Consent-General Government # 19.
Board of Supervisors
County Administrator
- Meeting Date:
- 08/26/2025
- Brief Title
- Seventh Amendment to Adult Day Health Center Agreement
From:
Michael Webb, County Administrator, County Administrator's Office
Staff Contact:
Yen Nguyen, Associate Management Analyst, County Administrator's Office, x5776
Supervisorial District Impact:
Countywide
Subject
Approve and authorize the County Administrative Officer to sign a seventh amendment to Agreement No. 09-151 with Dignity Health to extend their operation of the Yolo Adult Day Health Center through June 30, 2026. (No general fund impact) (Webb)
Recommended Action
Approve and authorize the County Administrative Officer to sign a seventh amendment to Agreement No. 09-151 with Dignity Health to extend their operation of the Yolo Adult Day Health Center through June 30, 2026 (Attachment A).
Strategic Plan Goal(s)
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Thriving Residents |
Reason for Recommended Action/Background
In May 2016, the Board approved an amendment (Agreement No. 16-75) to the contract with Dignity Health to continue the operation of the Yolo County Adult Day Health Center (ADHC) for an additional year ending June 30, 2017, which was extended through June 30, 2018.
In June 2018, the Board approved a second amendment (Agreement No. 18-101) to the contract with Dignity Health to continue their operation of the ADHC for an additional year ending June 30, 2019, which was then extended through June 30, 2020.
In June 2020, the Board approved a third amendment (Agreement No. 09-151) to the contract with Dignity Health to continue their operation of the ADHC for an additional year ending on June 30, 2021, with the option to extend an additional year which was then extended to June 30, 2022. The contract provided that the County would share in the cost of operating losses for the ADHC up to a maximum of $150,000 per year. The contract was subsequently amended in June 2022 to extend the agreement through June 30, 2023, with a share of cost maximum for the County not to exceed $75,000.
In July 2023, the Board approved a fifth amendment (Agreement No. 23-178) to the contract with Dignity Health to continue their operation of the ADHC for an additional year ending on June 30, 2024.
In June 2024, the Board approved a sixth amendment to the contract with Dignity Health to continue their operation of the ADHC for an additional year ending on June 30, 2025.
County staff continues to work with Dignity to secure an expanded facility that would allow sufficient participation for the ADHC to maintain a balanced budget without any County funds. Since that effort is still underway, this seventh and final contract amendment has been prepared for the Board of Supervisors' approval. The seventh amendment extends the contract for one fiscal year ending June 30, 2026.
In June 2018, the Board approved a second amendment (Agreement No. 18-101) to the contract with Dignity Health to continue their operation of the ADHC for an additional year ending June 30, 2019, which was then extended through June 30, 2020.
In June 2020, the Board approved a third amendment (Agreement No. 09-151) to the contract with Dignity Health to continue their operation of the ADHC for an additional year ending on June 30, 2021, with the option to extend an additional year which was then extended to June 30, 2022. The contract provided that the County would share in the cost of operating losses for the ADHC up to a maximum of $150,000 per year. The contract was subsequently amended in June 2022 to extend the agreement through June 30, 2023, with a share of cost maximum for the County not to exceed $75,000.
In July 2023, the Board approved a fifth amendment (Agreement No. 23-178) to the contract with Dignity Health to continue their operation of the ADHC for an additional year ending on June 30, 2024.
In June 2024, the Board approved a sixth amendment to the contract with Dignity Health to continue their operation of the ADHC for an additional year ending on June 30, 2025.
County staff continues to work with Dignity to secure an expanded facility that would allow sufficient participation for the ADHC to maintain a balanced budget without any County funds. Since that effort is still underway, this seventh and final contract amendment has been prepared for the Board of Supervisors' approval. The seventh amendment extends the contract for one fiscal year ending June 30, 2026.
Collaborations (including Board advisory groups and external partner agencies)
Dignity Health
County Counsel
County Counsel
Fiscal Impact
Fiscal impact (see budgetary detail below)
Fiscal Impact (Expenditure)
- Total cost of recommended action:
- $ 75,000
- Amount budgeted for expenditure:
- $ 0
- Additional expenditure authority needed:
- $ 0
- On-going commitment (annual cost):
- $ 75,000
Source of Funds for this Expenditure
- General Fund
- $75,000
Further explanation as needed:
Under this contract amendment, the County and Dignity Health would equally share in documented program operating losses with the amount payable by the County not to exceed $75,000 for a given fiscal year. This funding was inadvertently omitted from the Recommended Budget and will be included in the FY 2025-26 Adopted Budget.
Attachments
Form Review
| Inbox | Reviewed By | Date |
|---|---|---|
| Mark Bryan | Mark Bryan | 07/21/2025 10:45 AM |
| Mark Bryan | Mark Bryan | 07/23/2025 09:45 AM |
| Michael Webb | Michael Webb | 08/18/2025 01:45 PM |
| Financial Services | Laura Liddicoet | 08/19/2025 11:51 AM |
| County Counsel | Phil Pogledich | 08/19/2025 12:15 PM |
| Berenice Espitia | Berenice Espitia | 08/21/2025 10:26 AM |
- Form Started By:
- Yen Nguyen
- Started On:
- 07/21/2025 08:53 AM
- Final Approval Date:
- 08/21/2025