AGR
EEMENT
T HIS AGREEMENT, dated for purposes of identification only this 17th day of June, 2025, is made and entered into by and between the CITY OF ANAHEIM, a California municipal corporation and charter city, hereinafter referred to as "ANAHEIM,"
A
N
D
ANAHE
IM COMMUNITY HOSPITAL, LLC, a California limited liability company, hereinafter referred to as “SUBRECIPIENT.”
ANAHE
IM and SUBRECIPIENT are sometimes individually referred to herein as “Party” and collectively as “Parties.”
W
I T N E S S E T H:
W
HEREAS, ANAHEIM has established a court diversion program named the Anaheim Collaborative Court: Evaluating Strategies & Solutions (“ACCESS”), which aims to assist individuals experiencing homelessness with a co-occurring mental health and/or substance use condition and who are justice involved with the opportunity to be arraigned and connected to housing, health, and mental health services in lieu of serving jail time; WHEREAS, ANAHEIM has been awarded a Proposition 47 Grant (“Grant”) from the State of California, through the Board of State and Community Corrections (“BSCC”), in order to fund the operation of the ACCESS program (“Program”); WHEREAS, ANAHEIM and SUBRECIPIENT (each, a “Party” and jointly, the “Parties”) desire to enter into this Agreement in order for SUBRECIPIENT to receive a subgrant of the Proposition 47 funds in consideration of SUBRECIPIENT'S participation in the Program;
WHEREAS, SUBRECIPIENT represents that it is qualified to participate in the Program and has the requisite qualifications, expertise, and experience in the provision of applicable services, and is willing to use Proposition 47 Grant funds in the operation of the Program; and WHEREAS, SUBRECIPIENT acknowledges and agrees that this Agreement is contingent upon an allocation and receipt of Proposition 47 funds from the BSCC and the authorization given to ANAHEIM to use a portion of its allocation in the amount set forth in this Agreement to reimburse SUBRECIPIENT for the provision of services under this Agreement.
NOW THEREFORE, it is agreed by and between the Parties that the foregoing Recitals are a substantive part of this Agreement and the following terms and conditions are approved and, together with all exhibits and attachments hereto, shall constitute the entire Agreement between ANAHEIM and the SUBRECIPIENT:
1. SERVICES TO BE PROVIDED BY SUBRECIPIENT
SUBRECIPIENT shall provide to ANAHEIM the labor, materials, tools, equipment, services, and incidental and customary work necessary to fully and adequately provide services in accordance with the "Scope of Work " attached hereto as Exhibit A and incorporated herein by reference.
2. TERM
The term of this Agreement shall begin on July 1, 2025, and shall end on June 30, 2026. ANAHEIM shall have the option to renew this Agreement for up to two (2) successive one (1) year periods by providing thirty (30) days written notice to SUBRECIPIENT of its intent to renew the Agreement.
3. COMPENSATION
3.1 ANAHEIM shall pay SUBRECIPIENT , for services satisfactorily performed pursuant to this Agreement, pursuant to the rates as identified in the Budget attached hereto as Exhibit B and incorporated herein by reference . SUBRECIPIENT and ANAHEIM agree that no changes to the Budget shall be made during the term of this Agreement without written agreement of the Parties.
3.2 The Parties agree that the Contract A mount set forth below includes all out-of-pocket expenses of SUBRECIPIENT , with the exception of extraordinary expenses or travel-related costs pre -approved by the City Manager . SUBRECIPIENT shall not be reimbursed for any other expenses.
3.3 It is understood by and agreed between the Parties to this Agreement that full and complete payment for all services pursuant to this Agreement shall not exceed One Million Five Hundred Thousand Dollars and No/100 Cents ($ 1,500,000.00) (“Contract Amount”).
3.4 SUBRECIPIENT shall submit monthly invoices to ANAHEIM for work performed during the billing period. ANAHEIM shall pay SUBRECIPIENT within thirty (30) days after approval of the invoice by ANAHEIM staff.
4. STANDARD OF CARE
4.1 SUBRECIPIENT shall perform all s ervices under this Agreement in a skillful and competent manner, consistent with the standards generally recognized as being employed by professionals in the same discipline in the State of California. SUBRECIPIENT represents and maintains that it is skilled in the professional ca lling necessary to perform the services required by this Agreement. By delivery of completed work, SUBRECIPIENT certifies that the work conforms to the requirements of this Agreement; all applicable federal, state , and local laws; and the professional standard of care.
4.2 SUBRECIPIENT represents and warrants to ANAHEIM that it has, shall obtain, and shall keep in full force in effect during the term hereof, at its sole cost and expense, all licenses, permits, qualifications, insurance , and approvals of whatsoever nature that are legally required of SUBRECIPIENT to practice its profession.
5. INDEPENDENT CONTRACTOR
5.1 Neither ANAHEIM nor any of its employees shall have any control over the manner, mode , or means by which SUBRECIPIENT performs the services required herein, except as otherwise set forth herein. Except as expressly provided herein, ANAHEIM shall have
no voice in the selection, discharge, supervision, or control of SUBRECIPIENT or its representatives, contractors, or agents, or in fixing their number, compensation, or hours of service. SUBRECIPIENT shall perform all services required herein as an independent contractor of ANAHEIM and shall remain at all times, as to ANAHEIM, a wholly independent contractor with only such obligations as are consistent with that role. SUBRECIPIENT shall not at any time or in any manner represent that it or any of its agents or employees are agents or employees of ANAHEIM. ANAHEIM shall not in any way or for any purpose become or be deemed to be a partner of SUBRECIPIENT in its business or otherwise , or a joint venture or a member of any joint enterprise with SUBRECIPIENT.
5.2 In consideration for the compensation paid to SUBRECIPIENT by ANAHEIM, SUBRECIPIENT agrees that ANAHEIM shall not be liable or responsible for any benefits, including, but not limited to, worker’s compensation, disability, retirement, life, unemployment, health or any other benefits, and SUBRECIPIENT agrees that it shall not sue or file a claim, petition or application therefor against ANAHEIM or any of its officers, employees, agents, representatives or sureties.
6. INSURANCE
6.1 Without limiting ANAHEIM's right to indemnification, it is agreed that SUBRECIPIENT shall secure prior to commencing any activities under this Agreement, and maintain during the term of this Agreement, insurance coverage as follows:
.01 Workers' Compensation Insurance as required by California statutes and Employers Liability Insurance in an amount not less than One Million Dollars ($1,000,000.00) per occurrence.
.02 Comprehensive General Liability Insurance, or Commercial General Liability Insurance, including coverage for Premises and Operations, Contractual Liability, Personal Injury Liability, Products/Completed Operations Liability, and Independent Contractors' Liability (if applicable), in an amount of not less than Two Million Dollars ($2,000,000.00) per occurrence, $4,000,000 annual aggregate, written on an occurrence form.
Such insurance shall be written on a primary basis (i.e., without a self -insured retention), but may include a deductible of more than $10,000 per occurrence, provided that such deductible is disclosed to ANAHEIM, in writing, at the inception of this Agreement. .03 Comprehensive Automobile Liability Coverage , including as, applicable-owned, non- owned, and hired autos, in an amount not less than $2,000,000 per occurrence, combined single limit, as required by California law. .04 Professional Liability Insurance providing coverage on a claims made basis for errors, omissions, or malpractice with limits of not less than two million dollars ($2,000,000.00).
6.2 ANAHEIM's Risk Manager is hereby authorized to reduce the requirements set forth above in the event he or she determines that such reduction is in ANAHEIM's best interest.
6.3 Each insurance policy required by this Agreement shall contain the following clause (or a clause of similar effect):
"This insurance shall not be cancelled, or limited in scope or coverage, until after thirty (30) days' prior written notice has been given to the City Clerk, City of Anaheim, 200 S. Anaheim Blvd., Anaheim, CA 92805."
6.4 Each insurance policy required by this Agreement, excepting policies for workers' compensation and professional liability, shall contain the following clauses (or clauses of similar effect):
"It is agreed that any insurance maintained by SUBRECIPIENT pursuant to this Agreement shall be primary to, and not contributory with, any insurance or self-insurance maintained by the City of Anaheim."
"The City of Anaheim, its officers, agents, employees, representatives, and volunteers are added as additional insureds as respects operations or activities of, or on behalf of the named insured, performed under contract with the City of Anaheim."
6.5 Prior to commencing any work under this Agreement, SUBRECIPIENT shall deliver to ANAHEIM insurance certificates confirming the existence of the insurance required by this Agreement, and including the applicable clauses referenced above. Also, within thirty (30) days of the execution date of this Agreement, SUBRECIPIENT shall provide to ANAHEIM endorsements to the above-required policies, which add to these policies the applicable clauses referenced above. Said endorsements shall be signed by an authorized representative of the insurance company and shall include the signator's company affiliation and title. Should it be deemed necessary by ANAHEIM, it shall be SUBRECIPIENT's responsibility to see that ANAHEIM receives documentation acceptable to ANAHEIM, which sustains that the individual signing said endorsements is indeed authorized to do so by the insurance company.
Insurance required hereunder shall be placed with insurers reasonably acceptable to ANAHEIM.
Also, ANAHEIM has the right to demand, and to receive within a reasonable time period, copies of any insurance policies required under this Agreement.
In addition to any other remedies ANAHEIM may have if
SUBRECIPIENT fails to provide or maintain any insurance policies or policy endorsements to the extent and within the time herein required, ANAHEIM may, at its sole option:
.01 Obtain such insurance and deduct and retain the amount of the premiums for such insurance from any sums due under the Agreement; .02 Instruct SUBRECIPIENT to stop work under this Agreement and/or withhold any payment(s) which become due to SUBRECIPIENT hereunder until SUBRECIPIENT demonstrates compliance with the requirements hereof; .03 Terminate this Agreement.
Exercise of any of the above remedies, however, is an alternative to other remedies ANAHEIM may have and is not the exclusive remedy for SUBRECIPIENT's failure to maintain insurance or secure appropriate endorsements.
6.6 Nothing herein contained shall be construed as limiting in any way the extent to which SUBRECIPIENT may be held responsible for payments of damages to persons
or property resulting from SUBRECIPIENT's (or SUBRECIPIENT's contractors/subcontractor's, if any) performance of the work covered under this Agreement.
7. INDEMNIFICATION
7.1 As respects acts, errors or omissions in the performance of professional services, SUBRECIPIENT agrees to indemnify and hold harmless ANAHEIM, its officials, officers, and employees from and against any and all claims, losses, damages, defense costs, or liability, of any kind or nature, arising directly out of SUBRECIPIENT ’s (or SUBRECIPIENT’s contractors’ or subcontractors’, if any) negligent acts, errors or omissions in the performance of professional services under this Agreement.
7.2 As respects all acts, errors or omissions which do not arise directly out of the performance of professional services, including but not limited to those acts, errors or omissions typically covered by ISO -based general and automobile liability insurance coverage, SUBRECIPIENT agrees to indemnify, defend (at ANAHEIM's option), and hold harmless ANAHEIM, its officials, officers, employees, agents, and representatives from and against any and all claims, losses, damages, defense costs, or liability, of any kind or nature (collectively referred to hereinafter as “Claims”), arising out of or in connection with SUBRECIPIENT ’s (or SUBRECIPIENT's contractors’ or subcontractors’, if any) acts, errors, omissions, or work, except for those Claims which arise out of the sole negligence or willful misconduct of ANAHEIM.
8. PROHIBITION AGAINST ASSIGNMENTS AND TRANSFERS
The Parties recognize that a substantial inducement to ANAHEIM for entering into this Agreement is the professional reputation, experience , and competence of SUBRECIPIENT. Neither the whole nor any interest in, nor any of the rights or privileges granted under this Agreement shall be assigned, transferred, or encumbered in any way without the prior written consent of ANAHEIM. Any such purported assignment, transfer, encumbrance, pledge, subuse, or permission given without such consent shall be void as to ANAHEIM. If ANAHEIM approves an assignment or transfer, this Agreement and the covenants and
conditions contained herein shall be binding upon and inure to the benefit of and shall apply to the permitted successors and assigns of SUBRECIPIENT.
9. SUBCONTRACTING
SUBRECIPIENT warrants and represents that it shall not use any subcontractor to perform work or services required under this Agreement, unless approved in writing by ANAHEIM.
10. BOOKS AND RECORDS
SUBRECIPIENT shall maintain adequate fiscal and project books, records, documents, and other evidence pertinent to its work on the project in accordance with generally accepted accounting principles. Adequate supporting documentation shall be maintained in sufficient detail to facilitate tracing/tracking transactions from invoices to accounting records, to supporting documentation. Records shall be maintained for a minimum of three (3) years from the acceptance of the final grant project audit , or for any longer period required by law or Proposition 47 grant requirements.
11. ACCESS TO BOOKS AND RECORDS
SUBRECIPIENT agrees to m ake its books, records, supporting documentations, and other evidence available to the BSCC or its designee, the State Controller’s Office, the Department of General Services, the Department of Finance, the California State Auditor, and their designated representatives for a minimum of three (3) years after the end of the Grant period or acceptance of the final Proposition 47 Grant project audit by the BSCC , whichever is longer. SUBRECIPIENT further agrees to provide suitable facilities for access ing, monitoring, inspection, and copying of books and records related to the Program , to the extent its work is funded by Grant funds.
12. PROJECT ACCESS
SUBRECIPIENT will ensure that the BSCC, or any authorized representative, will have suitable access to activities, sites, staff, and documents at all reasonable times during the period of the Grant, including those materials maintained by subcontractors. Access to such
records will be made available by both SUBRECIPIENT and any subcontractors for a period of three (3) years following the end of the Proposition 47 Grant period.
13. NON-DISCRIMINATION AND CIVIL RIGHTS COMPLIANCE
During the performance of this Agreement, SUBRECIPIENT and its contractors/subcontractors shall not deny the benefits of the Agreement to any person on the basis of race, religious creed, color, national origin, ancestry, physical disability, mental disability, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, or military and veteran status, nor shall they discriminate unlawfully against any employee or applicant for employment because of race, religious creed, color, national origin, ancestry, physical disability, mental disability, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, or military and veteran status. SUBRECIPIENT shall insure that the evaluation and treatment of employees and applicants for employment are free of such discrimination. SUBRECIPIENT and its contractors/ subcontractors shall comply with the provisions of the Fair Employment and Housing Act (Gov. Code §12900 et seq.), the regulations promulgated thereunder (Cal. Code Regs., tit. 2, §11000 et seq.), the provisions of Article 9.5, Chapter 1, Part 1, Division 3, Title 2 of the Government Code (Gov. Code §§11135- 11139.5), and the regulations or standards adopted by the awarding state agency to implement such article.
SUBRECIPIENT shall permit access by representatives of the Department of Fair Employment and Housing and the awarding state agency upon reasonable notice at any time during the normal business hours, but in no case less than 24 hours’ notice, to such of its books, records, accounts, and all other sources of information and its facilities as the Department of Fair Employment and Housing or the awarding state agency shall require to ascertain compliance with this paragraph .
SUBRECIPIENT and its contractors/subcontractors shall give written notice of their obligations under this clause to labor organizations with which they have a collective bargaining or other agreement. (See Cal. Code Regs., tit. 2, §11105.) SUBRECIPIENT shall include the nondiscrimination and compliance provisions of this paragraph in all subcontracts to perform
work under this Agreement.
14. INTELLECTUAL PROPERTY INDEMNITY
SUBRECIPIENT shall defend and indemnify ANAHEIM, its agents, officers, representatives and employees against any and all liability, including costs, for infringement of any United States’ letters patent, trademark, or copyright infringement, including costs, contained in the work product or documents provided by SUBRECIPIENT to ANAHEIM pursuant to this Agreement.
15. WITHHOLDINGS
ANAHEIM may withhold payment to SUBRECIPIENT of any disputed sums until satisfaction of the dispute with respect to such payment. Such withholding shall not be deemed to constitute a failure to pay according to the terms of this Agreement. SUBRECIPIENT shall not discontinue work as a result of such withholding. SUBRECIPIENT shall have an immediate right to appeal to the City Manager or his/her designee with respect to such disputed sums, and his/her decision shall be final. SUBRECIPIENT shall be entitled to receive interest on any withheld sums at the rate of return that ANAHEIM earned on its investments during the time period, from the date of withholding of any amounts found to have been improperly withheld.
16. ERRORS AND OMISSIONS
In the event of errors or omissions that are due to the negligence or professional inexperience of SUBRECIPIENT , which result in expense to ANAHEIM greater than what would have resulted if there were not errors or omissions in the work accomplished by SUBRECIPIENT, the additional cost and expense shall be borne by SUBRECIPIENT . Nothing in this paragraph is intended to limit ANAHEIM’s rights under the law or any other sections of this Agreement.
17. ANAHEIM'S RIGHT TO EMPLOY OTHER SUBRECIPIENTS
SUBRECIPIENT acknowledges and agrees that this Agreement and the provision of services hereunder are nonexclusive and that ANAHEIM may enter into similar agreements with other entities for the provision of similar services.
18. CONFLICTS OF INTEREST
18.1 SUBRECIPIENT represents that neither it nor any of its officers, partners , or employees has a financial interest, as defined in Section 8 7103 of the Government Code, in the subject matter of this Agreement other than the right to receive payment from ANAHEIM for services rendered.
18.2 SUBRECIPIENT agrees that it shall not make, participate in making, nor in any way attempt to use its position as SUBRECIPIENT to influence any decision of ANAHEIM in which SUBRECIPIENT knows, or has reason to know, that any of its officers, partners or employees has a financial interest as defined in Section 87103 of the Government Code.
18.3 SUBRECIPIENT warrants that neither SUBRECIPIENT nor any of its officers, partners , or employees has any financial interest in any real property, building, or structure within 2,500 feet of the location of any project or assignment to which this Agreement may apply in the City of Anaheim. SUBRECIPIENT agrees to disclose to ANAHEIM any financial interest in such property as may be acquired by its officers, partners , or employees during the term of this Agreement.
19. NOTICES
All notices, demands or other writings to be made, given or sent hereunder, or which may be so given or made or sent by either ANAHEIM or SUBRECIPIENT to the other shall be deemed to have been given when in writing and personally delivered or if mailed on the third (3rd) day after being deposited in the United States mail, certified or registered, postage prepaid, and addressed to the respective Parties at the following addresses:
ANAHEIM: City of Anaheim
Attention: City Clerk
200 S. Anaheim Boulevard, 2nd Floor
Anaheim, California 92805
FAX No. (714) 765-4105
With copies to: City of Anaheim
Attention: Jennifer Contini
200 S. Anaheim Blvd., 7
th Floor
Anaheim, CA 92805
FAX No. (714) 765-5164
SUBRECIPIENT: Anaheim Community Hospital, LLC
3350 W Ball Road
Anaheim, CA 92804
Attn: Glenn Raup, Chief Executive Officer
FAX No.: N/A
20. ENFORCEMENT OF AGREEMENT
20.1 Events of Default.
.01 For purposes of this Section 20, the word “Default” shall mean the failure of SUBRECIPIENT to perform any of SUBRECIPIENT ’s duties or obligations or the breach by SUBRECIPIENT of any of the terms and conditions set forth in this Agreement. In addition, SUBRECIPIENT shall be deemed to be in Default upon SUBRECIPIENT ’s (i) application for, consent to, or suffering of, the appointment of a receiver, trustee or liquidator for all or a substantial portion of its assets; (ii) making a general assignment for the benefit of creditors; (iii) being adjudged bankrupt; (iv) filing a voluntary petition or suffering an involuntary petition under any bankruptcy, arrangement, reorganization or insolvency law (unless in the case of an involuntary petition, the same is dismissed within thirty (30) days of such filing); or (v) suffering or permitting to continue unstayed and in effect for fifteen (15) consecutive days any attachment, levy, execution or seizure of all or a substantial portion of SUBRECIPIENT’s assets or of SUBRECIPIENT’s interests hereunder. .02 ANAHEIM shall not be deemed to be in Default in the performance of any obligation required to be performed by ANAHEIM hereunder unless and until ANAHEIM has failed to perform such obligation for a period of thirty (30) days after receipt of written notice from SUBRECIPIENT specifying in reasonable detail the nature and extent of any such failure; provided, however, that if the nature of ANAHEIM’s obligation is such that more than thirty (30) days are required for its performance, then ANAHEIM shall not be deemed to be in Default if ANAHEIM shall commence to cure such performance within such thirty (30) day period and thereafter diligently prosecute the same to completion.
20.2 Immediate Termination for SUBRECIPIENT ’s Default. In the event of any Default by SUBRECIPIENT, ANAHEIM may immediately terminate this Agreement. Such termination shall be effective immediately upon receipt by SUBRECIPIENT of written notice from ANAHEIM. In such event, SUBRECIPIENT shall have no further rights hereunder, and ANAHEIM shall have all other rights and remedies as provided by law.
20.3 Termination Without Cause. Either of the Parties may terminate this Agreement at any time without the necessity of cause or Default by giving sixty (60) days written notice to the other Party.
21. COMPLIANCE WITH ALL LAWS
SUBRECIPIENT shall at its own cost and expense comply with all statutes, ordinances, regulations and requirements of all governmental entities, including federal, state, county or municipal, whether now in force or hereinafter enacted, and including, but not limited to, the laws and regulations that prohibit the use of public funds for campaign activities or personal use. In addition, all work prepared by SUBRECIPIENT shall conform to applicable local, county, state, and federal laws, rules, regulations , and permit requirements, and be subject to approval of the City Manager.
22. WAIVER
A waiver by either Party of any breach, of any term, covenant, or condition contained herein shall not be deemed to be a waiver of any subsequent breach of the same or any other term, covenant, or condition contained herein, whether of the same or a different character.
23. INTEGRATED CONTRACT
This Agreement and Exhibit A hereto contain the entire agreement of ANAHEIM and SUBRECIPIENT with respect to the matters covered hereby, and no agreement, statement , or promise made by either ANAHEIM or SUBRECIPIENT which is not contained herein, shall be valid or binding. No prior agreement, understanding, or representation pertaining to any such matter shall be effective for any purpose.
24. CONFLICTS OR INCONSISTENCIES
In the event there are any conflicts or inconsistencies between this Agreement and Exhibit A, or any other documents attached hereto, the terms of this Agreement shall govern.
25. INTERPRETATION
Each Party acknowledges that he/she/it has had the benefit of advice of competent legal counsel with respect to its decision to enter this Agreement. The provisions of this Agreement shall be interpreted to give effect to their fair meaning and shall be construed as prepared by both Parties.
26. AMENDMENTS
This Agreement may be modified or amended only by a written document executed by both SUBRECIPIENT and ANAHEIM and approved as to form by the City Attorney.
27. SEVERABILITY
If any term or provision of this Agreement or the application thereof to any person or circumstance shall, to any extent, be held invalid or unenforceable, the remainder of this Agreement, or the application of its terms and provisions to persons and circumstances other than those to which it has been held invalid or unenforceable shal l not be affected thereby, and each term and provision of this Agreement shall be valid and enforceable to the fullest extent permitted by law.
28. REMEDIES CUMULATIVE
The remedies given to ANAHEIM and SUBRECIPIENT herein shall be cumulative and are given without impairing any other rights given to ANAHEIM or SUBRECIPIENT by statute or law now existing or hereafter enacted, and the exercise on any one (1) remedy by ANAHEIM or SUBRECIPIENT shall not exclude the exercise of any other remedy.
29. NO THIRD PARTY BENEFICIARIES
The Parties intend that neither rights nor remedies be granted to any third party as a beneficiary of this Agreement or of any covenant, duty, obligation, or undertaking established herein.
30. CONTROLLING LAW AND VENUE
The laws of the State of California shall govern this Agreement and all matters relating to it, and any action brought relating to this Agreement shall be adjudicated in a court of competent jurisdiction in the County of Orange.
31. AUTHORITY
Each individual executing this Agreement on behalf of a corporation, nonprofit corporation, partnership, or other entity or organization, represents and warrants that it or she is duly authorized to execute and deliver this Agreement on behalf of such entity or organization and that this Agreement is binding upon the same in accordance with its terms.
SUBRECIPIENT
shall, at ANAHEIM’s request, deliver a certified copy of its governing board’s resolution or certificate authorizing or evidencing such execution.
32. EFFECTIVE DATE
This Agreement shall be effective on July 1, 2025 (“Effective Date”).
[SIGNATURES ON FOLLOWING PAGE]
IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed on the dates hereinafter respectively set forth.
DATE OF EXECUTION:
CITY OF ANAHEIM,
a municipal corporation
By:
Grace Ruiz-Stepter
Director, Housing and Community
Development Department
ATTEST:
THERESA BASS, CITY CLERK
By: _
City Clerk of Anaheim
APPROVED AS TO FORM:
By:
Kristin Pelletier
Chief Assistant City Attorney, Civil
DATE OF EXECUTION:
By: ANAHEIM COMMUNITY HOSPITAL, LLC,
a California limited liability company
By:
Title: Chief Executive Officer
Printed Name: Glenn Raup
Anaheim Community Hospital, LLC 3350 W. Ball Road Anaheim, CA 92804
Exhibit A
ACH-COA Prop 47 Readiness to move from Hopelessness to Healthiness Model SCOPE OF WORK (eff 05/29/25)
GOAL: Provide acute care beds and develop a customized IOP program for justice involved individuals at the intersection of homelessness, mental illness, and substance use disorder. To develop a sustainable model for addressing a person’s self- perceptions of ‘hopelessness’ that occur due to inability to effectively use social determinants of health and assess their readiness for change within the context of Maslow’s hierarchy of needs by facilitating a foundation to build healthcare that addresses these social determinants of health for a target population – mentally ill (psychiatric/behavioral health) who also have co-occurring substance abuse (SA) disorders and/or those with primary SA disorders.
MODEL: The following describes the full proposed model in a stepwise manner and incorporates the structure, processes, and outcomes.
STEP 1 (Structure: Identification & Assessment): Process: The source of identification of hopelessness and the sequelae of unhealthiness that results from it is the social and legal assessments made by Anaheim PD (APD) and/or the Anaheim City Attorney’s Access program and/or Anaheim Community Hospital ACH) for individuals encountered with the aforementioned diagnoses.
Outcome(s): Identification of X number / X percentage of patients seen and referred for participation in the model of care program based on standardized assessments
STEP 2 (Structure: Eligibility): Process: The assessments will occur in the field, in custody, or in court. Once someone is identified as an “Access Candidate,” a referral form will be completed. Candidates who agree to participate will be voluntarily assessed after consulting with their lawyer and signing waivers. While in Access, participants are receiving identified grant- funded services (see Payments/Costs) not otherwise covered. Upon discharge from ACH or other location based on need, the patient is transported directly to the identified discharge destination and will begin working with the outpatient team to identify and implement solutions to the barriers identified in the Social Determinants of Health assessments (this includes, but is not limited to:
appointments, medication adherence, health education, transportation to/from meetings, supportive housing options, etc.) Outcome: Successful enrollment/placement/participation of number/percentage of eligible patients in the outpatient program, receiving outpatient long-acting medications, etc.
STEP 4 (Structure: Social Residency): Process: Daily and weekly management to support the patient’s movement forward and development of a healthiness plan
ACH Prop 47 COA team
Bridge
Housing
-communicate with Access Team weekly calls/F2F - assign a case manager to begin eligibility for services (i.e., transport, follow-up visits, etc.
- obtain documentation (i.e., DL), complete
forms, arrange/attend custodial social appts.
Healthcare
Mgmt
- perform medical assessments to ensure primary health status is maintained - arrange, attend behavioral health appointments as needed - ensure medication adherence plan is developed, implemented, and maintained - provide basic healthcare education (community health behaviors – diet, sleep, work, spiritual, emotional, psychological, physical health factors) -communicate with ACH team, weekly
calls/F2F/emails as needed
STEP 5: (Structure: Follow up): Process: Once the patient is enrolled in the ‘Access: hopelessness to healthiness’ program, the outcomes will be tracked by the COA Prop 47 team. Annual events are planned for successful “graduates”. Finally, opportunities for volunteerism by the program graduates back at ACH are supported should the patients wish to continue their health journey in a demonstrable and ‘pay-it-forward’ way.
Outcome: Days in the community, not in jail/not in hospital AND days employed (if applicable) – POST permanent housing placement.
Anaheim Community Hospital
Anaheim Collaborative Court – Evaluating Strategies and Solutions (ACCESS)
Exhibit B - Budget
Budget Categories Anaheim
Prop 47 Budget Project Total
1. Acute Care and Intensive
Outpatient Treatment $1,500,000 $1,500,000
Budget Categories Maximum Per Day/Unit Per
Client
1. Acute Care $1,400
2. Intensive Outpatient
Treatment
$625
3. Long-Acting Injectables $50 per dose administered