Accounting/Bookkeeping - 6004 External Audit 5,657 Cost for required external CPA firm audit. 6005 Insurance(Specify): - 6006 Payroll Services 500 ADP fee for payroll checks. 6007 Depreciation(Provider-Owned Equipment to be Used - 6008 Personnel(Indirect Salaries&Benefits) - 6009 Centralized Fiscal Services.05 101,124 As a profit provider,Central Star has no ability to do fund raising to offset unallowable costs such as income taxes as well as denials and other unreimbursed services.This line item provides a cushion to mitigate this exposure.Calculated at no more than 5%of total program expenses less Centralized services-Administrative. 6010 Centralized Services Admin 247,500 Allocation from Stars Behavioral Health Group.It covers operations administration, information technology,human resources,communications,finance,and associated fringe benefits and expenses.SBHG oversight ensures consistency with our quality standards and policies and procedures.The cost is developed from allocating the SBHG costs among all the programs within all the SBHG companies based on standard accounting practices.This economy of scale results in significant savings for all SBHG programs.Rather than staffing each program for all necessary services above,the services are performed by fewer employees and then shared among all SBHG programs. Centralized Admin is calculated at no more than 10%of total budget. 6011 Other(specify) 6012 Other(specify) 6013 Other(specify) 7000:DIRECT FIXED ASSETS 24,000 7001 Computer Equipment&Software 23,500 Computer equipment and IT software 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA - 7003 Furniture&Fixtures 500 Facility interior and patio funiture replacement. 7004 Leasehold/Tenant/Building Improvements - 7005 Other Assets over$500 with Lifespan of 2 Years+ 7006 Assets over$5,000/unit(Specify) 7007 Other(specify) 7008 1 Other(specify) TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 2,879,648 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 2,879,648 BUDGET CHECK: - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit F Crisis Residential Treatment 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 Administrator 0.33 $ 26,227 $ 26,227 1102 HR 0.48 16,813 16,813 1103 QA 0.52 21,774 21,774 1104 Training 0.29 10,675 10,675 1105 Clinical Supervisor 0.50 26,780 26,780 1106 Nursing Coordinator 0.50 22,369 22,369 1107 - - 1108 - - 1109 - - 1110 - - 1111 - - 1112 - - 1113 - - 1114 - - 1115 - - Direct Personnel Admin Salaries Subtotal 2.62 $ 124,638 $ 124,638 Acct# Program Position FTE Admin Program Total 1116 Program Manager/Director 1.00 $ 46,800 $ 46,800 1117 Program Coordinator/Supervisor 1.00 41,600 41,600 1118 Recovery Counselor 9.00 216,216 216,216 1119 Mental Health Specialist 2.50 101,400 101,400 1120 Resource Specialist 1.00 24,960 24,960 1121 Peer Support 1.00 21,862 21,862 1122 LVN/LPT 5.00 187,200 187,200 1123 Household Coach 2.00 45,911 45,911 1124 Clerk 1.00 22,895 22,895 1125 - - 1126 - - 1127 - - 1128 - - 1129 - - 1130 - - 1131 - - 1132 - - 1133 - - 1134 - - Direct Personnel Program Salaries Subtotal 23.50 $ 708,844 $ 708,844 Admin Program Total Direct Personnel Salaries Subtotal 26.12 $ 124,638 $ 708,844 $ 833,482 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit F Direct Employee Benefits Acct# Description Admin Program Total 1201 Retirement $ 5,609 $ 31,898 $ 37,507 1202 Worker's Compensation 2,493 14,177 16,670 1203 Health Insurance 13,711 77,973 91,684 1204 Other(specify) - - - 1205 Other(specify) - - - 1206 Other(specify) - - - Direct Employee Benefits Subtotal: $ 21,813 $ 124,048 $ 145,861 Direct Payroll Taxes&Expenses: Acct# Description Admin Program Total 1301 OASDI $ 7,728 $ 43,949 $ 51,677 1302 FICA/MEDICARE/FUTA 1,955 11,595 13,550 1303 SUI 715 6,416 7,131 1304 Other(specify) - - - 1305 Other(specify) - - - 1306 10ther(specify) - - - Direct Payroll Taxes&Expenses Subtotal: $ 10,398 $ 61,960 $ 72,358 DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total $ 156,849 $ 894,852 $ 1,051,701 DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program 15%1 850 2000:DIRECT CLIENT SUPPORT Acct# Line Item Description Amount 2001 Child Care $ - 2002 Client Housing Support - 2003 Client Transportation&Support 1,335 2004 Clothing, Food,&Hygiene 46,202 2005 Education Support - 2006 Employment Support - 2007 Household Items for Clients 509 2008 Medication Supports - 2009 Program Supplies and Services-Medical 7,622 2010 Utility Vouchers - 2011 Nutritional Services 11010 2012 Medical Waste Disposal 1,124 2013 Client Activities 50 2014 Client Support 150 2015 Translation Services 10 2016 Other(specify) - DIRECT CLIENT CARE TOTAL $ 58,012 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit F 3000:DIRECT OPERATING EXPENSES Acct# Line Item Description Amount 3001 Telecommunications $ 21,840 3002 Printing/Postage 5,101 3003 Office, Household&Program Supplies 12,481 3004 Advertising - 3005 Staff Development&Training 3,947 3006 Staff Mileage 1,459 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance 300 3009 Recruitment 1,857 3010 Business License 1,600 3011 Liability Insurance 20,079 3012 Other(specify) - DIRECT OPERATING EXPENSES TOTAL: $ 68,664 4000:DIRECT FACILITIES&EQUIPMENT Acct# Line Item Description Amount 4001 Building Maintenance $ 4,678 4002 Rent/Lease Building 1,163 4003 Rent/Lease Equipment - 4004 Rent/Lease Vehicles - 4005 Security - 4006 Utilities 38,848 4007 Depreciation 4,346 4008 Other(specify) - 4009 Other(specify) - 4010 10ther(specify) - DIRECT FACILITIES/EQUIPMENT TOTAL:j $ 49,035 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) 51,900 5004 Translation Services 5005 Centralized Services Program 50,009 5006 Other(specify) - 5007 Other(specify) - 5008 Other(specify) - DIRECT SPECIAL EXPENSES TOTAL: $ 101,909 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit F 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 1,340 6005 Insurance(Specify): - 6006 Payroll Services 143 6007 Depreciation(Provider-Owned Equipment to be Usedfor Program Purposes) - 6008 Personnel(Indirect Salaries&Benefits) - 6009 Centralized Fiscal services 5%of total expenses 64,165 6010 Centralized Services Administration 127,425 6011 Other(specify) - 6012 10ther(specify) - 6013 10ther(specify) - INDIRECT EXPENSES TOTAL 1$ 193,073 INDIRECT COST RATE 14.41% 7000:DIRECT FIXED ASSETS Acct# Line Item Description Amount 7001 Computer Equipment&Software $ 10,007 7002 Copiers,Cell Phones,Tablets, Devices to Contain HIPAA Data - 7003 Furniture&Fixtures 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) - 7008 Other(specify) - FIXED ASSETS EXPENSES TOTAL $ 10,507 TOTAL PROGRAM EXPENSES $ 1,532,901 PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) Acct# Estimated Specialty Mental Health Services Billing Totals: $ 1,375,000 Estimated%of Clients who are Medi-Cal Beneficiaries 90% Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 1,237,500 Federal Financial Participation (FFP)% 1 50% 618,750 8001 Medi-Cal Specialty Mental Health Services MEDI-CAL FFP TOTAL $ 618,750 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 $ 914,151 REALIGNMENT TOTAL $ 914,151 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit F 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 1 Other(Specify) - OTHER REVENUE TOTAL $ - TOTAL PROGRAM FUNDING SOURCES: $ 1,532,901 NET PROGRAM COST: $ (0) Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit F Crisis Residential Treatment Central Star Behavioral Health, 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 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 F 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 Clinical Supervisor CRT/BHS/Fresno 0.50 Clinical Supervisor CRU/BHS/Merced 0.50 Total 1.00 Position Contract#/Name/Department/County FTE Nursing Coordinator CRT/BHS/Fresno 0.50 CRU/BHS/Merced 0.50 Total 1.00 Position Contract#/Name/Department/County FTE Total 0.00 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit F 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 F 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 F Crisis Residential Treatment 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 1,051,701 Administrative Positions 124,638 1101 Administrator 26,227 Administrator manages the overall day-to-day operation of the adolescent Psychiatric Health Facility(PHF)and Crisis Residential Treatment(CRT). Assures compliance with Federal,State,County and local laws and regulations. Oversees and assures that there is a comprehensive quality treatment program and supervision for all patients.The Administrator represents the CSBH agency and its programs to governmental agencies and the community. PHF Fresnol17%$76.42 x 1040 x.67=$53,249 CRT Fresno33%076.42 x 1040 x.33=$26,227 1102 HR 16,813 Human Resource staff manages all human resource clerical and administrative tasks for the program staff.These positions are 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=$30,1231] CRT Fresno $33.68 x 1040 hrs.x 9.6%x 5 FTE=$16,81317 TAY Fresno $33.68 x 1040 hrs.x 11.6%x 5 FTE=$20,3161] 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=$17,1630 CRU Merced $33.68 x 1040 hrs.x 10.2%x 5 FTE=$17,864M CBHST Stanislaus$33.68 x 1040 hrs.x 8.4%x 5 FTE=$14,711 1103 CA 21,774 Quality Assurance staff manages all Quality Assurance tasks for the program,which includes records management,documentation,and service audits for compliance to Medi-Cal and internal requirements.They are 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. 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=$18,47917 CRT Fresno $44.42 x 1040 hrs.x 19%1 FTE=$8,777M 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 CA FOR FRESNO CRT IS 8,777+12,997=$21,774 1104 Training 10,675 Training staff develops and coordinates the provision of new employee orientation, required in-service training,and specialized clinical training to employees.Training staff regularly provides training,develops,and maintains systems to track in-service attendance.Training staff 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=$19,57111 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=$10,67517 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=$17,3470 WRAP Fresno $35.64 x 1040 hrs.x 9.8%x 3 FTE=$10,8971] 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 Clinical Supervisor 26,780 This position has primary responsibility for oversight of mental health services,case management services,and client support services to the children,adults and their families who are enrolled in the Central Star Crisis Residential Treatment Facility and Crisis Residential Unit Program,The Clinical Supervisor reports to and collaborates with the Program Manager who has oversight of these programs. CRT Fresno $51.50 x 1040 hrs.x 50%x 1 FTE=$26,78017 CRU Merced $51.50 x 1040 hrs.x 50%x 1 FTE=$26,780 1106 Nursing Coordinator 22,369 Nursing Coordinator:Minimum classification is LVN LPT.The LVNs and LPTs were reporting to a non-nurse/medical manager and now reports directly to this position.It is best practice for nurses to report to medical personnel for regular coaching, supervision,and training related to nursing tasks and licensing requirements.This position is also able to step in to cover open shifts and duties when on-call staff are not available. CRT Fresno$43.00 x 1040 x 50%= $22,360 CRT Merced$43.00 x 1040 x 50%_ $22,360 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit F PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1107 0 1108 0 1109 0 1110 0 1111 0 1112 0 1113 0 1114 0 1115 0 Program Positions 708,844 1116 Program Manager/Director 46,800 Pay rate is$45 per hour x 1040 hours for Jul'25-Dec'25=$46,800 Program Manager provides supervision of mental health and other support staff and has responsibility for planning and oversight of CRT program services delivery.Acts as a resource for therapists on issues related to treatment on specific cases or types of cases,review treatment plans and therapeutic techniques utilized,ensure that therapists provide treatment within the scope of licensure. 1117 Program Coordinator/Supervisor 41,600 Pay rate is$40 per hour x 1040 hours for Jul'25-Dec'25=$41,600 The CRT Program Coordinator assists the CRT Program Manager in directing the activities of assigned non-licensed personnel who provide direct client care services to residents of the Central Star Crisis Resident Treatment Facility on a 24-hour 7 day a week basis. 1118 Recovery Counselor 216,216 Pay rate is$21 x 10%OT=$23.10 per hour x 9 FTE X 1040 hours for Jul'25-Dec'25= $216,216 The Recovery Counselors are para-professional treatment team members who are responsible for providing direct care to meet the physical and psychosocial needs of the clients through direct and indirect physical and verbal interaction.Duties are performed under direct supervision of the Program Manager,or designee in most cases,but some tasks are accomplished independently.Recovery Counselors are peers and individuals with lived experiences.Are also responsible for working with families to provide support and education,and advocacy.Attends team meetings and participates in development of CRT. 1119 Mental Health Specialist 101,400 Pay rate is$39 per hour x 2.50 FTE x 1040 hours for Jul'25-Dec'25=$101,400 The MH Specialist has primary responsibility as clinical therapist and serves as the primary point of contact for case management.Will assess residents at start of treatment;develop and maintain CRT;and lead residents towards the fulfillment of CRT.Will coordinate the care and lead treatment based on each resident's choice;collect all documentation needed to develop CRTs with residents and support people;provide treatment using EBPs,e.g.,individual/group services,crisis intervention,family therapy,case management,and family support. 1120 Resource Specialist 24,960 Pay rate is$24 per hour x 1040 hours for Jul'25-Dec'25=$24,960 Resource Specialists helps coordinate and develop community resources for all participants, including housing,vocational,educational services,transportation,and other social support services. 1121 Peer Support 21,862 Pay rate is$19.11 x 10%OT=21 per hour x 1040 hours for Jul'25-Dec'25=$21,862 Peer Counselors help consumers explore options given their available resources and formulate problem-solving plans.They also serve as informal counselors,offering consumers the opportunity to discuss issues surrounding relationships,feelings, attitudes,personal goals,and individual rights.Sometimes Peer Counselors help people learn independent living skills such as money management or various household skills. 1122 LVN/LPT 187,200 Pay rate is$36 per hour x 5 FTE x 1040 hours for Jul'25-Dec'25=$187,200 The LVN/LPT will maintain professional standards for medical management,including providing nursing assessments,dispensing of medication,and monitoring of side effects.Provide direct care including medication assessments and manage confidential health information.Essential responsibilities include completing resident medication intake/preparation for psychiatric care/evaluations and coordinating with psychiatric provider;evaluating residents for potential medication side effects and reporting to psychiatric provider;coordinating resident care by maintaining direct contact with psychiatric provider;and ensuring medication administration protocols are met. 1123 Household Coach 45,911 Pay rate is$20.25 per hour x 9%OT=22 per hour x 2 FTE x 1040 hours for Jul'25-Dec'25 =$45,911 The Household coaches act as a"single point of responsibility'for residents for skill development such as cooking,cleaning,and other home related tasks.The Household Coaches are available as appropriate to resident needs,providing residents with individualized attention,and offering intensive services and support when needed. Household coaches does not supervise staff,they work directly with residents based on their care plan or needs. Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit F PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1124 Clerk 22,895 Pay rate is$21.21 per hour x 3.5%OT=22 per hour x 1 FTE x 1040 hours for Jul'25- Dec'25=$22,895 The Clerk will be a receptionist,order supplies,perform clerical tasks for the managers and supervisors and maintain medical record for audits. 1125 0 1126 0 1127 0 1128 0 1129 0 1130 0 1131 0 1132 0 1133 0 1134 0 Direct Employee Benefits 1201 Retirement 37,507 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 16,670 Worker's compensation cost is based on 2%of salary expense. 1203 Health Insurance 91,684 Health Insurance is approximately 11%of salary expense. 1204 Other(specify) - 1205 Other(specify) 1206 1 Other(specify) Direct Payroll Taxes&Expenses: 72,358 1301 OASDI 51,677 The OASDI tax rate is 6.2%. 1302 FICA/MEDICARE/FUTA 13,550 The FICA/MEDICARE tax rate is 1.45%,plus FLIT at.8%per first$7,000 of each employee wages. 1303 SUI 7,131 SUI is based on 3.8%,plus ETT at.1%for a total of 3.9%calculated on the first$7,000 for each employee wages($7,000 X#EE X 3.9%). 1304 Other(specify) - 1305 Other(specify) 1306 1 Other(specify) 2000:DIRECT CLIENT SUPPORT 58,012 2001 Child Care 2002 Client Housing Support - 2003 Client Transportation&Support 1,335 Transportation to Medical and Social Services appointments. 2004 Clothing,Food,&Hygiene 46,202 Food items for meal preparations,clothing as needed,hygiene items.This item includes 3%in COLA,plus 25%increase in census projected with collaboration with Fresno County.Census averages 9-10 clients.It is projected that this will increase to 12-13 clients daily. FY24-25 annualized $73,923 x 25%=$92,403/2=$46,202 2005 Education Support 2006 Employment Support - 2007 Household Items for Clients 509 Blankets,towels,and other items as needed for the residential rooms. FY24-25 annualized$989 x 3%COLA =$1,018/2=$509 2008 Medication Supports - 2009 Program Supplies and Services-Medical 7,622 This covers non-cover MediCal and OTC medication,disposable razors,medicine cups, gloves,etc.This item includes 25%increase in census projected with collaboration with Fresno County.Census averages 9-10 clients.It is projected that this will increase to 12- 13 clients daily. FY24-25 annualized$12,194 x 25%_ $15,243/2=$7,622 2010 Utility Vouchers - 2011 Nutritional Services 1,010 Fee services from Nutritionist.Cost varies$140-210 monthly.The rate for this service is $70 per hour.Hours vary 2-3 per month depending on Clients dietary restrictions. FY24-25 annualized$1,960 x 3%COLA =$2,019/2=$1,010 2012 Medical Waste Disposal 1,124 Fee services for syringe and other hazardous materials.This item includes 25%increase in census projected with collaboration with Fresno County. Census averages 9-10 clients.It is projected that this will increase to 12-13 clients daily. FY24-25 annualized$1,798 x 25%=$2,247/2=$1,124 2013 Client Activities 50 Craft and other materials for client activities. 2014 Client Support 150 For clients documents such as DVM ID,birth Certificate,etc. 2015 Translation Services 10 Client translation fees as needed.Based on FY24-25 trend. 2016 1 Other(specify) Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit F PROGRAM EXPENSE ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 3000:DIRECT OPERATING EXPENSES 68,664 3001 Telecommunications 21,840 Telecommunication cost includes the cost of landline,internet&phones which includes employee reimbursement at$80 for Supervisors,and$100 for Directors.This is based on actuals Central IT department forecast,and size of facility.Cost of$20,760 for facility landlines and internet connection+$600 Director phone+$480 Coordinator/Supervisor phone=$21,840 3002 Printing/Postage 5,101 Cost of postage and delivery carrier. FY24-25 annualized$9,906 x 3%COLA=$10,203/2=$5,101 3003 Office,Household&Program Supplies 12,481 Office,Household,&Program supplies included services cost for paper shredding,water dispenser,postage,etc.This also includes the cost for plastic ware,coffee,sugar, creamers,etc.This varies from$1600-$3100,depending on supplies orders.FY24-25 annualized$24,234 x 3%COLA=$24,961/2=$12,481 3004 Advertising - 3005 Staff Development&Training 3,947 Staff Training/Registration includes on-going program required education,training,First Aid,CPR Certifications.This is based on staff qualification for education reimbursement up to$3000 per EE. FY24-25 annualized$7,663= $7,663 x 3%COLA=$7,893/2=$3,947 3006 Staff Mileage 1,459 This cost includes cost of food and travel to attend training,meetings,and conferences. FY24-25 annualized$2,918=2,918/2=$1,459 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance 300 Maintenance of vehicle,includes oil change,tire replacement,car wash,etc. 3009 Recruitment 1,857 Recruitment cost covers fees for background check,random drug testing,and job posting advertisement cost.FY25-26 is projected to decreased cast for Job postings.We are budgeting at half of FY24-25 annualized at$7,428/2=$3,714/2=$1,857. 3010 Business License 1,600 Business license cost includes fees such as city tax certification projected at$1,600 in September 2025 and$1,600 in April 2026. 3011 Liability Insurance 20,079 Liability Insurance includes cost for General liability,property,and professional liability. Based on multiple factors with extensive calculations.Workbook with extensive calculations and worksheets can be provided upon request. 3012 Other(specify) 4000:DIRECT FACILITIES&EQUIPMENT 49,035 4001 Building Maintenance 4,678 Fresno County quarterly invoices from Jul'24-Mar'25 is$6,417,annualized is$8,556/2 terms=$4,278.Admin Allocation cost is$400 for 6 months for 3433 W Shaw,which houses HR,Training,and CIA Central Star staff. Total$4,278+ $400=$4,678 Central Star uses Direct program wages as allocation cost methodology. PHF Kern $4167 x 17.6% =$733 PHF Fresno $4167 x 17.2% =$717M CRT Fresno $4167 x 9.6%=$4000 TAY Fresno $4167 x 11.6% _$483M All-Star Fresno $4167 x 15.6% =$650 WRAP Fresno $4167 x 9.8% _$40811 CRU Merced $4167 x 10.2% =$425M CBHST Stanislaus $4167 x 8.4% =$350 4002 Rent/Lease Building 1,163 Rent/Lease Building cost includes the lease cost for this location and the allocation cost at 3433 W Shaw,which houses HR,Training,and CIA Central Star staff.Central Star uses Direct program wages as allocation cost methodology. PHF KernM7.6%$355.2[$2,131 PHF FresnoM7.2%$347.11$2,083 CRT Fresno9.6%$193.81$1,163 TAY FresnoMl.6%I!1234.1[$1,405 All-Star FresnoM5.6%$314.81$1,889 WRAP Fresno9.8%0197.8G$1,187 CRU MercedM0.2%$205.9[$1,235 CBHST Stanislaus8.4%$169.50$1,017 4003 Rent/Lease Equipment 4004 Rent/Lease Vehicles 4005 Security Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit F PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 4006 Utilities 38,848 Fresno Countyquarterly invoice varies from$13,000-$27,000 quarterly.Allocation cost of$170 for 6 months is included for 3433 W Shaw,which houses Central Star administration staff.Fresno County Invoices based on 3 quarters invoices of$14K,$27K, and$17K,annualized four quarters is$77,355/2 terms=$38,678 Total cost is $38,678+$170=$38,848 Allocation for Shaw Building is as follows$3,541/2=$1,771 x 17.6%=$170 PHF Kern $1771 x 17.6% =$312 PHF Fresno $1771 x 17.2% =$3050 CRT Fresno $1771 x 9.6%=$170M TAY Fresno $1771 x 11.6% _$205P7 All-Star Fresno $1771 x 15.6% =$276M WRAP Fresno $1771 x 9.8% _$174M CRU Merced $1771 x 10.2% =$1810 CBHST Stanislaus $1771 x 8.4% =$149 4007 Depreciation 4,346 Yearly Depreciation of new vehicle is$724.20 monthly,$4,346 for 6 months. 4008 Other(specify) - 4009 Other(specify) 4010 1 Other(specify) 5000:DIRECT SPECIAL EXPENSES 101,909 5001 Consultant(Network&Data Management) - 5002 HMIS(Health Management Information System) 5003 Contractual/Consulting Services (Specify) 51,900 Two months of medication and behavioral support in conjunction with Nurse Practitioner.The Cost is$8,650 monthly,$51,900 for 6 months. 5004 Translation Services 5005 Centralized Services Program 50,009 This cost is comprised of the SBHG corporate and regional support in areas including Program Development and Evaluation,Quality&Compliance,and Training.The cost of this support is allocated to all programs utilizing standard accounting practices and is budgeted at 6%of total program salaries.Total Salaries$$833,482 x.06=50,009 5006 Other(specify) 5007 Other(specify) 5008 Other(specify) 6000:INDIRECT EXPENSES 193,073 6001 Administrative Overhead - 6002 Professional Liability Insurance 6003 Accounting/Bookkeeping - 6004 External Audit 1,340 External Audit:This is for external annual audits fees as per county agreement.Annual cost for CRT Fresno from Supplier is approximately$2,679 per year,$1,339.50 for six months. The allocation is based on revenue projection for 1 year is$29,770. 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): - 6006 Payroll Services 143 This cost includes fees to printed and electronic payroll checks.Payroll services:ADP supplier fee for printed and electronic payroll check stubs.Fresno CRT receives approximately 65 paycheck processes per pay period x 26 pay periods per year x$.35 cents per payment process=$.35 x 31.5 x 26=$286.65/2(six month term)=$143 for six months. 6007 Depreciation(Provider-Owned Equipment to be Used 6008 Personnel(Indirect Salaries&Benefits) - 6009 Centralized Fiscal services 5%of total expenses 64,165 As a profit provider,Central Star has no ability to do fund raising to offset unallowable costs such as income taxes as well as denials and other unreimbursed services.This line item provides a cushion to mitigate this exposure.Calculated at 5%of total program expenses$1,532,901 less Client support expenses$58,012-Centralized Fiscal, and Centralized services-Administrative$127,425=$1,283,309 x.05=$64,165 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit F PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 6010 Centralized Services Administration 127,425 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 9.5%of the total expenses less Centralized Fiscal#6009,Centralized Admin#6010=$1,341,311*.095=$127,425 6011 Other(specify) 6012 Other(specify) 6013 Other(specify) 7000:DIRECT FIXED ASSETS 10,507 7001 Computer Equipment&Software 10,007 This includes cost IT software at Microsoft$11,100,Azure$5929,Microsoft F3$918, Microsoft Pilot$702,Office Defender Threat Protection,$858,Security awareness$507 =$20,014/2 terms=10,007 IT hardware cost such as cables. 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA - 7003 Furniture&Fixtures 500 Cost for the replacement of any furniture and fixtures for the facility. 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: 1,532,901 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 1,532,901 BUDGET CHECK: - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit F Crisis Residential Treatment 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 Administrator 0.33 $ 28,326 $ 28,326 1102 HR 0.48 18,158 18,158 1103 RA 0.52 23,517 23,517 1104 Training 0.29 11,529 11,529 1105 Clinical Supervisor 0.50 28,922 28,922 1106 Nursing Coordinator 0.50 24,149 24,149 1107 - - 1108 1109 1110 1111 1112 1113 1114 1115 Direct Personnel Admin Salaries Subtotal 2.62 $ 134,601 $ 134,601 Acct# Program Position FTE Admin Program Total 1116 Program Manager/Director 1.00 $ 50,544 $ 50,544 1117 Program Coordinator/Supervisor 1.00 44,928 44,928 1118 Recovery Counselor 9.00 233,513 233,513 1119 Mental Health Specialist 2.50 109,512 109,512 1120 Resource Specialist 1.00 26,957 26,957 1121 Peer Support 1.00 23,611 23,611 1122 LVN/LPT 5.00 202,176 202,176 1123 Household Coach 2.00 49,584 49,584 1124 Clerk 1.00 24,726 24,726 1125 - - 1126 1127 1128 1129 1130 1131 1132 1133 1134 Direct Personnel Program Salaries Subtotal 23.50 $ 765,550 $ 765,550 Admin Program Total Direct Personnel Salaries Subtotal 26.12 $ 134,601 $ 765,550 $ 900,151 Direct Employee Benefits Acct# Description Admin Program Total 1201 Retirement $ 6,058 $ 34,450 $ 40,508 1202 Worker's Compensation 2,692 15,311 18,003 1203 Health Insurance 14,807 84,211 99,018 1204 Other(specify) - - - 1205 Other(specify) 1206 Other(specify) Direct Employee Benefits Subtotal: $ 23,557 $ 133,972 $ 157,529 Direct Payroll Taxes&Expenses: Acct# Description Admin Program Total 1301 OASDI $ 8,346 $ 47,465 $ 55,811 1302 FICA/MEDICARE/FUTA 2,099 12,417 14,516 1303 SUI 715 6,416 7,131 1304 Other(specify) - - - 1305 Other(specify) 1306 Other(specify) Direct Payroll Taxes&Expenses Subtotal: $ 11,160 $ 66,298 $ 77,458 DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total $ 169,318 $ 965,820 $ 1,135,138 DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program 15% 85% Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f7/2020 Revised Exhibit F 2000:DIRECT CLIENT SUPPORT Acct A Line Item Description Amount 2001 Child Care $ 2002 Client Housing Support 2003 Client Transportation&Support 1,335 2004 Clothing,Food,&Hygiene 46,202 2005 Education Support - 2006 1 Employment Support - 2007 Household Items for Clients 509 2008 Medication Supports - 2009 Program Supplies-Medical 7,622 2010 Utility Vouchers - 2011 Nutritional Services 1,010 2012 Medical Waste Disposal 1,124 2013 Client Activities 50 2014 Client Support 150 2015 Translation 10 2016 Other(specify) DIRECT CLIENT CARE TOTAL $ 58,012 3000:DIRECT OPERATING EXPENSES Acct p Line Item Description Amount 3001 Telecommunications $ 21,840 3002 Printing/Postage 5,101 3003 Office,Household&Program Supplies 12,481 3004 Advertising - 3005 Staff Development&Training 3,947 3006 1 Staff Mileage 1,459 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance 300 3009 Recruitment 1,857 3010 Business License 1,600 3011 Liability Insurance 20,079 3012 Other(specify) DIRECT OPERATING EXPENSES TOTAL: $ 68,664 4000:DIRECT FACILITIES&EQUIPMENT Acct A Line Item Description Amount 4001 Building Maintenance $ 4,678 4002 Rent/Lease Building 1,163 4003 Rent/Lease Equipment - 4004 Rent/Lease Vehicles 4005 Security - 4006 lUtilities 38,848 4007 Depreciation 4,346 4008 Other(specify) - 4009 Other(specify) 4010 Other(specify) - DIRECTFACILITIES/EQUIPMENT TOTAL: $ 49,035 5000:DIRECT SPECIAL EXPENSES Acct p Line Item Description Amount 5001 Consultant(Network&Data Management) $ - 5002 HMIS(Health Management Information System) - 5003 Contractual/Consulting Services (Specify) 51,900 5004 Translation Services - 5005 Centralized Services Program 54,009 5006 1 Other(specify) - 5007 Other(specify) 5008 Other(specify) DIRECT SPECIAL EXPENSES TOTAL: $ 105,909 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f7/2020 Revised Exhibit F 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 1,340 6005 Insurance(Specify): - 6006 Payroll Services 143 6007 DepreciationlProotde.-Owned Equipment to be Usedfor Program Purposes/ - 6008 Personnel(indirect Salaries&Benefits) - 6009 Centralized Fiscal services 5%of total expenses 68,537 6010 Centralized Services Administration 135,731 6011 Other(specify) - 6012 Other(specify) - 6013 Other(specify) INDIRECT EXPENSES TOTAL $ 205,751 INDIRECT COST RATE 14.42% 7000:DIRECT FIXED ASSETS Acct# Line Item Description Amount 7001 Computer Equipment&Software $ 10,007 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data - 7003 Furniture&Fixtures 500 7004 Leasehold/Tenant/Building Improvements - 7005 Other Assets over$500 with Lifespan of 2 Years+ - 7006 l Assets over$5,000/unit(Specify) - 7007 Other(specify) - 7008 Other(specify) - FIXED ASSETS EXPENSES TOTAL $ 10,507 TOTAL PROGRAM EXPENSES $ 1,633,016 PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) Acct# Estimated Specialty Mental Health Services Billing Totals: $ 1,375,000 Estimated%of Clients who are Medi-Cal Beneficiaries 90% Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 1,237,500 Federal Financial Participation(FFP)% 1 50% 618,750 8001 Medi-Cal Specialty Mental Health Services MEDI-CAL FFP TOTAL $ 618,750 8100-SUBSTANCE USE DISORDER FUNDS Acct# Line Item Description Amount 8101 Drug Medi-Cal $ - 8102 ISABG $ - SUBSTANCE USE DISORDER FUNDS TOTAL $ 8200-REALIGNMENT Acct# Line Item Description Amount 8201 lRealignment $ 1,633,016 REALIGNMENT TOTAL $ 1,633,016 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: $ 1,633,016 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit F NET PROGRAM COST: $ (D) Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f7/2020 Revised Exhibit F Crisis Residential Treatment Central Star Behavioral Health, Inc 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 F 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 Clinical Supervisor CRT/BHS/Fresno 0.50 Clinical Supervisor CRU/BHS/Merced 0.50 Total 1.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Nursing Coordinator CRT/BHS/Fresno 0.50 CRU/BHS/Merced 0.50 Total 1.00 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit F 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 F 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 F Crisis Residential Treatment 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 1,135,138 Administrative Positions 134,601 1101 Administrator 28,326 PHF Fresno [$79.48 x 1040 x 67%=$57,509 CRT Fresno 079.48 x 1080 x 33%=$28,326 Administrator manages the overall day-to-day operation of the adolescent Psychiatric Health Facility(PHF)and Crisis Residential Treatment(CRT). Assures compliance with Federal,State,County and local laws and regulations. Oversees and assures that there is a comprehensive quality treatment program and supervision for all patients.The Administrator represents the CSBH agency and its programs to governmental agencies and the community. 1102 HR 18,158 Human Resource staff manages all human resource clerical and administrative tasks for the program staff.These positions are 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 $35.03 x 1080 hrs. x 17.6%x 5 FTE=$33,2900 PHF Fresno $35.03 x 1080 hrs.x 17.2%x 5 FTE=$32,5330 CRT Fresno $35.03 x 1080 hrs.x 9.6%x 5 FTE=$18,1580 TAY Fresno $35.03 x 1080 hrs.x 11.6%x 5 FTE=$21,9410 All-Star Fresno $35.03 x 1080 hrs.x 15.6%x 5 FTE=$29,5070 WRAP Fresno $35.03 x 1080 hrs.x 9.8%x 5 FTE=$18,5360 CRU Merced $35.03 x 1080 hrs.x 10.2%x 5 FTE=$19,2930 CBHST Stanislaus$35.03 x 1080 hrs.x 8.4%x 5 FTE=$15,888 1103 QA 23,517 Quality Assurance staff manages all Quality Assurance tasks for the program,which includes records management,documentation,and service audits for compliance to Medi-Cal and internal requirements.They are 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. PHF Kern $46.20 x 1080 hrs.x 41%x 1 FTE=$20,4570 PHF Fresno $46.20 1080 hrs.x 40%x 1 FTE=$19,9580 CRT Fresno $46.20 x 1080 hrs.x 19%1 FTE=$9,480M QA Manager PHF Fresno $39.385 x 1080 hrs.x 67%x 1 FTE =$27,403 CRT Fresno $39.385 x 1080 hrs.x 33%x 1 FTE=$14,036.80 TOTAL=$22,977 FOR QA FOR FRESNO PHF 1104 Training 11,529 Training staff develops and coordinates the provision of new employee orientation, required in-service training,and specialized clinical training to employees.Training staff regularly provides training,develops,and maintains systems to track in-service attendance.Training staff develops opportunities to host training for other professionals or participate with other organizations in providing such trainings.FTE calculated as 9.6%x 3=.288 FTE round is.29 PHF Kern $37.066 x 1080 hrs.x 17.6%x 3 FTE=$21,1360 PHF Fresno $37.066 x 1080 hrs.x 17.2%x 3 FTE=$20,6560 CRT Fresno $37.066 x 1080 hrs.x 9.6%x 3 FTE=$11,529M TAY Fresno $37.066 x 1080 hrs.x 11.6%x 3 FTE=$13,9310 All-Star Fresno $37.066 x 1080 hrs.x 15.6%x 3 FTE=$18,7340 WRAP Fresno $37.066 x 1080 hrs.x 9.8%x 3 FTE=$11,7690 CRU Merced $37.066 x 1080 hrs.x 10.2%x 3 FTE=$12,2490 CBHST Stanislaus$37.066 x 1080 hrs.x 8.4%x 3 FTE=$10,088 1105 Clinical Supervisor 28,922 This position has primary responsibility for oversight of mental health services,case management services,and client support services to the children,adults and their families who are enrolled in the Central Star Crisis Residential Treatment Facility and Crisis Residential Unit Program,The Clinical Supervisor reports to and collaborates with the Program Manager who has oversight of these programs. CRT Fresno $53.56 x 1080 hrs.x 50%x 1 FTE=$28,9220 CRU Merced $53.56 x 1080 hrs.x 50%x 1 FTE=$28,922 1106 Nursing Coordinator 24,149 Nursing Coordinator:Minimum classification is LVN LPT.The LVNs and LPTs were reporting to a non-nurse/medical manager and now reprot directly to this position.It is best practice for nurses to report to medical personnel for regular coaching, supervision,and training related to nursing tasks and licensing requirements.This position is also able to step in to cover open shifts and duties when on-call staff are not available. CRT Fresno $44.72 x 1080 hrs.x 50%x 1 FTE=$24,149 CRU Merced $44.72 x 1080 hrs.x 50%x 1 FTE=$24,149 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit F PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1107 0 1108 0 1109 0 1110 0 1111 0 1112 0 1113 0 1114 0 1115 0 Program Positions 765,550 1116 Program Manager/Director 50,544 Pay rate is$46.80 per hour x 1080 hours for Jan'26-Jun'26=$50,544 Program Manager provides supervision of mental health and other support staff and has responsibility for planning and oversight of CRT program services delivery.Acts as a resource for therapists on issues related to treatment on specific cases or types of cases,review treatment plans and therapeutic techniques utilized,ensure that therapists provide treatment within the scope of licensure. 1117 Program Coordinator/Supervisor 44,928 Pay rate is$41.60 per hour x 1080 hours for Jan'26-Jun'26=$44,928 The CRT Program Coordinator assists the CRT Program Manager in directing the activities of assigned non-licensed personnel who provide direct client care services to residents of the Central Star Crisis Resident Treatment Facility on a 24-hour 7 day a week basis. 1118 Recovery Counselor 233,513 Pay rate is$21.84 x 10%OT=$24.02 per hour x 9 FTE X 1080 hours Jan'26-Jun'26= $233,513 The Recovery Counselors are para-professional treatment team members who are responsible for providing direct care to meet the physical and psychosocial needs of the clients through direct and indirect physical and verbal interaction.Duties are performed under direct supervision of the Program Manager,or designee in most cases,but some tasks are accomplished independently.Recovery Counselors are peers and individuals with lived experiences.Are also responsible for working with families to provide support and education,and advocacy.Attends team meetings and participates in development of CRT. 1119 Mental Health Specialist 109,512 Pay rate is$40.56 per hour x 2.50 FTE x 1080 hours for 1an'26-Jun'26=$109,512 The MH Specialist has primary responsibility as clinical therapist and serves as the primary point of contact for case management.Will assess residents at start of treatment;develop and maintain CRT;and lead residents towards the fulfillment of CRT. Will coordinate the care and lead treatment based on each resident's choice;collect all documentation needed to develop CRTs with residents and support people;provide treatment using EBPs,e.g.,individual/group services,crisis intervention,family therapy, case management,and family support. 1120 Resource Specialist 26,957 Pay rate is$24.96 per hour x 1080 hours for Jan'26-Jun'26=$26,957 Resource Specialists helps coordinate and develop community resources for all participants,including housing,vocational,educational services,transportation,and other social support services. 1121 Peer Support 23,611 Pay rate is$19.87 x 10%OT=$21.86 per hour x 1080 hours for Jul'25-Dec'25=$26,611 Peer Counselors help consumers explore options given their available resources and formulate problem-solving plans.They also serve as informal counselors,offering consumers the opportunity to discuss issues surrounding relationships,feelings, attitudes,personal goals,and individual rights.Sometimes Peer Counselors help people learn independent living skills such as money management or various household skills. 1122 LVN/LPT 202,176 Pay rate is$37.44 per hour x 5 FTE x 1080 hours for Jan'26-Jun'26=$202,176 LVN.LPT will maintain professional standards for medical management,including providing nursing assessments,dispensing of medication,and monitoring of side effects.Provide direct care including medication assessments and manage confidential health information.Essential responsibilities include completing resident medication intake/preparation for psychiatric care/evaluations and coordinating with psychiatric provider;evaluating residents for potential medication side effects and reporting to psychiatric provider;coordinating resident care by maintaining direct contact with psychiatric provider;and ensuring medication administration protocols are met. Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit F PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1123 Household Coach 49,584 Pay rate is$21.06 per hour x 9%OT=22.96 per hour x 2 FTE x 1080 hours for Jan'26- Jun'26=$49,584 The Household coaches act as a"single paint of responsibility"for residents for skill development such as cooking,cleaning,and other home related tasks.The Household Coaches are available as appropriate to resident needs,providing residents with individualized attention,and offering intensive services and support when needed. Household coaches does not supervise staff,they work directly with residents based on their care plan or needs. 1124 Clerk 24,726 Pay rate is$22.12 per hour x 3.5%OT=23 per hour x 1 FTE x 1080 hours for Jan'26- Jun'26=$24,726 The Clerk will be a receptionist,order supplies,perform clerical tasks for the managers and supervisors and maintain medical record for audits. 1125 0 1126 0 1127 0 1128 0 1129 0 1130 0 1131 0 1132 0 1133 0 1134 0 Direct Employee Benefits 1201 Retirement 40,508 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 18,003 Worker's compensation cost is based on 2%of salary expense. 1203 Health Insurance 99,018 Health Insurance is approximately 11%of salary expense. 1204 Other(specify) - 1205 Other(specify) 1206 1 Other(specify) Direct Payroll Taxes&Expenses: 77,458 1301 OASDI 55,811 The OASDI tax rate is 6.2%. 1302 FICA/MEDICARE/FUTA 14,516 The FICA/MEDICARE tax rate is 1.45%,plus FUT at.8%per first$7,000 of each employee wages. 1303 SUI 7,131 SUI is based on 3.8%,plus ETT at.1%for a total of 3.9%calculated on the first$7,000 for each employee wages($7,000 X#EE X 3.9%). 1304 Other(specify) - 1305 Other(specify) 1306 1 Other(specify) 2000:DIRECT CLIENT SUPPORT 58,012 2001 Child Care - 2002 Client Housing Support - 2003 Client Transportation&Support 1,335 Transportation to Medical and Social Services appointments. 2004 Clothing,Food,&Hygiene 46,202 Food items for meal preparations,clothing as needed,hygiene items.This item includes 3%in COLA,plus 25%increase in census projected with collaboration with Fresno County.Census averages 9-10 clients.It is projected that this will increase to 12-13 clients daily. FY24-25 annualized $73,923 x 25%=$92,403/2=$46,202 2005 Education Support 2006 Employment Support - 2007 Household Items for Clients 509 Blankets,towels,and other items as needed for the residential rooms. FY24-25 annualized$989 x 3%COLA =$1,018/2=$509 2008 Medication Supports - 2009 Program Supplies-Medical 7,622 This covers non-cover Medical and OTC medication,disposable razors,medicine cups, gloves,etc.This item includes 25%increase in census projected with collaboration with Fresno County.Census averages 9-10 clients.It is projected that this will increase to 12- 13 clients daily. FY24-25 annualized$12,194 x 25%= $15,243/2=$7,622 2010 1 Utility Vouchers - 2011 Nutritional Services 1,010 Fee services from Nutritionist.Cost varies$140-210 monthly.The rate for this service is $70 per hour.Hours vary 2-3 per month depending on Clients dietary restrictions. FY24-25 annualized$1,960 x 3%COLA =$2,019/2=$1,010 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit F PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 2012 Medical Waste Disposal 1,124 Fee services for syringe and other hazardous materials.This item includes 25%increase in census projected with collaboration with Fresno County. Census averages 9-10 clients.It is projected that this will increase to 12-13 clients daily. FY24-25 annualized$1,798 x 25%=$2,247/2=$1,124 2013 Client Activities 50 Craft and other materials for client activities. 2014 Client Support 150 For clients documents such as DVM ID,birth Certificate,etc. 2015 ITranslation 10 Client translation fees as needed.Based on FY24-25 trend. 2016 Other (specify) 3000:DIRECT OPERATING EXPENSES 68,664 3001 Telecommunications 21,840 Telecommunication cost includes the cost of landline,internet&phones which includes employee reimbursement at$80 for Supervisors,and$100 for Directors.This is based on actuals Central IT department forecast,and size of facility.Cost of$20,760 for facility landlines and internet connection+$600 Director phone+$480 Coordinator/Supervisor phone=$21,840 3002 Printing/Postage 5,101 Cost of postage and delivery carrier. FY24-25 annualized$9,906 x 3%COLA=$10,203/2=$5,101 3003 Office,Household&Program Supplies 12,481 Office,Household,&Program supplies included services cost for paper shredding,water dispenser,postage,etc.This also includes the cost for plastic ware,coffee,sugar, creamers,etc.This varies from$1600-$3100,depending on supplies orders.FY24-25 annualized$24,234 x 3%COLA=$24,961/2=$12,481 3004 Advertising - 3005 Staff Development&Training 3,947 Staff Training/Registration includes on-going program required education,training,First Aid,CPR Certifications.This is based on staff qualification for education reimbursement up to$3000 per EE. FY24-25 annualized$7,663= $7,663 x 3%COLA=$7,893/2=$3,947 3006 Staff Mileage 1,459 This cost includes cost of food and travel to attend training,meetings,and conferences. FY24-25 annualized$2,918=2,918/2=$1,459 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance 300 Maintenance of vehicle,includes oil change,tire replacement,car wash,etc. 3009 Recruitment 1,857 Recruitment cast covers fees for background check,random drug testing,and job posting advertisement cost.FY25-26 is projected to decreased cost for Job postings.We are budgeting at half of FY24-25 annualized at$7,428/2=$3,714/2=$1,857. 3010 Business License 1,600 Business license cost includes fees such as city tax certification projected at$1,600 in September 2025 and$1,600 in April 2026. 3011 Liability Insurance 20,079 Liability Insurance includes cost for General liability,property,and professional liability. Based on multiple factors with extensive calculations.Workbook with extensive calculations and worksheets can be provided upon request. 3012 Other(specify) 4000:DIRECT FACILITIES&EQUIPMENT 49,035 4001 Building Maintenance 4,678 Fresno County quarterly invoices from Jul'24-Mar'25 is$6,417,annualized is$8,556/2 terms=$4,278.Admin Allocation cost is$400 for 6 months for 3433 W Shaw,which houses HR,Training,and CIA Central Star staff. Total$4,278+ $400=$4,678 Central Star uses Direct program wages as allocation cost methodology. PHF Kern $4167 x 17.6% =$733 PHF Fresno $4167 x 17.2% =$7170 CRT Fresno $4167 x 9.6%=$4007 TAY Fresno $4167 x 11.6% _$4830 All-Star Fresno $4167 x 15.6% =$650 WRAP Fresno $4167 x 9.8% _$4080 CRU Merced $4167 x 10.2% =$4250 CBHST Stanislaus $4167 x 8.4% =$350 4002 Rent/Lease Building 1,163 Rent/Lease Building cost includes the lease cost for this location and the allocation cost at 3433 W Shaw,which houses HR,Training,and CIA Central Star staff.Central Star uses Direct program wages as allocation cost methodology. PHF KernI17.6%$355.20 $2,131 PHF Fresnol17.2%$347.1[$2,083 CRT Fresno®.6%$193.81$1,163 TAY Fresnol11.6%S234.1[$1,405 All-Star Fresnol15.6%Ij9314.8[S1,889 WRAP Fresno®.8%$197.8[$1,187 CRU Merced®0.2%$205.9G$1,235 CBHST Stanislaus8.4%$169.51$1,017 4003 Rent/Lease Equipment 4004 Rent/Lease Vehicles Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit F PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 4005 Security 4006 Utilities 38,848 Fresno County quarterly invoice varies from$13,000-$27,000 quarterly.Allocation cost of$170 for 6 months is included for 3433 W Shaw,which houses Central Star administration staff.Fresno County Invoices based on 3 quarters invoices of$14K,$27K, and$17K,annualized four quarters is$77,355/2 terms=$38,678 Total cost is $38,678+$170=$38,848 Allocation for Shaw Building is as follows$3,541/2=$1,771 x 17.6%_$170 PHF Kern $1771 x 17.6% =$312 PHF Fresno $1771 x 17.2% =$305M CRT Fresno $1771 x 9.6%=$1700 TAY Fresno $1771 x 11.6% _$2050 All-Star Fresno $1771 x 15.6% =$2760 WRAP Fresno $1771 x 9.8% _$1740 CRU Merced $1771 x 10.2% =$1810 CBHST Stanislaus $1771 x 8.4% =$149 4007 Depreciation 4,346 Yearly Depreciation of new vehicle is$724.20 monthly,$4,346 for 6 months. 4008 Other(specify) - 4009 Other(specify) 4010 1 Other(specify) 5000:DIRECT SPECIAL EXPENSES 105,909 5001 Consultant(Network&Data Management) - 5002 HMIS(Health Management Information System) 5003 Contractual/Consulting Services (Specify) 51,900 Two months of medication and behavioral support in conjunction with Nurse Practitioner.The Cost is$8,650 monthly,$51,900 for 6 months. 5004 Translation Services - Client translation fees as needed.Bases on FY24-25 trend. 5005 Centralized Services Program 54,009 This cost is comprised of the SBHG corporate and regional support in areas including Program Development and Evaluation,Quality&Compliance,and Training.The cost of this support is allocated to all programs utilizing standard accounting practices and is budgeted at 6%of total program salaries.Total Salaries$$900,151 x.06=$54,009 5006 Other(specify) 5007 Other(specify) 5008 Other (specify) 6000:INDIRECT EXPENSES 205,751 6001 Administrative Overhead 6002 Professional Liability Insurance 6003 Accounting/Bookkeeping - 6004 External Audit 1,340 External Audit:This is for external annual audits fees as per county agreement.Annual cost for CRT Fresno from Supplier is approximately$2,679 per year,$1,339.50 for six months. The allocation is based on revenue projection for 1 year is$29,770. 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%,$5,061 6005 Insurance(Specify): - 6006 Payroll Services 143 This cost includes fees to printed and electronic payroll checks.Payroll services:ADP supplier fee for printed and electronic payroll check stubs.Fresno CRT receives approximately 65 paycheck processes per pay period x 26 pay periods per year x$.35 cents per payment process=$.35 x 31.5 x 26=$286.65/2(six month term)=$143 for six months. 6007 Depreciation(Provider-Owned Equipment to be Used 6008 Personnel(Indirect Salaries&Benefits) - 6009 Centralized Fiscal services 5%of total expenses 68,537 As a profit provider,Central Star has no ability to do fund raising to offset unallowable costs such as income taxes as well as denials and other unreimbursed services.This line item provides a cushion to mitigate this exposure.Calculated at 5%of total program expenses less Client support expenses and Centralized services-Administrative.Total Expenses$1,633,016-Client Support$58,012-Centralized Fiscal$68,537-Centralized Admin$135,731=$1,370.736 x.05=$68,537 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit F PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 6010 Centralized Services Administration 135,731 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 9.5%of the total expenses less Centralized Fiscal#6009,Centralized Admin#6010.Total Expenses$1,633,016— Centralized Fiscal$68,537—Centralized Admin$135,731=$1,428,748 x.095= $135,731 6011 Other(specify) 6012 Other(specify) 6013 Other(specify) 7000:DIRECT FIXED ASSETS 10,S07 7001 Computer Equipment&Software 10,007 This includes cost IT software at Microsoft$11,100,Azure$5929,Microsoft F3$918, Microsoft Pilot$702,Office Defender Threat Protection,$858,Security awareness$507 =$20,014/2 terms=10,007 IT hardware cost such as cables. 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA - 7003 Furniture&Fixtures 500 Cost for the replacement of any furniture and fixtures for the facility. 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: 1,633,016 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 1,633,016 BUDGET CHECK: - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020