From: Elise Jones, Director of Behavioral Health Services
Subject: Approve Amendment No. 1 to the Agreement Between the County of Lake and Ever Well Health Systems, LLC for Fiscal Year 2025-2026 for an Amount no-to-exceed $225,000.00 and Authorize the Chair of the Board to Sign
Executive Summary:
The County of Lake entered into an agreement with Ever Well Health Systems, LLC effective July 1, 2025, for the provision of behavioral health related services for Fiscal Year 2025-2026, with an original contract maximum of $100,000.00. Amendment No. 1 increases the total compensation payable under the agreement by $125,000.00, resulting in a revised contract maximum of $225,000.00, and amends Section 3 (Compensation) to reflect this change.
Since implementation of the agreement, utilization of services provided by the Contractor has exceeded initial projections, resulting in the need for additional funding to ensure continuity of services through the remainder of the fiscal year. During FY 2025-2026, the Contractor experienced a significant increase in placements following the emergency closure of Clover Valley Guest Home and Manzanita Guest Home by California State Licensing on May 13, 2026. As a result, multiple Lake County behavioral health clients required immediate relocation and placement into Contractor-operated facilities.
Current placements include six clients at Enclave at the Delta, two clients at Delta at Portside, one client at Delta at Holly Oaks, and one client at Delta at Sherwood, for a current total of ten clients served across Contractor facilities. Of these placements, nine admissions during FY 2025-2026 were directly related to the emergency relocation event. Over the past three fiscal years, Contractor-operated facilities have served a total of thirteen unique Lake County clients, including individuals with complex behavioral health and medical needs requiring specialized placement options and extended lengths of stay.
Behavioral Health staff continue to review ongoing placement appropriateness, medical necessity and treatment needs, discharge readiness, and opportunities to transition clients to lower levels of care when clinically appropriate and feasible.
Historical invoiced amounts for services provided by the Contractor are as follows:
• FY 2023-2024: $103,870.00
• FY 2024-2025: $70,810.00
• FY 2025-2026: $96,872.00 invoiced to date
These expenditures reflect increased utilization and emergency placement needs experienced during the current fiscal year.
The Contractor will continue to provide services in accordance with Exhibit A (Scope of Services), and payment will continue to be made in accordance with Exhibit B (Fiscal Provisions), contingent upon the Contractor not being in default under the agreement.
The agreement remains subject to any restrictions, limitations, or conditions imposed by County, state, or federal funding sources and is contingent upon the availability of sufficient funding. Funding for these services is provided through Behavioral Health program revenues and Realignment funding sources. No portion of this contract is Medi-Cal reimbursable, and there is no additional County General Fund contribution, local match requirement, or Intergovernmental Transfer (IGT) exposure associated with this agreement.
Except as specifically amended, all other terms and conditions of the original agreement remain unchanged and in full force and effect. This amendment ensures continuity of critical behavioral health services, maintains placement stability for vulnerable behavioral health clients displaced by emergency facility closures, and supports the increased service demand experienced within the County.