1000 North Alameda Street, Suite 240, Los Angeles, CA 90012 tel 213.346.3200 fax 213.808.1009 www.CommunityPartners.org

Paul Vandeventer President & CEO

Board of Directors

Executive Committee Chair Steven J. Cobb California Community Foundation Treasurer Kate Anderson Director, Center for Strategic Public-Private Partnerships in Los Angeles County Secretary Helen B. Kim Thompson Coburn LLP Immediate Past Chair Eladio Correa Ameriprise Financial, Inc. Directors Maria Aguilar, MD LA County Dept. of Mental Health Northeast Wellness Center Bonnie Boswell PBS SoCal Andrea Capachietti Int’l Humanitarian Aid Consultant Gary E. Erickson The Erickson Group Ange-Marie Hancock, PhD University of Southern California Irwin J. Jaeger New Phoenix Management Company Christopher P. Kearley Ernst & Young LLP Ann Reiss Lane Women Against Gun Violence Steve Meier Pfaffinger Foundation

Ethan Lipsig Steven A. Nissen NBCUniversal Perry Parks Strategy Consultant Joy Picus Los Angeles City Councilmember (Served 1977 – 1993) Albert R. Rodriguez 1951-2009 Founding Board Chair

August 2, 2016 Karen Milman Health Officer Department of Health Services Sonoma County 490 Mendocino Ave., Suite 205 Santa Rosa, CA 95401 Re: Final Grant Agreement for Signature Dear Ms. Milman, This letter confirms that Community Partners has approved a $250,000.00 grant to Sonoma County Department of Health Services, to support your participation in the California Accountable Communities for Health Initiative (“CACHI”). Through CACHI, we are eager to pilot and provide support for the implementation of a model system that links health care systems, providers and health plans to public health, community and social services organizations serving diverse communities across California. Grounded in an innovative vision to reform the health care system so that it is more responsive to people’s needs and environments, this model system would set a precedent and pave the way for developing health care systems that are more expansive, connected, and prevention oriented.

Attached is the final grant agreement establishing terms and conditions of the grant award. Please be sure to review and sign this final agreement and return one signed copy to Community Partners at the address listed below. Community Partners Attention: Megan Foronda 1000 N. Alameda Street, Suite 240 Los Angeles, California 90012 Once the agreement is countersigned, we will return a fully-executed copy of the agreement to you for your records. Grant payment will be sent via electronic transfer to your organization’s bank account as per the information on your completed Electronic Payment Form. We look forward to a long, rewarding relationship with your organization, and we are proud to partner with you in this groundbreaking work that is integral to improving the overall health, wellness and quality of life of all communities. Sincerely,

Paul Vandeventer President & CEO

GRANT AGREEMENT FOR

CALIFORNIA ACCOUNTABLE COMMUNITIES FOR HEALTH INITIATIVE

Grantee: Sonoma County Department of Health Services

Grant #: 783 - 01 - 005

Grant Amount: $250,000.00

Grant Period: September 1, 2016 – August 31, 2017

1. Grant Purpose: The California Accountable Communities for Health Initiative was designed to assess thefeasibility, effectiveness and potential value of a more expansive, connected and prevention-oriented healthsystem. Grants will support first year activities associated with implementing definitional elements of anAccountable Community for Health (ACH), as described in the RFP, to enable the ACH to fully implement theportfolio of interventions in the second and third years of the initiative.

Grantee agrees to:

a. Support activities to achieve the Objectives (attached as Appendix 1) and the Year 1 Milestones(specified in the RFP). These activities will be described in the Workplan, which shall be submittedto Community Partners.

b. Provide regular updates to CACHI program staff through monthly calls.

c. Participate in the evaluation of CACHI.

d. Participate in convenings, webinars and other learning community and technical assistanceactivities associated with the initiative.

e. Share CACHI’s experiences and findings with public and private stakeholders in California andacross the country.

2. Payments: Community Partners will issue payment to Grantee upon receipt of a signed copy of thisagreement.

3. Use of Funds: Grantee shall spend the grant funds only for the purposes described above, and inaccordance with the approved budget, attached as Appendix 2. Any significant changes in the purpose forwhich funds are spent or in the budget or grant period must be approved in writing by Community Partnersbefore funds are spent.

4. Prohibited Activities: The Grantee shall not use grant funds in any way that is out of compliance with allapplicable federal and state statutes and laws.

5. Reporting: By March 15, 2017, Grantee shall submit a progress report in the form and fashion provided byCommunity Partners describing progress against the Workplan and milestones set out in the RFP. BySeptember 30, 2017, Grantee shall submit a final narrative and financial report in the form and fashion

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provided by Community Partners describing the progress made in accomplishing the purpose of the grant and how the grant funds have been spent.

6. Records, Audits, Site Visits: Grantee shall be responsible for maintaining adequate financial records of this grant program. Community Partners, or a designated representative, reserves the right, upon written notice, to audit Grantee’s books and records relating to the expenditure of any funds provided by Community Partners through this agreement.

7. Communications/Promotional Materials: All proposed Grantee external communication specifically related to the ACH shall be submitted first to Community Partners for review and approval. External communications and announcements shall clearly identify Community Partners, The California Endowment, Blue Shield of California Foundation, Kaiser Foundation Health Plan, Inc. and other funding members of CACHI as a funder or supporter of Grantee in all published material relating to the subject matter of the grant.

8. Status: Grantee represents it is currently, and shall remain during the period funded, a non-profit public benefit corporation exempt from federal income taxes under sections 501(c)(3) and 509(a)(1), (2) or (3) of the Internal Revenue Code or a local, state or federal government agency eligible to receive charitable contributions.

9. Terrorist Activity: Grantee agrees that it will use the grant funds in compliance with all applicable anti-terrorists financing and asset control laws, regulations, rules, and executive orders.

10. Indemnification: Grantee irrevocably and unconditionally agrees, to the fullest extent permitted by law, to defend, indemnify, and hold harmless Community Partners, its officers, directors, employees, and agents, and the funders of CACHI, their officers, directors, employees, and agents, from and against any and all claims, liabilities, losses and expenses arising from or in connection with any act or omission of Grantee, its employees, or agents, in accepting the purpose(s) of the grant, except to the extent that such claims, liabilities, losses or expenses arise from or in connection with any act or omission of Community Partners or the funders of CACHI, their officers, directors, employees, or agents.

11. Remedies: If Community Partners determines, in its sole discretion, that Grantee has substantially violated or failed to carry out any provision of this Agreement, Community Partners may refuse to make any further grant payments to Grantee under this or any other grant agreement, and Community Partners may demand the return of all or part of the grant funds not properly spent or committed to third parties, which Grantee shall immediately repay to Community Partners. Community Partners may also avail itself of any other remedies available by law.

12. No Agency. Grantee is solely responsible for all activities supported by the grant funds, the content of any product created with the grant funds, and the manner in which such products may be disseminated. This agreement shall not create any agency relationship, partnership, or joint venture between the parties, and Grantee shall make no such representation to anyone.

13. Future Funding: This award is made with the understanding that Community Partners has no obligation to provide other or additional support for this project, nor does the award represent any commitment to future support from Community Partners for this or any other project of the Grantee.

14. Entire Agreement. This agreement constitutes the entire agreement of the parties with respect to its subject matter and supersedes any and all prior written or oral agreements or understandings with respect to the subject matter hereof. This agreement may not be amended or modified except in writing signed by both parties.

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If this agreement correctly sets forth your understanding and acceptance of the arrangements made regarding this grant, please countersign and return to Community Partner.

Grantee Signature Print Name and Title Date

Paul Vandeventer, President and CEO, Community Partners

Grantor Signature Print Name Date

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APPENDIX 1 Objectives

Objective 1: Develop and implement the infrastructure and governance of the ACH

o Activity 1.1: Establish formal ACH Collaborative and Leadership Team

o Activity 1.2 Establish formal ACH Community Advisory Group

o Activity 1.3: Membership assessment and plan drafted and implemented to reach desired sector

representation

o Activity 1.4: Hire ACH Coordinator

o Activity 1.5: Create Evaluation Plan

o Activity 1.6: Advance efforts related to data capacity and data sharing

Objective 2: Develop a financing and sustainability plan for the ACH

o Activity 2.1: Codify governance structure and guiding principles of Health Action’s Sustainable

Financing Portfolio which will include a specific ACH CVD pooled fund

o Activity 2.2: Cost savings valuation analysis of ACH CVD Outcomes & Sustainability Plan; identify

methodology

o Activity 2.3: Develop planning process to implement capture and reinvestment of cost savings and

benefit

Objective 3: Develop and implement a comprehensive plan for pilot project that includes a portfolio of

intervention to address the selected health issue

o Activity 3.1: Collect and assess community, clinical, systems, policy and environmental gaps and

assets around CVD

o Activity 3.2 Develop community engagement plan for pilot area

o Activity 3.3: Standardize educational efforts and information around CVD prevention

o Activity 3.4: Create referral and tracking system to link clinical and community efforts in pilot area

o Activity 3.5 Work with ACH partner agencies from healthcare to prepare and implement clinical

interventions

o Activity 3.6: Confirm ongoing political and organizational buy-in from Health Action, CHI, and other

leadership entities and groups

Budget Contact Name & Phone: Brian Vaughn, Director, Health Policy, Planning and Evaluation Division, 707-565-6610

Funding Request

from CACHI

Other Funding

Sources

In Kind

Support

Total Annual

Budget

CACHI Requested Funding Projected 250,000$ 250,000$

DHS in-kind staff contributions to ACH-related work Committed 130,203$ 130,584$

ACH Collaborative member in-kind staff contributions to ACH-related

work Committed 124,238$ 124,238$

Kaiser Permanente's South Santa Rosa HEAL Zones Project Committed 250,000$ 250,000$

CDPH California Tobacco Control Program Committed 45,000$ 45,000$

Estimated income for ACH-related activities by ACH Collaborative

member agencies (eg. policy advocacy, outreach, data collection and

analysis, fiscal analysis, legal and data agreement development) Committed 201,105$ 201,105$

Estimated program and intervention income for CVD work by ACH

Collaborative member agencies in GSRA Committed 1,792,000$ 1,792,000$

250,000$ 2,288,105$ 254,441$ 2,792,546$

86,572$ 86,572$

0.10 Health Officer 22,438$ 22,438$

0.10 Health Policy, Planning and Evaluation Division Director 13,858$ 13,858$

21,611$ 21,611$

10,456$ 10,456$

0.25 Program Planning and Evaluation Analyst 22,607$ 22,607$

0.05 Privacy and Security Analyst 4,166$ 4,166$

Biostatistician 3,502$ 3,502$

Estimated staff participation in ACH-related meetings (eg. Health

Action, CHI, HSC, ACH, etc.) from ACH Collaborative member agencies 94,120$ 94,120$

86,572$ -$ 192,758$ 279,330$

27,703$ -$ 61,683$ 89,386$

114,275$ -$ 254,441$ 368,716$

30,000$ 30,000$

Travel: Fall Convening, Affinity Groups 3,125$ 3,125$

10,000$ 10,000$

Evaluation support: ACH evaluation planning 5,000$ 5,000$

55,000$ 55,000$

Kaiser Permanente's South Santa Rosa HEAL Zones Project 250,000$ 250,000$

CDPH California Tobacco Control Program 45,000$ 45,000$

201,105$ 201,105$

1,792,000$ 1,792,000$

103,125$ 2,288,105$ -$ 2,391,230$

217,400$ 2,288,105$ 254,441$ 2,759,946$

32,600$ -$ 32,600$

250,000$ 2,288,105$ 254,441$ 2,792,546$

-$ -$ -$ -$

*Maximum of 32% of total personnel costs

**Maximum of 15% of total expenses

BALANCE

(Total Revenues - Total Expenses)

Estimated program and intervention expenses for CVD work by ACH Collaborative member

agencies

Total Non-Personnel/Other Expenses

TOTAL EXPENSES (excluding Indirect/Overhead)

INDIRECT/OVERHEAD EXPENSE

(_15_% of Expenses)**

TOTAL EXPENSES

(Personnel + Non-Personnel/Other + Indirect Costs)

Total Personnel

NON-PERSONNEL/OTHER EXPENSES

Data Consultant: data systems, data sharing, referral systems

Legal Consultant: governance, data sharing and financing agreements

Community Support Allocations: community engagement, resident focus groups, community-

clinical linkages

Estimated expenses for ACH-related activities by ACH Collaborative member agencies (eg. policy

advocacy, outreach, data collection and analysis, fiscal analysis, legal and data agreement

development)

0.25 Program Planning and Evaluation Analyst

0.10 Health Program Manager

Subtotal Personnel

Benefits (__32_% of Personnel)*

PROJECT BUDGET

INCOME

TOTAL INCOME

PERSONNEL EXPENSES

(List positions)

1.0 Health Program Manager: ACH Coordinator

APPENDIX 2 Approved Budget

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