CIRCLE THE CITY_SRPMIC_APPLICATION.PDF

1** Circle the City
HEALING HOMELESSNESS. TOGETHER.
Board Chair
Ronda Fisk, JD
Board Vice Chair Gary Bohnee
Thomas Freeze Office of Congressional and Legislative Affairs
Board Treasurer c/o 12% Gaming Grant Program
Roy Pringle Salt River Pima-Maricopa Indian Community
Board Secretary 10005 East Osborn Road
Joan Lowell, MS, MPA Scottsdale, AZ 85256
Board of Directors
Thomas J. Betlach Dear Mr. Bohnee:
Marc Dinowitz, MD
Colleen Edwards
Linda Hunt Circle the City welcomes this opportunity to submit a 2019/20 grant
Marion K. Kelly
Marc Leib, MD, JD proposal to the Salt River Pima-Maricopa Indian Community. We
Susan Levine appreciate that you have provided us additional time to submit our
Michelle McCarthy
Lori McClelland application.
Nate Nathan
Amy Pfeifer
Grace Rebling Circle the City is most appreciative of the past generosity of the
Sandra Smith Community toward the patients receiving care in our Medical Respite
Sister Kathy Stein, CSJ
Care Program. This year we ask that the Community once again assist
our patients in the program. Our second medical respite care center
Chief Executive Officer opened in August of 2018 in response to ongoing and increasing need for
Linda M. Ross, MBA, MPM medical respite care services. Circle the City's program remains the only
Founder & Board Member medical respite care program in the State of Arizona.
Sister Adele O'Sullivan, CSJ, MD
We appreciate the Community's thoughtful consideration of the attached
proposal.
Sincerely,
Lisa Kaiser
Grant Writer
Administrative Office
300 W. Clarendon Avenue
Suite 200
Phoenix, AZ 85013
623.900.2203
Please consider leaving a gift
to Circle the City in your will.

SALT RIVER PIMA-MARICOPA
INDIAN COMMUNITY
10005 E. Osborn Road, Scottsdale, Arizona 85256 / Phone 480-362-7520 / Fax 480-362-7593
12% Gaming Grant Program Application
Calendar Year 2020
About the Grant Program Application:
The Salt River Pima-Maricopa Indian Community 12% Gaming Grant Program ("Program") application
will serve to provide a comprehensive review of the programming requests for Arizona cities, towns,
counties, non-municipal public service organizations, and non-profit organizations selected to apply for
grant funding. It is not the intent of the Program to award grants that would benefit individuals, be used
as sponsorships, be used for religious activities, primarily fund the indirect or administrative costs of a
program/organization, or be used for the direct benefit of the Salt River Pima Maricopa Indian
Community.
Date of Application: September 6, 2019
Organization Name: Circle the City
Organization/Municipal Government Mailing Address:
Circle the City: 300 W. Clarendon Ave., Suite 200, Phoenix, AZ 85013
Maricopa County: 301 W. Jefferson Street, Phoenix, AZ 85003
Organization History:
Founded by Sister Adele O'Sullivan, CSJ, MD, in 2008, Circle the City's (CTC) mission is to create and
deliver innovative healthcare solutions that compassionately address the needs of men, women and
children facing homelessness. CTC has created a homeless-specific continuum of care, consisting of
primary healthcare, mobile medical outreach, medical respite care and wrap-around services that
address patients' social needs, including obtaining identification, insurance, transportation, and income
enrollment.
In 2012, CTC launched the state's first and only Medical Respite Center for homeless men and women in
need of ongoing medical care for recovery after discharge from a hospital. The central Phoenix Medical

Respite Care Center is 16,000 square feet and provides 50 medical respite beds. In order to meet the
increasing and ongoing demand for patients in need of respite care, CTC has acquired a 13,000 square
foot building on the Human Services Campus that has been renovated into an additional 50-bed medical
respite center. It opened for patient care in August 2018. CTC now provides 100 medical respite beds in
the Phoenix metro area.
Collectively, through all our programs, CTC expects to serve approximately 10,000 individuals in
FY2019/20.
Organization Structure:
Key Staff Members:
• Linda Ross, Chief Executive Officer
• Heidi Ward, Chief Operations Officer
• John Andrews, Chief Financial Officer
• Melissa Sandoval, Chief Medical Officer
Board of Directors: Please see attached list
Do any conflicts of interest within the organization structure? No
Contact Person:
Name: Lisa Kaiser
Title: Grant Writer
Address: 300 W. Clarendon Ave., Suite 200, Phoenix, AZ 85013
Phone: 602/357-4257
Fax: 602/705/0567
Email Address: Ikaiser@circlethecity.org
Project Name: Medical Respite Care Program
Provide a brief description of the project being submitted to the 12% SRPMIC Grant program. In the
description provide a summary of the relevant experience, administrative activity, and program
development related to the grant request.
The target population for CTC's medical respite care program are persons experiencing
homelessness who have been living on the streets with acute conditions or who are in need of
ongoing medical care for recovery after discharge from a hospital.

A typical client served by CTC is homeless, has multiple medical issues, and is either without income
or has very limited income.
CTC expects to provide recuperative, short-term residential medical respite services to approximately
900 women and men during FY2019/20 between the two sites of service (central Phoenix and the
Phoenix Human Services Campus). Respite patients meet daily with providers to ensure that their
medical needs are addressed, including chronic disease management and maintenance of geriatric
conditions such as cognitive impairment and frailty. Along with primary health supports, additional
on-site services include: pain management; medication management; psychiatric evaluation and
treatment; substance abuse intervention; physical therapy; occupational therapy. Patients also work
closely and regularly with case managers to apply for necessary documentation (identity, income,);
benefits including income and insurance; and housing. These measures are taken to ensure that
patients are successfully discharged to safe living environments.
CTC operates Arizona's only medical respite center for homeless adults. Prior to the first respite
center opening in October 2012, Phoenix was the largest city in the country without a homeless-
focused medical respite center CTC's Medical Respite Center has quickly become one of the nation's
leading models for holistic, integrated homeless healthcare.
Since launching, the Respite Center has cared for more than 2,500 patients.
CTC Medical Respite Centers offer patients experiencing homelessness, regardless of their ability to pay,
an opportunity to heal in an environment of respect and dignity as they journey toward healthy,
independent living.
As a provider of medical services, CTC is reimbursed for the care it offers—through salary support for
medical professionals from the federal Health Resources and Services Administration and via
reimbursement from the Arizona's Medicaid program, AHCCCS (for enrolled patients). CTC's medical
respite care program is residential and so functions as a shelter for our patients. For the residential
aspects of the program, CTC receives no government support or reimbursement. The shelter aspects of
the program includes, but is not limited to, providing patients with food, clothing, beds, linens, laundry,
janitorial services.
CTC seeks $50,000 in grant funding to support the shelter aspects of the Medical Respite Care Program
Medical respite care is an integral part of the continuum of care for people who are homeless. It is an
essential response to a gap in care: it provides needed medical care for persons too frail or ill to recover
from physical illness or injury while living on the street, but who are not ill enough to be in a hospital.
In addition, CTC's medical respite care program is vital to our patients and to our community because:
• It provides patients a safe place to rest, a clean place to recover, nutritious food, clean water,
secure storage for medications, and the overall ability to comply with hospital discharge
instructions, and access to supportive services that assist in completing recovery
• Emergency shelters do not have the capacity to provide the medical care necessary for patient
recovery
• Respite care improves quality of life. Many patients arrive with multiple, severe and complex
health needs, as well as psychosocial needs. Some of these needs emerge only after a patient is

admitted to respite care. Respite care helps patients identify and meet needs they may not
otherwise be prepared or able to address.
• Respite care facilitates active participation by patients in the process of their recuperation and
discharge planning
• Respite care helps prevent unnecessary and costly emergency room utilization and hospital
admissions. CTC works closely with Dignity Health (St. Joseph's Hospital and Medical Center,
Chandler Regional Hospital and Gilbert Mercy Hospital) and with HonorHealth's John C. Lincoln
Hospital emergency room physicians, nurses and social workers to assist homeless patients with
accessing respite medical care, as appropriate—thereby diverting these patients from using the
emergency room for non-emergent issues and avoiding costly hospital re-admissions due to lack
of resources to aid in recovery.
• CTC works closely with Hospice of the Valley to provide for the needs of patients facing
homelessness at the end of life. Beds at our medical respite care centers are set aside for
patients at the end of life. Hospice of the Valley assists CTC in providing palliative care for our
patients.
• CTC provides the only medical respite care services in the State of Arizona. It duplicates no
other such service, as there is no other such service in Arizona.
What percentage of the grant request are Direct Costs of the programming and Indirect Costs,
respectively?
100% of the requested grant funding will go to the Direct Costs of providing shelter for our patients.
Define the Project Category and/or relevant sub-category:
(i.e. Education, Public Safety, Transportation, Economic Development, Health Care, Social Services, or
Cultural and Environment)
The Project Category for the proposed project is Health Care, with the sub-category being Social
Services.
Beginning Date of Project: End Date of Project:
October 2012 The Medical Respite Care Program is an ongoing program
Geographic Area to be served:
Maricopa County
Detailed Budget: Please see attached budget for the Medical Respite Care Program
Amount of Total Project: Amount of 12% Request:
$8,635,580 $50,000

lithe amount of funding received is less than the amount needed for the project, do you have other
funds to complete the project? (Please Explain):
Yes, Circle the City does have other funds to support the Medical Respite Care Program. Following
major legislative changes in 2014, CTC's business strategy shifted to a revenue model that leverages
the resources of the Arizona Health Care Cost Containment System (AHCCCS), Arizona's Medicaid
program. The Medical Respite Care Program, in particular, is increasing its level of independent
stability with roughly 76% of its operating expenses financed by operating income. In CTC's new
earned income-centric environment, the organization effectively matches every dollar granted or
donated to CTC with an additional $2-$3 worth of health services, ensuring that each philanthropic
dollar is leveraged as fully as possible. Additionally, CTC participates in Arizona's tax credit program
for non-profits serving the poor. CTC holds three annual fundraisers: a spring Garden Tea Party; a
Community Breakfast in May; and a fall Top Golf event, with proceeds from all three events
benefitting patient programs. And CTC actively seeks grant funding from corporations and private
foundations.
If you receive SRPMIC 12 % funding, will it be spent (Check One):
/Monthly
Quarterly
Lump Sum
List any SRPMIC 12% funds you have received in the past. If the organization has received funding
through the SRPMIC 12% Gaming Grant Program for five consecutive years, they will be required
to submit a comprehensive report of grant funding toward the stated program objectives and
providers. HRSA has also provided grant funding toward the purchase of mobile medical units that
mission of the organization. In addition, you will be asked to provide a formal presentation to the
12% Gaming Grant Committee prior to the awarding of any additional funding.
Circle the City received $50,000 in SRPMIC 12% funds in 2017, and $50,000 in 2018.
List any other 12 % grant funds your organization may be seeking from other Tribal Governments
in 2019-2020.
Circle the City is seeking $10,000 from Fort McDowell Yavapai Nation; and is also seeking $10,000
from the Tohono O'odham Nation.
List any other funds you have received from the Salt River Pima-Maricopa Indian Community
(Enterprises Included) and identify the amount and the source:
N/A

Has your organization ever applied for and received any local, state or federal grants? If so, please
detail.
As a Federally Qualified Health Center, Circle the City receives grant funding from the federal Health
Resources and Services Administration (HRSA). This funding supports the salaries of our medical we
use in Mesa, Tempe, central and north Phoenix.
Circle the City is also the recipient of federal Emergency Services Grant (ESG) funding. These grant
funds pass through the cities of Mesa and Tempe. Circle the City uses any such grant funding to
support the operation of our mobile medical units in Mesa and Tempe.
Funding for project/programs may be based on available funding. As such, if funding were not
available for the full the amount of request how would you prioritize funding.
1. Direct program costs for patients
2. Occupancy costs
3. Medical supplies and equipment
Which municipal governmental entity will serve as your pass through agency to accept 12%
gaming grant on your behalf?
Maricopa County
By execution of the 12% Gaming Contribution Grant Application the undersigned agrees that the
information contained in the Application is true to the best of the Applicants knowledge. The
Applicant shall notify the SRPMIC if any information in this Application changes.
Signature of the Applicant Date
Name and Title
The Application shall be signed by the senior elected official of the local government, or in the
case of a non-profit entity, the Chief Executive Officer authorizes to commit the non-profit entity
to apply for, accept, and implement an award from the SRPMIC utilizing 12% Gaming
Contributions.

Circle the City Board of Directors
Name Last Name Title Affiliation
Thomas Betlach Director Partner - Spiere Healthcare Strategies
Marc Dinowitz Director OrthoArizona - Surgeon
Colleen Edwards Director Principal - Cove Communities
Ronda Fisk (Judge) Chair Maricopa County Superior Court Judge
Thomas Freeze Vice Chair Retired - Private Citizen
Linda Hunt Director Senior VP of Operations - Dignity Health
Marion Kelly Director Mayo Clinic - Public Affairs
Marc Leib, MD, JD Director Consultant
Susan Levine Director Retired - Former CEO of Hospice of the Valley
Joan Lowell Secretary Retired - Private Citizen
Michele McCarthy Director Realtor - Russ Lyon Sotheby's International Realty
Lori McClelland Director Community Volunteer
Nate Nathan Director Principal - Nathan and Associates
Sister Adele O'Sullivan Director Sisters of St. Joseph of Carondelet - LA Province
Amy Pfeifer Director Executive Director - Boys Hope Girls Hope
Roy Pringle Treasurer Chief Operating Officer - Vita lyst Health
Grace Rebling Director Attorney - Osborn Maledon
Sandra Smith Director Community Volunteer
Sister Kathy Stein Director Sisters of St. Joseph of Carondelet - LA Province

CIRCLE THE CITY
Operating Budget
Medical Respite Care Program
For the year ending June 30, 2020
Income
Revenue - Operations $ 6,553,900
Revenue - Other 24,000
Total Income $ 6,577,900
Expenses
Salaries & Benefit Expenses $ 5,333,000
Direct Patient & Program Expenses 635,160
Transportation Expenses 91,200
Occupancy Expenses 1,174,800
Professional Service and Other Expenses 431,820
Depreciation 369,600
Administrative Allocation 600,000
Total Expenses 8,635,580
Increase/(Decrease) in Net Assets $ (2,057,680)
This financial information is being provided for the express purpose of evaluating our grant application.