SRP 2018 APPLICATION_CIRCLE THE CITY_ASSIST WITH OPERATING AND CAPITAL BUDGET FOR A NEW DOWNTOWN MEDICAL RESPITE CARE PROG.PDF

SALT RIVER PIMA-MARICOPA INDIAN COMMUNITY
10005 E. Osborn Road, Scottsdale, Arizona 85256 / Phone 480-362-7520 /
12% Gaming Contributions Application
Date of Application:
Organization Name: Circle the City
Contact Person: Lisa Kaiser
Email Address: Ikaiser@circlethecity.org
Phone: 602/357-4257
Organization Mailing Address: 300 W. Clarendon Ave, Suite 200, Phoenix, AZ 85013
Project Name: Expanded Medical Respite Care for Homeless Persons in Maricopa County
Grant Award Request: $50,000
Please provide a brief description of the project being submitted to the 12% SRPMIC Grant
program.
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 is expanding its medical respite care program for medically vulnerable patients who
are homeless by renovating a 15,000square foot building on the Human Services Campus
in downtown Phoenix. The new medical respite care center will have 50 beds. The current
medical respite care site in central Phoenix also has 50 beds and a 30 to 50 patient waiting
list at any given time—as the need for medical respite beds is constant and ongoing. The
new site on the Human Services Campus will bring the number of medical respite beds
for medically vulnerable persons who are homeless to a total of 100 and will ease the
waiting list. CTC's Medical Respite Center has quickly become one of the nation's
leading models for holistic, integrated healthcare for patients who are homeless. Respite
patients will meet daily with compassionate physicians and nurses 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, occupational therapy,
and physical therapy. Patients will also work closely and regularly with case managers to
apply for necessary documentation (identity, income,); benefits including income, health
insurance; and housing. These measures are taken to ensure that patients are successfully
discharged to safe living environments. In fact, of CTC's patients who have completed
their medical plans of care, 78% have been placed into housing.

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.
Beginning Date of Project: August 2018 End Date of Project: Ongoing
Geographic Area to be served: Maricopa County
Please attach budget on how funds will be allocated. Please see attached budget.
Total Amount for Project: $4,366,217 Amount of 12% Request: $50,000
(No Multi-Year Request will be accepted)
If the amount of funding received is less than the amount needed for the project, do you have
other funds to complete the project? (Please Explain):
Circle the City is asking the Salt River Pima-Maricopa Indian Community for $50,000—
which is less than FY 2018/19 operating and capital budget for the new downtown Medical
Respite Care program and facility. The attached operating budget does state some
revenue. Circle the City also depends on the generosity of private donors and grants from
corporations, foundations and governments (federal, state, local and tribal). The new
Medical Respite Center will become operational in early August 2018. We are committed
to meeting the needs of medically vulnerable homeless individuals who have been living on
the streets with acute conditions or who need additional care and time to recover after
being discharged from a hospital.
If you receive SRPMIC 12 % funding, will it be spent (Check One):
X Monthly
o Quarterly
11 Lump Sum
List of any SRPMIC 12% funds you have received in the past. N/A

List any other 12 %Tribal Grant funds your organization may be seeking from other Tribal
Governments in 2018-2019.
Circle the City has a funding request pending with 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
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 Expenses, Medical Supplies, Occupancy Costs
2. Salaries, Wages, Benefits for Healthcare Professionals, Social Workers and Other
Associated Staff
3. Capital Expenses (including, but not limited to, medical equipment)
Which municipal governmental entity will serve as your pass through or accept 12% funds 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 for the Applicant Date
gi20-1L,C*)3)...) • eKccuriLle- C-Vcicece..
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
DMRC - Downtown Medical Respite Center (210 S 12th Avenue)
FY2019 Operating Budget
FY2019
Income
Revenue - Operations 1,922,220
Expense
Salaries & Benefit Expenses 2,193,270
Direct Patient & Program Expenses 359,040
Occupancy Expenses 454,800
Professional Services and Other Expenses 173,730
Depreciation 120,377
Administration Allocation 300,000
Total Expense 3,601,217
Net Income/(Loss) (1,678,997)

Circle the City
DMRC - Downtown Medical Respite Center (210 S 12th Avenue)
Capital Budget
CTC Medical
Respite -
Downtown Campus
210S. 12th Ave.
Architectural and Engineering Fees 35,600
Tenant Improvements
General Conditions 95,000
Site Preparation & Demo 16,000
Concrete 2,400
Woods and Plastics 25,000
Doors and Windows 35,000
Finishes 135,000
Specialties 90,000
Mechanitcal & Plumbing 62,000
Electrical 23,000
Contingencies 46,000
Total Tenant Improvements 529,400
Furniture 55,000
Kitchen Equpment 60,000
Medical Equipment 85,000
Total Capital Budget 765,000
Total Capital Budget for both DFHC and DMRC is $1.5M