The URL can be used to link to this page

Home My WebLink About32576Agreement No. 14-704-1 1 AMENDMENT I TO AGREEMENT 2 THIS AMENDMENT, hereinafter referred to as "Amendment I", is made and entered into 3 this 24th day of May , 2016, by and between the COUNTY OF FRESNO, a Political 4 Subdivision ofthe State of California, hereinafter referred to as "COUNTY", and CENTRAL STAR 5 BEHAVIORAL HEALTH, INC., a for-profit organization, whose address is 1501 Hughes Way, 6 Suite 150, Long Beach, California 90810, hereinafter referred to as "C ONTRACTOR" (collectively 7 as the "parties). 8 WHEREAS the parties entered into that certain Agreement, identified as COUNTY Agreement 9 No. 14-704, effective January 1, 2015, whereby CONTRACTOR agreed to operate a sixteen (16) bed 1 0 acute inpatient psychiatric health facility (PHF) to provide inpatient psychiatric services to youth, 11 twelve (12) years of age to eighteen (18) years of age, who may be admitted on a voluntary or 12 involuntary basis and may include Medi-Cal beneficiaries, Medicare and Medicare/Medi-Cal 13 beneficiaries, indigent/uninsured consumers, and juvenile inmates who are referred by COUNTY 's 14 Department of Behavioral Health (DBH), a contract provider with DBH, or hospital emergency room, 15 other County departments and other agencies; and 16 WHEREAS the parties desire to amend COUNTY Agreement No. 14-704, regarding changes as 17 stated below and restate the Agreement in its entirety. 18 NOW, THEREFORE, for good and valuable consideration, the receipt and adequacy of which 19 is hereby acknowledged, the parties agree to amend the Agreement as follows: 20 1. That the following text of Agreement No. 14-704, Page Six (6), beginning with 21 Paragraph One (1), Line Two (2), with the word "The" and ending on Page Six (6), Line Seven (7), 2 2 with the word "rate" be deleted and the following inserted in its place: 2 3 "The maximum contract amount for the second period of automatic renewal (July 1, 24 2016 through June 30, 2017) shall not exceed Four Million, One Hundred Sixty-One Thousand, Eight 25 Hundred Eighteen and No/100 Dollars ($4,161,818.00). COUNTY shall pay CONTRACTOR Eight 26 Hundred, Forty-Four and No/100 Dollars ($844.00) for a daily bed rate. The COUNTY shall pay the 27 CONTRACTOR for twelve (12) beds per day for FY 2016-17 (July 1, 2016 through June 30, 2017) 2 8 less any beds purchased and/or utilized and charged to other outside agencies. CONTRACTOR shall - 1 -COUNTY OF FRESNO Fresno, CA COUNTY OF FRESNO Fresno, CA - 2 - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 seek payment, if applicable, for any costs above the maximum amount stated herein for FY 2016-17, from other outside agencies. During the second period of automatic renewal the facility will operate at a sixteen (16) bed capacity.” 2. That the following text of Agreement No. 14-704, Page Fifteen (15), beginning with Line Ten (10), with the word “MODIFICATION” and ending on Page Fifteen (15), Line Twenty- Three (23), with the word “herein” be deleted and the following inserted in its place: “7. MODIFICATION Any matters of this Agreement may be modified from time to time by the written consent of all parties without, in any way, affecting the remainder. Notwithstanding the above, changes to line items in the budget, as set forth in Revised Exhibit B, that do not exceed ten percent (10%) of the maximum compensation payable to the CONTRACTOR, and changes to the daily bed rate, volume of units of services/types of service units to be provided as set forth in Revised Exhibit B, may be made with the written approval of COUNTY’s DBH Director, or designee, and CONTRACTOR. Changes to line items in the budget that do exceed 10% of the maximum compensation payable to the CONTRACTOR, may be made with the signed written approval of COUNTY’s DBH Director, or designee, and CONTRACTOR through an amendment approved by COUNTY’s County Counsel and COUNTY’s Auditor- Controller/Treasurer-Tax Collector’s Office (Auditor). Said budget line item and daily bed rate, service volume/types of service units changes shall not result in any change to the annual maximum compensation amount payable to CONTRACTOR, as stated herein. In addition, changes to the scope of services and responsibilities of the CONTRACTOR, as needed to accommodate changes in the law relating to mental health treatment, as set forth in Exhibit A, may be made with the signed written approval of COUNTY’s DBH Director, or designee, and CONTRACTOR through an amendment approved by County Counsel and Auditor. Said changes shall not result in any change to the maximum compensation amount payable to CONTRACTOR, as stated herein.” 3. That all references in existing County Agreement No. 14-704 to “Exhibit B” shall be changed to read “Revised Exhibit B,” where appropriate. A copy of Revised Exhibit B is attached COUNTY OF FRESNO Fresno, CA - 3 - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 hereto and incorporated herein by reference. 4. COUNTY and CONTRACTOR agree that this Amendment I is sufficient to amend the Agreement; and that upon execution of this Amendment I, the Agreement and Amendment I together shall be considered the Agreement. The Agreement, as hereby amended, is ratified and continued. All provisions, terms, covenants, conditions and promises contained in the Agreement, and not amended herein, shall remain in full force and effect. This Amendment I shall become effective upon execution by all parties. /// /// /// /// /// /// /// /// /// /// /// /// /// /// /// /// /// /// /// /// /// 1 IN WITNESS WHEREOF, the parties hereto have executed this Amendment I to Agreement 2 No. 14-704 as of the day and year first hereinabove written. 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 CONTRACTOR: CENTRAL STAR BEHAVIORAL HEALTH, INC. By ~ PrintName: ~,;·6~aAi :P ¥ (/ Title: /~/At: Q C!,Q Chairman of Board, or President, or any Vice President By~-- Print Name: -:::J([h_ ~e!/e,.;- Title: . :Sve hMA C( ; C t'"'C:> Secretary (of Corporation), or any Assistant Secretary, or ChiefFinancial Officer, or any Assistant Treasurer Mailing Address: Central Star Behavioral Health, Inc. 1501 Hughes Way, Suite 150 Long Beach, Ca. 90810 Contact: Kent Dunlap, Senior, Vice President Phone: (310) 221 .. 6336 ext. 125 COUNTY OF FRESNO Date: 5' ".)...r-/ ~ BERNICE E. SEIDEL, Clerk Board of Supervisors PLEASE SEE ADDITIONAL SIGNATURE PAGE ATTACHED -4 -COUNTY OF FRESNO Fresno, CA Star Behavioral Health Start Up Phase FIXED ASSETS: 2 000 Furniture & Fixture Assets (Useful life more than 1 year and vallied at more than $5 000) Computer Assets (Useful hfe more than 1 year and valued at more than SS,000) Intangible Software/License Assets (Useful life more than 1 year and valued at more than $100,000) Capital Lease (Transfer of ownership or Bargain Purchase Option or long lease term or Lease payments high) Furniture & Fixture $ 6 ,867.85 $ 11,279 $71,140 $ 82 ,414 reportable toCountyITitems meet all4criteria 2 001 -Access Control System & ( $ 4,3 80.08 $ 52 ,56 1 $ 52 ,56 1 reportable to County REVISED EXHIBITS Page 1 of 45 1"2"'0-0_2_-"l-"T-M_i;;,,;n,.;,or'"E"""u""i""m�e"'nt,.,,.=.,...,,,..,$;,,,.,.,...-----1-,3-0-'4-.1-7_,.;,$ ___ ....;.6 :;;,2 -5-0-"$'-9-,-40""0'-r-'$-,-'1,.5..,,6,.5,.0..,May be reportable as sensitive asset for contractor tracking purp oses only FIXED ASSETS TOTAL $150,625 Fiscal Year 15-16 FIXED ASSETS: Furniture Replacement IT Minor Equipment $ $ 83 3.33 $ 2 50.00 $ 10,000 3 ,000 2000 2001 2 002 2 003 cost to reolace damaaed furniture based on historical costs FIXED ASSETS TOTAL Fiscal Year 16-17 FIXED ASSETS· Furniture Replacement IT Minor Equipment 833 2 55 10,000 3 ,060 2 000 2 001 2 002 2 003 cost to reolace damaged furniture based on historical costs FIXED ASSETS TOTAL Fiscal Year 17-18 FIXED ASSETS: Furniture Replacement IT Minor Equipment 83 3 26 0 10,000 3,121 2 000 2 001 2 002 2 003 cost to replace damaged furniture based on historical costs FIXED ASSETS TOTAL 13 , 12 1 Fiscal Year 18-19 FIXED ASSETS· Furniture Replacement IT Minor Equipment 833 26 5 10,000 3 ,183 2 000 2 001 2002 2 003 cost to reolace damaaed furniture based on historical costs FIXED ASSETS TOTAL Fiscal Year 19-20 FIXED ASSETS· Furniture Replacement IT Minor Equipment 854 27 2 10,2 50 3,262 2 000 2001 2 002 2 003 cost to replace damaged furniture based on historical costs FIXED ASSETS TOTAL $ 1 0, 000 reportable to County if items meet all 4 criteria $ 3 ,000 May be reportable as sensitive asset for contractor tracking purposes only $ $ I $ 13,000 $10, 000 reportable to County IT items meet all 4 criteria $3 ,060 May be reportable as sensitive asset for contractor tracking purposes only $0 $0 I $13 ,06 0 $10,000 reportable to County if items meet all 4 criteria $3 , 12 1 May be reportable as sensitive asset for contractor tracking purposes only $0 $0 OI $13 , 12 1 $10, 000 reportable to County if items meet all 4 criteria $3 , 183 May be reportable as sensitive asset for contractor tracking purposes only $0 $0 I $13,183 $10,250 reportable to County IT items meet all 4 criteria $3 ,262 May be reportable as sensitive asset for contractor tracking purposes only $0 $0 I $13 ,512 Expected Published Contract Other Cost/yr. 16 capacity Rate Rate/Bed agencies beds 12 $875.00 $844.00 1,228,864 12 $918.75 $797.55 4,657,692 FY 2014-15* 3 months FY 2014-15** 3 months FY 2015-16*** 12 months FY 2016-17 16 $964.69 $844.00 4,161,818 FY 2017-18 16 $1,012.92 $732.96 4,280,486 FY 2018-19 16 $1,063.57 $753.79 4,402,134 FY 2019-20 16 $1,116.75 $775.27 4,539,981 Published Rate: estimated published rates listed are cost charged to other agencies. Operational Contract Maximum 16 Expenditure*** Ro�c: 451,189 451, 189 921,648 921,648 3,502,840 4,657,692 4,161,818 4,161,818 4,280,486 4,280,486 4,402, 134 4,402, 134 4,539,981 4,539,981 $ 22,260,096.00 23,414,948.00 Objective during initial six months Contractor will secure other agency contracts. * Three month Ramp Up Period; January 1, 2015 through March 31, 2015 ** 3 month operational cost April 1, 2015 through June 30, 2015 (91 days). County to pay padded rate. We are allowing Contractor a six month period (ramp/three month) to meet and greet community stakeholders for contracting. Rate built expenses at 16 bed capacity. ***First full year of operations: Contractor is expected to finalize securing other agency contracts. County will facilitate with a 12 month year end cost report within 90 days of June 30, 2016. *** Based on Estimated Revenues County shall pay Contractor for operational cost of 12 Beds for the first 15 months April 1, 2015 through June 30, 2016 REVISED EXHIBIT B Page 2 of 45 Child-Adolescent Psychiatric Health Facility (16 bed) Central Star Behavioral Health, Inc. Start Up Budget-Proposed Start Date through proposed end date. (FY 2014-15-Jan-Mar 2015) ��dget Cc1_te�DE!S ___ T ot�_f>_rc:,po __ s_Elcl__BudgE!I_ REVISED EXHIBIT B Page 3 of 45 Line Item Description (Must be itemized) i FTE % Ad min. · Direct Total PERSONNEL SALARIES: �01 .[RN-DQ�J 0002 RN 0003 LLVN 0004 + t3ehab Therapist 0005 QQQ6 ·Rehab Aide {Youth Counselor __ 0007 1Admissions Coordinator ·r---------------. 0008 -�_amilyAc:llt_c>_cc1 te _ 0009 �-- 0010 0011 0012 0013 0014 ()()15 0016 0017 0018 --�Social Workers ___ ___ '. Progrc1m Director :Cookt · • Administrator I :HR Manager e-A Medical Records _____ _ tt_r_ainir,g_ Coordinator ______ I Billing_ Clerk Maintenc1_ncE! Tech Housekeeper SALARY TOTAL PAYROLL TAXES: . ·-------------,--· ------ ,Q030 ,Q_():31 0032 'FICNMEDICARE --------r--- ------T __ -fSUL_ [FUTA i I I PAYROLL TAX TOTAL EMPLOYEE BENEFITS: r------- 0040 l Retirement � Workers Compensation I t - --, I I QQ4_1 0042 .Health Insurance (medical vision, life, dental, 401k) EMPLOYEE BENEFITS TOTAL 'SALARY & BENEFITS GRAND TOTAL 1.00 3.20 2.80 1.40 3.00 16.80 tO_Q --- 1.00 2.80 1.00 2.10 0.75 $ 0.50 $ $ _____ 16,640 $ _ $ 10.6n $ $ 5,�_6_ -$ --- j ---2,548_ $ _ $__ _MOO $___ _ _ ----1 -�0.9�?-l _ _ _b127 L_ $ _1,400 $ $ 7,159 $ -- $ 10,400 $ $ 2,452 $ 22,246 _$ _7,353 _!_ - __ 1§,6_10 1Q_,_tlZJ 5,096_ __2,548 3,50Q_ 2,427 1,400 7,159 10,400 2,452 22,246 __ 7,353 _ o�o $ ____ 1,083 _ ----� _$ __________ 1� 0.50 $ 1.00 _$ 1.00 _$_ 1.50 $ 41.85 $ _$ J $ $ $ $ $ $ 1,0_6.5__ 953 1,333 1,249 35,282 ----2,699 _ 190 ------------� 332 3,221 29 1,750 1, 130 2,909 �-- $ __ L _j __ $ $ $ $ $ - l__ $ $ $ 83,249 $ _§_,_3§_9_ _! 449 r$ _ 783 $ 7,601 $ $ 4,129 $ $ 4,129 $ $ 1,Q(l5 953 _ 1,333 1,249 118,532 _9,068 640 1, 114 10,822 29 5,879 1,130 7,038 136,392 REVISED EXHIBIT B Page 4 of 45 Child4'dolescent Psychiatric Health Facility (16 bed) ,___ _______________ C_e_n_tr _a_l S_ta ___ r Behayjoral Health, Inc.__________ _ Start Up Budget-Proposed Start Date through proposed E!n__!l_�tE! (FY 2014-15-Jan�PJlil_r�()_15}_ FACILITIES/EQUIPMENT EXPENSES: ! I i I I I I I 101 O ; Offsite Lease-Admin/Business Office ! $ 1,500 $ 1,500 ' _ Leased Equipment ;$ 1,180 1 i $ 1011 1,180 1012 Telecommunications 1013 !Utilities 1 -- :�:----r�re"i= ------- 1 016 ' �-r-1---------------- 1917 __1 _ _ ; _____ _ 1 018 FACILITY/EQUIPMENT TOTAL OPERATING EXPENSES: 1060 j Purchased Services _ 1061 __ [office SlJ!lPlies ____ _ 1_Q§L __ ! Hpusekeepi�es ___ _ 1()6�---I�ucatio11_B._-rraning ___________ _ 1064 -----1065 I • jL1censes _ j Recruiting 1066 _ . Travel 1067 EMR Cost 1068 1069 -- - -t - -I 1010 I ----,-1071 --t mg___ I 1073 �--·-· 1074 1075 1076 1077 :OPERATING EXPENSES TOTAL FINANCIAL SERVICES EXPENSES: 1080 : Centralized Services 1081 General Insurance 1082 ,Centralized fiscal service .05 1083 FINANCIAL SERVICES TOTAL $ 17,155 i$ 6,895 i : ! 1 $ !$ $ , i : -::::� 1 __ ---__ p_--[----l--------j-1-------L--- ! __ -+$ __80(Ll1_ ($ I 1 $ L $ _1,000 :j _ 1$ i -- ,$ $ $ - L7,200 1,200 20,000 [$ $ 1$ $ :l 17, 155 6,895 1,943 28,673 J _,_4Q_(J_ _U)OO_ 800 1,000 7,200 1,200 20,000 j :-t-· +=+�--=�-----� - -- f l----------- 1- i [$ 54,872 $ 1,100 L [L i ! +-L ! I I $ i $ t--------- - -l--l $ $ $ $ $ $ $ 33,600 54,872_ 1,1 00 21,484 77,456 REVISED EXHIBIT B Page 5 of 45 Child-Adolescent Psychiatric Health Facility (16 bed) Ce!l�al Star B_ehalfioriil Heal!h..,. Inc. Start Up Budget-Proposed Start Date through proposed end date (FY 2014-15-Jan-Mar 2015)----------------·----------------. ------· ---1-·--·--------------,--·--------------, ----·----I Sf'ECIAL iXfENSES (Consulta.r,t/Etc): . ' -+ JQ.[7_ _ JProf!lssional Fees & Consultation 1088 -�plies/House Meds ----·----· 108 9 _ _Js�sMedical__ ____ _ ____ _ 1090 [ �i.pplies No_n-Medical 1091 1092 1093 iMedical Records Supplies .Food . Supplies Non Perishables 1094 , Laundry & Linen I 1095 I Centralized Services-Program !SPECIAL EXPENSES TOTAL � __ ____l__ --------+ ·-----·�---�-FIXED ASSETS: 2000 : Furniture & Fixture t----. . -- -2001 _ _ � SE!furi\y:Acc:ess�C>ntrol _ Sys_tem &_CE.meras_ _ 2002 ,IT Minor Equi()mentI --- - ---+- I __ ,_AJsets IU_s_eful life n1_ore than1_year and valued_at rno_r_e_than $5,00Q_)_ •• L� I I 9]9§_) $ __ !$ 875 ! $ ----+---------r;-i _ 1 5 41 P-t$ 4,587 1 $ I $ 300_.j._$ $ 615 $ $ 65 0 I $i I !$ 1,CJOO : $ I I I $ 6,08 0 i $ l $ -+------t-- i ! I $11,279 : $7.1,140 �t i +---t$_5],5 611� I I [$ 6,2 �_0., $ ___ 9,400 .(.]_ I 9,7 95 875 5 41 4,587 _ 300 615 65 0 1,000 6,08 0 24,443 8 2,414 52,5.§.1 1_5,6§_0 2003 ] Intangible Software/License Assets (Useful life more than 1 year and valued at more than $100,000) I FIXED ASSETS TOTAL j i $15 0,625 I !--------+----------,--· ----... _____ -TOT AL PROGRAM EXPENSES $ 451, 189 ----------·--------·-+--'-------.;._--1 DIRECT SERVICE REVENUE AT CAPACITY: Mental Health Services ----------+----- 3000 . (Individual/Family/Group Therapy ) 3100 , Case Management 3200 . Crisis Services 3300 Medication Support 3400 ! Crisis Stabilization-Urgent Care3500 �----+----____ fu}tchjatric He�l!�facility� _ - Vol/Units of Svc Rate $ $ $ $ $ ---------·---- $Amt. ·----. $ - -· -------------------3600 ' other mo· -r---. .. -other ----------------- ·- �---- -'------------------··-· • -----· ---. $ .. $ DIRECT SERVICE REVENUE TOTAL ---l---- 1 ' � ____ J __ L FUNDNG STREAMS REIMBURSEMENT 4000 ! _ I Realignment funding 4100 1 :Other --I -- -· -4200 1Qther _ 4300 -T I Other i !OTHER REVENUE TOTAL : ' r $ $ -_______ l__ ��edi-cal Re11E!qu_El_ ____ _ _ L_g_ost Per LJ_11it_ t-$ $ 45 1,18 9 $ ---I ---- , $ - -'f • $ _ #:DIVfO! __ _ 45 1,18� I I$ 45 1,189 TOTAL PROGRAM REVENUE $ 451,189 i-,;.------.;._--1 E�ESNO PHF -�udget Narrative §!art-up ---- ------------- ITEM SALARIES RN-DON RN LVN REHAB THERAPIST REHAB AIDE YOUTH COUNSELOR -------- ---- - - --- ADMISSIONS COORDINATOR FAMILY ADVOCATE SOCIAL WORKERS PROGRAM DIRECTOR - ------- i -, --I I -----. -,-�,----- --- REVISED EXHIBIT B Page 6 of 45 -----------•------------ t--__ ___L_ ____ J_ -- ------ -' -----'--+-----·· ------------------___ , --------- ____,__ ---------;--------,-----, I i ! I I I ---------· ]" ·-+-----' Bud1:1et Narrative !I -------------------------· --r ------··--- The Director of Nursing assumes authority, responsibility, and accountability for the delivery of nursing services in the facility. In collaboration with facility Administration, allocates department resources in an efficient and economic manner to enable each patient to attain or maintain the highest practical physical, mental, and psychosocial well-being. Collaborates with medical professionals, consultants, and organizations, including government agencies and advocacy groups, to develop, support and coordinate patient care, related administrative functions. and to represent the interests of the facility. Half a month salary of $4160 Nurses, have the most direct relationships with patients. Nurses are responsible for maintaining professional standards for medical management, including providing nursing assessments, dispensing of medication, and monitoring of side effects. Nurses are also coaches, teachers, counselors, and limit-setters to patients. Half a month salary for 3.2 FTE of $10,677. Nurses, have the most direct relationships with patients. Nurses are responsible for maintaining professional standards for medical management, including providing nursing assessments, dispensing of medication, and monitoring of side effects. Nurses are also coaches. teachers. counselors, and limit-setters to patients. Half a month salary for 2.8 FTE of $5,096. The Rehab Therapist is responsible for planning and directing individual and group behavioral interventions. Rehab Therapists and Aides work with other team members to help the patient master problem behaviors. They are responsible for documenting patient behaviors in different situations. They are also responsible for establishing schedules and contents for groups and activities, for ensuring that the groups happen as scheduled, and for running treatment groups. Half a month salary for 1.4 FTE of $2,548. Assists the Rehabilitation Therapist with clerical tasks, treatment setups and routine patient care tasks. Half a month salary for 3.0 FTE of $3,500. Youth Counselors have direct relationships with patients. are: •coaches (encouraging and motivating patients) •teach ers (modeling behaviors, monitoring patients, and providing feedback) •counselors (being a good listener, intervening with problem behaviors) •house-parents (assigning and monitoring chores, always knowing where patients are) •limit-setters (enforcing the rules fairly; using discipline to teach patients ) Half a month salary for 16.8 FTE of $20,952 The Admission Coordinator is responsible for conducting initial assessment and collecting all documentation needed to develop treatment plans; lead admission and discharges planning process; conduct staff supervision as directed and provide back-up to Clinical Director as needed. Half a month salary of $2,427 Family Advocates provide outreach, advocacy, training and support for patients' family members throughout all stages of the patient's treatment, transition, and aftercare. For example, Family Advocates can run support, educational and/or focus groups for family members. Half a month salary of $1,400. The Social Worker provides casework services and psychotherapy to assigned patients and their families. Social Workers have the primary responsibility for treatment and discharge planning, and they must maintain a professional relationship with all referral sources. Social Workers also coordinate treatment services with other departments and outside agencies. Half a month salary for 2.8 FTE of $7, 159 The Program Director has primary responsibility for supervising, managing and coordinating the oversight of programs. The Director has oversight responsibility for the Rehabilitation Specialist and Social Workers. He/she acts as liaison with external agencies and functions on teams with other clinical & support staff. Functions as a key management team member in all administrative and program duties. Half a month salary of $2600. REVISED EXHIBITS Page 7 of 45 COOK The Cook has primary responsibility for preparing food in accordance with current applicable federal, state, and local standards, guidelines and regulations, with our established policies and procedures. Half a month salary for 2.1 FTE of $2,452. ADMINISTRATOR The Administrator has primary responsibility for oversight of staffing and programs. The Administrator supervises the functions including: Training and Quality Assurance and Community Relations (including client and family grievances); and Admission/Discharge Activities. He/she acts as liaison with external agencies and functions on teams with other clinical and support staff. Monthly salary of $12, 133 x4 UR/QA/ MEDICAL RECORDS The Medical Records Clerk is responsible for all aspects of medical record management. This person will create charts, assure that all aspects of the record are in keeping with agency policy and Fresno County requirements. management and control of forms, thinning charts, auditing, monitoring, tracking, and securing medical records, maintaining active and closed charts organization, assisting in acquiring necessary documents from charts when authorized, and assists in preparing discharge packets. As a Quality Assurance coordinator, this person is responsible for coordinating auditing of documentation to reconcile with billing and oversees documentation of services by Community Services staff to assure conformity with MediCal, Fresno County, other outside agencies, and internal standards and policies. Position oversees the Continuous Quality Assurance program and records all CQI data. Half a month salary of 2,383. HR/TRAINING/ADMIN ASST The HR/Training Assistant performs a wide variety of Human Resources clerical and administrative tasks including personnel file maintenance, updating and maintenance of the HRIS, standard reporting of HR information, duplicating, sorting and typing. At the direction of the HR Coordinator, maintains employment processing and tracking of employment documents, processes personnel documents, conducts benefits administration, processes documentation for worker compensation, first aid, and other injury claims. Sorts, dates. and logs mail, and fill in as receptionist for the facility. Handling extensive personal and confidential information is an essential job function of this position. Monthly salary of $5,417 x3. BILLING CLERK The Billing Clerk assures accuracy of Mental Health Billings for all programs through reconciliation of billing summaries and excel reports versus county CDs and printouts. Assists in identifying, researching, and resubmitting denied claims. Provides review of Starbase reports for accuracy and interacts with IT to identify user and system errors. Assists in accounting functions. tracking reports, and filing duties required by the Business Office. Half a month salary of $953 MAINTENANCE TECH This hands-on position supervises, and coordinates the maintenance of all the facility and the housekeeping and laundry activities at Fresno PHF to ensure clean, safe and attractive facilities. This person coordinates remodeling and construction projects and obtains and supervises service contractor, as needed. This person accompanies the administrator on regular rounds of facilities and takes corrective action as needed and observes Title 22, OSHA, and Fire Marshall physical plant regulations, making necessary recommendations to the Administrator. Half a month salary for .5 FTE of $666. HOUSEKEEPER The Housekeeper performs a variety of tasks to ensure that the facility is in a clean, orderly, sanitary and attractive condition. This person has the ability to interact and communicate both verbally and in writing with seriously emotionally disturbed adolescents, other staff and the public. Half a month salary for 1.5 FTE of $1,249. We offer a comprehensive benefit package which covers medical, dental, vision and pension in addition to the required payroll taxes and workers comp insurance. The total cost of all of these components is equal to 29.9% of wages which is over the 20% county limit but it was not made clear what was included in the county limit. In all likelihood, workers comp was not included by the county. Without the workers comp our benefits % is 24.9%. In order to reach 20%, the only realistic option for us would be to eliminate our pension benefit which is an important part of our EMPLOYEE BENEFITS ESOP culture. Instead, we ask the county for a waiver on this point. PAYROLL TAX 6.2% ER Social Security Tax, 1.45% ER Medicare Tax, State Unemployment Insurance is .54% of salaries, FUTA Taxes is .96% of salaries PENSION EXPENSE There is no Pension Expense durinQ the ramp up period. Employees become eliQible after six months 401K ER CONTRIBUTION RATE 0.29% of total salaries. Employees become eliQible after 90 days. WORKERS COMP 4.96% of total salaries. HEALTH INSURANCE Averacie cost of $430 for Health, Dental and Vision Insurance based on historical cost. Employees become eligible after 90 days. FACILITIES/EQUIPMENT EXPENSE: I I I I i I OFFSITE LEASE -ADMIN BUSINESS OFFICE Lease offsite soace for administrative staff based on current market rate in Fresno. LEASED EQUIPMENT Base copier charQes and usaqe fees based on historical cost. TELECOMMUNICATIONS Facility cabling, hardware and monthly service cost for telecommunication. Staff cell phone reimbursement (mainly administrator, clinical director & admission coordinator) based on historical cost and amount provided in the RFP. UTILITIES Electricitv. Water Gas Trash based on amount orovided in the RFP. REVISED EXHIBIT B Page 8 of 45 MAINTENANCE Buildina maintenance and repairs based on amount provided in the RFP. OPERATING EXPENSES: !i • I i I ! PURCHASED SERVICES ADP Payroll Services Shreddina Cable Medical Waste Service Wifi EMR Maintenance Cost Safetv Trainina based on historical cost. OFFICE SUPPLIES Pacer Printer Succlies Enveloces Pens Etc based on historical cost. HOUSEKEEPING SUPPLIES Household and cleanina supplies based on historical cost. EDUCATION & TRAINING Onaoina Reauired Trainina For Staff based on historical cost. LICENSES Business license OSHPD fee based on historical cost. RECRUITMENT Advertisino/Classified/Backaround Checks/Physical Exams Etc based on historical cost TRAVEL Staff mileaae & travel reimbursement <mainlv administrator clinical director & admission coordinator\ based on historical cost EMR COST Cost to set uc a text file to transmit data to Fresno County's Avatar Svstem. FINANCIAL SERVICES EXPENSE I I i I I ' CENTRALIZED SERVICES-ADMIN. This is an allocation from Stars Behavioral Health Group of administration, information technology, human resources, communications, finance, and associated frinae benefits and expenses. Costs can be up to 15% of total cost based on historical cost. CENTRALIZED SERVICES-PROGRAM This is a program allocation from Stars Behavioral Health Group of training, outcome research and program practices, electronics medical records, aualitv assurance, and associated employee benefits and expenses based on historical cost. GENERAL INSURANCE Propertv And Professional Liabilitv Insurance based on historical cost. SPECIAL EXPENSES: I i ' i I PROFESSIONAL FEES Medical Director Primarv Phvsician Psychiatrists ( See salaries section\. Good & Fowler audit fees based on historical cost. MEDICAUCL/NICAL DIRECTOR -CONTRACTOR The contracted Medical Director is responsible for the overall coordination of medical and psychiatric care to ensure the adequacy and appropriateness as well as plan for the improvement of medical care at the facility. Provides written evaluations for treatment and legal purposes. Other activities include treatment team, peer review and interdepartmental consultation. Half a month salarv of $7,800 PSYCHIATRIST -CONTRACTOR Psychiatrists evaluate, diagnose, and collaborate with other team members to treat our youngsters for different mental health disorders. Since they are physicians they have the ability to prescribe medication and are responsible for medication management and consultation when a patient needs a medical or neurological evaluation. Half a month salary of $10,331 PRIMARY CARE PHYSICIAN -CONTRACTOR Primary Care Physicians evaluate, diagnose and provide treatment as needed for medical conditions. They prescribe medications as needed and make referrals to other health care professionals. Half a month salary of 3,467 SUPPLIES-HOUSE MEDS Pharmacv charaes for house medication (Aspirin, Tvlenoll over the counter sunnlies based on historical cost. SUPPLIES-MEDICAL Pharmacv charaes for non-covered medications based on historical cost. SUPPLIES NON-MEDICAL Sucplies for client's ciroominci. hyaiene and livina skills based on historical cost. MEDICAL RECORD SUPPLIES Medical Records Charts, Forms And Copyina based on historical cost. FOOD Groceries to be crecared bv Cook for the clients based on historical cost. SUPPLIES (NON PERISHABLE) Pacer cioods and utensils based on historical cost LAUNDRY & LINEN Towels, sheets blankets laundrv service based on historical cost. FIXED ASSETS: I ! I FURNITURE & FIXTURE Furniture and Fixture for the client room and dining area. Tables, desks, chairs, conference room table, lateral files, storage lockers, and couch necessary for the PHF Facility and Offsite Facility. SECURITY-ACCESS CONTROL SYSTEM Expense related to installation of cameras and security system CAMERA IT MINOR EQUIPMENT Minor eauipment with a value less than $5000 each. Includes; computers hardware and software based on historical cost. CGF FUNDS Start up Funds needed to crecare the facility and staff. Child-Adolescent Psychiatric Health Facility (16 bed) operated at 12 bed capacity Central Star Behavioral Health, Inc. Operational Budget-April 1, 2015 through June 30, 2015 -- - -- -- 1 REVISED EXHIBIT B Page 9 of 45 _L BLJd_g_�t _Q13_tegori�s_-_ _ ___ _ Line Item Description (Must be itemized) PERSONNEL SALARIES: -------- -T------T------1 I SQC)J __ --+R_III_-_D9r-.lf--�::: J:� .. · .. I 0004 ___ � Rehab Therapist -r L !-------- ----1- FTE % 1_.Q_()_ -- 3.20 2.80 _ 1.4_0_ --- OOQ§_ _tebaj)_fl._ide ___ _ -r ___ 3_.00_ 0006 Youth Counselor - -- -: - ---- - 0007 !Admissions Coordinator 0008 jf arnily Advocate 9()9_9 Social Workers 0010 _ ]Program Director 0011 I cook _ _()_()12 __ �_/\!l_ministrat()r 0013_ ---r�-tvlan�r ___ _ 0014 !QA Medical Records 0015 0016 _()Q17 -- r---------- _Training Coordinator } Billing Clerk :Maintenance Tech --t-------- 0018 I Housekeeper / 1SALARY TOTAL PAYROLL TAXES: I ______ --- 0030 __ ; FICNMEDICARE EQ.3_1 _ -¥ LJI_ 0032 IFUTA PAYROLL TAX TOTAL EMPLOYEE BENEFITS: 0040 Retirement 0041 _ )V__p_r-_ker_s Co_rn_J)_en satiCJn _ _ _ i 0042 I Health Insurance (medical vision, life, dental,401 k) / I EMPLOYEE BENEFITS TOTAL I SALARY & BENEFITS GRAND TOTAL � - t-- t I + - I t ! 16.80 1.0Q_ ___ _ 1.00 2.80 1.00 2.10 0.75 --O.fil)_ -- 0.50 0.50 1.00 1.00 1.50 41.85 $ --L $ $ Adm in. Direct 2_4 _,_9§_Q_ --__ 64,064_ 30,516_ 15_,2_1!_8_ 2Q,99ll__ 125-c711 14,5_60 --8,�98 -- 42,952 15,6Q_Q_ 11,7Q_� 22_,246 --7,353 6_,500_ ---- 6,391 5,720 7,998 7,496 63,703 $ 377,816 -----4,873 _ _ l _ 28,9()_3 344 2,040 599 3,551 5,816 $ 34,494 2,797 16,586 3,16_() �-!8_,_740 7,294 43,260 13,250 $ 78,586 Total $ 2_4 _,_9§_Q 1_ _6'1,064 _ $ 30,576 $ 15,2_1!_8 $ _ 20,998_ $ 125,711 $ 14,56()_ $ 8,}9_8 l 42,952 _$ _!5,6_00 $ --_1-1,_ 709 $ 22,24El_ _$ _ 7,35_3_ L 6,5QO $ 6,391 � 5,72_()_ J _70 998 $ 7,496 $ 441,518 $ __ 33,rni_ $ 2_]84 $ 4,150 $ 40,310 $ 19,383 $ 21,899 $ 50,554 $ 91,836 $ 573,665 REVISED EXHIBIT B Page 10 of 45 Child-Adolescent Psychiatric Health Facility (16 bed)operated at 12 bed capacity _____ ___________________ Central Star Behavioral Health, Inc. _______________________ Operational Budget-April 1, 2015 through June 30, 2015 __ _ _ __ FACILITIES/EQUIPMENT EXPENSES: I · - - --- I , ' i 1010 Offsite Lease -Admin/Business Office $ 500: $ 1,500 1011 . Leased Equipment 1012 Telecommunications 1013 Utilities 1_()14 __ tMaintenance __ _ _ ____ _ __ $ $ 1 $ 590 $ 2,750 $ -I 5,917 1 $ 1,770 ! 8,250 17,750 [ �-:--5��r :---- J�O�I ---- - - --------- $ $ $ $ _ t __ 1,500 1,770 8,250 17,750 1,500 1015 _ ]Security-Access Control System & Cameras I I ----------,-- --: ------ 1 _j_ __ 'FACILITY/EQUIPMENT TOTAL OPERATING EXPENSES: j()60 ___ [Purc:hased S��ic:es 1061 _ i Office Suppli�s .!_062 __ -� HC>uJekeepin_g Suppli�s .1_063 _ } Education __ �-rrani11_9__ 1064 ·-; Licenses ·-1065 , Recruiting. 1_066 ;Travel 1067 -I I 1068 ! -----__ , 1069 I --· -+ --·-I 1070 I I I 10PERATING EXPENSES TOTAL FINANCIAL SERVICES EXPENSES: 1080 j081 1082 : Centralized Services t --· General Insurance 1-------i Centralized fiscal service .05 I FINANCIAL SERVICES TOTAL I � 6,583.58 l $ ---19_,Z_51 $ 166.67 I $ 500 : ---t T _ 1}_ 520.20 Is ___ 1,56q _ _ J_L 520.20 j s _____ 1_,_5_§.4 ! . s - + s -L' 450 ! ;S 150.oo;s $ 1,200.00 ; $ $ $ $ I I 28,745 1 $ 1,1_02 i $ i i 3,600 ---+ -1 8_6,235 i _ 3,305-,- I I $ 30,770 ' $ 19,75_1_- - ----·· ----1· ---- -I $ -f--- - -r $ $ $ -- $ $ $ $ I I I I $ -___ ; i l_$ I I $ 500 1,561 -------- - -1,5_§_1 - 450 3,600 - - - - 27,422 - -8_§_ '?_3_5__ _3.,305. 43,938 133,478 REVISED EXHIBIT B Page 11 of 45 Child-Adolescent Psychiatric Health Facility (16 bed) operated at 12 bed capacity �entral_Star Be_havi�ra! H_elll!�,Jnc. SP-ECIAL EXPENSES (Co�;-;;;t��;:�i:Olllll _Budge_t-April 1, 201_5 throu� Ju_l!�JO, 2T__ -------r;;;g�3--;;f3 - 1087 ; Professional Fees & Consultation I - -_1_()88 ---+ Contract Therapist____ _ ______ _ 1Q_!l_9 __ -�up�s_/Ho_use �eds ____ I - - l $_ -�! \-$ I _ 107 .990 I$ 101,_!:l� -8,2 86 l $ ___ . ___ll..186 _ 2,733 j $__ _2,7� � _-i=plies Me�l_c_&_ ________ _ . - j :t:. _ 1_,689_f_! _ _1_,.68_9_ JW1 __ ,Supplie_s Non:_Medical __ 1092 1093 1094 1096 1 Ojl_7 1098 1099 2000 i Medical Records Supplies t • --1Food ;Supplies Non_Perishables . Laundry & Linen J�llowance1 _-__ ' I �QIQthing_J __ i.Le_g_al_Fees 1; ErllJ)l_oyee Benefits_ Other __ _ Centralized Services-Program i I SPECIAL EXPENSES TOTAL ___ [ -1· ----FIXED ASSETS: l._0()_1 2002 ___ )_i=urnitLJre_ Replafe_ment_ j 11:r�inor E_qll_ipment_ I L -1 � Assels(Useful li_fe more than 1 �ear and valued at more lhan_ $5.000) I I ! 1,00Q '. $ 1,_()00 �$ I $ $ __ 165_]_ $ 12,421 4 $ 438 ! $ [$ 3,571 i $ 165 12,421 438 3,571 t $ ___ 1,873 l $. ___ 1 ,873 I $ 5,0151 $ 5,015 r- ·-----1- 1 $ 1,248 . $ -1 . ---- $ ___ 7651 $ --- 9,120 I $ 156,314 $ 765 9,120 156,314 ______ ,. _____ .:_ - $ -$ . $ 2003 Intangible Software/License Assets (Useful life more than 1 year and valued at more than $1 00,000) FIXED ASSETS TOTAL $ based 16 beds costs DIRECT SERVICE REVENUE AT CAPACITY: 'Mental Health Services �Q_()_()_ (Individual/Family/Group Therapy) 3100 Tease M-agem--t -... ----- 4 ___ _ an _ _Eln ----- - --- 3200 j Crisis Services__ _ __ _ 3300 �rv'lediciitio_n _§_upport __ 1_400 Crisis Stabilization-Urg_ent Care 3500 .. ·-'�ctiiatric Health Facility --- �� -T- -- --1::�=� ----_ -. --- i ! --r ------+ +--: 12 beds I 1 DIRECT SERVICE REVENUE TOTAL r-+---_t-- _ t---. -FUNDNG STREAMS REIMBURSEMENT 4000 4100 4200 4300 Private Insurance ; Uninsured 1---- ------; Medi-Cal FFP • 2011 Realignment ! OTHER-REVENUE TOTAL TOTAL PROGRAM EXPENSES $ 921,648 Vol/Units of Svc 1,092 !_ Rate $Amt. $ $. ---=-____ ---$_··-·. --� !--$844.00 $ 9J1,648 !----------$ $ $ 1,092 _J__ : Medi-fal Reven_ue_ ___ +-Q_ost Per lJnit -� I I 3%!__ 2%j 95%:_ $ 921,648 ! $ 875,566 J 844.00 �7_&19_ 18,433 437,7__!!_3_ _ 1 3_7,781_ 921,648 TOTAL PROGRAM REVENUE $ 921,648 ---1-------1 FRl;.SNQ f'l-t_f Budg�t Narrative FY 1-!_�15 ------ ITEM SALARIES: RN-DON RN LVN REHAB THERAPIST REHAB AIDE YOUTH COUNSELOR - ------ ADMISSIONS COORDINATOR FAMILY ADVOCATE SOCIAL WORKERS PROGRAM DIRECTOR ------- I ----------+-------i ---------->--, I T-r-------------- REVISED EXHIBITS Page 12 of 45-,----- -----------r------------,----�--__ _)___ _______ . ... -------------r ----r-r----------·------------ - - --�1 --·-· --------: Budaet Narrative I I I : I The Director of Nursing assumes authority, responsibility, and accountability for the delivery of nursing services in the facility. In collaboration with facility Administration, allocates department resources in an efficient and economic manner to enable each patient to attain or maintain the highest practical physical, mental, and psychosocial well-being. Collaborates with medical professionals, consultants. and organizations, including government agencies and advocacy groups, to develop, support and coordinate patient care, related administrative functions, and to represent the interests of the facilitv. Monthly salarv of $8,330 x 12. Nurses, have the most direct relationships with patients. Nurses are responsible for maintaining professional standards for medical management, including providing nursing assessments, dispensing of medication, and monitoring of side effects. Nurses are also coaches, teachers, counselors, and limit-setters to patients. Monthly salary for 3.2 FTE of $21,381 x12. Nurses, have the most direct relationships with patients. Nurses are responsible for maintaining professional standards for medical management, including providing nursing assessments, dispensing of medication, and monitoring of side effects. Nurses are also coaches, teachers. counselors, and limit-setters to patients. Monthly salary for 2.8 FTE of $10,204 x12. The Rehab Therapist is responsible for planning and directing individual and group behavioral interventions. Rehab Therapists and Aides work with other team members to help the patient master problem behaviors. They are responsible for documenting patient behaviors in different situations. They are also responsible for establishing schedules and contents for groups and activities, for ensuring that the groups happen as scheduled, and for running treatment groups. Monthly salary for 1.4 FTE of $5, 102 x12. Assists the Rehabilitation Therapist with clerical tasks, treatment setups and routine patient care tasks. Monthly salary for 3 FTE of $7,008 x12. Youth Counselors have direct relationships with patients. are: •coaches (encouraging and motivating patients) •teachers (modeling behaviors, monitoring patients, and providing feedback) • counselors (being a good listener, intervening with problem behaviors) • house-parents (assigning and monitoring chores. always knowing where patients are).limit-setters (enforcing the rules fairly; using discipline to teach patients ) Monthly salary for 16.8 FTE of $41,956 x12. The Admission Coordinator is responsible for conducting initial assessment and collecting all documentation needed to develop treatment plans; lead admission and discharges planning process; conduct staff supervision as directed and provide back-up to Clinical Director as needed. Monthly salary of $4,859 x12. Family Advocates provide outreach, advocacy, training and support for patients' family members throughout all stages of the patient's treatment, transition, and aftercare. For example, Family Advocates can run support, educational and/or focus groups for family members. Monthly salary of $2,803 x12. The Social Worker provides casework services and psychotherapy to assigned patients and their families. Social Workers have the primary responsibility for treatment and discharge planning, and they must maintain a professional relationship with all referral sources. Social Workers also coordinate treatment services with other departments and outside agencies. Monthly salary for 2.8 FTE of $14,335 x12. The Program Director has primary responsibility for supervising, managing and coordinating the oversight of programs. The Director has oversight responsibility for the Rehabilitation Specialist and Social Workers. He/she acts as liaison with external agencies and functions on teams with other clinical & support staff. Functions as a key management team member in all administrative and program duties. Monthly salary of $5,206 x12. REVISED EXHIBIT B Page 13 of 45 COOK The Cook has primary responsibility for preparing food in accordance with current applicable federal, state, and local standards, guidelines and regulations, with our established policies and procedures. Monthly salary for 2.1 FTE of $4,909 x 12 ADMINISTRATOR The Administrator has primary responsibility for oversight of staffing and programs. The Administrator supervises the functions including: Training and Quality Assurance and Community Relations (including client and family grievances); and Admission/Discharge Activities. He/she acts as liaison with external agencies and functions on teams with other clinical and support staff. Monthly salary of $12,254 x12. UR/QA/ MEDICAL RECORDS The Medical Records Clerk is responsible for all aspects of medical record management. This person will create charts, assure that all aspects of the record are in keeping with agency policy and Fresno County requirements, management and control of forms, thinning charts, auditing, monitoring, tracking, and securing medical records, maintaining active and closed charts organization, assisting in acquiring necessary documents from charts when authorized, and assists in preparing discharge packets. As a Quality Assurance coordinator, this person is responsible for coordinating auditing of documentation to reconcile with billing and oversees documentation of services by Community Services staff to assure conformity with MediCal, Fresno County, other outside agencies, and internal standards and policies. Position oversees the Continuous Quality Assurance program and records all CQI data. Monthly salary of $4,779 x 12 HR/TRAINING/ADMIN ASST The HR/Training Assistant performs a wide variety of Human Resources clerical and administrative tasks including personnel file maintenance, updating and maintenance of the HRIS, standard reporting of HR information, duplicating, sorting and typing. At the direction of the HR Coordinator, maintains employment processing and tracking of employment documents, processes personnel documents, conducts benefits administration, processes documentation for worker compensation, first aid, and other injury claims. Sorts, dates, and logs mail, and fill in as receptionist for the facility. Handling extensive personal and confidential information is an essential job function of this position. Monthly salary of $5,457 x12. BILLING CLERK The Billing Clerk assures accuracy of Mental Health Billings for all programs through reconciliation of billing summaries and excel reports versus county CDs and printouts. Assists in identifying, researching, and resubmitting denied claims. Provides review of Starbase reports for accuracy and interacts with IT to identify user and system errors. Assists in accounting functions, tracking reports, and filing duties required by the Business Office. Monthly salary of $1,909 x12. MAINTENANCE TECH This hands-on position supervises, and coordinates the maintenance of all the facilitiy and the housekeeping and laundry activities at Fresno PHF to ensure clean, safe and attractive facilities. This person coordinates remodeling and construction projects and obtains and supervises service contractor, as needed. This person accompanies the administrator on regular rounds of facilities and takes corrective action as needed and observes Title 22, OSHA, and Fire Marshall physical plant regulations, making necessary recommendations to the Administrator. Monthly salary for 0.5 FTE of $1,335 x12. HOUSEKEEPER The Housekeeper performs a variety of tasks to ensure that the facility is in a clean, orderly, sanitary and attractive condition. This person has the ability to interact and communicate both verbally and in writing with seriously emotionally disturbed adolescents, other staff and the public. Monthly salary for 1.5 FTE of $2,502 x12. We offer a comprehinsive benefit package which covers medical, dental, vision and pension in addition to the required payroll taxes and workers comp insurance. The total cost of all of these components is equal to 29.9% of wages which is over the 20% county limit but it was not made clear what was included in the county limit. In all liklihood, workers comp was not included by the county. Without the workers comp our benefits % is 24.9%. In order to reach 20%, the only realistic option for us would be to eliminate our pension benefit which is an important part of our EMPLOYEE BENEFITS ESOP culture. Instead, we ask the county for a waiver on this point. PAYROLL TAX 6.2% ER Social Security Tax, 1.45% ER MediCare Tax, State Unemployment Insurance is .54% of salaries, FUTA Taxes is .96% of salaries PENSION EXPENSE 1. 7 4 % of total salaries. Employees become eliqible for Pension after six months. 401 KER CONTRIBUTION RA TE 0.29% of total salaries. Employees become eliqible after 90 days. WORKERS COMP 4.96% of total salaries. HEAL TH INSURANCE Averaqe cost of $430 for Health, Dental and Vision Insurance based on historical cost. Employees become eligible after 90 days. REVISED EXHIBIT B Page 14 of 45 FACILITIES/EQUIPMENT EXPENSES: i I ! I I ! I OFFSITE LEASE-ADMIN/BUSINESS OFFICE Lease offsite space for administrative staff based on current market rate in Fresno. LEASED EQUIPMENT Base copier charaes and usaae fees based on historical cost. TELECOMMUNICATIONS Facility telephone expense and staff cell phone reimbursement (mainly administrator, clinical director & admission coordinator) based on historical cost and amount provided in the RFP. UTILITIES Electricitv. Water Gas Trash based on amount provided in RFP MAINTENANCE Buildina maintenance and repairs based on amount provided in RFP OPERATING EXPENSES: I I i PURCHASED SERVICES ADP Pavroll Services ShreddinQ Cable Medical Waste Service Wifi, EMR Maintenance Cost Safetv Trainina based on historical cost. OFFICE SUPPLIES Paper Printer Suoolies Envelopes Pens, Etc based on historical cost. HOUSEKEEPING SUPPLIES Household and cleanina sunnlies based on historical cost. EDUCATION & TRAINING OnQoinQ Required TraininQ For Staff based on historical cost. LICENSES Business license OSHPD fee based on historical cost. RECRUITMENT Advertisina/Classified/BackQround Checks/Phvsical Exams Etc based on historical cost TRAVEL Staff mileQe & travel reimbursement (mainly administrator clinical director & admission coordinator) based on historical cost FINANCIAL SERVICES EXPENSES: : I I I ! CENTRALIZED SERVICES-ADMIN. This is an allocation from Stars Behavioral Health Group of administration, information technology, human resources, communications, finance, and associated frinQe benefits and expenses. Costs can be up to 15% of total cost based on historical cost. CENTRALIZED SERVICES-PROGRAM This is a program allocation from Stars Behavioral Health Group of training, outcome research and program practices, electronics medical records, aualitv assurance, and associated employee benefits and expenses based on historical cost. GENERAL INSURANCE Property And Professional Liabilitv Insurance based on historical cost. SPECIAL EXPENSES: I !.I ' . PROFESSIONAL FEES Medical Director Primarv Phvsician Psvchiatrists ( See salaries section). Good & Fowler audit fees based on historical cost. MEDICAUCLINICAL DIRECTOR -CONTRACTOR The contracted Medical Director is responsible for the overall coordination of medical and psychiatric care to ensure the adequacy and appropriateness as well as plan for the improvement of medical care at the facility. Provides written evaluations for treatment and legal purposes. Other activities include treatment team, peer review and interdepartmental consultation. Monthly salary of $15,600 x 12. PSYCH/A TR/ST -CONTRACTOR Psychiatrists evaluate, diagnose, and collaborate with other team members to treat our youngsters for different mental health disorders. Since they are physicians they have the ability to prescribe medication and are responsible for medication management and consultation when a patient needs a medical or neurological evaluation. monthly salary of $20,661 x 12. PRIMARY CARE PHYSICIAN -CONTRACTOR Primary Care Physicians evaluate, diagnose and provide treatment as needed for medical conditions. They prescribe medications as needed and make referrals to other health care professionals. monthly salary of $6933 x 12. CONTRACT THERAPIST 3 Contracted Primary Therapists based on historical cost. SUPPLIES-HOUSE MEDS Pharmacv charaes for house medication (Asoirin Tvlenoll over the counter SUPPiies based on historical cost. SUPPLIES-MEDICAL Pharmacy charQes for non-covered medications based on historical cost. SUPPLIES NON-MEDICAL Supplies for client's aroomina hvaiene and livina skills based on historical cost. MEDICAL RECORD SUPPLIES Medical Records Charts Forms And CopyinQ based on historical cost. FOOD Groceries to be prepared bv Cook for the clients based on historical cost. SUPPLIES (NON PERISHABLE) Paoer aoods and utensils based on historical cost LAUNDRY & LINEN Towels sheets blankets laundry service based on historical cost. ALLOWANCE Weeklv monev distributed to clients based upon points & level based on historical cost CLOTHING Monthlv amount disbursed for client's clothina oer contract based on historical cost LEGAL FEES Attorney Fees based on historical cost. EMPLOYEE BENEFITS Safety Bingo, Gift Cards, Perfect Attendance, Employee of the Month, Holiday Party, Uniforms, Other (Starbucks Winner/Audit Reward) based on historical cost. FIXED ASSETS: I I I FURNITURE REPLACEMENT Cost to replace damaaed furnitures based on historical cost. IT MINOR EQUIPMENT Minor eauioment with a value less than $5000 each. Includes; computers hardware and software based on historical cost. REVENUES: I ; I I I REVISED EXHIBIT B Page 15 of 45 MEDI-CAL REVENUE Daily Rate x 365 x 16 x 90% PRIVATE INSURANCE REVENUE Daily Rate x 365 x 16 x 3% UNINSURED REVENUE Daily Rate x 365 x 16 x 2% Child-Adolescent Psychiatric Health Facility (12 bed) Stars Behavioral Health Group Budget-July 1, 2015 through June 30, 2016 (12 months) Budget Categories -Total Proposed Budget Line Item Description (Must be itemized) FTE% Adm in. Direct Total PERSONNEL SALARIES: 0001 RN-DON 1.00 $ 101,464 $ 101,464 0002 RN 3.20 $ 260,425 $ 260,425 0003 LVN 2.80 $ 124,294 $ 124,294 0004 Rehab Therapist 1.40 $ 62, 147 $ 62,147 0005 Rehab Aide 1.40 $ 39,833 $ 39,833 0006 Youth Counselor 15.40 $ 468,439 $ 468,439 0008 Family Advocate 1.00 $ 34, 138 $ 34,138 0009 Social Workers 2.80 $ 174,603 $ 174,603 0010 Program Director 1.00 $ 63,415 $ 63,415 0011 Cook 2.10 $ 59,794 $ 59,794 0012 Administrator 0.75 $ 111,946 $ 111,946 0013 UR/QA/ Medical Records 1.00 $ 58,203 $ 58,203 0014 HR/Training/Admin Asst 1.00 $ 66,470 $ 66,470 0015 Billing Clerk 1.00 $ 23,252 $ 23,252 0016 Maintenance Tech 0.50 $ 16,255 $ 16,255 0017 Housekeeper 1.90 $ 38,597 $ 38,597 SALARY TOT AL 38.25 $ 314,723 $ 1,388,552 $ 1,703,275 PAYROLL TAXES: 0030 FICA/MEDICARE $ 24,076 $ 106,225 $ 130,302 0031 SUI $ 1,699 $ 7,497 $ 9,196 0032 FUTA $ 2,958 $ 13,053 $ 16,012 PAYROLL TAX TOTAL $ 28,734 $ 126,775 $ 155,509 EMPLOYEE BENEFITS: 0040 Retirement $ 11,141 $ 49,156 $ 60,297 0041 Workers Compensation $ 15,610 $ 68,873 $ 84,483 0042 Health Insurance (medical vision, life, dental) $ 36,036 $ 158,989 $ 195,025 EMPLOYEE BENEFITS TOTAL $ 62,787 $ 277,018 $ 339,805 SALARY & BENEFITS GRAND TOTAL $ 2,198,590 REVISED EXHIBIT B Page 16 of 45 REVISED EXHIBIT B Page 17 of 45 FACILITIES/EQUIPMENT EXPENSES: 1010 Offsite Lease -Admin/Business Office $ 500 $ 6,000 $ 6,000 1011 Leased Equipment $ 1,204 $ 14,443 $ 14,443 1012 Telecommunications $ 3,269 $ 39,229 $ 39,229 1013 Utilities $ 7,032 $ 84,383 $ 84,383 1014 Maintenance $ 1,982 $ 23,782 $ 23,782 1015 $ -$ -$ - 1016 12 months $ - 1017 $ - 1018 $ - FACILITY/EQUIPMENT TOTAL $ 167,837 OPERATING EXPENSES: Monthly Adm in. Direct 1060 Purchased Services $ 3,239.83 $ 38,878 $ 38,878 1061 Office Supplies $ 1,560.75 $ 18,729 $ 18,729 1062 Housekeeping Supplies $ 530.42 $ 6,365 $ 6,365 1063 Education & Traning $ 265.00 $ 3,180 $ 3,180 1064 Licenses $ 234.00 $ 2,808 $ 2,808 1065 Recruiting $ 42.50 $ 510 $ 510 1066 Travel $ 208.08 $ 2,497 $ 2,497 1067 $ 1068 $ 1069 $ 1070 $ 1071 $ 1072 $ 1073 $ 1074 $ 1075 $ 1076 $ 1077 $ OPERATING EXPENSES TOTAL 1$ 72,967 FINANCIAL SERVICES EXPENSES: Monthly Admin. Direct 1080 Centralized Services $ 25,382.92 $ 304,595 $ 304,595 1081 General Insurance $ 1,124.04 13,488 $ 13,488 1082 Centralized fiscal service . 05 $ 152,297 1083 $ FINANCIAL SERVICES TOTAL I$ 470,380 SPECIAL EXPENSES (Consultant/Etc.): Monthly Ad min. Direct 1087 Professional Fees & Consultation $ 36,649.00 $ 439,788 1088 Contract Therapist $ 2,112.92 $ 25,355 1089 Supplies/House Meds $ 696.92 $ 8,363 1090 Supplies Medical $ 430.67 $ 5,168 1091 Supplies Non-Medical $ 2,513.25 $ 30,159 1092 Medical Records Supplies $ 56.10 $ 673 1093 Food $ 3, 167.08 $ 38,005 1094 Supplies Non Perishables $ 111.67 $ 1,340 1095 Laundry & Linen $ 910.33 $ 10,924 1096 Allowance $ 477.33 $ 5,728 1097 Clothing $ 1,279.08 $ 15,349 1098 Legal Fees $ 424.32 $ 5,092 1099 Employee Benefits Other $ 260.10 $ 3,121 SPECIAL EXPENSES TOTAL FIXED ASSETS· Monthly Ad min Direct 2000 Furniture Replacement $ 208.33 $ 2,500 2001 IT Minor Equipment $ 125.00 $ 1,500 Assets (Useful life more than 1 year and valued at more than $5,000) 2002 lntanqible Software/License Assets (Useful life more than 1 vear and valued at more than $100,000) FIXED ASSETS TOTAL 16 bed DIRECT SERVICE REVENUE AT CAPACITY: Mental Health Services 3000 (Individual/Family/Group Therapy) 3100 Case Management 3200 Crisis Services 3300 Medication Support 3400 Crisis Stabilization-Urgent Care 3500 Psychiatric Health Facility 3600 other 3700 other DIRECT SERVICE REVENUE TOTAL FUNDNG STREAMS REIMBURSEMENT 4000 Private Insurance 4100 Uninsured 4200 Medi-Cal FFP 4300 2011 Realignment OTHER REVENUE TOTAL TOTAL PROGRAM EXPENSES $ 100% $ Vol/Units of Svc 12 bed 4,392 $ $ 4,392 Realignment Medi-cal Revenue 12.03287671 Cost Per Unit 8% 2% 90% 90% 797.55 797 55 Rate 797.55 $ 439,788 $ 25,355 $ 8,363 $ 5,168 $ 30, 159 $ 673 $ 38,005 $ 1,340 $ 10,924 $ 5,728 $ 15,349 $ 5,092 $ 3,121 I$ 589,065 $ 2,500 $ 1,500 $ - $ - $ 4,000 $ 3,502,840 $Amt. $ - $ - $ - $ - $ - $ 3,502,840 $ - $ - $ 3,502,840 3,152,556 797.55 $ 280,227 $ 70,057 $ 1,576,278 $ 1,576,278 I$ 3,502,840 TOTAL PROGRAM REVENUE I$ 3,502,840 REVISED EXHIBIT B Page 18 of 45 FRESNO PHF Budget Narrative FY 15-16 ITEM SALARIES: RN-DON RN LVN REHAB THERAPIST REHAB AIDE YOUTH COUNSELOR ADMISSIONS COORDINATOR FAMILY ADVOCATE SOCIAL WORKERS PROGRAM DIRECTOR Budaet Narrative The Director of Nursing assumes authority, responsibility, and accountability for the delivery of nursing services in the facility. In collaboration with facility Administration, allocates department resources in an efficient and economic manner to enable each patient to attain or maintain the highest practical physical, mental, and psychosocial well-being. Collaborates with medical professionals, consultants, and organizations, including government agencies and advocacy groups, to develop, support and coordinate patient care, related administrative functions, and to represent the interests of the facilitv. Month Iv salarv of $8,445 x 12. Nurses, have the most direct relationships with patients. Nurses are responsible for maintaining professional standards for medical management, including providing nursing assessments, dispensing of medication, and monitoring of side effects. Nurses are also coaches, teachers, counselors, and limit-setters to patients. Monthly salary for 3.2 FTE of $21,675x12. Nurses, have the most direct relationships with patients. Nurses are responsible for maintaining professional standards for medical management, including providing nursing assessments, dispensing of medication, and monitoring of side effects. Nurses are also coaches, teachers, counselors, and limit-setters to patients. Monthly salary for 2.8 FTE of $10,345 x12. The Rehab Therapist is responsible for planning and directing individual and group behavioral interventions. Rehab Therapists and Aides work with other team members to help the patient master problem behaviors. They are responsible for documenting patient behav iors in different situations. They are also responsible for establishing schedules and contents for groups and activities, for ensuring that the groups happen as scheduled, and for running treatment groups. Monthly salary for 1.4 FTE of $5, 172 x12. Assists the Rehabilitation Therapist with clerical tasks, treatment setups and routine patient care tasks. Monthly salary for 3 FTE of $7, 104x12. Youth Counselors have direct relationships with patients. are: •coaches (encouraging and motivating patients) •teachers (modeling behaviors, monitoring patients, and providing feedback) .counselors (being a good listener, intervening with problem behaviors) •house-parents (assigning and monitoring chores, always knowing where patients are) •limit-setters (enforcing the rules fairly; using discipline to teach patients ) Monthly salary for 16.8 FTE of $42,532x12. The Admission Coordinator is responsible for conducting initial assessment and collecting all documentation needed to develop treatment plans; lead admission and discharges planning process; conduct staff supervision as directed and provide back-up to Clinical Director as needed. Monthly salary of $4,926x12. Family Advocates provide outreach, advocacy, training and support for patients' family members throughout all stages of the patient's treatment, transition, and aftercare. For example, Family Advocates can run support, educational and/or focus groups for family members. Monthly salary of $2,841 x12. The Social Worker provides casework services and psychotherapy to assigned patients and their families. Social Workers have the primary responsibility for treatment and discharge planning, and they must maintain a professional relationship with all referral sources. Social Workers also coordinate treatment services with other departments and outside agencies. Monthly salary for 2.8 FTE of $14,532x12. The Program Director has primary responsibility for supervising, managing and coordinating the oversight of programs. The Director has oversight responsibility for the Rehabilitation Specialist and Social Workers. He/she acts as liaison with external agencies and functions on teams with other clinical & support staff. Functions as a key management team member in all administrative and program duties. Monthly salary of $5,278 x12. REVISED EXHIBIT B Page 19 of 45 COOK The Cook has primary responsibility for preparing food in accordance with current applicable federal, state, and local standards, guidelines and regulations, with our established policies and procedures. Monthly salary for 2.1 FTE of $4,977 x 12 ADMINISTRATOR The Administrator has primary responsibility for oversight of staffing and programs. The Administrator supervises the functions including: Training and Quality Assurance and Community Relations (including client and family grievances); and Admission/Discharge Activities. He/she acts as liaison with external agencies and functions on teams with other clinical and support staff. Monthly salary of $12,315 x12. UR/QA/ MEDICAL RECORDS The Medical Records Clerk is responsible for all aspects of medical record management. This person will create charts, assure that all aspects of the record are in keeping with agency policy and Fresno County requirements, management and control of forms, thinning charts, auditing, monitoring, tracking, and securing medical records, maintaining active and closed charts organization, assisting in acquiring necessary documents from charts when authorized, and assists in preparing discharge packets. As a Quality Assurance coordinator, this person is responsible for coordinating auditing of documentation to reconcile with billing and oversees documentation of services by Community Services staff to assure conformity with MediCal, Fresno County, other outside agencies, and internal standards and policies. Position oversees the Continuous Quality Assurance program and records all CQI data. Monthly salary of $4,838 x 12 HR/TRAINING/ADMIN ASST The HR/Training Assistant performs a wide variety of Human Resources clerical and administrative tasks including personnel file maintenance, updating and maintenance of the HRIS, standard reporting of HR information, duplicating, sorting and typing. At the direction of the HR Coordinator, maintains employment processing and tracking of employment documents, processes personnel documents, conducts benefits administration, processes documentation for worker compensation, first aid, and other injury claims. Sorts, dates, and logs mail, and fill in as receptionist for the facility. Handling extensive personal and confidential information is an essential job function of this position. Monthly salary of $5,498 x12. BILLING CLERK The Billing Clerk assures accuracy of Mental Health Billings for all programs through reconciliation of billing summaries and excel reports versus county CDs and printouts. Assists in identifying, researching, and resubmitting denied claims. Provides review of Starbase reports for accuracy and interacts with IT to identify user and system errors. Assists in accounting functions, tracking reports, and filing duties required by the Business Office. Monthly salary of $1,935 x12. MAINTENANCE TECH This hands-on position supervises, and coordinates the maintenance of all the facilitiy and the housekeeping and laundry activities at Fresno PHF to ensure clean, safe and attractive facilities. This person coordinates remodeling and construction projects and obtains and supervises service contractor, as needed. This person accompanies the administrator on regular rounds of facilities and takes corrective action as needed and observes Title 22, OSHA, and Fire Marshall physical plant regulations, making necessary recommendations to the Administrator. Monthly salary for 0.5 FTE of $1,353 x12. HOUSEKEEPER The Housekeeper performs a variety of tasks to ensure that the facility is in a clean, orderly, sanitary and attractive condition. This person has the ability to interact and communicate both verbally and in writing with seriously emotionally disturbed adolescents, other staff and the public. Monthly salary for 1.5 FTE of $2,536 x12. We offer a comprehinsive benefit package which covers medical, dental, vision and pension in addition to the required payroll taxes and workers comp insurance. The total cost of all of these components is equal to 29.9% of wages which is over the 20% county limit but it was not made clear what was included in the county limit. In all liklihood, workers comp was not included by the county. Without the workers comp our benefits % is 24.9%. In order to reach 20%, the only realistic option for us would be to eliminate our pension benefit which is an important part of our EMPLOYEE BENEFITS ESOP culture. Instead, we ask the county for a waiver on this point. PAYROLL TAX 6.2% ER Social Securitv Tax, 1.45% ER MediCare Tax, State Unemplovment Insurance is .54% of salaries, FUTA Taxes is .96% of salaries PENSION EXPENSE 3.25 % of total salaries. 401K ER CONTRIBUTION RATE 0.29% of total salaries. Employees become eliaible after 90 davs. WORKERS COMP 4.96% of total salaries. HEAL TH INSURANCE Average cost of $430 for Health, Dental and Vision Insurance based on historical cost. Employees become eliqible after 90 davs. FACILITIES/EQUIPMENT EXPENSES: OFFSITE LEASE-ADMIN/BUSINESS OFFICE Lease offsite space for administrative staff based on current market rate in Fresno. LEASED EQUIPMENT Base cooier charqes and usaqe fees based on historical cost. TELECOMMUNICATIONS Facility telephone expense and staff cell phone reimbursement (mainly administrator, clinical director & admission coordinator) based on historical cost and amount provided in the RFP. REVISED EXHIBIT B Page 20 of 45 UTILITIES Electricity, Water Gas, Trash based on amount provided in RFP MAINTENANCE Buildina maintenance and repairs based on amount orovided in RFP OPERATING EXPENSES: PURCHASED SERVICES ADP Pavroll Services Shreddina, Cable Medical Waste Service, Wifi EMR Maintenance Cost, Safetv Trainina based on historical cost. OFFICE SUPPLIES Pacer, Printer Suoolies Envelopes Pens, Etc based on historical cost. HOUSEKEEPING SUPPLIES Household and cleanina suoolies based on historical cost. EDUCATION & TRAINING Onaoina ReQuired Trainina For Staff based on historical cost. LICENSES Business license OSHPD fee based on historical cost. RECRUITMENT Advertisina/Classified/Backaround Checks/Phvsical Exams Etc based on historical cost TRAVEL Staff mileae & travel reimbursement (mainly administrator clinical director & admission coordinator) based on historical cost FINANCIAL SERVICES EXPENSES: This is an allocation from Stars Behavioral Health Group of administration, management services, financial services and office support . 10% of CENTRALIZED SERVICES total oroaram cost based on historical cost. GENERAL INSURANCE Prooertv And Professional Liabilitv Insurance based on historical cost. SPECIAL EXPENSES: PROFESSIONAL FEES Medical Director Primarv Phvsician, Psvchiatrists ( See salaries section). Good & Fowler audit fees based on historical cost. MEDICAUCLJNICAL DIRECTOR -CONTRACTOR The contracted Medical Director is responsible for the overall coordination of medical and psychiatric care to ensure the adequacy and appropriateness as well as plan for the improvement of medical care at the facility. Provides written evaluations for treatment and legal purposes. Other activities include treatment team, peer review and interdepartmental consultation. Monthly salary of $11 ,700 x 12. PSYCHIATRIST -CONTRACTOR Psychiatrists evaluate, diagnose, and collaborate with other team members to treat our youngsters for different mental health disorders. Since they are physicians they have the ability to prescribe medication and are responsible for medication management and consultation when a patient needs a medical or neurological evaluation. Monthly salary of $16,987 x 12. PRIMARY CARE PHYSICIAN -CONTRACTOR Primary Care Physicians evaluate, diagnose and provide treatment as needed for medical conditions. They prescribe medications as needed and make referrals to other health care professionals. monthly salary of $6, 192 x 12. CONTRACT THERAPIST 3 Contracted Primarv Theraoists based on historical cost. SUPPLIES-HOUSE MEDS Pharmacy charaes for house medication (Aspirin Tylenol) over the counter sunnlies based on historical cost. SUPPLIES-MEDICAL Pharmacv charaes for non-covered medications based on historical cost. SUPPLIES NON-MEDICAL Sunnlies for client's aroomina, hvaiene and livina skills based on historical cost. MEDICAL RECORD SUPPLIES Medical Records Charts, Forms And Copyina based on historical cost. FOOD Groceries to be oreoared bv Cook for the clients based on historical cost. SUPPLIES <NON PERISHABLE) Pacer aoods and utensils based on historical cost LAUNDRY & LINEN Towels, sheets blankets, laundry service based on historical cost. ALLOWANCE Weeklv monev distributed to clients based uoon ooints & level based on historical cost CLOTHING Monthlv amount disbursed for client's clothina per contract based on historical cost LEGAL FEES Attorney Fees based on historical cost. EMPLOYEE BENEFITS Safety Bingo, Gift Cards, Perfect Attendance, Employee of the Month, Holiday Party, Uniforms, Other (Starbucks Winner/Audit Reward) based on historical cost. FIXED ASSETS: FURNITURE REPLACEMENT Cost to replace damaaed furnitures based on historical cost. IT MINOR EQUIPMENT Minor equipment with a value less than $5000 each. Includes; computers hardware and software based on historical cost. REVENUES: MEDI-CAL REVENUE Daily Rate x 366 x 12 x 90% PRIVATE INSURANCE REVENUE Daily Rate x 366 x 12 x 8% UNINSURED REVENUE Daily Rate x 366 x 12 x 2% REVISED EXHIBIT B Page 21 of 45 Child-Adolescent Psychiatric Health Facility {16 bed) Cen!ral Star BE!_havioral Health, Inc REVISED EXHIBIT B Page 22 of 45 Budget· July 1, 2016 through June 30, 2017 (12 months) -----------T - - --T ��== 1 �cl_get Categori� ___________ _ Line Item Description (Must be itemized) f�"SON!'J_EL SAL_A�IES: 0001 , RN-DON 0002 RN 0003 LVN 0004 _: Rehab Therapist I FTE % 1.00 3.20 2.80 1.40 JJQQ5=J:_El_hab Aide_ _ ___ _ _______ J ____ },O_Q_ JJ006 'r'_outh Counselor�-__ -�-----L-_ 1§Jl() __ _ 0007 _ Admissions Coordinator_____ __1.Q_O ·-···· 1.00 Total Pro_l)()sed Bu�t Admi��. r- -Dir�c,-i -Total $106,053 $106,053 $272,202 --�272,202 $129,915 $129,915 _ _ $64,�5__! _ 1§1,.957 _ $89,2Jl _ $89,2!_7 --$534,134 --_ $i�,13_4 JJQQL _ f_c1rn�y AdvC>Ca_!e_ ----------- _$61,86_4 $3_5,682 $182,-499 ___ $61,864 _ $35,682 $182,499 --$66,283 0009 'Social Workers 0010 . Program Director 0011 [cook 0012 __ ,Administrator 2.80 1.00 2.10 1.00 l156,012 _ $66,283 _l62_,_o498 $62,498 $15_6,01_2 ::_j:::n�n:�::�=��---------� ------�J==: .... :::::: ···�:::::: .Q_Q1_5 _ _ -fjlli_n_g__Qlerl<_ __ _ 1.00 $24,304 _ _ $2"4,3_Q4 ,QD_1_6 -+Mai_nten!irice Tech _ + 0.50 $16,991 �-$16,991 0017 • HousekeeperSALARY TOTAL PAYROLL TAXES: 0030 . FICA/MEDICARE 0031 SUI 0032 iFUTA I [PAYROLL TAX TOTAL _1:MPLOYEE BENEFITS: 0040 _ _ �R_Eltiremerit_ _ :; ·t�;�:,�::,::::.,,;;, deotal)i [EMPLOYEE BENEFITS TOTAL 1 SALARY & BENEFITS GRAND TOTAL 1.50 40.10 - - --r -- $31,849 $359,466 $27,499 $1,941 $3,379 $32,819 --------·- --$12,725 ----_$17,830 $41, 159 $71,713 -- $1,605,304 $122,806 $8,6_67 $15,090 $146,563 - - $561!_�8 $79,623 $183,807 $320,258 i--------- I--- -- - . $31,849 $1,964,769 $150,305 $10,�Q_8 $18,469 $179,381 $_6_�5_� $�7_,_453 $224,966 $391,971 $2,536,122 Child-Adolescent Psychiatric Health Facility (16 bed) fentral S_tar BehavioraL_Health,_lnc Bud et-Jul 1, 2016 throu h June 30, 2017 (1�_months) FACILITIES/EQUIPMENT EXPENSES: REVISED EXHIBIT B Page 23 of 45 1010 'Offsite Lease -Admin/Business Office 1,56!, 18,727 $18,?P 1 O 11 _ + Leased l:guipme_nt_ 1012 __ JJelecommiunications 1013 _ -!Utilitie? L___ -�-1014_ IMaintenance _______ _ 1015 :security-Access Control System & Cameras ----r---------_T ______ . - - ---- ---- - --- --· 1016 1017 1018 FACILITY/EQUIPMENT TOTAL OPERATING EXPENSES: _ 1 __ 1.�2_8+-_ 14.737L ______ $14.737 �·· r -� ��:t � :::::L ···�· -:::::: 2�'J--24.260 1-1'4,2:: $0 $0 $0 $183,808 106Q ___ iF'_urchase_cl_ServicEl_s__ ___ ___ ___ ____ ____ 3,_3§2_ _ 4_Q,_3j0t---------t-__ $_4_0,340 :::: 1::::::;:;S,pplffi,--�---. ��,�:t==-t. ·:::::106_3 __ 1 Educ_c1tion & T_rc3_ning __ ' _541J_ ___ §,487 t j $6,48'7 1064 :Licenses 477 i 5,728 [ �5,728 ! 1 I 1065 1 Recruiting 4_3 1 520 _ $520 1066 ; "[rc1vel 1067 1068 -+-----1069 1070 l ___ _ 1071 1072 1073 1074 1075 1076 1077 :OPERATING EXPENSES TOTAL FINANCIAL SERVICES EXPENSES: 1080 __ --j Centralized Services 1081 +Gene_ral lns_urance 1082 /centralized fiscal service .05 1083 r ---- iFINANCIAL SERVICES TOTAL 212 l - -, 29,�6§+-1_,_1j6 j _2,546 351,192, �-T _ 1�,758 _g546 $0 - �o $0 _ _ io _$0 $_0 ---�o_$0 $0 $0 $0 $83,902 $3§1, 192 $1},7§8 $19�_174 $0 $563,124 Child-Adolescent Psychiatric Health Facility (16 bed) �1t_11tral �!ar Be!i_a_lfioral _ Healt_ti, Inc __ _ Budget-July 1, 2016 through June 30, 2017 (12 months) SPECIAL EXPENSES (Consultant/Etc.): --i -, . --108 7 ; Professional Fee_s & Consultation 1088 -f Contract Therapist__ _ _____ 1089 _ j S_LJQl)lies/HC>_lJ_5_Eltv'leds 1090 1091 1092 , Supplies Medi_c;_al_ ! [Supplies Non-Medical 46,938 __ _2,873 I 948 I· ! 585 I - f- 4,965 1 ! t I I REVISED EXHIBIT B Page 24 of 45 563,257 ' $563,257 ___ 3.4,480 + $34,48_0 I I _ 11,371 ;$11,371 7 ,0 26_ F,026 59,584 $5M84 685 __ �685 . Medical Records Su!)plies -1- _ 5.1_� _ 1093 -rood _ r 4.d_Q'?_�_ 51,690 rl �,�90 :1:0:9 4 6 5 -=!=· .iA::1111u0 pinw:n:aiervn s c�e N::ri.s_t,___a_ b--le--s _____ -------------______ -__ -1-.. _ 15 :r 2 I j-1,824 . $1,824 - - =--=-_V38 -----t-- . 14,85 9 1 -;;�8�9 , I 1 649 I _ ____;____ ___ 7,785 r---_ $7J� 1097:--+Clotlling '.__ __ �---�-----------J _1,J]�l -�--2 12,§69_\-$2 0_,8�!l ! I I 1098 _J Legal_Fees 4_32 ; 1 5, 1 90 l5_.1!l0 I I 1099 • Employee Benef its Other 265 3,182 $3,182 SPECIAL EXPENSES TOTAL $781,802 ' FIXED ASSETS: ' I I 2000 . lf<,e,lt"',l<epl<re�""L� ·�r 1 0,000 j $10.0,QO 2 001 IT Minor Equipment________________ __i__ ___ ��-\----3,060 _ --�--__ J- __ $3,Q6Q Assets (Useful life more than 1 year and va_lued at m()[e than $5,00Q) ___ __j___ _ ______ l_ _______ _j_ __ _ ----�2002 ! Intangible Softwa re/License Assets (Useful life more than 1 year and valued at more than $1 oo.ooc! $0 I FIXED ASSETS TOTAL $13,060 DIRECT SERVICE REVENUE AT CAPACITY: JQQO 3100 3200_ 3300 1400 3500 3600 37 00 �----1--+----t I �-e-ntal Health Services �Jy iduci_l/F�rnily/C3rC>up Jh_e rapy) __ :�i;;ir11:�::-=--;grisis Stabilization-Ur9ent Care _ Psychiatric Health Facility other other DIRECT SERVICE REVENUE TOTAL FUNDNG STREAMS REIMBURSEMENT 4000 : P rivate Insurance -1--------- - - -1_100 ___ _ : Uninsured 4200 ] Medi-Cal FFP 4300 :2011 Realignment !OTHER REVENUE TOTAL I TOTAL PROGRAM EXPENSES $4,161,818 Vol/Units of Svc 4,931 4,931 l . Medi-cal Revenue Rate $844.00 1 Cost Per Unit ! �i�t--"-1 -900/o; _ 90% TOTAL PROGRAM REVENUE $Amt. $0 $0 _$0 $0 $0 $4,161,818 $9 $0 $4, 1 61,81 8 $3,745,636 $844.00 _3.:3_g.Jl45 _ _81.��'7_ 1,872,818 1,872,818 $4,161,818 $4,161,818 FRESNO PHF Budget Narrative FY 15-16 ITEM SALARIES: RN-DON RN LVN REHAB THERAPIST REHAB AIDE YOUTH COUNSELOR ADMISSIONS COORDINATOR FAMILY ADVOCATE SOCIAL WORKERS PROGRAM DIRECTOR COOK Budaet Narrative The Director of Nursing assumes authority, responsibility, and accountability for the delivery of nursing services in the facility. In collaboration with facility Administration, allocates department resources in an efficient and economic manner to enable each patient to attain or maintain the highest practical physical, mental, and psychosocial well-being. Collaborates with medical professionals, consultants, and organizations, including government agencies and advocacy groups, to develop, support and coordinate patient care, related administrative functions, and to represent the interests of the facility. Monthly salary of$8,838 x 12. Nurses, have the most direct relationships with patients. Nurses are responsible for maintaining professional standards for medical management, including providing nursing assessments, dispensing of medication, and monitoring of side effects. Nurses are also coaches, teachers, counselors, and limit-setters to patients. Monthly salary for 3.2 FTE of $22,683 x12. Nurses, have the most direct relationships with patients. Nurses are responsible for maintaining professional standards for medical management, including providing nursing assessments, dispensing of medication, and monitoring of side effects. Nurses are also coaches, teachers, counselors, and limit-setters to patients. Monthly salary for 2.8 FTE of $10,826 x12. The Rehab Therapist is responsible for planning and directing individual and group behavioral interventions. Rehab Therapists and Aides work with other team members to help the patient master problem behaviors. They are responsible for documenting patient behaviors in different situations. They are also responsible for establishing schedules and contents for groups and activities, for ensuring that the groups happen as scheduled, and for running treatment groups. Monthly salary for 1.4 FTE of $5,413 x12. Assists the Rehabilitation Therapist with clerical tasks, treatment setups and routine patient care tasks. Monthly salary for 3 FTE of $7,435x12. Youth Counselors have direct relationships with patients. are: • coaches (encouraging and motivating patients) .teachers (modeling behaviors, monitoring patients, and providing feedback) .counselors (being a good listener, intervening with problem behaviors) •house-parents (assigning and monitoring chores, always knowing where patients are) •limit-setters (enforcing the rules fairly; using discipline to teach patients ) Monthly salary for 16.8 FTE of $44,511 x12. The Admission Coordinator is responsible for conducting initial assessment and collecting all documentation needed to develop treatment plans; lead admission and discharges planning process; conduct staff supervision as directed and provide back-up to Clinical Director as needed. Monthly salary of $5, 155 x12. Family Advocates provide outreach, advocacy, training and support for patients' family members throughout all stages of the patient's treatment, transition, and aftercare. For example, Family Advocates can run support, educational and/or focus groups for family members. Monthly salary of $2,974 x12. The Social Worker provides casework services and psychotherapy to assigned patients and their families. Social Workers have the primary responsibility for treatment and discharge planning, and they must maintain a professional relationship with all referral sources. Social Workers also coordinate treatment services with other departments and outside agencies. Monthly salary for 2.8 FTE of $15,208 x12. The Program Director has primary responsibility for supervising, managing and coordinating the oversight of programs. The Director has oversight responsibility for the Rehabilitation Specialist and Social Workers. He/she acts as liaison with external agencies and functions on teams with other clinical & support staff. Functions as a key management team member in all administrative and program duties. Monthly salary of $5,524 x12. The Cook has primary responsibility for preparing food in accordance with current applicable federal, state. and local standards, guidelines and regulations, with our established policies and procedures. Monthly salary for 2.1 FTE of $5,208 x 12 REVISED EXHIBIT B Page 25 of 45 ADMINISTRATOR The Administrator has primary responsibility for oversight of staffing and programs. The Administrator supervises the functions including: Training and Quality Assurance and Community Relations (including client and family grievances); and Admission/Discharge Activities. He/she acts as liaison with external agencies and functions on teams with other clinical and support staff. Monthly salary of $13,001 x12. UR/QA/ MEDICAL RECORDS The Medical Records Clerk is responsible for all aspects of medical record management. This person will create charts, assure that all aspects of the record are in keeping with agency policy and Fresno County requirements, management and control of forms, thinning charts, auditing, monitoring, tracking, and securing medical records, maintaining active and closed charts organization, assisting in acquiring necessary documents from charts when authorized, and assists in preparing discharge packets. As a Quality Assurance coordinator, this person is responsible for coordinating auditing of documentation to reconcile with billing and oversees documentation of services by Community Services staff to assure conformity with MediCal, Fresno County, other outside agencies, and internal standards and policies. Position oversees the Continuous Quality Assurance program and records all CQI data. Monthly salary of $5,0?0x 12 HR/TRAINING/ADMIN ASST The HR/Training Assistant performs a wide variety of Human Resources clerical and administrative tasks including personnel file maintenance, updating and maintenance of the HRIS, standard reporting of HR information, duplicating, sorting and typing. At the direction of the HR Coordinator, maintains employment processing and tracking of employment documents, processes personnel documents, conducts benefits administration, processes documentation for worker compensation, first aid, and other injury claims. Sorts, dates, and logs mail, and fill in as receptionist for the facility. Handling extensive personal and confidential information is an essential job function of this position. Monthly salary of $5,790 x12. BILLING CLERK The Billing Clerk assures accuracy of Mental Health Billings for all programs through reconciliation of billing summaries and excel reports versus county CDs and printouts. Assists in identifying, researching, and resubmitting denied claims. Provides review of Starbase reports for accuracy and interacts with IT to identify user and system errors. Assists in accounting functions, tracking reports, and filing duties required by the Business Office. Monthly salary of $2,025 x12. MAINTENANCE TECH This hands-on position supervises, and coordinates the maintenance of all the facilitiy and the housekeeping and laundry activities at Fresno PHF to ensure clean, safe and attractive facilities. This person coordinates remodeling and construction projects and obtains and supervises service contractor, as needed. This person accompanies the administrator on regular rounds of facilities and takes corrective action as needed and observes Title 22, OSHA. and Fire Marshall physical plant regulations, making necessary recommendations to the Administrator. Monthly salary for 0.5 FTE of $1,416 x12. HOUSEKEEPER The Housekeeper performs a variety of tasks to ensure that the facility is in a clean, orderly, sanitary and attractive condition. This person has the ability to interact and communicate both verbally and in writing with seriously emotionally disturbed adolescents, other staff and the public. Monthly salary for 1.5 FTE of $2,654 x12. We offer a comprehinsive benefit package which covers medical, dental, vision and pension in addition to the required payroll taxes and workers comp insurance. The total cost of all of these components is equal to 29.9% of wages which is over the 20% county limit but it was not made clear what was included in the county limit. In all liklihood, workers comp was not included by the county. Without the workers comp our benefits % is 24.9%. In order to reach 20%, the only realistic option for us would be to eliminate our pension benefit which is an important part of our EMPLOYEE BENEFITS ESOP culture. Instead, we ask the county for a waiver on this point. PAYROLL TAX 6.2% ER Social Security Tax, 1.45% ER MediCare Tax, State Unemployment Insurance is .54% of salaries, FUTA Taxes is .96% of salaries PENSION EXPENSE 3.25% of total salaries. Employees become eligible after six months 401K ER CONTRIBUTION RATE 0.29% of total salaries. Employees become eligible after 90 days. WORKERS COMP 4.96% of total salaries. HEAL TH INSURANCE Average cost of $430 for Health, Dental and Vision Insurance based on historical cost. Employees become eligible after 90 days. REVISED EXHIBIT B Page 26 of 45 FACILITIES/EQUIPMENT EXPENSES: OFFSITE LEASE-ADMIN/BUSINESS OFFICE Lease offsite space for administrative staff based on current market rate in Fresno. LEASED EQUIPMENT Base copier charaes and usaae fees based on historical cost. TELECOMMUNICATIONS Facility telephone expense and staff cell phone reimbursement (mainly administrator, clinical director & admission coordinator) based on historical cost and amount provided in the RFP. UTILITIES Electricity, Water, Gas, Trash based on amount provided in RFP MAINTENANCE BuildinQ maintenance and repairs based on amount provided in RFP OPERATING EXPENSES: PURCHASED SERVICES ADP Payroll Services, ShreddinQ, Cable, Medical Waste Service, Wifi, EMR Maintenance Cost, Safety Training based on historical cost. OFFICE SUPPLIES Paper, Printer Supplies, Envelopes, Pens, Etc based on historical cost. HOUSEKEEPING SUPPLIES Household and cleaninQ suoolies based on historical cost. EDUCATION & TRAINING Ongoing Required Training For Staff based on historical cost. LICENSES Business license, OSHPD fee based on historical cost. RECRUITMENT Advertisina/Clas sified/Backaround Checks/Physical Exams Etc based on historical cost TRAVEL Staff mileae & travel reimbursement (mainly administrator, clinical director & admission coordinator) based on historical cost FINANCIAL SERVICES EXPENSES: CENTRALIZED SERVICES This is an allocation from Stars Behavioral Health Group of administration, management services, financial services and office support . 9% of total cost based on historical cost. GENERAL INSURANCE Property And Professional Liability Insurance based on historical cost. SPECIAL EXPENSES: PROFESSIONAL FEES Medical Director, Primarv Physician, Psychiatrists ( See salaries section). Good & Fowler audit fees based on historical cost. MEDICAUCL/NICAL DIRECTOR -CONTRACTOR The contracted Medical Director is responsible for the overall coordination of medical and psychiatric care to ensure the adequacy and appropriateness as well as plan for the improvement of medical care at the facility. Provides written evaluations for treatment and legal purposes. Other activities include treatment team, peer review and interdepartmental consultation. Monthly salary of $16,550 x 12. PSYCHIATRIST- CONTRACTOR Psychiatrists evaluate, diagnose, and collaborate with other team members to treat our youngsters for different mental health disorders. Since they are physicians they have the ability to prescribe medication and are responsible for medication management and consultation when a patient needs a medical or neurological evaluation. monthly salary of $21,920 x 12. PRIMARY CARE PHYSICIAN -CONTRACTOR Primary Care Physicians evaluate, diagnose and provide treatment as needed for medical conditions. They prescribe medications as needed and make referrals to other health care professionals. monthly salary of $7,356 x 12. CONTRACT THERAPIST 3 Contracted Primarv Therapists based on historical cost. SUPPLIES-HOUSE MEDS Pharmacv charges for house medication (Aspirin, Tylenol) over the counter SUPPiies based on historical cost. SUPPLIES-MEDICAL Pharmacy charaes for non-covered medications based on historical cost. SUPPLIES NON-MEDICAL Supplies for client's aroomina, hvaiene and livina skills based on historical cost. MEDICAL RECORD SUPPLIES Medical Records, Charts, Forms And Copyina based on historical cost. FOOD Groceries to be prepared by Cook for the clients based on historical cost. SUPPLIES (NON PERISHABLE) Paper aoods and utensils based on historical cost LAUNDRY & LINEN Towels, sheets, blankets, laundrv service based on historical cost. ALLOWANCE Weekly money distributed to clients based upon points & level based on historical cost CLOTHING Monthly amount disbursed for client's clothina per contract based on historical.cost LEGAL FEES Attornev Fees based on historical cost. EMPLOYEE BENEFITS Safety Bingo, Gift Cards, Perfect Attendance, Employee of the Month, Holiday Party, Uniforms, Other (Starbucks Winner/Audit Reward) based on historical cost. FIXED ASSETS: FURNITURE REPLACEMENT Cost to reolace damaged furnitures based on historical cost. IT MINOR EQUIPMENT Minor eauioment with a value less than $5000 each. Includes; computers, hardware and software based on historical cost. REVENUES: MEDI-CAL REVENUE Daily Rate x 365 x 13.5 x 90% PRIVATE INSURANCE REVENUE Daily Rate x 365 x 13.5 x 8% UNINSURED REVENUE Daily Rate x 365 x 13.5 x 2% REVISED EXHIBIT B Page 27 of 45 REVISED EXHIBIT B Page 28 of 45 Child-Ad��scentP!iyc�ic1tric H_ealth F,a_cmty (16b�d) CenJral Star f:!ehavi,(>ral_ H eaJth,_lnc. ____ _ Budijet-July 1, 2017 t�rough Jr:·_2�:I ____ �1;li_ I E!udget Categ_o_ri� ___________ _ Line Item Description (Must be itemized) PERSONNEL SALARIES: -· r--------------:------ 0001 ; RN-DON 0002 .RN 0003 LVN 0004 : Rehab Therapist FTE % 1.00 3.20 2.80 1.40 ______ Total Pro_pose_cl_ Budget Ad min. ' . Direct $109,227 $280,336 $133,819 $66,909 Total $109,22 7 $280,336 $133,819 $66,909 0005 Rehab Aide _ _ _1 3.00 _____ $91,?9§. __ l91,895 .()0_0 § _ _j'y'guth Counselor ___________________ [_ __ 1§&Q � _____ _,___�$�550,290 _ :s_550,290 �007_ --�dmissLons Coordinator_ _ 1__ 1.00 _ ______ _ _____ $63J_D1.�-$El3,70_!l I �L --rFamily A�vocate 0009 Social Workers ------r---------------- .Q_Q1() '.Program [)irector 0011 __ 1 Co_ok 0012 I Administrator 0013 I UR/qAJ_Medic:al RElcords QQ14 __ j_lj_B_{fraining/Admin _Asst 0015 0016 0017 , Billing Clerk !Maintenance Tech--:- i Housekeeper . SALARY TOTAL PAYROLL TAXES: 0030 1 FICA/MEDICARE ()0� 1 ____ ,§_l.JI. _ 0032 FUTA I 'PAYROLL TAX TOTAL EMPLOYEE BENEFITS: 0040 0041 0042 __ j Retire_ment I ( Workers CompensatiQn _ I Health Insurance (medical vision, life, dental) I I EMPLOYEE BENEFITS TOTAL I SALARY & BENEFITS GRAND TOTAL !_ 1.00 ---------$3�2�� !_�6.71� I I l187,!l_!l_5 }187,99_5 1.oo_ _ _ $68.n� _ 2.1_Q �-_!6_4,37� 1.00 :s_160,686 1.00 _ !_6_2,650 1.00 _ $71,553 1.00 $25,033 0.50 $17,504 1.50 $32,820 42.10 $370,245 $28,324 :5_1,999 $3,480 $33,803 $13,107 $18,3_64 $42,393 $73,864 $1,653,574 $126,498 $8,928 --------- --·�-- $15,544 $150,970 --$58,537 $82,01 7 $189,334 $329,888 :s_§8,278 $64,�72 :s_160,686 :s_6b650 _ _j_71,553 $25,033 $17,504 $32,820 $2,023,820 $154,822 $10_�9_27_ $19,024 $184,773 $71,643 $100,381 $231,727 $403,752 $2,612,344 REVISED EXHIBIT B Page 29 of 45 Child-Adolescent Psychiatric Health Facility (16 bed) __________ _ Ce11tral Star �ehav�ral Health, Inc. Budget-July 1, 2017 through Jun_e 30, 2_D18 FACILITIES/EQUIPMENT EXPENSES: I i 1 1010 j Offsite Lease -Ad min/Business Office 1011 . Leased Equipment 1012 jrelecommunications .. 1Q11___ Utilitie� J _ 1014 l�•;oteoaore 1015 _____ ;Security-Access ControlSystem & Cameras 1016 1017 1018 FACILITY/EQUIPMENT TOTAL OPERATING EXPENSES: !060 _/urchas�d_ Services _ j._061 ___ t_Qffice Supplies ______ _ ,.1_0§_2_ j Ho_u�ekeepin_g_§_upplie§_ J_063_ J�_ctu_cation&Jr�ning_ 1064 Jicenses 1065 ____ l Recruiting ' ' 1066 __ _ , Travel 10 67 OPERATING EXPENSES TOTAL FINANCIAL SERVICES EXPENSES: J..080 1081 lcentral�ecl_ Servic_es __ I I General Insurance t 1082 'Centralized fiscal service .0 5 1083 FINANCIAL SERVICES TOTAL 1,592 19,107 ! 1,253 15,032 __ MQ_1 [ ___ _ 40,BOB �--_______ _ --� 7,316 �----87,798 1--------- 2,062 : 24,749 I - - -r--- ----y --- -- 3,4��+-1,852 I -- .. �t 552 187 ,493 41, 111 2;:;2_8+- ·-· 6_,622 l ___ _ - -- . t , ·--__ 552 t _ 487 : I _6,622 t- 5.�38 .[. _ 530 --+-- I 44 30,100 1,1 69 , - ··--2,5 �5 l __ 85,546 I 361.200--. 1 14,027 , 375,227 0 I $19,107 §15,032 ___ HQ.BO� -�$87,7� $24,?4_9 $Q $0 $0 $0 $187,4 93 $41, 1_1_1_ --_ §22,228 _ $6 ,622 -· $6 Jll2 �5.838 _l�_O _ $_2,59 5_ $0 $85,54 6 $361,l_OO $14,027 $203,844 $0 $579,071 REVISED EXHIBIT B Page 30 of 45 Child-Adolescent Psychiatric Health Facility (16 bed) Central Star Behavioral Health, Inc._ Budge!-July 1, 2017 through June 30, 21>1� . ---1 p��;;-�f 3 --SPECIAL EXPENSES (Consultant/Etc.): 1087 J Professional Fees & _yClnsultatLon 1088 'Contract Therapist 108 9 �lies/House Meds _ 10 90 _ � Suppliels Medic� _ 1091 i Supplies Non-Medical _ 1092 . Medical R�cords Supplies 1093 :Food I 1094 _J§_llpplies l',I_Cln_ Perish�les .1.Q!l_§ __ . _t'._undry�Linen ____ _ 1Q96 _ ---�_()\//��-----..... --- ' I �_JC1othing_1 ____ _ I 1098 ,Legal Feles 109 9 Employee Benefits Other SPECIAL EXPENSES TOTAL FIXED ASSETS: 2000 _ {urriiture Replac:ement I -t 48,33§ j 2,930 !)€)4 _ 597 l .. 5,o64 L I 5 8 I 4 ,393 -1- . 1�51_ 1,263_L i 662 I �;741 _ -� I 441 270 833 ···-! 0 580 019 i $580,!)1 9 . =�:�:�I � ::::: i 4· ---- J,160 j 60,7_72 [ _ 698 -1 -52,7181 !1,860 ----,---_15,153 1 , -----7,944 +-I i f----2_1,285 i-I I 5,28§ f I 3,244 $802,909 $7,"1_60 $§0,772 $698 i�2 .7 18 $1_,§6() i1 �153 _$7,9_'!1 $21,285 $�288 $3,244 $802,909 ____ 1:: .. ::_:t' -2Q01 --+rr M_irior Eguip_men!_ _ . �60 ! j _ ____ JA_ssets (Use_!�! life more th_i]_n 1 _y_ear and _11�ltJ_ed at_,nor�than $5,000) J. $10�QQQ $3,121 2002 I intangible Software/License Assets (Useful life more than 1 year and valued at more than $100,C -�o$0 FIXED ASSETS TOTAL 13,121 0 $1 3,121 DIRECT SERVICE REVENUE AT CAPACITY: I Mental Health Services TOTAL PROGRAM EXPENSES $4,280,486 I I ---t - --- -1 · ---- ---� ---Vol/Units of Svc Rate $ Amt. � _ --1---_ _ (lndiviqual/Family/Qr_()_l.Jp_:[h�ra_py}_ _____ __,! ______ ..._ _____ _ . ·---------·-··. ____ _!() ;��. -+_···--_ --��:� �=��=:ent ___ ____ --j- �-:T ___ ·· --��edi�t1in §uppc,rt_ ---- -- 3400 Crisis Stabilization-Urgent Care 3500 -··-' t Psychiatric Health Facility -- Jifoo--]other. -.. 3700 other DIRECT SERVICE REVENUE TOTAL FUNDNG STREAMS REIMBURSEMENT 4000 4100 4200 4300 Private Insurance Uninsured 1 Medi-Cal FFP. -----------------· 2011 Realignment OTHER REVENUE TOTAL j ---- 5,840 5,840 : Medi-cal Revenue 16'Cost Per Unit 8%1 ---t 2% ----------+ 90%1 --90%i--. I ----$0ii>$0 $0 $7 32 .96 $4,280,486 $0 $0 $4,280,486 $3,852,438 732 .96 _342,_13_9_ 85,609 ... 1 �926,219 1,926,219 $4,280,486 TOTAL PROGRAM REVENUE $4,280,486 . FRESNO PHF Budget Narrative FY 17-18 ITEM SALARIES: RN-DON RN LVN REHAB THERAPIST REHAB AIDE YOUTH COUNSELOR ADMISSIONS COORDINATOR FAMILY ADVOCATE SOCIAL WORKERS PROGRAM DIRECTOR COOK Budget Narrative The Director of Nursing assumes authority, responsibility, and accountability for the delivery of nursing services in the facility. In collaboration with facility Administration, allocates department resources in an efficient and economic manner to enable each patient to attain or maintain the highest practical physical, mental, and psychosocial well-being. Collaborates with medical professionals, consultants, and organizations, including government agencies and advocacy groups, to develop, support and coordinate patient care, related administrative functions, and to represent the interests of the facilitv. Monthly salary of $9,102 x 12. Nurses, have the most direct relationships with patients. Nurses are responsible for maintaining professional standards for medical management, including providing nursing assessments, dispensing of medication, and monitoring of side effects. Nurses are also coaches, teachers, counselors, and limit-setters to patients. Monthly salary for 3.2 FTE of $23,361 x12. Nurses, have the most direct relationships with patients. Nurses are responsible for maintaining professional standards for medical management, including providing nursing assessments, dispensing of medication, and monitoring of side effects. Nurses are also coaches, teachers, counselors, and limit-setters to patients. Monthly salary for 2.8 FTE of $11, 152 x12. The Rehab Therapist is responsible for planning and directing individual and group behavioral interventions. Rehab Therapists and Aides work with other team members to help the patient master problem behaviors. They are responsible for documenting patient behaviors in different situations. They are also responsible for establishing schedules and contents for groups and activities, for ensuring that the groups happen as scheduled, and for running treatment groups. Monthly salary for 1.4 FTE of $5,576 x12. Assists the Rehabilitation Therapist with clerical tasks, treatment setups and routine patient care tasks. Monthly salary for 3 FTE of $7,658 x12. Youth Counselors have direct relationships with patients. are: •coaches (encouraging and motivating patients) •teachers (modeling behaviors, monitoring patients, and providing feedback) •counselors (being a good listener, intervening with problem behaviors) •house-parents (assigning and monitoring chores, always knowing where patients are) •limit-setters (enforcing the rules fairly; using discipline to teach patients ) Monthly salary for 16.8 FTE of $45,857 x12. The Admission Coordinator is responsible for conducting initial assessment and collecting all documentation needed to develop treatment plans; lead admission and discharges planning process; conduct staff supervision as directed and provide back-up to Clinical Director as needed. Monthly salary of $5,309 x12. Family Advocates provide outreach, advocacy, training and support for patients' family members throughout all stages of the patient's treatment, transition, and aftercare. For example, Family Advocates can run support, educational and/or focus groups for family members. Monthly salary of $3,062 x12. The Social Worker provides casework services and psychotherapy to assigned patients and their families. Social Workers have the primary responsibility for treatment and discharge planning, and they must maintain a professional relationship with all referral sources. Social Workers also coordinate treatment services with other departments and outside agencies. Monthly salary for 2.8 FTE of $15,666 x12. The Program Director has primary responsibility for supervising, managing and coordinating the oversight of programs. The Director has oversight responsibility for the Rehabilitation Specialist and Social Workers. He/she acts as liaison with external agencies and functions on teams with other clinical & support staff. Functions as a key management team member in all administrative and program duties. Monthly salary of $5,690 x12. The Cook has primary responsibility for preparing food in accordance with current applicable federal, state, and local standards, guidelines and regulations, with our established policies and procedures. Monthly salary for 2.1 FTE of $5,364 x 12 REVISED EXHIBIT B Page 31 of 45 ADMINISTRATOR The Administrator has primary responsibility for oversight of staffing and programs. The Administrator supervises the functions including: Training and Quality Assurance and Community Relations (including client and family grievances); and Admission/Discharge Activities. He/she acts as liaison with external agencies and functions on teams with other clinical and support staff. Monthly salary of $13,390 x12. UR/QA/ MEDICAL RECORDS The Medical Records Clerk is responsible for all aspects of medical record management. This person will create charts, assure that all aspects of the record are in keeping with agency policy and Fresno County requirements, management and control of forms, thinning charts, auditing, monitoring, tracking, and securing medical records, maintaining active and closed charts organization, assisting in acquiring necessary documents from charts when authorized, and assists in preparing discharge packets. As a Quality Assurance coordinator, this person is responsible for coordinating auditing of documentation to reconcile with billing and oversees documentation of services by Community Services staff to assure conformity with MediCal, Fresno County, other outside agencies, and internal standards and policies. Position oversees the Continuous Quality Assurance program and records all CQI data. Monthly salary of $5,221x 12 HR/TRAINING/ADMIN ASST The HR/Training Assistant performs a wide variety of Human Resources clerical and administrative tasks including personnel file maintenance, updating and ma intenance of the HRIS, standard reporting of HR information, duplicating, sorting and typing. At the direction of the HR Coordinator, maintains employment processing and tracking of employment documents, processes personnel documents, conducts benefits administration, processes documentation for worker compensation, first aid, and other injury claims. Sorts, dates, and logs mail, and fill in as receptionist for the facility. Handling extensive personal and confidential information is an essential job function of this position. Monthly salary of $5,963 x12. BILLING CLERK The Billing Clerk assures accuracy of Mental Health Billings for all programs through reconciliation of billing summaries and excel reports versus county CDs and printouts. Assists in identifying, researching, and resubmitting denied claims. Provides review of Starbase reports for accuracy and interacts with IT to identify user and system errors. Assists in accounting functions, tracking reports, and filing duties required by the Business Office. Monthly salary of $2,086 x12. MAINTENANCE TECH This hands-on position supervises, and coordinates the maintenance of all the facilitiy and the housekeeping and laundry activities at Fresno PHF to ensure clean, safe and attractive facilities. This person coordinates remodeling and construction projects and obtains and supervises service contractor, as needed. This person accompanies the administrator on regular rounds of facilities and takes corrective action as needed and observes Title 22, OSHA, and Fire Marshall physical plant regulations, making necessary recommendations to the Administrator. Monthly salary for 0.5 FTE of $1,459 x12. HOUSEKEEPER The Housekeeper performs a variety of tasks to ensure that the facility is in a clean, orderly, sanitary and attractive condition. This person has the ability to interact and communicate both verbally and in writing with seriously emotionally disturbed adolescents, other staff and the public. Monthly salary for 1.5 FTE of $2,735 x12. We offer a comprehinsive benefit package which covers medical, dental, vision and pension in addition to the required payroll taxes and workers comp insurance. The total cost of all of these components is equal to 29.9% of wages which is over the 20% county limit but it was not made clear what was included in the county limit. In all liklihood, workers comp was not included by the county. Without the workers comp our benefits % is 24.9%. In order to reach 20%, the only realistic option for us would be to eliminate our pension benefit which is an important part of our EMPLOYEE BENEFITS ESOP culture. Instead, we ask the county for a waiver on this point. PAYROLL TAX 6.2% ER Social Security Tax, 1.45% ER MediCare Tax, State Unemployment Insurance is .54% of salaries, FUTA Taxes is .96% of salaries PENSION EXPENSE 3.25% of total sal aries. Employees become eliQible after six months 401K ER CONTRIBUTION RATE 0.29% of total sal aries. Employees become eligible after 90 days. WORKERS COMP 4.96% of total sal aries. HEAL TH INSURANCE AveraQe cost of $430 for Health, Dental and Vision Insurance based on historical cost. Employees become eliQible after 90 days. REVISED EXHIBIT B Page 32 of 45 FACILITIES/EQUIPMENT EXPENSES: OFFSITE LEASE-ADMIN/BUSINESS OFFICE Lease offsite space for administrative staff based on current market rate in Fresno. LEASED EQUIPMENT Base copier charoes and usaoe fees based on historical cost. TELECOMMUNICATIONS Facility telephone expense and staff cell phone reimbursement (mainly administrator, clinical director & admission coordinator) based on historical cost and amount provided in the RFP. UTILITIES Electricity, Water, Gas, Trash based on amount provided in RFP MAINTENANCE Buildina maintenance and repairs based on amount orovided in RFP OPERATING EXPENSES: PURCHASED SERVICES ADP Payroll Services, Shreddino, Cable, Medical Waste Service, Wifi, EMR Maintenance Cost, Safetv Trainino based on historical cost. OFFICE SUPPLIES Paper, Printer Supplies, Envelopes, Pens, Etc based on historical cost. HOUSEKEEPING SUPPLIES Household and cleanina suoolies based on historical cost. EDUCATION & TRAINING Onaoina Reauired Trainina For Staff based on historical cost. LICENSES Business license, OSHPD fee based on historical cost. RECRUITMENT Advertisina/Classified/Backaround Checks/Phvsical Exams Etc based on historical cost TRAVEL Staff mileoe & travel reimbursement (mainly administrator, clinical director & admission coordinator) based on historical cost FINANCIAL SERVICES EXPENSES: CENTRALIZED SERVICES This is an allocation from Stars Behavioral Health Group of administration, management services, financial services and office support . 9% of total cost based on historical cost. GENERAL INSURANCE Prooertv And Professional Liabilitv Insurance based on historical cost. SPECIAL EXPENSES: PROFESSIONAL FEES Medical Director, Primary Physician, Psvchiatrists ( See salaries section). Good & Fowler audit fees based on historical cost. MEDICAUCL/N/CAL DIRECTOR -CONTRACTOR The contracted Medical Director is responsible for the overall coordination of medical and psychiatric care to ensure the adequacy and appropriateness as well as plan for the improvement of medical care at the facility. Provides written evaluations for treatment and legal purposes. Other activities include treatment team, peer review and interdepartmental consultation. Monthly salary of $17,047 x 12. PSYCHIATRIST -CONTRACTOR Psychiatrists evaluate, diagnose, and collaborate with other team members to treat our youngsters for different mental health disorders. Since they are physicians they have the ability to prescribe medication and are responsible for medication management and consultation when a patient needs a medical or neurological evaluation. monthly salary of $22,577 x 12. PRIMARY CARE PHYSICIAN -CONTRACTOR Primary Care Physicians evaluate, diagnose and provide treatment as needed for medical conditions. They prescribe medications as needed and make referrals to other health care professionals. monthly salary of $7 ,576 x 12. CONTRACT THERAPIST 3 Contracted Primarv Theraoists based on historical cost. SUPPLIES-HOUSE MEDS Pharmacy charaes for house medication (Asoirin, Tvlenol) over the counter supplies based on historical cost. SUPPLIES-MEDICAL Pharmacv charaes for non-covered medications based on historical cost. SUPPLIES NON-MEDICAL Supplies for client's aroomina, hyaiene and livina skills based on historical cost. MEDICAL RECORD SUPPLIES Medical Records, Charts, Forms And Copyina based on historical cost. FOOD Groceries to be prepared by Cook for the clients based on historical cost. SUPPLIES (NON PERISHABLE) Paper ooods and utensils based on historical cost LAUNDRY & LINEN Towels, sheets, blankets, laundry service based on historical cost. ALLOWANCE Weeklv money distributed to clients based uoon ooints & level based on historical cost CLOTHING Monthlv amount disbursed for client's clothina oer contract based on historical cost LEGAL FEES Attomev Fees based on historical cost. EMPLOYEE BENEFITS Safety Bingo, Gift Cards, Perfect Attendance, Employee of the Month, Holiday Party, Uniforms, Other (Starbucks Winner/Audit Reward) based on historical cost. FIXED ASSETS: FURNITURE REPLACEMENT Cost to reolace damaaed furnitures based on historical cost. IT MINOR EQUIPMENT Minor eauioment with a value less than $5000 each. Includes; computers, hardware and software based on historical cost. REVENUES: MEDI-CAL REVENUE Daily Rate x 365 x 16 x 90% PRIVATE INSURANCE REVENUE Daily Rate x 365 x 16 x 8% UNINSURED REVENUE Daily Rate x 365 x 16 x 2% REVISED EXHIBIT B Page 33 of 45 REVISED EXHIBIT B Page 34 of 45 Child-Adolescent Psychiatric Health Facility (16 bed) Central Star Behavioral Health, Inc. Budget-July 1, 2018 through June 30, 2019 Line Item Description (Must be itemized) PERSONNEL SALARIES: 0001 0002 0003 -----1 - (RN-DON , _ RN ILVN 1-_ _L ()()04 _ -tR_ehab T_hEl_rapist__ I . 0005 ___ ;Rehab Aide__ _ _____ _ ()0 06 __ }Youth Counselor 0007 0008 0009 0010 0011 ;Ad_missions_g_oordinator ,Family Advocate Social Workers . - ; Program Director Cook 0012 ___ jAdniiriis_trator ,.QQ_1L [UR/Qt\/ Medical Records_ 0014 _ fHR/Training/Admin Asst __ 0015 __ ) Billin_g Clerk ____ _ 0016 .Maintenance Tech ·- - - - - . --- 0017 I Housekeeper isALARY TOTAL PAYROLL,TAXES: 0030 i FICA/MEDICARE: i FTE % Ad min. 1.00 i-3.20 2.80 1.40 3.00 -------- , 16.80 1 �- --I-1.00 1.00 2.80 1.00 2.10 I I Direct ------r--_!_1_12,5()!! __ -�!l8,Z7!l _ �- _ �131_663 _ ------ _ --_$94,662 $56_6 _.1!6! $65,618 $37,839 $193,640 $70,31� $66,:3_()9 1.00 --_ $165,359 Total $11g_,§Q9 $288,lli $13!&_61 $68,!l_i1 --$_94,662 _ $566,8�! $65,618 $37,839 $193,640 $70,316 --�66,3()_!! $165,35!!_ i ___ J.QQ�-- _ $64,540 -------�--_ $64,§4()_ -� ---1,QQ�_ $73,690 ----_$]3,69()_ 1.00 0 .50 1.50 37.10 __ �25,71!_4 $18,029 $33,817 $381,220 $1,703, 123 -- g9,16:3_ _ $130,289 $25,784 $18,029 $33,817 $2,084,343 _ $159,452 QQ_3_1__ -+�L -----------1-- 0032 [FUTA i PAYROLL TAX TOTAL J:M_PL_Q'fE:E: BEtllEflTS: Q040 · Retirement 0041 :workers Compensation 0042 Health Insurance (medical vision. life, dental) EMPLOYEE BENEFITS TOTAL :SALARY & BENEFITS GRAND TOTAL $3,583 $34,805 $13,495 $18,909 $43,650 $76,053 $16,009 $19,593 $155,493 $190 ,298 $60,291 $73,786 $84,475 $103,383 $195,008 $238,657 $339,773 $415,826 $2,690,46 8 REVISED EXHIBIT B Page 35 of 45 ________ Child-Adolescent Psychiatric Health Facili!}tj1_6 bed) ________ __ J;�ntra_lStar Beha_vioral I-lea Ith, In<:__._ Bud et-July 1, 2018 thr<>_IJ h June _ 30, 2019 FACILITIES/EQUIPMENT EXPENSES: 1 010 1011 , Offsite Lease -Adm in/Business Office . - Leased Equipment 1012 JTelecomm_LJ_nications __ 1013 -�liti�-�---L __ 1014 1015 1016 1017 1018 ! . _; l'v-1amtenan,ce_ I -L FACILITY/EQUIPMENT TOTAL OPERATING EXPENSES: --) 1,624 19,486 1,278 . 15,332 1 3,468 � 41,616 I .. ::::: i .. · .. :�:t J ___ -- $19,486 $15,332 $41,616 $89,548 $25,251 $0 $0 _$_0 $0 $1 91,233 1060 _ -+Purchased Services ____ _ 1061 __ bffice__§JJ:)Qlies __________ _ -- j __ 3 ,490 _ ---4_1,884 t' _ _ --______, 1&89 --_ 22,668 _ _ ------__ !4 _1_,884 $2g�668 $6,756 $6,756 $5,961 1062 ____ i Housekeeping Supplies 1063 1064 1065 1066 1067 1068 1069 1070 1071 1072 1073 1 074 1075 1076 1077 i Education & Traning Licenses _Recruiting_ Travel I --r- • rr _____ ------ I I ' ! OPERATING EXPENSES TOTAL FINANCIAL SERVICES EXPENSES: 1080 , Centralized Services 1081 . General Insurance 1 082 Centralized fiscal service .05 1083 ,FINANCIAL SERVICES TOTAL 563 -I 563 497 45 220 +--�-- 30 ,955 1,1 92 6,756 6,756 5,961 541 371,460 14,309 --- _ _l_ $541 $2.�4_4 ----_$0 _____ $0 ___ $0 $0 $0 -�Q $Q $0 _$0 $0 $0 $87,211 $371,460 $14,309 $2 09 ,632 $0 $595,401 Child_-Adolescent Psychiatric Health Facility (16 bed)_ -· Central Sta!.Behavioral Health, Inc. ---�--��------____ !ru<fget-July 1, 2018 �ough J�ne 30, 2019 ..SPECIAL EXPENSES (ConsultanVEtc.): I I 1087 1088 1089 1090 1091 1092 1093 Professional Fees & Consultation -t ------------ . ------ - ------kontract_I_herapLsL 1 §upJ)lies/House Meds _ , Supplies Medical , Supplies Non-M_edical ! Medical R�cords SuJ)pljes Food � _ _jfulppliesNon _Perishables--� _!095 _ _ �_cllll1dry_� Lir,e_n __ _!9_96 1097 1098 1099 'Allowance-------- I ' ;Clothing ,Legal Fees'Employee Benefits Other 'SPECIAL EXPENSES TOTAL ----__ l ____ _ __ J _____ ----. -------------FIXED ASSETS:I ----�·-- i 49,]74 1 2.989 L _ 986 - i609 5,165 59 I 4,481 � I _158 I 1.288 L. 675 - .. t I 1,809[ 450 275 -+ ------ I REVISED EXHIBIT B Page 36 of 45 597,292 ..... I 35,863 -----r-11,8 3_6J 7,307 ·1 61�83 j I 710 ----1- 5:3,770 1,897 15,459 --1 I 8,103 �1,714 [ _5_,398 3,305 . +- $597,292 $3_5,863 _ $11.8�� $7,307 $61.._983 _ $710 _$53,770 $1,§97 _ j15.459 $8.JQ3 �21,714 $5.�98 $3,305 $824,638 2000 --I Furniture Replacement ______________ __l __ �- ___ 10,000 t------ 2001__ +IT Mi_rlQ!_�iJJmelll__ ____ --··-· _____l _2651 _3_,_1_!!_:3_� I $10 ,0_()Q ·--�3,� $0 $0 -� Assets iuscful life more than 1 year and valued at more than $5,000) ' : 2002 Intangible Software/License Assets (Useful life more than 1 year and valued at more than $10 0.ci FIXED ASSETS TOTAL DIRECT SERVICE REVENUE AT CAPACITY: I Mental Health Services ,_3_0 _00 __ +--�·---_{l_rl_dividual/Family/Group Therapy) __ 1_1_Q()___J Case_flllanagen,_Elri_t __ -· ------. EQQ_ , Crisis Services 330 0 : Medication Support __ 3400 LC:risis Sta_bilizatio11-Urgent Cclre 3500 _ 1 _ l_Psyc:hic1_tric 1-fealth Facility_ 3600 : oth_e_r 3700 other DIRECT SERVICE REVENUE TOTAL J-FUNDNG STREAMS REIMBURSEMENT ,.1Q_00 ---1------tfrivate ln_§u_r:ance . _ ·--4_1QO .... _l_ _ _j_lJ11insured _______ _4200 1 i Medi-Cal FFP 4300-I - ---12011Realignrr1ent - OTHER REVENUE TOTAL : $13.183 TOTAL PROGRAM EXPENSES $4,402,134 : Vol/Units of Svc 5,840 -__ l__Medi-cal Revenue --16 kosTPerUnit T- Rate $ Amt. ------ _!Q -__ $0 ____ $0 $0 $0 __ $753.7g _ _ $4,4()�,i� -- __ $Q $0 $4,402.134 $3,961,920 753.79 --r ... -----, --- -8%[_ 2."foL90%� 90% -: - TOTAL PROGRAM REVENUE I $351_._1?_1 $88,043 $1,980,960 $1.98 0,960 $4,402.134 $4,402,134 FRESNO PHF Budget Narrative FY 18-19 ITEM SALARIES: RN-DON RN LVN REHAB THERAPIST REHAB AIDE YOUTH COUNSELOR ADMISSIONS COORDINATOR FAMILY ADVOCATE SOCIAL WORKERS PROGRAM DIRECTOR COOK Budget Narrative The Director of Nursing assumes authority, responsibility, and accountability for the delivery of nursing services in the facility. In collaboration with facility Administration, allocates department resources in an efficient and economic manner to enable each patient to attain or maintain the highest practical physical, mental, and psychosocial well-being. Collaborates with medical professionals, consultants, and organizations, including government agencies and advocacy groups, to develop, support and coordinate patient care, related administrative functions, and to represent the interests of the facility. Monthly salary of $9,376x 12. Nurses, have the most direct relationships with patients. Nurses are responsible for maintaining professional standards for medical management, including providing nursing assessments, dispensing of medication, and monitoring of side effects. Nurses are also coaches, teachers, counselors, and limit-setters to patients. Monthly salary for 3.2 FTE of $24,065 x12. Nurses, have the most direct relationships with patients. Nurses are responsible for maintaining professional standards for medical management, including providing nursing assessments, dispensing of medication, and monitoring of side effects. Nurses are also coaches, teachers, counselors, and limit-setters to patients. Monthly salary for 2.8 FTE of $11,472 x12. The Rehab Therapist is responsible for planning and directing individual and group behavioral interventions. Rehab Therapists and Aides work with other team members to help the patient master problem behaviors. They are responsible for documenting patient behaviors in different situations. They are also responsible for establishing schedules and contents for groups and activities, for ensuring that the groups happen as scheduled, and for running treatment groups. Monthly salary for 1.4 FTE of $5,743 x12. Assists the Rehabilitation Therapist with clerical tasks, treatment setups and routine patient care tasks. Monthly salary for 3 FTE of $7 ,889 x12. Youth Counselors have direct relationships with patients. are: • coaches (encouraging and motivating patients) • teachers (modeling behaviors, monitoring patients, and providing feedback) • counselors (being a good listener, intervening with problem behaviors) • house-parents (assigning and monitoring chores, always knowing where patients are) • limit-setters (enforcing the rules fairly; using discipline to teach patients ) Monthly salary for 16.8 FTE of $4 7,239 x12. The Admission Coordinator is responsible for conducting initial assessment and collecting all documentation needed to develop treatment plans; lead admission and discharges planning process; conduct staff supervision as directed and provide back-up to Clinical Director as needed. Monthly salary of $5,468 x12. Family Advocates provide outreach, advocacy, training and support for patients' family members throughout all stages of the patient's treatment, transition, and aftercare. For example, Family Advocates can run support, educational and/or focus groups for family members. Monthly salary of $3,153 x12. The Social Worker provides casework services and psychotherapy to assigned patients and their families. Social Workers have the primary responsibility for treatment and discharge planning, and they must maintain a professional relationship with all referral sources. Social Workers also coordinate treatment services with other departments and outside agencies. Monthly salary for 2.8 FTE of $16, 137 x12. The Program Director has primary responsibility for supervising, managing and coordinating the oversight of programs. The Director has oversight responsibility for the Rehabilitation Specialist and Social Workers. He/she acts as liaison with external agencies and functions on teams with other clinical & support staff. Functions as a key management team member in all administrative and program duties. Monthly salary of $5,860 x12. The Cook has primary responsibility for preparing food in accordance with current applicable federal, state, and local standards, guidelines and regulations, with our established policies and procedures. Monthly salary for 2.1 FTE of $5,526 x 12 REVISED EXHIBIT B Page 37 of 45 ADMINISTRATOR The Administrator has primary responsibility for oversight of staffing and programs. The Administrator supervises the functions including: Training and Quality Assurance and Community Relations (including client and family grievances); and Admission/Discharge Activities. He/she acts as liaison with external agencies and functions on teams with other clinical and support staff. Monthly salary of $13, 780 x12. UR/QN MEDICAL RECORDS The Medical Records Clerk is responsible for all aspects of medical record management. This person will create charts, assure that all aspects of the record are in keeping with agency policy and Fresno County requirements, management and control of forms, thinning charts, auditing, monitoring, tracking, and securing medical records, maintaining active and closed charts organization, assisting in acquiring necessary documents from charts when authorized, and assists in preparing discharge packets. As a Quality Assurance coordinator, this person is responsible for coordinating auditing of documentation to reconcile with billing and oversees documentation of services by Community Services staff to assure conformity with MediCal, Fresno County, other outside agencies, and internal standards and policies. Position oversees the Continuous Quality Assurance program and records all CQI data. Monthly salary of $5,378x 12 HR/TRAINING/ADMIN ASST The HR/Training Assistant performs a wide variety of Human Resources clerical and administrative tasks including personnel file maintenance, updating and maintenance of the HRIS, standard reporting of HR information, duplicating, sorting and typing. At the direction of the HR Coordinator, maintains employment processing and tracking of employment documents, processes personnel documents, conducts benefits administration, processes documentation for worker compensation, first aid, and other injury claims. Sorts, dates, and logs mail, and fill in as receptionist for the facility. Handling extensive personal and confidential information is an essential job function of this position. Monthly salary of $6,141 x12. BILLING CLERK The Billing Clerk assures accuracy of Mental Health Billings for all programs through reconciliation of billing summaries and excel reports versus county CDs and printouts. Assists in identifying, researching, and resubmitting denied claims. Provides review of Starbase reports for accuracy and interacts with IT to identify user and system errors. Assists in accounting functions, tracking reports, and filing duties required by the Business Office. Monthly salary of $2, 149 x12. MAINTENANCE TECH This hands-on position supervises, and coordinates the maintenance of all the facilitiy and the housekeeping and laundry activities at Fresno PHF to ensure clean, safe and attractive facilities. This person coordinates remodeling and construction projects and obtains and supervises service contractor, as needed. This person accompanies the administrator on regular rounds of facilities and takes corrective action as needed and observes Title 22, OSHA, and Fire Marshall physical plant regulations, making necessary recommendations to the Administrator. Monthly salary for 0.5 FTE of $1,502 x12. HOUSEKEEPER The Housekeeper performs a variety of tasks to ensure that the facility is in a clean, orderly, sanitary and attractive condition. This person has the ability to interact and communicate both verbally and in writing with seriously emotionally disturbed adolescents, other staff and the public. Monthly salary for 1.5 FTE of $2,818 x12. We offer a comprehinsive benefit package which covers medical, dental, vision and pension in addition to the required payroll taxes and workers comp insurance. The total cost of all of these components is equal to 29.9% of wages which is over the 20% county limit but it was not made clear what was included in the county limit. In all liklihood, workers comp was not included by the county. Without the workers comp our benefits % is 24.9%. In order to reach 20%, the only realistic option for us would be to eliminate our pension benefit which is an important part of our EMPLOYEE BENEFITS ESOP culture. Instead, we ask the county for a waiver on this point. PAYROLL TAX 6.2% ER Social Security Tax, 1.45% ER MediCare Tax, State Unemployment Insurance is .54% of salaries, FUTA Taxes is .96% of salaries PENSION EXPENSE 3.25% of total sal aries. Employees become elioible after six months 401K ER CONTRIBUTION RATE 0.29% of total salaries. Employees become eligible after 90 days. WORKERS COMP 4.96% of total salaries. HEAL TH INSURANCE Average cost of $430 for Health, Dental and Vision Insurance based on historical cost. Employees become eligible after 90 davs. REVISED EXHIBIT B Page 38 of 45 FACILITIES/EQUIPMENT EXPENSES: OFFSITE LEASE-ADMIN/BUSINESS OFFICE Lease offsite space for administrative staff based on current market rate in Fresno. LEASED EQUIPMENT Base cooier charoes and usaae fees based on historical cost. TELECOMMUNICATIONS Facility telephone expense and staff cell phone reimbursement {mainly administrator, clinical director & admission coordinator) based on historical cost and amount provided in the RFP. UTILITIES Electricitv, Water, Gas, Trash based on amount orovided in RFP MAINTENANCE Buildina maintenance and reoairs based on amount orovided in RFP OPERATING EXPENSES: PURCHASED SERVICES ADP Pavroll Services, Shreddina, Cable, Medical Waste Service, Wifi, EMR Maintenance Cost, Safetv Trainina based on historical cost. OFFICE SUPPLIES Paoer, Printer Suoolies, Envelooes, Pens, Etc based on historical cost. HOUSEKEEPING SUPPLIES Household and cleanina supplies based on historical cost. EDUCATION & TRAINING Onaoina Reauired Trainina For Staff based on historical cost. LICENSES Business license, OSHPD fee based on historical cost. RECRUITMENT Advertisina/Classified/Backaround Checks/Phvsical Exams Etc based on historical cost TRAVEL Staff mileae & travel reimbursement (mainlv administrator, clinical director & admission coordinator\ based on historical cost FINANCIAL SERVICES EXPENSES: CENTRALIZED SERVICES This is an allocation from Stars Behavioral Health Group of administration, management services, financial services and office support . 9% of total cost based on historical cost. GENERAL INSURANCE Prooertv And Professional Liabilitv Insurance based on historical cost. SPECIAL EXPENSES: PROFESSIONAL FEES Medical Director, Primarv Physician, Psychiatrists ( See salaries section). Good & Fowler audit fees based on historical cost. MED/CAUCL/NICAL DIRECTOR -CONTRACTOR The contracted Medical Director is responsible for the overall coordination of medical and psychiatric care to ensure the adequacy and appropriateness as well as plan for the improvement of medical care at the facility. Provides written evaluations for treatment and legal purposes. Other activities include treatment team, peer review and interdepartmental consultation. Monthly salary of $17,558 x 12. PSYCHIATRIST -CONTRACTOR Psychiatrists evaluate, diagnose, and collaborate with other team members to treat our youngsters for different mental health disorders. Since they are physicians they have the ability to prescribe medication and are responsible for medication management and consultation when a patient needs a medical or neurological evaluation. Monthly salary of $23,254 x 12. PRIMARY CARE PHYSICIAN -CONTRACTOR Primary Care Physicians evaluate, diagnose and provide treatment as needed for medical conditions. They prescribe medications as needed and make referrals to other health care professionals. monthly salary of $7 ,804 x 12. CONTRACT THERAPIST 3 Contracted Primarv Therapists based on historical cost. SUPPLIES-HOUSE MEDS Pharmacv charaes for house medication <Asoirin, Tylenol) over the counter suoolies based on historical cost. SUPPLIES-MEDICAL Pharmacv charaes for non-covered medications based on historical cost. SUPPLIES NON-MEDICAL Suoolies for client's aroomina, hvaiene and livina skills based on historical cost. MEDICAL RECORD SUPPLIES Medical Records, Charts, Forms And Coovina based on historical cost. FOOD Groceries to be oreoared bv Cook for the clients based on historical cost. SUPPLIES <NON PERISHABLE\ Pacer aoods and utensils based on historical cost LAUNDRY & LINEN Towels, sheets, blankets, laundrv service based on historical cost. ALLOWANCE Weeklv money distributed to clients based uoon points & level based on historical cost CLOTHING Monthlv amount disbursed for client's clothina oer contract based on historical cost LEGAL FEES Attornev Fees based on historical cost. EMPLOYEE BENEFITS Safety Bingo, Gift Cards, Perfect Attendance, Employee of the Month, Holiday Party, Uniforms, Other {Starbucks Winner/Audit Reward) based on historical cost. FIXED ASSETS: FURNITURE REPLACEMENT Cost to reolace damaaed furnitures based on historical cost. IT MINOR EQUIPMENT Minor eauioment with a value less than $5000 each. Includes; comouters, hardware and software based on historical cost. REVENUES: MEDI-CAL REVENUE Daily Rate x 365 x 16 x 90% PRIVATE INSURANCE REVENUE Daily Rate x 365 x 16 x 8% UNINSURED REVENUE Daily Rate x 365 x 16 x 2% REVISED EXHIBIT B Page 39 of 45 REVISED EXHIBIT B Page 40 of 45 Ch_U�-Adolescent Psychiatric Hec1lth Facility_ (16 bed) Stars Behaviorctl Health Grou_l)_ BU<t_get-July 1, 2019 through J�ne 3_0,_!020 Budget Categories_-Line Item Description (Must be itemized) PERSONNEL SALARIES: ------1:------T------- QQQ1 ----tRN:D9li_;__ _ ___ _ EQCJ2 j RN___ ------_ 0003 ILVN 0004 0005 0006 0007 0008 __ 0010 QQ_1_1_ 0012 : Rehab Therapist 1 Rehab Aide Youth Counselor _ ;Admissions Coordinator I Family Advocate �,--···----_ I Social WorkerL j Prqgram �irector ' I 1Cook ------1-- i Administrator ,QQJ]__ __ _ : Uf3/Cl,IV Medj�LRecor�s __ _ QQ_1_'1 0015 JHR/Trainin�Admin Asst _Billing_ <;lerk _ QQ1El_ _ --fMaintenanc;e Tech 0017 i Housekeeper 1 SALARY TOTAL PAYROLL TAXES: Q030 1 FICA/MEDICARE 0031 ,SUI 0032 FUTA 'PAYROLL TAX TOTAL EMPLOYEE BENEFITS:-· - 0040 • Retirement 0041 , Workers Com_Q_ensation -I ;ea;th ;n:ur�-nce(med-i�al vision, life, d:ntal)0042 1 EMPLOYEE BENEFITS TOTAL !SALARY & BENEFITS GRAND TOTAL i , FTE% 1.QQ _ 3.20 . ---- 2.80 1.40 3.00 16.80 1.00 - I T :i _ Tota� Pl"Cl_l)_osedBud_get Adm in. Direct !1_1!i,884 _ $297 ,442_ _ $141,792 $70,989 $97,502 $583,873 $67,587 _t ___ 1,Q_Q_ __ -------__ _____lliJ)� -- Total $115,8134 $2_97,442 $141,792 $70,989 $97,502 $583,873 $67.�8? $38,974 -i ___ 2.8Q� ------____ $199,§o_ __ l199,45_Q i __ 1.o_o_ __ _ _2_._1_0 �--- 1.00 $170,320 _ ----$72,425 --$72,425 ______ $68,� --__ --$68,298 $170,12-Q 1.00 _ _ $66,41_§--$66,1_7_(5 1.00 -----1--$_75,9Q_1 ---_$75.�1 $26,557 J1MZQ $34,832 1.00 $26,557 --I 0.50 __ JJ8,57Q 1-------- 1.50 $34,832 37.10 $392,656 $1,754,216 $2,146,872 $30_,038 $134,198 $164,23!>_ $2, 120 $9,471 $11,591 $3,691 $16,490 $20, 181 $35,849 $160,158 $196,007 . f----- -- inJ_oo_ _ ----�_!>_2_,099 ---$75,999 --1 U.�£1§__ --$87,009 ------$106,485 $44,959 $200,858 $245,817 $78,335 $349,966 $428,301 $2,771, 180 ________________ Child-Adolescent Psychiatric Health_Facili� (16 bed) ·---- . _ ____ _____ _ $_tars Behavioral Health Group ____ _ Bud et-Jul 1, 2019 through June 30, 2020 _____ _ FACILITIES/EQUIPMENT EXPENSES: 1010 Offsite Lease -Admin/Business Office ---- ---------1011 '. Leased Equipment 1012 ; Telecommunications c 1013 Utilities 1014 I Maintenance --1·------i- -1015 : ----r ---____ ---· 1Q1�-L --+---------�---1017 -+---�: _________ -----1018 1 FACILITY/EQUIPMENT TOTAL OPERATING EXPENSES: 1060 . Purchased Services 1061 . Office Supplies 1062 _ jHousekeepinJ!J,u_ppUe� 1063 i Education & Tranin.9 ----1- . --·. ··--. 1 06_1__ J Uce_ris�s __ _1065 ----t Recruitingr1066 _ , Trc1v_el , __ 1067 1068 1069 1072 1073 1074 1075 1076 1077 ,OPERATING EXPENSES TOTAL FINANCIAL SERVICES EXPENSES: 1080 ic;_entraliz_ed Services 1081 I General Insurance ---t -------------1082 · Centralized fiscal service .05 1083 FINANCIAL SERVICES TOTAL 19,973 15,715 42,656_; 91,787 � I I I 25,882 I - i i --�-�+---., . .. ------ l----1 3,578 1,936 5771 i-577 ---r_509 •t6 I 226 . -i 32,898� I 1,222 42,931 _ 23,235 --61925 + I 6,925 '. . . ---------- . -1-· . I 6,1_10L 555 I -2 .710t- -------+--"- }!:!_4.,7_8_1 I _ 14,667 REVISED EXHIBIT B Page 41 of 45 i -II $19,973 $1§,715 $42,656 $91,787 __ $25,8.1!2 _$_0 $0 - ___ j_O $0 $196,013 $42,931 $23,235 $_6,_9�5 $�,��5 $�.110 .$�55 $b710 _j_() _____ JO _$_Q $0 $0 $0 $0 $0 $0 $_Q $0 $89,391 $3_91.,7_81 $14,667 $197,390 $0 $606,838 __ C::ll_ild-A_<i_olescent Psychiat!!c Health Facmty (16 bed) Stars Behavioral liealth Group REVISED EXHIBIT B Page 42 of 45 Budget-July 1, 2019 through June 30, 2020 SPECIAL EXPENSES (Consultant/Etc.): 1087 Professional Fees & Consultation 5 2,5 02 1088 _Contract Therapist 3,063 _1 O?� __ _j SLJQ!Jlies/Hous(l_fl/1eds 1,011 630,018 $630,018 i _36,760 $3§,!60 12, 132 �g,132 J 109 0 �ie_s _M_e_d _ic-13_1 ---------------+--- 5 - . 6 2 2 9 4 4 +-. -- _fl -6_ 7 3_·.4 5_ 8 33 9 J ___ --- $ -_§_$ 3 7 .. 4 5 3 813 J_09 1 -fup_l)lies Non-Medical __ ___ ___ _ __ t 109 2 _ _ Medical RElcord_s Supi:,lies__ __ ____ 61_�--728 __ $_728 109 3 •Food 109 4 ; SuppHes Non Perishables 1095 : Laundry & Linen 109 6 �A_llowance 109 7 ___ Jc1othin_g [ __ --- j 4,59� �-I 162 ! --II 1,320_;_ _6Jj2 l 1,8§§_� I 1,9 44 _1 5 ,§45 j __ 8_._3_06 --22,25 7 $5 5, 11<1 $1,_94_4_ $1M_45 $_8_._�6 4_6_1__ 282 --5,5 3�____ $5 ,5� 1099 Employee Benefits Other iSPECIAL EXPENSES TOTAL FIXED ASSETS: 2000 . Furniture Replacement 2001 . IT Minor Equipment I 85 4 272 ! 10,25 0 3,262 3,388 I . $ i _11\ssets!_Useful life 1r1ore than 1 year and _valued atmore than 5,000) ____ 1 -J 2002 Intangible Software/License Assets (Useful life more than 1 year and valued at more than $100,CI /FIXED ASSETS TOTAL I ----i DIRECT SERVICE REVENUE AT CAPACITY: Mental Health Services 3000 (Individual/Family/Group Therapy) 3100 =case Mc1__nagein�nt --- - - - 3200 1 Crisis Services --r-TOTAL PROGRAM EXPENSES Vol/Units of Svc Rate $3,388 $863,047 $10,25 0 $3,262 -- _$9 $0 $13,5 12 $4,539,981 $Amt. - _ §_Q_ _}9_ . ___ __jg_ Il1i] �]�:=�;=�;:,:;��-� ······ • !�.------------_ _!() 3600 1 i other mo -� �tier ___ -DIRECT SERVICE REVENUE TOTAL FUNDNG STREAMS REIMBURSEMENT 4000 i Private Insurance 4100 ' Uninsured 4200 _ i Medi-Cal FFP 4300 2011 Realignment -+ --- 1 •OTHER REVENUE TOTAL -1-------------- $0 5,11 5 6 �-_ $7]§_.27 $4,539,9 81 -------� $0 5 ,85 6 $4,5 39 ,9 81 . Medi-cal Revenue 16.04384 Cost Per Unit 8% 2% 9 0% ! TOTAL PROGRAM REVENUE ----r-------,---------- $4,085 ,9 83 775 .27 $363.19 7 $9 0,800 $2,042,9 92 $2,042,992 $4,5 39 ,9 81 $4,539,981 FRESNO PHF Budget Narrative FY 19-20 ITEM MEDI-CAL REVENUE PRIVATE INSURANCE REVENUE UNINSURED REVENUE MEDICAUCLINICAL DIRECTOR -CONTRACT( PSYCHIATRIST -CONTRACTOR PRIMARY CARE PHYSICIAN -CONTRACTOR RN-DON RN LVN REHAB THERAPIST REHAB AIDE YOUTH COUNSELOR ADMISSIONS COORDINATOR FAMILY ADVOCATE Budget Narrative Daily Rate x 366 x 16 x 90% Daily Rate x 366 x 16 x 5% Daily Rate x 366 x 16 x 5% The contracted Medical Director is responsible for the overall coordination of medical and psychiatric care to ensure the adequacy and appropriateness as well as plan for the improvement of medical care at the facility. Provides written evaluations for treatment and legal purposes. Other activities include treatment team, peer review and interdepartmental consultation. Monthly salary of $15,600 x 12. Psychiatrists evaluate, diagnose, and collaborate with other team members to treat our youngsters for different mental health disorders. Since they are physicians they have the ability to prescribe medication and are responsible for medication management and consultation when a patient needs a medical or neurological evaluation. monthly salary of $20,661 x 12. Primary Care Physicians evaluate, diagnose and provide treatment as needed for medical conditions. They prescribe medications as needed and make referrals to other health care professionals. monthly salary of $6933 x 12. The Director of Nursing assumes authority, responsibility, and accountability for the delivery of nursing services in the facility. In collaboration with facility Administration, allocates department resources in an efficient and economic manner to enable each patient to attain or maintain the highest practical physical, mental, and psychosocial well-being. Collaborates with medical professionals, consultants, and organizations, including government agencies and advocacy groups, to develop, support and coordinate patient care, related administrative functions, and to represent the interests of the facility. Monthly salary of $8,330 x 12. Nurses, have the most direct relationships with patients. Nurses are responsible for maintaining professional standards for medical management, including providing nursing assessments, dispensing of medication, and monitoring of side effects. Nurses are also coaches, teachers, counselors, and limit-setters to patients. Monthly salary for 3.2 FTE of $21,381 x12. Nurses, have the most direct relationships with patients. Nurses are responsible for maintaining professional standards for medical management, including providing nursing assessments, dispensing of medication, and monitoring of side effects. Nurses are also coaches, teachers, counselors, and limit-setters to patients. Monthly salary for 2.8 FTE of $10,204 x12. The Rehab Therapist is responsible for planning and directing individual and group behavioral interventions. Rehab Therapists and Aides work with other team members to help the patient master problem behaviors. They are responsible for documenting patient behaviors in different situations. They are also responsible for establishing schedules and contents for groups and activities, for ensuring that the groups happen as scheduled, and for running treatment groups. Monthly salary for 1.4 FTE of $5, 102 x12. Assists the Rehabilitation Therapist with clerical tasks, treatment setups and routine patient care tasks. Monthly salary for 3 FTE of $7,008 x12. Youth Counselors have direct relationships with patients. are: . coaches (encouraging and motivating patients) . teachers (modeling behaviors, monitoring patients, and providing feedback) • counselors (being a good listener, intervening with problem behaviors) • house-parents (assigning and monitoring chores, always knowing where patients are).limit-setters (enforcing the rules fairly; using discipline to teach patients ) Monthly salary for 16.8 FTE of $41,956 x12. The Admission Coordinator is responsible for conducting initial assessment and collecting all documentation needed to develop treatment plans; lead admission and discharges planning process; conduct staff supervision as directed and provide back-up to Clinical Director as needed. Monthly salary of $4,859 x12. Family Advocates provide outreach, advocacy, training and support for patients' family members throughout all stages of the patient's treatment, transition, and aftercare. For example, Family Advocates can run support, educational and/or focus groups for family members. Monthly salary of $2,803 x12. REVISED EXHIBIT B Page 43 of 45 SOCIAL WORKERS The Social Worker provides casework services and psychotherapy to assigned patients and their families. Social Workers have the primary responsibility for treatment and discharge planning, and they must maintain a professional relationship with all referral sources. Social Workers also coordinate treatment services with other departments and outside agencies. Monthly salary for 2.8 FTE of $14,335 x12. PROGRAM DIRECTOR The Program Director has primary responsibility for supervising, managing and coordinating the oversight of programs. The Director has oversight responsibility for the Rehabilitation Specialist and Social Workers. He/she acts as liaison with external agencies and functions on teams with other clinical & support staff. Functions as a key management team member in all administrative and program duties. Monthly salary of $5,206 x12. DIET -COOK The Cook has primary responsibility for preparing food in accordance with current applicable federal, state, and local standards, guidelines and regulations, with our established policies and procedures. Monthly salary for 2.1 FTE of $4,909 x 12 ADMINISTRATOR The Administrator has primary responsibility for oversight of staffing and programs. The Administrator supervises the functions including: Training and Quality Assurance and Community Relations (including client and family grievances); and Admission/Discharge Activities. He/she acts as liaison with external agencies and functions on teams with other clinical and support staff. Monthly salary of $12,254 x12. UR/QA/ MEDICAL RECORDS The Medical Records Clerk is responsible for all aspects of medical record management. This person will create charts, assure that all aspects of the record are in keeping with agency policy and Fresno County requirements, management and control of forms, thinning charts, auditing, monitoring, tracking, and securing medical records, maintaining active and closed charts organization, assisting in acquiring necessary documents from charts when authorized, and assists in preparing discharge packets. As a Quality Assurance coordinator, this person is responsible for coordinating auditing of documentation to reconcile with billing and oversees documentation of services by Community Services staff to assure conf ormity with MediCal, Fresno County, other outside agencies, and internal standards and policies. Position oversees the Continuous Quality Assurance program and records all CQI data. Monthly salary of $4, 779 x 12 HR/TRAINING/ADMIN ASST The HR/Training Assistant performs a wide variety of Human Resources clerical and administrative tasks including personnel file maintenance, updating and maintenance of the HRIS, standard reporting of HR information, duplicating, sorting and typing. At the direction of the HR Coordinator, maintains employment processing and tracking of employment documents, processes personnel documents, conducts benefits administration, processes documentation for worker compensation, first aid, and other injury claims. Sorts, dates, and logs mail, and fill in as receptionist for the facility. Handling extensive personal and confidential information is an essential job function of this position. Monthly salary of $5,457 x12. BILLING CLERK The Billing Clerk assures accuracy of Mental Health Billings for all programs through reconciliation of billing summaries and excel reports versus county CDs and printouts. Assists in identifying, researching, and resubmitting denied claims. Provides review of Starbase reports for accuracy and interacts with IT to identify user and system errors. Assists in accounting functions, tracking reports, and filing duties required by the Business Office. Monthly salary of $1,909 x12. MAINTENANCE TECH This hands-on position supervises, and coordinates the maintenance of all the facilitiy and the housekeeping and laundry activities at Fresno PHF to ensure clean, safe and attractive facilities. This person coordinates remodeling and construction projects and obtains and supervises service contractor, as needed. This person accompanies the administrator on regular rounds of facilities and takes corrective action as needed and observes Title 22, OSHA, and Fire Marshall physical plant regulations, making necessary recommendations to the Administrator. Monthly salary for 0.5 FTE of $1 ,335 x12. HOUSEKEEPER The Housekeeper performs a variety of tasks to ensure that the facility is in a clean, orderly, sanitary and attractive condition. This person has the ability to interact and communicate both verbally and in writing with seriously emotionally disturbed adolescents, other staff and the public. Monthly salary for 1.5 FTE of $2,502 x12. REVISED EXHIBIT B Page 44 of 45 PAYROLL TAX 6.2% ER Social Security Tax, 1.45% ER Medicare Tax, State Unemployment Insurance 3.4% for first $7,000 HEAL TH INSURANCE Averaae cost of $430 for Health, Dental and Vision Insurance based on historical cost. Employees become eligible after 90 days. WORKERS COMP 4.96% of total salaries. PENSION EXPENSE 4.10% of total salaries. Employees become eligible after six months 401K ER CONTRIBUTION RATE 0.29% of total salaries. Employees become eligible after 90 days. PROFESSIONAL FEES Medical Director, Primary Physician, Psychiatrists ( See salaries section). Good & Fowler audit fees based on historical cost. PURCHASED SERVICES ADP Pavroll Services, Shreddina, Cable, Medical Waste Service, Wifi, EMR Maintenance Cost, Safetv Trainina based on historical cost. CONTRACT THERAPIST 3 Contracted Primarv Theraoists based on historical cost. SUPPLIES-HOUSE MEDS Pharmacv charaes for house medication (Aspirin, Tvlenol) over the counter supplies based on historical cost. SUPPLIES-MEDICAL Pharmacy charaes for non-covered medications based on historical cost. SUPPLIES NON-MEDICAL Supplies for client's qroominq, hyqiene and livinq skills based on historical cost. MEDICAL RECORD SUPPLIES Medical Records, Charts, Forms And Copyinq based on historical cost. OFFICE SUPPLIES Paper, Printer Supplies, Envelopes, Pens, Etc based on historical cost. HOUSEKEEPING SUPPLIES Household and cleaninq supplies based on historical cost. FOOD Groceries to be oreoared by Cook for the clients based on historical cost. SUPPLIES (NON PERISHABLE) Paoer aoods and utensils based on historical cost OFFSITE LEASE-ADMIN/BUSINESS OFFICE Lease offsite space for administrative staff based on current market rate in Fresno. LAUNDRY & LINEN Towels, sheets, blankets, laundrv service based on historical cost. LEASED EQUIPMENT Base cooier charaes and usaae fees based on historical cost. IT MINOR EQUIPMENT Minor eauioment with a value less than $5000 each. Includes; computers, hardware and software based on historical cost. ALLOWANCE Weekly money distributed to clients based upon points & level based on historical cost CLOTHING Monthly amount disbursed for client's clothinq per contract based on historical cost CENTRALIZED SERVICES This is an allocation from Stars Behavioral Health Group of administration, management services, financial services and office support . 9% of total cost based on historical cost. LEGAL FEES Attorney Fees based on historical cost. EDUCATION & TRAINING Onqoinq Required Traininq For Staff based on historical cost. EMPLOYEE BENEFITS Safety Bingo, Gift Cards, Perfect Attendance, Employee of the Month, Holiday Party, Uniforms, Other (Starbucks Winner/Audit Reward) based on historical cost. LICENSES Business license, OSHPD fee based on historical cost. RECRUITMENT Advertisinq/Classified/Backqround Checks/Physical Exams Etc based on historical cost TELECOMMUNICATIONS Facility telephone expense and staff cell phone reimbursement (mainly administrator, clinical director & admission coordinator) based on historical cost and amount provided in the RFP. TRAVEL Staff mileqe & travel reimbursement (mainly administrator, clinical director & admission coordinator) based on historical cost GENERAL INSURANCE Property And Professional Liability Insurance based on historical cost. UTILITIES Electricitv, Water, Gas, Trash based on amount provided in RFP MAINTENANCE Buildina maintenance and reoairs based on amount orovided in RFP FURNITURE REPLACEMENT Cost to reolace damaaed furnitures based on historical cost. SECURITY-ACCESS CONTROL SYSTEM Depreciation expense related to installed security features in the building based on ($52,560/60mos x 12mos) CAMERA REVISED EXHIBIT B Page 45 of 45