26P-2467 - WINNEBAGO COUNTY JAIL - BEHAVIORAL HEALTH SERVICES CONSTRACT - REVISED

WINNEBAGO COUNTY. ILLINOIS

This Agreement, effective as of the date of the last signature hereto, entered into by and between the County
of Winnebago, located in the State of Illinois, on behalf of the Winnebago County Sheriff's Office
(hercinafter referred to as "County"), and Freedom Behavioral Health, Inc. (hercinafter referred to as
"FREEDOM"), a Tennessee corporation.

DEFINITIONS

COUNTY PATIENTS - Patients booked into the custody of the county and presently incarcerated in the
facility, but not to include non-county patients. Non-County patients are not eligible for referral to
community aftercare services. "Eligibility for Services is limited to residents of Winnebago County.
Provider will maintain admission criterion for the Services that aligns with the applicable administrative
Rules as required and outlined by the Illinois Department of Human Services ("IDHS"). Admission
criteria shall be applied fairly and equally to al/applicants without regard to ability to pay, race, gender,
color, creed, national origin, disability, other protected class, or as otherwise required by law. If evidence
has been found discrimination was used against an applicant, WCCMHB shall terminate this Agreement
immediately by providing written notice to Provider."

ARTICLE 1;
EREEDOM
Ll ELECTIVE CARE. FREEDOM will not pay for elective care for patients.

1.2 LABOR. Incarcerated patients will not be employed or otherwise utilized by Freedom.

13 MENTAL HEALTH FIRST AID (MHFA) TRAINING. Mental Health First Aid is an 8-hour
course that teaches you how to identify, understand and respond to signs of mental illnesses and
substance use disorders. The training gives you the skills you need to reach out and provide initial
help and support to someone who may be developing a mental health or substance use problem or
experiencing a crisis. FREEDOM provides MHFA training free to your officers.

14 OFFICER WELLNESS & CRITICAL INCIDENT EMPLOYEE RAPID RESPONSE (CIERR).
The CIERR program is a free staff support service. This program helps to support law enforcement
(field and facility), first responders, and health care professionals and mitigate stress reactions in
both personal and professional capacities. Contact with CIERR can be initiated by the professional
in need of services or Freedom Behavioral Health, Inc. can initiate contact with notification from
leadership within the department that the individual would benefit from the services. Unless there
are safety concerns, the contacts are treated as confidential.

5 OTHER SERVICES AND EXPENSES. FREEDOM may not provide and will not pay for any
services, supplies and/or equipment which are not specifically contained in this agreement.

1.6 PHARMACEUTICALS. Grant money will pay for pharmaccuticals. FREEDOM will not pay for
pharmaceuticals. It is the policy of FREEDOM to provide our health care professionals the freedom
to provide care without limitation by prescription formulary, corporate approval for expensive
medication, etc. Each situation should be addressed on a case-by-case basis. FREEDOM does not
have standing orders. FREEDOM does not have a formulary,

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DISCHARGE PLANNING- MEDICATION, Prescribing decisions are made on a patient- specific,
case-by-case basis by the prescriber. As a general rule, FREEDOM's prescriber will (1) call in a
prescription to a local pharmacy for the patient to pick up, (2) discharge the patient with an
appropriate amount of medication so the patient may bridge to a community provider (generally,
no more than 14 days), or (3) decide not to prescribe medication (as appropriate), The County will
pay for all discharge medication.

STAFFING.

1.8.1

MEAL BREAKS. It is understood and agreed that during unpaid meal break(s),
FREEDOM employees are (1) allowed to leave their duty post and (2) completely relieved
from all duties. If the facility requires - FREEDOM employees to be "on call" during meal
break(s) so that they may respond to an emergency, then the FREEDOM employee is
considered to be "on duty" and the meal break(s) will be taken immediately following the
event.

Advanced Psychiatric NURSE PRACTITIONER. FREEDOM will provide an on-site
advanced psychiatric nurse practitioner for 40 hours per week on a schedule approved by
the county. The advanced psychiatric nurse practitioner will stay until their work is
completed. The county agrees to pay, on a monthly basis, for extra hours worked (at the
prevailing wage and benefit rate of the particular employee). For hours of absence due to
holidays, paid time off, or sick time, the hours will not be replaced or credited (because the
employee is still being paid for the time off). For other absence FREEDOM endeavors to
provide replacement coverage, and if it is unable to do so, FREEDOM and the county or
designee will negotiate a mutually agreeable remedy (such as crediting back the wages of
the particular employee). A prescriber will be available by telephone to the facility and
medical staff on an on-call basis, 7 days per week, 24 hours per day, 365 days per year. For
scheduled visits that fall on holidays, coverage will be provided by telephone only.

QUALIFIED MENTAL HEALTH PROFESSIONAL (QMHP). FREEDOM will provide
on-site QMHP for 160 hours per week on a schedule approved by the county. FREEDOM
agrees to employ four (4) FTE Behavioral Health Specialists (BHS) with the education and
licensing required in the state of Illinois to be recognized as a mental health or substance
abuse professional, per the agreed upon staffing. The county agrees to pay, on a monthly
basis, for extra hours worked (at the prevailing wage and benefit rate of the particular
employee). For hours of absence due to holidays, paid time off, or sick time, the hours will
not be replaced or credited (because the employee is still being paid for the time off). For
other absences, FREEDOM endeavors to provide replacement coverage, and if it is unable
to do so, FREEDOM and the county or designee will negotiate a mutually agreeable remedy
(such as crediting back the wages of the particular employee).

QMHP (BHS) will work a schedule that ensures coverage for Mental Health assessment
and treatment and Addictions assessment and treatment at Booking, Crisis Response
Services, Case Management, and Discharge Planning. Services will be provided one-on-
one and in-group settings.

ON-CALL QUALIFIED MENTAL HEALTH PROFESSIONAL (QMHP). Upon the
facility's request, FREEDOM will provide a QMHP at the rate of $130-per hour (with a
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2.1

2.2

2.3

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minimum of | hour per visit). Services may be provided in-person or via tele-health (as
mutually agreed upon). QMHP responsiveness will depend upon the amount of notice
given, and the mutually agreed upon schedule.

1.8.6 SUBSTANCE USE DISORDER (SUD) SCREENER. FREEDOM will provide an on-site
substance use disorder screener for 40 hours per week on a schedule approved by the
county. For hours of absence due to holidays, paid time off, or sick time, the hours will not
be replaced or credited (because the employee is still being paid for the time off). For other
absences, FREEDOM endeavors to provide replacement coverage, and if it is unable to do
so, FREEDOM and the county or designee will negotiate a mutually agreeable remedy
(such as crediting back the wages of the particular employee).

1.8.7 TELEHEALTH. When agreed to between the county and FREEDOM, providers may
deliver patient care via telehealth

ARTICLE 2;
THE COUNTY

CO-PAY. The county agrees to the use ofa co-pay system, as permitted by law, for patient medical requests.
The county will be responsible for determining the legality and structure of the co-pay system. Patients will
be seen by the behavioral health care team regardless of their ability to pay.

COUNTY'S POLICIES, PROCEDURES, All policies, and procedures will at all times remain the
property of the county and will remain at the facility. FREEDOM may make recommendations to
the county's health care policies and procedures. Those recommendations are made for the county's
consideration. FREEDOM operates within the county's policies and procedures. It is the policy of
FREEDOM to provide our health care professionals the freedom to provide care without limitation
by prescription formulary, approval process for outside care, etc. The materials referenced in this
section are for gencral information purposes only. That information should be treated as guidelines,
not rules. The information is not intended to establish a standard of health care and is not a substitute
for common sense. The information is not legal advice, is not to be acted on as such, may not be
current, and is subject to change without notice. Each situation should be addressed on a case-by-
case basis. FREEDOM does not have standing orders. FREEDOM does not have a formulary.

DUTY TO PROTECT PATIENTS. The non-delegable duty to protect patients is, and always will
be, vested in the county. This agreement does not result in the assumption of a non-delegable duty
by FREEDOM. As such, the county specifically retains the duty and obligation for security of the
patients. This duty extends to the control of patient movement. FREEDOM and its personnel will
assume some responsibility for the movement of patients.

ELECTRONIC COMMUNICATIONS. The county agrees to provide to FREEDOM copies of any
electronic communications between FREEDOM and FREEDOM?'s workers and independent
contractors in the county's possession (including stored on the county's email servers) as requested
by FREEDOM. The county agrees to treat electronic communications between FREEDOM and its
workers and independent contractors as confidential and agrees not to share those communications
with any third party unless required by law.

2:5)

2.6

2.7

2.8

2.9

3.1

3.2

3.3

MEDICAL AND MENTAL HEALTH RECORDS. Patient medica! and mental health records will
always be the property of the county and will remain in the facility. The county agrees to provide
copies of those records to FREEDOM when requested.

OFFICE EQUIPMENT (DURABLE). The county will provide use of county-owned office
equipment and utilities in place at the facility's health care unit. Typical office equipment expected
would be a locking file (recommended four-drawer), paper punch; staple remover; stapler;
computer; fax machine; copier / printer; and toner. Upon termination of this agreement, the office
equipment will be in good working order, with allowances made for reasonable wear andtear.

OFFICE SUPPLIES (DISPOSABLE). The county will provide disposable office supplies, suchas
medical charts, paper, pens, staples, and Post-It notes which are required for the provision of patient
health care services.

OFFICER TRAINING. The duty to train the officer(s) is and always remains vested in the county.
Upon request of the county, FREEDOM may assist in training for officer(s) on certain topics as
determined by the county. The county is solely responsible for overall operation of the facility. The
county maintains ultimate responsibility for training and supervising its correctional officers,
including but not limited to emergency procedures, ensuring sick calls are passed along to the health
care team, and properly distributing medications (where appropriate).

SECURITY. The county will maintain responsibility for the physical security of the facility and the
continuing security of the patients. The county understands that adequate security services are
necessary for the safety of the agents, workers, and subcontractors of FREEDOM, as well as for
the.security of patients and officer(s), consistent with the correctional setting. The county will
provide security sufficient to enable FREEDOM and its personnel to safely provide the health care
services described in this agreement. The county will screen FREEDOM''s proposed staff to ensure
that they will not constitute a security risk, The county will have final approval of FREEDOM's
workers and independent contractors regarding security/background clearance.

ARTICLE 3:
COMPENSATION/ADJUSTMENTS

ANNUAL AMOUNT/MONTHLY PAYMENTS. The county agrees to pay $963,049.29 per year
to FREEDOM under this agreement. To do so, the county agrees to make monthly payments of
$80,254.11 to FREEDOM during the term of this agreement. FREEDOM will bill the county
approximately thirty 30 days prior to the month in which services are to be rendered.-The County
agrees to pay FREEDOM pursuant to the Local Government Prompt Payment Act, 50 ILCS 505/1
et seq. Timesheets for all funding positions, as well as receipts, must accompany monthly invoices.

ANNUAL AMOUNT UPON RENEWAL. Upon the annual anniversary of the commencement of
services under this Agreement, the annualized amount of increase for compensation and per diem
rates (and any other contracted rates, including the on-call QMHP rate, for example) will be the
rolling 12-month Consumer Price Index (CPI) for Medical Care or 5%, whichever is lower. The
CPI will be listed at: https://www.bls.gov/news.release/cpi.t02.htm and rate will be unadjusted
seasonally.

FUNDING THE FACILITY'S HEALTH CARE PROGRAM. It is ultimately the responsibility of
the county to appropriately fund the facility's health care program. As a result, FREEDOM's health
care program at the facility (staffing, ctc.) is customized and approved by the county.

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QUARTERLY ADJUSTMENTS.

3.4.1

3.4.3

AVERAGE DAILY POPULATION (ADP), ADP for a given quarter will be determined
from the facility census records. For billing purposes, the patient ADP will be 800. Patients
who are not presently incarcerated in the facility (i.e., persons on electronic monitoring or
probation, or who are hospitalized, or in halfway housing or carly release housing) should
not be counted in either ADP reported to FREEDOM by the county. The ADPs reported to
FREEDOM should only include those patients presently incarcerated in the facility.

PER DIEM. When the ADP exceeds or falls below the contracted rate in any calendar
quarter, the compensation variance will be figured on the average number of patients above
or below the contracted ADP for that quarter multiplied by the per diem rate of $0.13 per
patient per day. (Exam ple: If the ADP for a quarter is 10 above the contracted ADP,
additional compensation due will be calculated as follows: 10 x $0,13x91).

ARREARS. Any contract amount in arrears will be settled through reconciliation and
adjusted accordingly. Adjustments will be made to the first monthly invoice prepared after
reconciliation between FREEDOM and the county. Payment of the adjusted amount will
be due, pursuant to the Local Government Prompt Payment Act, 50 ILCS 505/1 et seq.

ARTICLE 4;
TERM AND TERMINATION

TERM. The term of this agreement will begin on January 1, 2023 at 12:01 A.M. and will continue
in full force and effect until December 31, 2026 at 11:59 P.M., unless earlier terminated, extended,
or renewed pursuant to this Agreement. This Agreement will automatically renew for successive 3-
year periods unless either party gives sixty (60) days written notice prior to the end of aterm.

TERMINATION.

4.2.1

4.2.2

TERMINATION FOR LACK OF APPROPRIATIONS. It is understood and agreed that
this agreement will be subject to annual appropriations by the county. If funds are not
appropriated for this agreement, then upon exhaustion of such funding, the county will be
entitled to immediately terminate this agreement. Recognizing that such termination may
entail substantial costs for FREEDOM, the county will act in good faith and make every
effort to give FREEDOM reasonable advance notice of any potential problem with funding
or appropriations. The county agrees to pay for services rendered up to the point of
termination.

60-DAY OUT CLAUSE. Notwithstanding anything to the contrary contained in this
agreement, the county or FREEDOM may, without prejudice to any other rights they may
have, terminate this agreement by giving 60 days' advance written notice to the other party.

ARTICLE 5;
GENERAL TERMS AND CONDITIONS

Sul INDEMNIFICATION. Business Associate must defend, indemnify, keep and hold harmless the
Covered Entity, its officers, representatives, agents and employees from and against any and all
claims, demands, losses, suits, judgments, fines, settlement, attorney's fees and reasonable
expenses, any of all which in any way solely arise out of negligent acts, errors or omissions, or
willful misconduct of the Business Associate, its employees, agents and subcontractors, except to
the extent of the Covered Entity's negligence or willful misconduct, or claims under worker's
compensation.

5.15.11 Covered Entity must defend, indemnify, keep and hold harmless the Business Associate, its
officers, representatives, agents and employees from and against any and all claims, demands, losses,
suits, judgments, fines, settlement, attorney's fees and reasonable expenses, any of all which in any way
solely arise of negligent acts, errors or omissions, or willful misconduct of the Covered Entity, its
employees, agents and subcontractors, except to the extent of the Business Associate's negligence or
willful misconduct, or claims under worker's compensation.

5.2 INSURANCE. FREEDOM will provide certificates of insurance upon request, demonstrating that the
below listed insurance requirements are in force and that the county is named as an additional insured on
FREEDOM'S policies of insurance, as appropriate.

. WORKERS' COMPENSATION AND EMPLOYERS
LIABILITY INSURANCE. For workers' compensation and
employers liability insurance, the minimum acceptable limits
will be the statutory limits as required by the State of Illinois.

. PROFESSIONAL LIABILITY. FREEDOM will obtain and
maintain in good standing professional liability malpractice
insurance covering all medical professionals and ancillary
personnel employed by FREEDOM, with minimum limits of
$1MM each occurrence and $3MM aggregate annually.
Should FREEDOM carry "claims made" insurance,
FREEDOM will maintain insurance coverage to cover claims
made through the statute of limitations.

* COMMERCIAL GENERAL LIABILITY, FREEDOM will
obtain and maintain in good standing commercial general
liability insurance with minimum limits of $1MM_ per
occurrence and $2MM general aggregate premises operations
and $2MM products/completed operations aggregate.

. AUTOMOBILE LIABILITY COVERAGE. FREEDOM will
provide automobile liability coverage with a minimum limit
of $IMM on any owned, hired, or non-owned automobiles,

5.3 ADVICE OF COUNSEL. Each of the parties (a) has had the opportunity to seek counsel, legal or
otherwise, prior to entering into this agreement, (b) is freely entering into this agreement of his/her
or its own volition, and (c) understands and agrees that this agreement will be construed as if drafted
by both parties and not by one party solely.

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5.4

5.5

5.6

3.7

5.8

5.9

ASSIGNMENT. FREEDOM may not assign this agreement or any rights hereunder in whole or in
part. Subject to the foregoing, this agreement will inure to the benefit of and be binding upon each
of the heirs, permitted assigns, and successors of the respective parties. Any assignment in violation
of this section will be null and void.

AUTHORITY. The persons signing below represent that they have the right and authority to
execute this agreement for their respective entities and no further approvals are necessary to create
a binding agreement.

COMPLIANCE WITH FEDERAL, STATE AND LOCAL LAWS. The county and FREEDOM
agree that no party will require performance of any FREEDOM or county employee, agent or
independent contractor that would violate federal, state and/or local laws, ordinances, rules and/or
regulations. If the county clects not to follow any federal, state, or local law, the parties agree the
county will be responsible for all costs associated with noncompliance. 'The county will be
responsible for any additional services required at the facility as the result of governmental
(including, but not limited to, Centers for Disease Control and Prevention, Department of Justice,
health department, Immigration and Customs Enforcement, Department of Corrections, Federal
Bureau of Prisons, or United States Marshals Service) investigation, mandate, memorandum, or
order. Should FREEDOM be asked to provide substantial new treatment, the county will pay for it,
unless specifically agreed upon in writing between FREEDOM and the county.

COUNTERPARTS; HEADINGS. This agreement may be executed in counterparts, each of which
will be an original and all of which will constitute one agreement. The headings contained in this
agreement are for reference purposes only and will not affect in any way the meaning or
interpretation of this agreement. The term "patient" includes incarcerated detainees and inmates.

ENTIRE AGREEMENT; AMENDMENT. 'his agreement represents the entire understanding of
the parties with respect to the subject matter hereof, supersedes and cancels all prior agreements,
understandings, arrangements, or representations between the parties with respect to such subject
matter, and may only be amended by written agreement of both parties. The parties agree that their
performances hereunder do not obligate either party to enter into any further agreement or business
arrangement.

EQUAL EMPLOYMENT OPPORTUNITY. It is the policy of FREEDOM to provide equal
employment opportunities to all workers and applicants for employment without regard to race,
color, religion, sex, national origin, disability, age, or genetics. This policy applies to all terms and
conditions of employment including, but not limited to, recruitment, hiring, placement, promotion,
termination, layoff, recall, transfer, leaves of absence, benefit plans, all forms of compensation, and
training.

EXCUSED PERFORMANCE. In case performance of any terms or parts hereof will be delayed or
prevented because of compliance with any law, decree, or order of any governmental agency or
authority of local, state, or federal governments or because of riots, public disturbances, strikes,
lockouts, differences with workers, fires, floods, Acts of God, pandemics, or any other reason
whatsoever which is not within the control of the parties whose performance is interfered with and
which, by the exercise of reasonable diligence, said party is unable to prevent, the party so suffering
may at its option, suspend, without liability, the performance of its obligations hereunder during
the period such cause continues.

FILMING. FREEDOM does not consent to the filming of its workers for any commercial purpose
including, but not limited to, documentaries, docuserics (including, but not limited to, "60 Days
In"), etcetera. If the facility and/or county decide to engage in such a project, they agree to notify
FREEDOM 's legal department at least 90 days prior to filming, at 309-692-8100; facsimile: 309-

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5.19

214-9977; or email: Contracts@advancedch.com. FREEDOM reserves the right to terminate the
agreement prior to the beginning of the filming of such a project. FREEDOM will have no
obligation under this agreement to maintain insurance coverage against any loss or damage caused
or necessitated by the filming of such a project. The county agrees to hold harmless and indemnify
FREEDOM and its workers against any loss or damage, including reasonable attorneys' fees and
other costs of litigation, caused or necessitated by the filming of such a project.

FURTHER ACTS. The parties agree to perform any further acts and execute and deliver any further
documents that may be reasonably necessary to carry out the provisions of this agreement.

GOVERNING LAW. This agreement will be governed by the laws of the State of Illinois (without
reference to conflicts of laws principles).

INDEPENDENT CONTRACTORS, FREEDOM may engage certain health care professionals as
independent contractors rather than workers. The county understands and acknowledges that some
physicians, advanced practice providers, nurses, mental health workers, consultants, specialists, and
other allied health professionals practicing with FREEDOM ("health care team members") are not
workers or associates of FREEDOM; and that FREEDOM is not responsible for their opinions or
decisions.

INTERGOVERNMENTAL AGREEMENTS (IGAs) (PIGGY BACK). FREEDOM agrees to allow
the county to authorize other government agencies to purchase the proposed items by issuance of a
purchase order at the same terms and conditions as this agreement, and to make payments directly to
FREEDOM during the period of time that this agreement is in effect.

NO GRANT OF RIGHTS. Each of the parties understands and agrees that no grant or license of a
party's rights in any patent, trademark, trade secret, copyright and/or other intetlectual property
right is made hereby, expressly or by implication

NO RELATIONSHIP OR AUTHORITY. The parties agree that FREEDOM will at all times be an
independent contractor in the performance of the services hereunder, and that nothing in this
agreement will be construed as or have the effect of constituting any relationship of
employer/employee, partnership, or joint venture between the county and FREEDOM. FREEDOM
does not have the power or authority to bind the county or to assume or create any obligation or
responsibility on the county's behalf or in the county's name, except as otherwise explicitly detailed
in this agreement, and FREEDOM will not represent to any person or entity that FREEDOM has
such power or authority. FREEDOM will not act as an agent nor will FREEDOM be deemed to be
an employee of the county for the purposes of any employee benefit program.

NOTICE. Any notice required or permitted to be given hereunder will be in writing and delivered
to the respective addresses in this section or such other addresses as may be designated in writing
by the applicable party from time to time and will be deemed to have been given when sent. To the
county: Winnebago County Justice Center, 650 W. State St., Rockford, IL 61102. To FREEDOM:
Freedom Behavioral Health, Inc., Attn: Legal, 720 Cool Springs Blvd., Suite 100, Franklin, TN
37067; facsimile: 309.214.9977; email: Contracts@advancedch.com.

OTHER CONTRACTS AND THIRD PARTY BENEFICIARIES. The parties acknowledge that
FREEDOM is not bound by or aware of any other existing contracts to which the county is a party
and which relate to the provision of behavioral health care to patients at the facility. The parties agree
that they have not entered into this agreement for the benefit of any third person(s) and it is their
express intention that this agreement is intended to be for thcir respective benefits only and not for
the benefits of others who might otherwise be deemed to constitute third party beneficiaries thereof.

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5.20

5.23

SEVERABILITY. If any provision of this agreement, or any portion thereof, is found to be invalid,
unlawful, or unenforceable to any extent, such provision will be enforced to the maximum extent
permissible so as to effect the intent of the parties, and the remainder of this agreement will continue
unaffected in full force and effect. The parties will negotiate in good faith an enforceable substitute
provision for such invalid provision that most nearly achieves the same intent and economic effect.

TRAINING MATERIAL. Information in any training material should be treated as guidelines, not
rules. The information presented is not intended to establish a standard of health care and is not a
substitute for common sense. The information presented is not legal advice, is not to be acted on as
such, may not be current, and is subject to change without notice. Each situation should be
addressed on a case-by-case basis.

WAIVER. Any waiver of the provisions of this agreement or of a party's rights or remedies under
this agreement must be in writing to be effective. Failure, neglect, or delay by a party to enforce the
provisions hereof or its rights or remedies at any time, will not be construed as a waiver of such
party's rights or remedies hereunder and will not in any way affect the validity of this agreement or
prejudice such party's right to take subsequent action.

PREA. Prison Rape Elimination Act of 2003. FREEDOM will comply with PREA, applicable
PREA standards, and the Facility's policies related to PREA for preventing, detecting, monitoring,
investigating, and cradicating any form of sexual abuse within the facility. FREEDOM
acknowledges that there is specialized "Confinement Setting" training that their staff will need to
complete to comply with the PREA standards. This training includes but not limited to PREA 201
for Medical and Mental Health Practitioners, PREA: Medical Health Care for Sexual Assault
Victims in a Confinement setting, PREA: Your Role Responding to Sexual Abuse. FREEDOM will
forward a copy of all PREA related training certificates, annual refresher, etc. to the PREA
Coordinator for verification/tracking of completed training, FREEDOM acknowledges that, in
addition to self- monitoring, the facility may conduct announced or unannounced monitoring to
include on-site monitoring.

IN WITNESS WHEREOF, the partics hereto have hereunto set their hands and seals the date and year
written below.

FREEDOM BEHAVIORAL HEALTH, INC.

AU ir AS Cab Dan 2G, re cenr-nonrm

1/13/23

Melissa S. Caldwell, PhD, CCHP-MH/A Date
President

innebago County Board Chairman

Date | 2a) a A2-

[12 [2022
Date,

Please complete and return via email to Contracts@advancedch.com.

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FIRST AMENDMENT TO THE AGREEMENT FOR THE PROVISION OF
BEHAVIORAL HEALTH CARE TO INCARCERATED PATIENTS
WINNEBAGO COUNTY, ILLINOIS

The agreement between the county and FREEDOM is amended as follows, effective 3/1/2023 at
12:01 A.M.

Section 1.8.3 is hereby amended as follows:

1.8.3 QUALIFIED MENTAL HEALTH PROFESSIONAL (QMHP). FREEDOM will provide on-site
QMHP for 120 hours per week (includes a 40 hour per week (QMHP) Site Mental
Health Manager) on a schedule approved by the county. FREEDOM agrees to employ
three (3) FTE Behavioral Health Specialists (BHS) with the education and licensing
required in the state of Illinois to be recognized as a mental health or substance
abuse professional, per the agreed upon staffing. The county agrees to pay, on a
monthly basis, for extra hours worked (at the prevailing wage and benefit rate of the
particular worker). For hours of absence due to holidays, paid time off, or sick time, the
hours will not be replaced or credited (because the worker is still being paid for the time
off). For other absences, FREEDOM endeavors to provide replacement coverage, and if
it is unable to do so, FREEDOM and the county or designee will negotiate a mutually
agreeable remedy (such as crediting back the wages of the particular worker).

Section 1.8.6 is hereby amended as follows:

1.8.6 ADDICTION PROFESSIONAL. This professional helps reduce substance use and the
negative effects associated with use by screening for substance use, identifying risk
factors, engaging in prevention efforts, and developing strategies _to manage
behavior. FREEDOM will provide one (1) on-site addiction professional for 40 hours
per week on a schedule approved by the county. The county agrees to pay, on a
monthly basis, for extra hours worked (at the prevailing wage and benefit rate of the
particular worker). For hours of absence due to holidays, paid time off, or sick time, the
hours will not be replaced or credited (because the worker is still being paid for the
time off). For other absences, FREEDOM endeavors to provide replacement
coverage, and if it is unable to do so, FREEDOM and the county or designee will
negotiate a mutually agreeable remedy (such as crediting back the wages of the
particular worker),

Section 1.8.8 is hereby added to the agreement as follows:

1.8.8 DISCHARGE PLANNER. This professional assists with re-entry and release planning, such
as patient education and connection to community resources. FREEDOM will provide
one (1) on-site discharge planner for 40 hours per week on a schedule approved by the
county. The county agrees to pay, on a monthly basis, for extra hours worked (at the
prevailing wage and benefit rate of the particular worker). For hours of absence due to
holidays, paid time off, or sick time, the hours will not be replaced or credited (because
the worker is still being paid for the time off). For other absences, FREEDOM
endeavors to provide replacement coverage, and if it is unable to do so, FREEDOM and
the county or designee will negotiate a mutually agreeable remedy (such as crediting
back the wages of the particular worker),

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