DATE: June 16, 2026
TO: Board of Supervisors
SUBMITTED BY: Susan L. Holt, Director, Department of Behavioral Health
SUBJECT: Amendments to Various Full-Service Partnership Agreements
RECOMMENDED ACTION(S):
TITLE
1. Approve and authorize the Chairman to execute Amendment No. 3 to Agreement No. 25-616 with Turning Point of Central California, Inc. effective July 1, 2026 with no change to the term of July 1, 2023 through June 30, 2027 and increasing the maximum compensation by $140,000 to a total of $29,195,243; and
2. Approve and authorize the Chairman to execute Amendment No. 1 to Agreement No. 25-380 with Mental Health Systems, Inc. effective July 1, 2026 with no change to the term of August 5, 2025 through June 30, 2030 and increasing the maximum compensation by $2,776,124 to a total of $32,131,247; and
3. Approve and authorize the Chairman to execute Amendment No. 1 to Agreement No. 25-413 with Mental Health Systems, Inc. effective July 1, 2026 with no change to the term of August 19, 2025 through June 30, 2030 and increasing the maximum compensation by $27,326,291 to a total of $50,306,859; and
4. Approve and authorize the Chairman to execute Amendment No. 1 to Agreement No. 25-381 with Central Star Behavioral Health, Inc. effective July 1, 2026 with no change to the term of August 5, 2025 through June 30, 2030 and decreasing the maximum compensation by $10,389,720 to a total of $34,170,854; and
5. Approve and authorize the Chairman to execute Amendment No. 2 to Agreement No. 25-412 with The Fresno Center effective July 1, 2026 with no change to the term of August 19, 2025 through June 30, 2030 and decreasing the maximum compensation by $7,718,522 to a total of $21,190,758; and
6. Approve and authorize the Chairman to execute Amendment No. 1 to Agreement No. 25-414 with Turning Point of Central California, Inc., effective July 1, 2026 with no change to the term of August 19, 2025 through June 30, 2030 and decreasing the maximum compensation by $11,825,6...
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