BOARD PACKET

April 26, 2011 Regular Board Meeting

2:00 P.M.

Jerry Stergios Building, 2nd Floor Arthur H. Red Motley Boardroom 1140 N. Indian Canyon Drive, Palm Springs, California 92262

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APPROVAL OF AGENDA

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Regular Meeting DESERT HEALTHCARE DISTRICT Board of Directors April 26, 2011 2:00 p.m.
Jerry Stergios Building, 2nd floor Arthur H. Red Motley Boardroom 1140 N. Indian Canyon Drive, Palm Springs, California 92262 This meeting is handicapped-accessible

Page(s)

AGENDA Any item on the agenda may result in Board Action A. CALL TO ORDER President Matthews Roll Call ____Director Grayman _____Director Rubenstein ____Director
Solomon ____Vice-President Hazen _____President Matthews

Item Type

APPROVAL OF AGENDA PUBLIC COMMENT At this time, comments from the audience may be made on items not listed on the agenda that are of public interest and within the subject-matter jurisdiction of the District. The Board has a policy of limiting speakers to no more than three minutes. The Board cannot take action on items not listed on the agenda. Public input may be offered on agenda items when they come up for discussion and/or action. CONSENT AGENDA All Consent Agenda item(s) listed below are considered to be routine by the Board of Directors and will be enacted by one motion. There will be no separate discussion of items unless a Board member so requests, in which event the item(s) will be considered following approval of the Consent Agenda. 1. BOARD MINUTES a. Regular Meeting March 22, 2011 2. FINANCE & ADMINISTRATION COMMITTEE a. Consideration of District March 2011 financial statements

Action

2:00 2:05

7-11. 12-32

QUARTERLY INVESTMENT REPORT (Separate Attachment) 1. Highmark Capital-Bob Adams a. Review Cash & Investment Summary

Information

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F. 35-48

OLD BUSINESS 1. Consideration of Disbursement of $1,000,000 to the Riverside County Housing Authority for the Construction of the Desert Hot Springs Family Care Center NEW BUSINESS 1. Resolution #11-02 A Resolution of the Board of Directors of the Desert Healthcare District Establishing A Policy for Ethics Training and Education Training Relating to Workplace Harassment 2. Consideration of Updated Policy for Desert Healthcare District Staff Health Benefits 3. Resolution #11-03 A Resolution of the Board of Directors of the Desert Healthcare District Continuing Participation of Directors in Employee Health Benefit Plans 4. Consideration to Approve Salary Ranges for Desert Healthcare District Staff 5. Resolution #11-04 A Resolution of the Board of Directors of the Desert Healthcare District Approving a Policy for the Handling of Liability Claims DRMC GOVERNING BOARD DIRECTORS REPORT Director Rubenstein COMMITTEE REPORTS 1. FINANCE, ADMINISTRATION, REAL ESTATE AND LEGAL COMMITTEE Director Solomon a. Agenda & draft meeting minutes for April 12, 2011 b. Chief Operating Officer Report c. Las Palmas Medical Plaza Rental Status d. Parking Lot G Update e. Parking Lot G Payment Tracking Schedule by Vendor

2:25 Action

G. 50-52

2:45 Action

53-55 56-60

Action Action

61-62 63-64

68-72 73-77 78-79

Information Information Information Information Information

80 81-82 83-85

f. Retirement Protection Plan update g. Grant Payment Schedule h. FY 10-12 Strategic Plan Tracking 2. PROGRAM COMMITTEE Director Rubenstein a. Agenda and draft meeting minutes of April 12, 2011 b. Grant Administration Report c. Final Grant Reports 1. Grant #526 - Desert AIDS Project 2. Grant #631- CSUSB/CVHC d. Grants for Consideration 1. Grant #652 CSUSB/CVHC - Consideration to approve a grant award of $33,234 to support the Physical Fitness Challenge e. Committee Packet Material Desert Hot Springs Family Care Center f. Pending Grants Under Review & Discussion with CBOs J. Attorneys Report a. Legislative Update CORRESPONDENCE ADJOURNMENT MISSION STATEMENT Promote good health for District residents by providing community grants and by protecting and enhancing the assets of the District

' I I Offset by various lower expenses $3K
3-31-11 variance analYSis

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UNREALIZED LOSS IN THE FACILITY REPLACEMENT FUND MARCH 31, 2011
The 6/30/10 unrealized gain amount was $783,528 The 3/31/11 unrealized loss amount is ($428,674) The net change for unrealized gain/loss is $1,212,202. This is very significant and each month the unrealized loss continues to grow. EXPLANATION FOR THE INCREASE IN THE UNREALIZED LOSS AMOUNT PER BOB ADAMS: The unrealized gain or loss is a function of interest rate movements and purchase price of bonds. The 3-year Treasury yield did increase from 0.97% on 6/60/10 to 1.30% on 3/31/11, which accounts for some of the change, as prices decline when yields increase. The other factor, price of bonds, is a direct result of our discussion approximately a year ago to buy premium bonds in order to maintain the income stream from this portfolio (a coupon of about 4.75% was mentioned). As I pointed out at the time, the premium paid would be less than the additional income (over a bond with a coupon equal to prevailing interest rates). I also said that the drawback was, if I paid $110 for a bond, there would be a capital loss of $10 per unit when the bond matured (realized gain). I don't recall this point being put in the context of unrealized gains. Because interest rates were higher years ago when the maturing bonds in the portfolio were purchased resulted in higher coupons. With rates as low as they have been for a couple of years now, I must pay a premium to maintain the weighted average coupon of the portfolio. The bonds I have purchased in the last 9 months have averaged approximately $4 higher than the cost of the bonds being replaced. In answer to your last sentence, yes I normally hold bonds to maturity and I don't think I have had to sell a bond for a distribution very often (one time?).

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Desert Healthcare District
Cumulative Profit & Loss Budget vs. Actual
July 2010 through March 2011

- - -----

---------

MONTH Mar11

Budget

$ Over Budget

Jul '10 - Mar 11
Budget 5,113,502 1,020,036 84.750 6,218,266 820,451 224,621 37,502 587,216 57,679 661,984 2,389,453 3,826,635 2,999,998 826,637
(1,121,859) 7,457 36,954 (1,077,448) (282.406) (23,050) (16.163) 55.146 62,831 (1,637) (205,280) (872,168) (218,885) (653,263)
Income ------14000' Income 224,274 --- 568,166 - I (343,892L -4500. LPMP Income 1 116,187- - - J.14,002,1S,L ---,4501. Miscellaneous Income 825 2,250 (1,425) I -------Total Income (343,134) ! _)41, 28 J>64,42Q. -------I Expense ------------!--50,126 71,754 (21,628) -, -.5.Q60 ' Direc,!, E'xpenses ___ ! ---,------I : 6000 ' General & Administrative Exp 20,919 (9,374): j-- - -- -- -------- 30,293.- -, i _~325 ' CEO Discreti()nary Fun.<!. 2,589 4,166 _ (1,577) , - --6445. LPMP Expenses 72,596 - 7,177 ' 65,419 - - + -, 2,765 ;9,172 _,6500. F'-rofessional ees Exp~nse ------6,407 -----! 6700. Trust Expenses 73,972 73,i ! I i , i To!:.1 Expense before Grants Expense 229,374 251,593 (22,219) i c---- --- --- ---I 111,912 432,627 (320,915) ! Income b~~~re Grant~ ~_xpense ___ ------i 313,655 333,334 j700~'Grants Exp"nse (19,679) I --Net Income (201,743) 99,493 (301,236) i

2,000~-

: - -i
78,750 1,800 3,917 15,750 7,875 2,700 53.064 748

Net Income

------
72,596 65.419 7,177 642.362 587,216 55.146. - ---:;i~~-""*;;ri--+----;i;;;;;"\""------;~~--~~---~~ 43,591 48.585, (4.994. 385.130 432,820 47.690)

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Statenlent of Operations LPMP

Balance Sheet

As of March 31, 2011 Mar31,11 ASSETS ! Current Assets -, ----__ _Ch"ckinj,Sa"in!!" _ _ __ 1000, CHECKING CASH ACCOUNTS l.110~ 'It~VE~M~NT A-cc6uN!:S ~ _ __ Total Cl1 ec,,-inglavjngs _ _ _ _ Accounts Receivable i 1201 ' AcciU n Receiv,;])le Total Accounts Receivable -- ----,Other Current Assets 11270,::- Pr0>aicllns~ra':'-"e -c5ng~ng ~ '1279 ' Pre-Paid Fees- - ------,129.5 ' Prop,--rty Tax R-"cehlabl,,---I -1, , ,1502 ' Due from _L. Laferriere _ ----L _ _ _ ____ -, Total Other Current Assets --,Total Current Assets ! Fixed -Asse-ts
963,600 59,553,004 60,516,604 (430) (430)

, L-',

25,542 5,807 894,926,464 61,442,637 756,331 (186,91,2) 7,448,605 8,018,025 1,693,800 1,693,800 71,154,462

-------

1300'- FIXED ASSETS ; 13'35-00 ' ACC -DEP-R i 11400 :-LPM-P Assets t- ,Total Fixed Assets - - ----------'Other Assets '1700-:- OTHER-ASSETSTotal Other Assets

TOTALASSETS

LIABILITIES & EQUITY _ Ljabilities.J_ i Current 1- j-- , - - Liabilities---__ ' J!,-cc_oun~ Payabl" , ,2000 ' Accounts Payable : ---~ -- -12001 CPMP- Accounts Payabfe - 1- 1- 'Total AccountsPayabl"-- IOther-CurrentTiabT{ities -I -I -
6,111 1,849 7,960 (23,531) (9,455) 3,522,355 18,758 19,079

_ 1'__'

-~ 2002 ' LPMP Pr0l'ertY Taxes
2110 ' DirectDepositLiabJlities ,2131 :Grant Av;ards Payable_ J2133' Accrued !-ccounts Payable :2141. Accrued Vacation Time _

__ _,_

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1 of 2

Balance Sheet - Condensed

As of March 31, 2011

Mar31,11

- - I-I'

- - -,
--- I 2142' --Accrued Sick Time -----!__2"145 ~Pa)'l"onl.iab~ity _ _ _.1152.: 4o.1.K Liability _ _ _ 2186. Retired BOD Medical - Current --:2188' Current Portion-- LTD
Total Other CUrrent Liabilities

>-- " - , ---

--- -2190 Investment Fees Payable

Mar 31,11 _ 8,705.680 2,165.300 1.304.520 109.239 16.266 1,324,179 -308,525 (5.?04.900) (1.09.,239)
.1402.:,Lancl_ _ -_ ---~ ,140~. T"l1antirnpr,,-vem"l1ts -N,ew -_ ,1404, Tenant Improvements -Existing ~ '1405. Tenanilmpr-ovell1:ents !<,lIowances !---_ 1406 Buildirlg Improvemen.ts _ _ : 1407 Building Equipment Improvements ' 11409 --:-Accu-mulated Depreciation -------
,'T410.:,Accum. Depreclatiol1__.~ 1411. T I Accumulated Dep.-Existing 14 ~, I ___ T --'AccumulatedDep.-N"w~ , Total 1409. Accumulated Depreciation --TotaI1400-:-LPMP Assets -- -__ ' _' -
_'_ --~(i1,-:-17~0,;.,9i-;64~) (6,485.103) 7,448.605 8,018.025
Total Fixed Assets -IOther Assets~

11700' OTHER-ASSETS'

~731----:--WelTnessPaik
-. -Total 1700. OTHER ASSETSI- Total OtherAsseiS -1

_~'~'::~1~,6~9~3,~80~0~

_.==========j

--! ----

1,693,800

TOTAL ASSETS

1.693,800 71,154,462
LIABILITIES & EQUITY ',Liabilities ! i CurrentiJabilities -Accounts Payable--

.- '-I

~-~-_-20(io A.cou"ts Payabti _, 2001. LPMP Accounts Payable -1-- - - --- -, ,Total Accounts Payable !OtherCurrent Liabilities -- _' j2ooi-: LPMP Prop~rtY Taxes _~. _ 21.10' QirectDeposit L~abilitiE>s __ j , 2131. Grant Awards Payable f 3. Accrued ~coU:nts Payable_.,2141' Accrued Vacation Time --2142. Accrued Sick Time - ------,.2145_. Payroll_Liability _ I -] ,2152. 401 K Liability i , 1i186 ~-RetTred 8-00 Medical ~
6,111 1.849 7,960 (23,531) (9,455) 3,522,355 18,758 19,079 22.319 (4,816) _ (2,248) 8,647

1= I' 213

Current --

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~--- i ,
2188---. Current Portion - LTD. -+-2190. Investment Fees Payable I ITotal Other Current.Liabilities_. _.-: Total Current Liabilities.- -- 'Long Tenn-Liabilities - --i- -12170. RPP - Pension Liability"- ! _. ---I '2280 '[ong-Tenn Disability_. '2286 :Retirement BOD Medical Liabillt ---! -2290 :-[PMPSecurity DepOSits -. Total Long Tenn Liabilities Total Liabilities -
60,000 35,801 3,646,910 3,654,870 1,500,093 167.426 210,294 67,733 1,945,545 5.600,415 65,378,492 175.554 65,554,047 71,154,462

1- -- -- _. I

~:Equity
. 'Retained Earnings Net Income ---Total Equity TO-TAL LIABILITIES & EQUITY

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AIR Aging Summary
Current (3,009) , (3~56)-1, (5,7422j" (5,399)

1 - 30 1,555 1--'

31 - 60

61 - 90

> 90
TOTAL 1,555 (3,009), Prepaid (3,556) Prepaid 12,130 Rec'd 4/2 (5,742) Prepaid 2,312 (5,835), Prepaid

7,643 Paym't Plan

Advance Medical An-"Iysi~ LLG.
C~hen !v1_usch_"!hom~s M~ical_~roup_
Desert FamilyMedi"al Center Hospi~e of ~~~ De~~rt C_~mmll~ties __ John Bednar, -M.D. -- John Demerssman, M.D. & - --,, Kenneth Russ,M.D.

03/08/2011! 1'11071 Shelter Frim The StorrTl. Bill Pmt -Check Bill Pmt -Check ,. 03/08/SkyRiver Communications, Inc. '11073 :State Compensation Insurancet=lJi1.c1. Bill Pmt -Check'-"~I03/08/2011 Bill Pmt ~Checkt 03/08/2011; 11074 The Clean PC Sill'F;mt -Check. 03/08/2011 I 11075 Tricia WheelerBill Pmt -Check._ _ (J3/08/2011 , I! 11076 'I 'Verizon-- ---. Bill Pmt -Check 03/08/2011.J.1.077._L. Iverizon Wireless Bill Pmt :Ch8Ck-] 'I 03/08/2011' 11078 'Xerox Corp Liability Check : 03/1712011 ,. QuickBooks Payi'OilService '-0-3117120f11 11079COPower Err'Ployers' Benefits Alliance Bill Pmt -Check Bill Pmt -Check -- 0367/2011 111080_H.c:ove Communities Senior Assoclalion Bill Pmt -Check 03117/Family Services of the Desert Bill Pmt -Check"] 03/17/2011 ~~ 11082'Palm Springs UnrfiecJ.:3c;hool-Dlstrict Bill Pmt -Check 03/17/2011, 11083 Pegasus Riding Academy Bill Pmt -Check __ 03/17/20111 ~1.1()B<\, l:kyRlver Communrcatlo~S, Inc Bill Pmt-Check. _.9.3/17/2011- 111()85.L_~teve Brown - -__ _ Bill Pmt -Check i ,03/17/2011 11086' Stroke Recovery Center Bill Pmt -Check 03/17/2011 11087'- The Well in the Desert Bill Pmt -Check 03/17/2011, 11088 Unified Office Services. Inc. Bill Pmt -Check 03/22/2011 r-:11089; BHI Manaqement -C-onsulting

.1, 'I

(2.202) (14.388) (15.975) (105) (8.703) (56.250) (500) (45,000) (11.638) (254) (1.350) (5.000) (9.380) (613) (55) (84) (738) (8,437) (799) (886) (1.128) (62) (47) (408) (420) (14.336) (2.D43) (5.000) (28,831 ) (103.323) (12.629) (799) (119) (5.000) (5.000)

(1.799)

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Warrant Report - Dlstnct

Date Num Name 03/22/2011 i 11090 I Coachella ValieL RescueM_",,,ion __ 03/22/2011:---;-11091 ,Cook Coatings, ING. ____ _ _03/2212011 111092.oonna Craig _ _ __ 03/22/Principal Life Insurance Co_ 03/30/2011 11094T AXA Equitable Retirement Services BiljPrTIt-~Check03/30/201f 11095 iBestSigns,lnc BillPmi:Check - , ' 03/30/20111 ,11096 Ical State University, San Bern-ardino Bill Pmt -CheCI<_+t+ 03/30/2011, 111097 : C a I C P A - - - ------- - Bill Pmt -Check I 03/30/2011 111098Calil, Public Employees'Retirement System ~IIIPmt-=-Cll~ - 03/30/201 f-Desert Aids Project 03/3012011 , 11100 :Desert Arc - --------------Bill Pmt -Check Bill Pmt -Check 03/30/I Desert Steam//lIfAlerC---------Sill Pmt -Check 03/30/201Q102, DLR Group-Bill Pmt -Check 03/30/2011 i ,11103 'Jewish Family Service ofSaI1Die_~oBill Pmt -Check 03/30/20-f1'i1i 104 i Microedge, LLC Bill Pmt-Check 03/3012011-111051 Orkin Inc_ Bill Pmt -CheCk--03/30/2011-11106': Purchase Power Bill Pmt -Check __ ~~03/30/2011 J1107 lS.edgwick CMS Bill Pmt -Check , , 03/30/'Shred-It ]1110g--slow Food Desert Cities Bill Pmt -Checkl _I 03/30/2011 Bill Pmt -Check , 03/30/Verizon Wireless Liability Check--~03/31/2011---~- - : QuickBooks Payroll Service Bill Pmt -Check Bill Pmt -Check i Bill Pmt -CheckJ Bill Pmt -Check Liability Check

- - - - - - -

Lciahebcilikty Check -=---=--03/31/2011,-- - - - -IQBaUniCkkBfeoeOskS TOTAL---

03/31/261

1 -- -

PayroUS<OrVlce~:

1---------
(5,000) (85,317) (140) (475) (4,450) (733) (1,000) (499) (14,806) (4,812) (1,934) (680) (2,115) (9,045) (249) (55) (200) (738) (60) (2,589) (408) (10,467) (3,873) (461) (513,465)

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Warrant Report - Olstrlct
--- -- - - - - - - - - - - -
Det~~!s for cre.~jt _~rd expendej~~
___ <:!edit card purchases -Febru~~~Q~~_ -_ P_a_~d !n M~rch 2011
Number of credit cards held by District personnel-l Credit Card Umit. $2,500 ~ - - - - - -- - -Credit Card Holder:

. - - - - - -

t------'-----
-------+ - ---- --- -- -- -
Samanatha Prior. Operatio~s SUPl?o.~ r.{Ia_nager
Routine types of charges: - ______ 9_~i!=_~_~~p2Iies, Dues for

membe_fship,

~o.mpu!~! ~upp!i~~! Meals, Tr~_vel_i!'lc!ud~,:,!~ airlin_es an~ Hotels, Cater~!,%_ Supplies for BOD
meetings, CEO -- ------ -- Discretionary for small grant &,-,g"i"ftc:i~te,~m,:::.s__________ _ -- ------- 1- ----
-- - - - - - - - - - - - - i - - - - - - - - - - - -----.--~..",.,.___,.--___i. -------+--r---'~:_'__,___,.-___1~

Statement

- -------.
____,.-------------- -- - - r --- - - - - - - - - , ---
I Total I Expense I ~--~y~e-a-r--~~M~o-n~th-+-I~c~hc:a~rg~e-s~I~-------I-'-'~TY~p~e~c_ I~c~o-m-p-a-n-Y,-I-A~m-o-u-nt~r-I--------------~pu-r-p-o-se--------------~

254,15

- -i -------------
Detail of expenses: - - - - - - -,- - - - - - - - -- f - - - -

.-1'---c

Airline Catering ,computer
District District District

'$ $ $

18,00 197,15 39,00 254,15
Board Secretary/Clerk Conference - S, Brown Board of Director's meeting - Lunch :Software support.

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Credit Card -4-2011 - Description of expenses
Warrant Report-Las Palmas Medical Plaza
Type D a t e : Num Name 1000 ' CHECKING CASH ACCOUNTS I e 1046. Las Palmas Medical Plaza ' Bill Pmt Check 'i "",- 03/08/2011 '8206 I Bill Pmt Check 03/08/2011 8207, Bill Pmt Check 03/08/2011'1 '18208., Bill Pmt Check 03/08/iII'trl~:Check I' " 03/08/2011! : ! Bill Pmt Check 03/08/2011 8211t ~ 03/08/2011,8212' Bill Pmt Check Bill Pmt Check 03/08/20111' 18213 Bill Pmt Check 03/08/,153/08/2011' '8215 Bill Pmt Check Bill pmt.Check.::-J 03/08/03/17/2011 ,8217 Bill Pmt.Check_,~." Bill Pmt :~C.hE!ck 03/17/2011 ~_18218 Bill Pmt Check 03/17/2011, ,8219 ElTlIpmtCheck 03/17/2011~~ 8220 Bill Pmt Check 03/17/Bill Pmt Check i 03/17/2011 8222" Bill Pmt.Check'i 03/22/'03/22/2011!' 8224 Bill Pmt Check 03/2212011: 8225 Bill Pmt Check

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PASSED, ADOPTED, AND APPROVED by the Board of Directors of the DESERT HEALTHCARE DISTRICT at a regular meeting held on April 26, 2011, by the following vote: AYES: NOES: Directors______________________________________ Directors______________________________________
ABSTAIN: Directors______________________________________ ABSENT: Directors______________________________________
_____________________________ Mark Matthews, President ATTEST:
______________________________ Kay Hazen, Vice President/Secretary

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Board of Directors, Desert Healthcare District Peter Young, Interim CEO Jeffrey Scott, General Counsel April 26, 2011

FROM: DATE: RE:

Updated Section 13 Policy relating to Health and Retirement Benefits
At the request of the F&A Committee, attached is an updated policy for Board consideration relating to Health Benefits for employees and directors and Retirement Benefits for employees. The updated policy simplifies and replaces the current Health Benefit Plan for Directors which was adopted in 1996. In accordance with Government Code Section 53200 et seq., the updated policy allows current directors and former directors who served in office for 12 years and were first elected to a term of office that began prior to January 1, 1995 to also participate in the employee Health Plans. The updated policy makes it clear that eligible participants may participate in one of the group health programs available through CalPERS health plans for medical and hospitalization coverage, Delta Dental for dental coverage and the Vision Plan of America for vision. The most significant change is to clarify that eligible participants are limited only to the coverage provided by the particular Health Plan and that the maximum benefits payable to a participant will not exceed 100% of the total eligible charges covered under a particular Health Plan. Payment or reimbursement of co-payments and deductibles is still included for eligible participants. Retirement Benefits for employees remain unchanged.

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Section 13 DESERT HEALTHCARE DISTRICT Title: HEALTH AND RETIREMENT BENEFITS

Employee Handbook

Latest Revision Date: April 26, 2011

Section 13.

Health and Retirement Benefits.
In accordance with Government Code Section 53200 et seq., the Board of Directors has established health and welfare benefits to current District employees and directors, and under specified circumstances to former directors and qualified dependents (Participants). Former directors qualify for benefits in accordance with the provisions of Government Code section 53201 and are those directors who served in office after January 1, 1981, and whose total service at the time of termination is not less than 12 years and were first elected to a term of office that began prior to January 1, 1995. Eligible dependents are those included in the Patient Protection and Affordable Care Act of 2010. 13.1 Health Coverage

FinalResultsAchieved DescribethefinaloutcomesofResultStatement#1;weretheresultsachieved?Pleaseexplain. Yes,theseresultshavebeenachieved.Eachhygienepatienthasreceived,atminimum*,aonehouroral hygienesessionwhichincludesathoroughcleaning(scalingofplaqueandpolishing)andcustomized oralhealtheducationinwhichthehygienistmayusemodelstodemonstrateproperbrushingand flossingtechniquesaswellasdiscussingpropernutrition'scontributiontooralhealthandimproving healthoutcomesrelatedtoHIV.Eachpatientreceivesanoralhygienekittotakehome. *Somepatientsrequiredmorethanonesessiontocompletetheircleaning. Result#3 WHATISTHETHIRDSPECIFICRESULTYOUWILLACHIEVE? Thedentistwillbefreetotakeadditionalappointments. Numberofindividualstoachieveresult# FinalNumberServed HowmanyDistrictResidentsachievedResult#3? 709 FinalResultsAchieved DescribethefinaloutcomesofResultStatement#1;weretheresultsachieved?Pleaseexplain. Yes,theseresultswereachieved.Assigningallthecleaningappointmentstothehygienisthasfreedthe dentistfromthisduty,increasingcliniccapacitybytheapproximateequivalentoftwodaysworthof appointmentswithoutincurringthehighercostofincreasingthedentalclinicshours. Outcomes ThetotalnumberofDistrictResidentsyoustatedwouldbeservedbytheprojectorprogram 549 FinalNumberServed HowmanyDistrictResidentswereservedbytheprojectorprogram? 675

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FinalResultsSelfRate Achievedmorethanprojectedresults
RESULTSVERIFICATION D.A.P.keepscarefulrecordofthenumberofclientsaccessingthedentalclinicandthenumberandtype ofproceduresperformed.D.A.P.'sFinanceDepartmentholdsregularlyscheduledmeetingstotrack servicedeliveryandspendingineachofourdepartmentsandprograms. FinalResultsVerified Areyouabletoverifyyourresultsinthemannerstatedonyourrequestapplication?Pleaseexplain. Yes.D.A.P.'sDentalClinicusesEaglesoft,asophisticatedsystem(software)fortrackingappointments, clients,andproceduresindentaloffices.Weestimatethat88%ofallD.A.P.clientsareDesert HealthcareDistrictresidentsbasedonlastaddressgiven.DentalClinicclientsandvisitsarealso recordedintheelectronicAIDSRegionalInformationandEvaluationSystem(ARIES).D.A.P.'sDental ClinicstaffandFinanceDepartmentsholdregularlyscheduledmeetingstotrackservicedeliveryand spending. PROJECTEVIDENCE Witha$48,100awardfromDesertHealthcareDistrict,D.A.P.willhireadentalhygienist,offeringone hourcleaningsandoralhealtheducationtoanadditional549Districtresidentseachyear.Thiswillfree thedentisttotakeanadditional304appointmentsforDistrictresidentsayear. FinalProjectEvidence Pleasereportonthespecificdeliverablesofyourproject/program. The$48,100fromDesertHealthcareDistricthasallowedusto Hireahygienist2daysaweek, offeronehourcleaningsto675DHCDresidents,and increasethecliniccapacitywithoutincurringthehighercostofincreasedhoursofoperation. Asaquantitativemeasureofthisincreasedcapacity,thedentistwasabletoperform1,211more fillings,18morerootcanals,155morecrowns,and218moreextractionsduringthegrantperiodthan forthesametimeperiodthepreviousyear. Qualitatively,nowthatthedentistisfreeofhygieneduty,sheisfreetofocusonrestorativecare. Clientscannowgetmoretimelycleaningappointments,oftencoordinatingthemwiththeir appointmentsforrestorativecare.Thisincreasedconvenienceandaccessibilityencouragesclientsto engageindentaltreatment,whichiscriticaltomaintainingtheirhealth. RESULTLONGEVITY Theresultsachievedfromthisprogramwillbemaintainedindefinitely.TheD.A.P.DentalClinicisan ongoingproject,andweintendtoretainthehygienistbeyondtheDHCDfundingperiod. FinalResultLongevity Willtheresultsachievedfromthisproject/programbemaintainedinthemannerdescribedonyour application?Pleaseexplain. Weexpecttheresultsofthisprojectnotonlytobemaintainedbutimprovedaswemovemoreofour clientsfromacutestagecaretomaintenancewithregularlyscheduledcheckupsandcleanings.

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DATE: TO: SUBJ:
April 26, 2011 Board of Directors Grant# 652 Cal State University San Bernardino, Palm Desert campus (CSUSB)/Coachella Valley Health Collaborative (CVHC)
Organization is requesting: $37,000; Program Committee Recommendation: forward to the
Board for consideration with the Committees recommendation that only salaries and 10% of the salaries overhead fee for a total grant award $33,234 - be approved towards the second annual Valley-wide Healthy Living Physical Community Challenge.
The Valley-wide Healthy Living Challenge goal is to raise awareness of physical fitness and better nutrition choices in communities and organizations.

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AchievementBuildingRequestSummary
CaliforniaStateUniversity,SanBernardino,Grant#652
Tel:(760)3412883ext.78118 37500CookStreet PalmDesert,CA92211 www.csusb.edu Contact: FredJandt Tel:(760)3412883ext.78118 fjandt@csusb.edu
Historical(approvedRequests) Grant ProjectTitle Grant Type Year Amount 2003 RNtoBSNdegreeprogram $148,313 Grant 2004 ConstructionofHealth $1,000,000 Grant Sciencesbuilding 2005 ConstructionofHealth $1,000,000 Grant Sciencesbuilding(matching grant) 2005 ConstructionofHealth $1,000,000 Grant Sciencesbuilding 2007 RNTOBSN5THCOHORT $161,219 Grant 2008 2009GolfTournament $1,800 CEO EventSponsorshipPackage Discretionary 2009 CoachellaValleyHungerand $32,780 Grant FoodInsecurityProject 2010 CVHCPhysicalFitness $10,000 Achievement Website Building AbouttheOrganization
Disposition Fund Date 6/15/2004 Grantbudget 1/25/2005 Grantbudget 1/24/2006 Grantbudget
1/24/2006 Grantbudget 6/24/2008 Grantbudget 4/2/2009 CEO Discretionary 7/28/2009 1/25/2011 Grantbudget
OrganizationType:Education Background: ThemissionandgoalsoftheCoachellaValleyHealthCollaborativewereestablishedin2006"toprovide ameaningfulforumforindividuals,agencies,andorganizationstoimprovehealthandwellbeingofEast RiversideCountyresidents."Thecollaborativeproduceda2006serviceprovidersurveyandthenfell intoaperiodofinactivityasHARCwasformedtoconductthefirstcompletehealthneedsassessment. ThecollaborativehasbeenreformedundertheumbrellaofthePalmDesertCampusofCaliforniaState University,SanBernardino. Thepurposestatementwasfurtherdevelopedatthattime.ThepurposeoftheCollaborativeis:

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Toencouragearegionalfocusforaddressinghealthrelatedproblemsinthecommunitydefinedas RiversideCounty Topromoteanintergenerationalprocessinthenatureofsolutionscreated Tofocuscollaborativeeffortsonsolvingcriticalhealthissueswithincreasedaccess Tofocusattentionandsolutionsonincreasingthehealthservicesinfrastructureofthecommunity (increasedcapacity) Toprovideaplatform/frameworkforbringingtogetherlocalcommunitybasedgroups,government agencies,serviceprovidersandinterestedcommunity ThefirstprojectundertakenbytherevitalizedcollaborativewashungerintheCoachellaValley.As reportedtotheHealthcareDistricttwogoalswereestablished: Goals:1)TomounttheHungerSummit 2)Toanalyzedata,prepare,anddistributethestrategicplantoimplementLevinsonreport Progress/Accomplishments:1)OnSeptember18,2009,thecollaborativeheldtheSummitonHunger andFoodInsecurity.Some75individualsfromthroughouttheCoachellaValleymetatthePalmDesert Campusforpresentationsandbreakoutfocusgroupsessions.2)Thecollaborativeusedtheinformation sharedatthesummittodevelopastrategicplantoaddresstheissueofhungerandfoodinsecurityin theCoachellaValley.Thesummitproceedingsandstrategicplanwereprintedanddistributedto attendees,media,anddecisionmakersintheValley.

Proposal

TypeofRequest: StrategicPlanLink: Programoperations\Sustainingprogram GOAL#1:PromotehealthybehaviorsthroughoutDistrict\1.3Improvehealthof Districtresidents PhysicalFitnessChallenge
ProjectTitle: TotalProjectCost: $37,000 RequestedfromDHCD:$37,000 LengthofProject: 9months StartDate: 4/1/2011 EndDate: 12/30/2011 ProjectDescription: 1.SincethecollaborativehasbeenlocatedatthePalmDesertCampusweinitiallytookontwohealth areascriticalfortheCoachellaValley:hungerandphysicalfitness.Intheareaofhunger,wehosteda communityeventoncampuscalled"CoachellaValley'sHealthyMenuforChange."Theeventincludeda panelofspeakersaswellasfocusgroups.Intheareaofphysicalfitness,weconductedaValleywide HealthyLivingChallengetoraiseawarenessofphysicalfitnessandbetternutritionchoicesin communitiesandorganizations.Thatactivityreacheditsconclusionfortheyearwithanaward ceremonythathonoredsuccessstories. 2.Tocontinuethesupportofphysicalfitness,thecollaborativesubmittedagrantproposaltotheDesert HealthcareDistrictforfundstosupportaninteractivewebsitewhichwillpermitindividualstotracktheir progressonlineandchallengeothersonline.Thewebsitewastoincludethefollowingfeatures: Walkingandactivitytrackingandchallenges(trackingofactivityinrealtimewithmessageboards andecards)

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WeightLossModule(challenges,motivationalcharts,BMIcalculator,tips) NutritionandBehavioralChallengesusingpointandclicktechnology Healthtips(weeklyhealthtipsforvisitorstothesite) BasedontheDistrict'sinitialgrant,wecontractedforthewebsiteandheldthekickupbreakfaston February2,2011atEisenhowerMedicalCenter.AfterapresentationbyDr.MaureenP.Strohmwe demonstratedthewebsitetothesome70peopleinattendance. Responsetothewebsitehasbeenevengreaterthanexpected.Todatethereare334usersandsome 106challengeshavebeensetupforschools,businesses,andnonprofits.Alreadytherehavebeensome 1614logins. WearenowaskingtheDistricttofundtheoperatingcostsfortheChallengethroughtheendofthe year. Thespecificchallengeand/oropportunitytobeaddressed: 1.TheUniversitysubmittedabidonbehalfofthecollaborativeforRiversideCountyPreventionand EarlyIntervention:CommunityCapacityBuilding(MHARC069)contracttoaddresstheissuesof preventionandearlyinterventioninmentalhealthfortheCoachellaValley.Itwashopedthatifthatbid wassuccessfulitwouldprovidesomeoftheoperatingexpensesfortheCollaborative.Thatbidwas submittedonNovember3andstillhasnotbeenawarded.Itisnowconsideredunlikelythatitwillbe awardedtotheCollaborative.TheCollaborativenowhasnooperatingfundstoconducttheHealthy LivingChallenge. 2.AllthefundsrequestedinthisproposalareforoperatingexpensestoconductthePhysicalFitness challengethroughthiscalendaryear. Coreknowhowasitpertainstothisrequest: TheCollaborativehasfunctionedsuccessfullyasacollaborativeundertheleadershipofGaryJeandron. HehasbeenabletoinvolvenonprofitgroupsaswellascommunityleadersintheCollaborative'sefforts. HeissupportedbyUniversitypersonnelandresources.Specificallyallpublicrelationshavebeeninkind contributionsfromtheUniversity.TheUniversityhasbeenquitesuccessfulinpromotingthe Collaborative'sefforts. Finally,theUniversityprovidestechnologysupport,officeandmeetingroomspace,telephoneand computer,andfinancialmanagement. PastAchievementsastheyrelatetothisrequest: SincethecollaborativehasbeenlocatedatthePalmDesertCampuswehaveadirectorwithextensive communitycontactsandasupportingstaffpersonwithexpertiseincommunityhealtheducation.We initiallytookontwohealthareascriticalfortheCoachellaValley:hungerandphysicalfitness.Lastyear wesuccessfullycompletedaValleywideSummitonHungeranddevelopedastrategicplan.These activitiesalongwithothersintheValleyhelpedraiseawarenessofthisissue.Thecollaborativehas passedmuchoftheimplementationontoFIND.WealsoconductedaValleywideHealthyLiving Challengetoraiseawarenessofphysicalfitnessandbetternutritionchoicesincommunitiesand organizations.Thatactivityreacheditsconclusionfortheyearwithanawardceremonythathonored successstoriesandtheCityofLaQuintaforbeinganadvocateforhealthyliving.Bothcollaborative activitiesreceivedextensivepressandmediacoveragewhichtheUniversityhasbeenabletonurtureon behalfofthecollaborative.

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Whatotherorganizationshaveimprovedtheircapacityinthismanner? TheCoachellaValleyHealthCollaborativehasbeenworkingwithHEALnetsincetheinceptionofthe website.HEALnetleadershiphasparticipatedintheearlyformationmeetingsregardingthewebsiteand overallHealthyLivingChallenge.HEALnetmembersarealsoregisteredontheChallengewebsiteand completingachallenge. TheCVHCandtheHealthyLivingChallengesupportsHEALnet'sobjectiveofreducingchildhoodobesity. Currently,thereissignificantparticipationfromthePalmSpringsUnifiedandDesertSandsUnified SchoolDistricts. FutureProgramSustainability: TheCollaborativewillcontinuetoseekoutothersourcesoffundingforthePhysicalFitnessChallenge. Mostrecently,wereceiveda$4,000grantfromRegionalAccessFoundationforbridgefundingfor salariesandbenefitsandanyotherexpensesdirectlyrelatedtocompletingproposalstotheCountyof RiversideandtheDesertHealthcareDistrict.

ResultsandApproach:

(WhatwilltheDistrictgetforitsinvestment?) CapacityAdescriptionofcurrentcapacityandhowthisproject/programwillimprovecurrentcapacity: InadditiontoinkindcontributionsfromtheUniversity,theCollaborativehasadirectorsupportedbyan assistantwhenfundingpermits.TheCollaborativehasnofundstocontinuethePhysicalFitness challengetoitsconclusion.ThisgrantwouldstafftheCollaborativeatitscurrentleveljustforthe purposeofcompletingthePhysicalFitnesschallenge. Thespecificbenefitsand/ortangibleeffectstobeachieved: FortunatelythecomputerbasedwebsiteforthePhysicalFitnesschallengeisfullyoperationalandisin widespreaduse.Thewebsitepermitsustomonitornotonlythenumberofparticipantsbuttheir reportedactivitiesandsuccess.Asthechallengehasonlystarted,wecanonlyreporttheinitial participants.Todatethereare334usersandsome106challengeshavebeensetupforschools, businesses,andnonprofits.Alreadytherehavebeensome1614logins. TheHealthyLivingChallengewebsitewillprovidedatatotheDesertHealthCareDistrictwithself reportsgeneratedbythecomputerprogram.Thedatacanbeorganizedinthefollowingmanner: Loginactivity Numberofparticipants Numberofgroupsandnumberofparticipantspergroup Numberofchallengesgeneratedandprogressofeachchallenge Userprofiles Milestonestobereachedthroughoutprogram/project: TheCVHChasagoalofatleast500membersparticipatinginatleastoneHealthyLivingChallengewhich endsonJuly31,2011. ThereisagoalofhostinganotherHealthyLivingChallengeluncheonacknowledgingthesuccessesof businesses,schools,nonprofitsandotherorganizationsbyOctober15,2011.

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CostImplicationsifthereareincreasedcostsassociatedwiththisproject/program,howtheyaretobe covered: Noincreasedcostsareanticipated. Organizationalchangerequiredtosuccessfullyimplementtheproject/program: Nochangestotheorganizationareanticipated.

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Line Item Budget - Sheet 1 Operational Costs
Approved budgets are the basis for reporting all grant expenditures. Line items may not be added or changed without grant amendment. Prior authorization is required for transfering funds (<10%) between existing line items. Describe budget narrative in cell B38. You may insert rows or create additional worksheets if more space is needed to fully describe your budget.

PROGRAM OPERATIONS

Total Labor Costs Equipment (itemize)

Total Program Budget

Funds from Other Sources Detail on

sheet 3

Amount Requested from DHCD

Detail on sheet 2

Supplies (itemize)
Trophies for awards ceremony Catering for awards ceremony

750 1750

Printing/Duplication - Invitations to awards ceremony Mailing/Postage/Delivery Travel Education/Training Facilities(Detail) Office/Rent/Mortgage Meeting Room Rental Telephone Utilities Insurance Maintenance/Janitorial Other Facility costs (itemize)
Other Program Costs not described above (itemize)

Projectoverhead(10%)

37000 0

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LaborcostsSalariesforProjectDirector,GaryJeandon,andAdministrativeAssistant,MicheleCirone Collier.Suppliesincludeengravedtrophiestobegivenouttotopchallengeparticipantsatawards ceremonyandcatering,whichincludesfood,beverageandservice,forawardsceremony.Facilitiesinclude airconditioning,janitorial,heating,lighting,parking,security,minorofficesupplies,utilities,restrooms, wateraswellasfaxandinternetforProjectDirectorandAdministrativeAssistant.OtherProgramCosts includeprojectoverheadof10%,whichincludesfinancemanagementandauditingfees.

Budget Narrative

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Line Item Budget Sheet 2 - Labor Costs

Staff Salaries

Employee Position/Title Admin Assistant for CVHC
% of Time Allocated to Annual Salary Program N/A 100%
Actual Program Salary 2493
Amount of Salary Paid by DHCD Grant 2493
Enter this amount in Section 1, Employee Salaries Budget Narrative
AdministrativeAssistant,MicheleCironeColliermonitorsCVHealthCollaborativewebsite, generatesreports,maintainscontactwithchallengeparticipantsonaregularbasis

The etIective date of this Amendment shall be April 27, 2010. "District": "Housing Authority":

By________________

Lenny Pepper, CEO

By__________________

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Timeline August 1,2005 Desert Healthcare District (DHCD) and Riverside County Housing Authority enter into a Purchase Agreement - $1 million of sale proceeds from SunriseNista Chino property for acquisition of property in Desert Hot Springs to provide a location for a family medical care facility (no later than June 30, 2010). 2006 Riverside County Department of Public Health prepares the architectural program for a new Desert Hot Springs facility, sized at 11,000 sq. ft. including the WIC Program (Women, Infants, and Children), family care center with 8 exam rooms and work stations for other public health programs. March 13,2007 Riverside County Board of Supervisors approved the Notice of Intent to Purchase 14.08 acres at the northeast quadrant of Palm Drive and Park Lane in Desert Hot Springs for $7.2 million The new Family Medical Care Facility will occupy 2.5 acres of the site. Associated cost of this portion of the site would be $1.25 million. September 25,2008 Email from Dan Martinez, Deputy County Executive Officer, Riverside County, after review of the purchase agreement between the District and the Housing Authority, had requested the $1 million from the District, and District responses back that the matter was to be referred to the District's Finance and Administration Committee for discussion and review October 14, 2008/December 9,2008 Finance & Administration Committee meeting minutes October 14th: "Dan Martinez, Deputy County Executive Office for Riverside County, sent a letter of request for the District to pay the county $1 million for a land purchase made in Desert Hot Springs for a county clinic. Mr. Martinez stated in his request that he believes the terms of an existing contract regarding this purchase have been met." Action/Followup: "Staff to contact Dan Martinez to request he attend the November F&A Committee meeting to discuss options." December 9th; "Mr. Martinez reported that the Family Clinic project in Desert Hot Springs is underway. He stated Riverside County has fulfilled the terms of the contracted agreement with the District. This contract states the District (working with the County) will purchase land in Desert Hot Springs for a County Family Clinic, in the amount of $ 1million. Chairman Matthews expressed concern regarding the current economic situation and questioned if this project would be affected; and if so, he believes it is in the District's best interest to continue to reserve the $1 million until final funding for the Clinic has been secured. Mr. Martinez understood the concern and was agreeable to waiting for the funds until June." Action/Followup: "Committee recommended that Mr. Martinez return in June 2009 for an update on the status of the funding for the Clinic once the County Board of Supervisors has set their budget for FY0910."