Backup Documents 05/27/2025 Item #11A PresentationCollier County Behavioral Health Center Agreements
Recommendation that the Board of County Commissioners review and
consider for approval and execution: 1) a Fourth Amendment to Vacant
Land Contract with David Lawrence Mental Health Center, Inc., to modify
the Collier County Standard Form Long -Term Lease and include an
Operating Agreement exhibit governing Behavioral Health Center
operations; and 2) an Amendment to the Naming Rights Agreement to
clarify use of funds acquired with naming rights.
May 27, 2025
Agenda Item 11.A
Project Team
•* DAVID LAWRENCE -�
Co per CoNnty pL(' FOR CELNTENRS
HAVIORAL
John Dunnuck
Executive Director of Facilities
and Community
Redevelopment Areas
Brian Delony, PE
Director Facilities Management
Claudia Roncoroni,
Project Manager
Scott Burgess, CEO
Nancy Dauphinais, COO
Mary Ann Guerra, CCO
Prime Consultant
Ryan S. Richards, AIA,
LEED AP
Javier Salazar, AIA
Hunton : . •
Healthcare Consultant
Maurizio Maso, AIA
Hernan Rivera, AIA
Alex Jordan, AIA
�w
DEANGELI5 DIAMOND
Construction Manager
Reggie Morgan,
COO, Principal
Eric Brackin, CHIC
Project Executive
John Hagan,
Chief Estimator Healthcare
Brian Winslett
Senior Project Manager
Collier County Mental Health and Addiction Ad Hoc Advisory Committee
(C-3A BLUE ZONES PROJECT'
CPHIRI
NMion I Alliance on Mental Illness
(now under the auspices of the Collier Coalition for Healthy Minds)
t� ccPs �
WARRIOR
HWMES
* DAVID LAWRENCE
p �C C EFOR EN �T EHR�S
�c HUNGER&
HOMELESS
aOALIToON
NCH
j 1%L GREATER
• E• NAPLES
~' CHAMBER
C� LEE HEALTH
Caring People, Inspiring Health.
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9l healthcare
Ed 0 network
COLLIER
COMMUNITY
FOUNDATION"
1CMS1
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• •:; ::
THE
HOUSING
ALLIANCE
NAPLES
SENIOR
CENTER
�5l sT.
MATTHEW'S
HOUSE'
Project Location
Project is located off Golden
Gate Pkwy., east of David
Lawrence Center and
Corpus Christi Chapel
(Diocese of Venice in
Florida).
A
1�
Project Site
Church
L
Golden Gate Parkway
Existing David
Lawrence
Center Complex
Collier County Behavioral Health Center- Rendering - Exteriors
North & West Elevations - Looking Southeast
Contract Timeline - Agreement between Collier County & DLC
May 25, 2021
BCC app, macs
Vacant Land Contract
and Agreement to
Operate & Lease the
Behavioral Health with
David Lawrence
Centers (DLC)
I=
April 23, 2023
BCC apti, mvub
Second Amendment
to Vacant Land
Contract
• Extend by one year the time the
County has to obtain
entitlements and SDP approval
April 12, 2022
BCC approves
First Amendment to Vacant
Land Contract
• Terminate and release the Long -Term Lease and
Operating Agreement and provide that the Lease
be executed after closing of the real property.
• Extend deadline to acquire entitlements and SDP
approval and shift such responsibility to the
County.
December 10,
P411 PZAi
BCC approval of
Naming Rights
May 14, 2024
BCC Approves
third Amendment
to Vacant Land Contract
• Extend by one year the time the
County has to obtain entitlements
and SDP approval; deadline is June
24, 2025.
May 2025
County obtains
any remaining
permits
May 27, 2025
Obtain BCC Approval of
4t" Amendment to Vacant
Land Contract, modify
Long -Term Lease, provide
Exhibit C - CRF Operating
Terms, and amend
Naming Rights Agreement
mmrp'lm
Land closing,
lease back to
DLC and
construction
commencement
•
the Fourth Amendment to Vacant Land
Contract with David Lawrence Mental
Health Center, Inc., to modify the Collier
County Standard Form Long -Term Lease
and include an Operating Agreement exhibit
governing Behavioral Health Center
operations; and,
an Amendment to the
Naming Rights Agreement
to clarify use of funds
acquired with naming
rights.
low
-E —
i'
-7 our
AL
AY
• Replaces the previously approved Lease (originally attached as Exhibit A to the
Vacant Land Contract)
• Name. Clarifies that the Facility will operate as a Central Receiving Facility
to be formally known as the "Behavioral Health Center."
• Default. Addition of a new term related to the Operating Agreement, stating
that failure to comply with the terms of the Operating Agreement shall
constitute a Default by Lessee pursuant to the terms of the Lease, unless
otherwise specified in the Operating Agreement.
• Maintenance. Clarifies that the County shall be responsible for replacement
of building systems at the end of their expected useful life, rather than day-to-
day maintenance.
• Insurance. Adjusts Lessee's insurance requirements upwards pursuant to
requirements set forth by the County's Risk Management Department.
!�i
• Statement of Work. States that the Facility will be used as a
central receiving facility for individuals needing evaluation or
stabilization under the Baker Act, Marchman Act, or other crisis `
services defined in ss. 394.67(18)-(19), F.S.
• Scope of Services. Details the operating hours of the Facility,
number of beds, types of services rendered, and compliance
with certain existing agreements and guidelines.
• Furniture, Fixtures and Equipment. DLC shall be responsible
for the purchase and procurement of all furniture, fixtures and
equipment for the Facility for the duration of the Lease. This
obligation includes any security -video management systems and
cameras, artwork, and medical equipment.
• Licensure and Accreditation. Ensures that required licensure
and accreditation by various agencies are obtained by DLC,
with proof provided to the County within 30 days of receipt.
Further provides that if DLC loses any such licensure or
qualification, DLC must reinstate within 30 days or be in
violation of the Operating Agreement.
0
• Collaboration. Allows for continued collaboration between the Parties,
wherein DLC may present evidence -based alternatives to the standards in
the Operating Agreement every 3 years to account for changes in the `
mental health field. Either party may terminate the Lease if the parties
cannot reach an agreement over operational standards after reasonable
diligence and negotiation.
• Performance Measures and Penalties. Requires that certain performance
measures are met as part of DLC's service delivery, and provides for
certain penalties for noncompliance and nonperformance, which include
submittal of Corrective Action Plan, and scheme for withholding of grant
funds for continued non-performance.
• Funding. States that Collier County is not responsible for operational
funding of the Facility beyond specific state -required local match
obligations. If other governmental or philanthropic funding sources fall
short, DLC may request deficit funding from the County, which the Board
may approve, adjust the level of service, or deny funding. If the Board
declines to make adjustments to the level of service and denies funding,
either party may terminate the Lease.
• Administrative Provisions. Includes various administrative provisions
related to qualified staffing, data sharing, data reporting, incident reports,
records review, safety and security, signage, and compliance with laws.
0
• Termination. Two termination scenarios:
• 1) If after reasonable diligence and good faith negotiation, the Board does
not agree to changes to standards in the Operating Agreement based on
evidence -based findings presented by DLC on a 3 year basis, either party
may terminate the Lease.
• 2) If there is a deficit in funding and the Board declines to make adjustments
to the level of service and denies funding, either party may terminate the
Lease.
• Should the Lease be terminated, DLC will have the ability purchase the
Facility for the greater of fair market value, established by appraisal, or the
tax dollar expenditure by the County for construction of the building, in
which case the County will also convey the land back to DLC. DLC must
make the decision to purchase the Facility within 6 months of receipt of the
Notice of Termination.
• DLC's failure to exercise its option to purchase will result in the County
retaining both the Facility and the land it sits on.
• There is no termination right for failure to meet performance measures.
Instead, DLC will be subject to a penalty scheme for noncompliance, which
consists of Corrective Action Plans and continued monitoring. If continued
noncompliance persists, the Board may withhold certain grant money.
• The Lease does not contain any termination rights outside of standard default
provisions. Failure to comply with the Operating Agreement, outside of what
is otherwise outlined herein, shall be considered a default. Neither party may
seek monetary damages for default under the Operating Agreement.
0A
10
• Includes new terms regarding the use
of naming rights proceeds and
reporting:
• Fund the Facility's furniture, fixtures, and
equipment
• Any excess proceeds generated through naming
rights must be used solely for operational
expenses for the Facility over the term of the
Lease.
• Provide for annual reporting of receipts,
disbursements and the current balance of funds
generated through the naming rights campaign.
• Requirement to maintain complete and accurate
records to support reporting and make the
records available for inspection.
11
Recommendation
This project was included as a Surtax Community Priority. If the Board wishes to
proceed with the construction of this Facility, the following actions are required: 1)
approve and execute a Fourth Amendment to Vacant Land Contract with David
Lawrence Mental Health Center, Inc., to modify the Collier County Standard Form
Long -Term Lease and include an Operating Agreement exhibit governing
Behavioral Health Center operations; and 2) approve and execute an Amendment
to the Naming Rights Agreement to clarify use of funds acquired with naming
rights.
Questions?
Collier County
Behavioral
Health Center
CFPUD I
8, PLANNING
A. One security officer shall always be present within Tracts 43, 50 and/or 66 of the Golden Gate
Parkway Institutional Subdistrict.
B. The County shall build a bus shelter within or adjacent to the Golden Gate Parkway Institutional
5u bdistrict.
C. Applicant shall cause to be constructed a ten -foot wall along the eastern and northern borders
of the Golden Gate Parkway Institutional Subdistrict, subject to the cooperation of the owner of
Tract 59, with an additional 6-foot fence or ten -foot wall on the western Subdistrict boundary.
D. David Lawrence Center shall create a Security Plan with the Collier County .Sheriff's Office that
shall be approved by the Board of County Commissioners. This Security Plan shall also include
best practices regarding security cameras.
E. Transportation shall be offered to every client being discharged and best reasonable efforts
made to ensure clients are brought to an off -site location,
F. David Lawrence Central shall hold monthly open meetings with the neighborhood. The date,
time and location of the meetings shall be posted on the David Lawrence Center website.
PUDZ-PL20220002221 Golden Gate Parkway Institutional District
14
DLC/BHSC Bed
Count Summary
AFTER new Facility is Built
JUN E 2023 VERSION
`
0 45 45
ADULT CSU
MEDICARE INPATIENT
0
15 15
ACUTE IN PATIENT
_0
15 15
ADULT ESAC
12 12
CHILMU
1$
0
15
CHILD ESAO
3
a
3
D E70N
15
0
0
15
FU7URECAPACITY
30
30
TOTAILEEDS 63
87
ISO
Source: DLC April25, 2025
R new Facility is Built
L 2025 VERSION
ADULT CSUTAD DICTION
RECEIVINGIDETOX
0
45
45
M ED I CARE INPATI E NI
ACUTE INPATIENT
ADULT ESAC
0
0
0
15
15
12
15
15
12
CHILI] CSU
30 0
6 j 0
6 0
30
6S
o
CH1.ILD E$AC
DET
SUD TREATMENT BEDS
(RES IVIPHP and CRO35ROADS) 42 0 42 __
TOTAL REDS 78 165 _.
15
DLC/CRF Pro
Forma Summary
IDLC/CRF Pro-Fornia Suniniary
FY25
FY26
FY27 (1)
FY28
FY29
FY30
FY31
FY32
STATE SAMH FUNDING 4,473,732
4,607,944
4,154,024
4,700,.564
4,747,569
4,79.5,045
4,842,995
4,891,425
OTHER GOVT. FUNDING 2,211,898
1,808,551
2,347,197
2,347,187
2,347,197
2,19.5,187
2,19.5,187
2,19.5,197
ALL OTHER REVENUES
3,848,974
5,274,178
8,310,320
8,443,806
8,579,961
8,718,840
8,860,497
9,004,985
TOTAL FUNDING
10,534,504
11,590,683
1.5,311,530
15,491,.555
15,674,717
1.5,709,072
1.5,898,579
15,091,.599
7%
11%
31
1%
1
0%
1%
1%
PERSONNEL EXPENSES
7,598, 13
9,042,099
11,09.5,085
11,315,985
11,543,326
11,774,193
12,009,676
12,249,870
OPERATING EXPENSES
1,420,1357
1,43.5,157
2,055,321
2,106,529
2,148,760
2,191,73.5
2,235,570
2,280,281
DISTRIBUTED INDIRECT COSTS
2,353,925
2,401,004
2,881,204
2,938,828
2,%7,505
3,057,5.57
3,118,708
3,181,092
TOTAL OPERATING EXPENSES
11,473,341
11,878,2.59
15,041,510
15,352,442
16,589,691
17,023,485
17,363,955
17,711,234
9
4%
3.5 a
2
2
2
2 a
2%
OperatianaIIncorne/([deficit)
1 (938,837)1
(187,576;
1 730,030"
1 (570,8 )
(1,014,974)
(1,314,413;
1,465,276
1,619,635)
DLC Pro Forma May 7, 2025
Potential
Additional
Funding
Sources
identified by
DLC
Potential Additional Revenue Sources FY27
Enhanced LIP Potential via CCSO solution
7931.193
DIDID Hospital Program Revenue
2,50,000
Flaming Rights Fundraising for CRF Operations
2,50,000
Potential Community Partner Contributions
and/or Grants to CRF (Hospitals, Bus-nesses,
Rr ivate/Cora m u n ity Fou n d at- o n s, etc.)
100,000
Tota I P ote nti a I Ad d iti o n a I Rene n u e:
1, 393,193
Based on the DLC pro forma dated May 7, 2025
17
• The County is responsible only for capital replacement of major
building systems, such as the roof, HVAC, electrical systems, and
facility utilities, once they reach the end of their expected useful life.
These assets are anticipated to have lifespans ranging from 10 to 40
years, requiring an annual capital reserve of approximately
CountyFiscal$460,000.
• For FY 2025 the Board has committed approximately $3.054
pp Y
act million to support DLC operations. The sources include $1,719,500
1 m p from the General Fund, $522,000 from Opioid Settlement Funds,
and $812,800 from SURF grant funding. SURF funds will not be
available after FY25. (County support for CRF & non-CRF services
net of SURF funding is approx. $2.2M)
• FY25 General Fund funding ($1,719,500) includes $303,999, which
was identified as non -recurring at the time of approval. The DLC
pro forma includes this funding in future years.
• On May 7, 2025, the David Lawrence Center (DLC) submitted a
financial pro forma for Central Receiving Facility (CRF) operations
covering FY25 through FY32.
• The pro forma identifies several new revenue sources of approx.
$1.4M per year. Sources include enhanced Low Income Pool (LIP)
DLCPro funding through partnerships with the Sheriff's Office, hospital
Direct Payment Program, naming rights proceeds, and contributions
Formafrom community partners.
• After including these funding sources, the CRF pro forma projects
an operating deficit of approximately $730,100 in FY27, coinciding
with the Facility's phased opening. Over the next five years the
annual deficit is projected to grow to $1,619,600.
19
• Collier County is not responsible for operational costs
beyond specific state -required local match obligations.
• If funding sources fall short, DLC may request additional
Facility fundin from the Count .
g y
Funding • The Board may approve, adjust the level of service, or deny
Shortfalls funding.
• If the Board declines to adjust the level of service and denies
funding, either party may terminate the Lease.
20
FY 2025
County
Funding for
David
Lawrence
Mental Health
Center
Funding Source
FY 2025 Total
Gen Fund
$ 1,71%500
Opioid Funding
$ 522,000
SLFRF
$ 8129800
Tota 1
$ 390549300
DLC/CRF
Ongoing County
Funding in DLC
Proforma
DLCJCRF Pro -Forma - County Funding Summary
County Funding for DLC
2025
2026
2027
2028
2029
2030
Opioid Settlement - Local Government Line
516,570
522,023
522,023
522,023
522,023
522,023
State Mandated - Recurring
1,415,500
1,415,500
1,457,965
1,457,965
1,457,965
1,457,965
State Mandated - Non -Recurring
1 303,999
1 303,999
1 303,999
1 303,999
1 303,999
1 303,999
Total County Funding
2,236,069
2,241,522
2,283,987
2,283,987
2,283,987
2,283,937
DLCiCRF Funding Distribution
2025
2026
2027
2028
2029
2030
CRF Funding (3)
946,085
948,811
1,272,499
1,272,499
1,272,499
1,120,500
Non-CRF Funding
1,289,985
1,292,711
1,011,488
1,011,488
1,011,488
1,163,488
Total County Funding
2,236,069
2,241,522
2,283,987
2,283,987
2,283,987
2,283,987
Based on the DLC pro forma dated May 7, 2025, which assumes continuation of $309,999 in non -recurring funding.
22
October 26, 2021
Design Services
Solicitation
Ranking is
approved by
the Board
LI
Project Timeline (1 of2)
March 3, 2022 March 14, 2023
Design Services CMAR
Contract is awarded to Preconstruction
on
RG Architects
November 9, 2021
CMAR Solicitation Ranking
is approved by
the Board
Services agreement
is approved by
the Board
Em
March 15, 2022
NTP to RG Architects
is issued
April 7, 2023
NTP For
Preconstruction
June 27, 2023
BCC approves
87 Beds and a
$43.9M estimated
construction cost
Services is issued to
DeAngelis Diamond
March 12, 2024
BCC Project
update: proceed
with design for 87
beds with a revised
estimated
construction cost
of $49.9M
Project Timeline (2of2)
September 2024 November 14, 2024
Construction Surtax Committee
Documents (90%)
review is
underway, permits
are submitted, and
Addenda are
August 28, 2024
Construction
Documents
Package (90%) is
shared
with main
stakeholders
issued
Meeting for
funding validation
September/October
2024
Permits comments are
issued,
drawings are finalized
(100%), project is priced
and GMP is developed
December 10,
2024:
BCC Project
update
November 2024:
CM delivers GMP
CM Pre -
Construction phase
ends.
January 14, 2025:
BCC approval of
GMP for site and
building (87 beds)
Collier County Behavioral Health Center- Patient Safety Risk Assessment Plan
0
z
z
LEVEL IA
PATIENT SAFETY RISK ASSESSMENT
LEVEL II
LEVELIVA
LEVELIVB
LEVEL IA
LEVEL IE
LEVEL IA
tt OBSERVATION PERIODIC OBSERVATION COMPLETELY ALONE
OPPORTUNITY FOR SELF -HARM (PRIVACY)
LEVELVA LEVEL VB
THESE ARE AREAS WHERE PATIENTS ARE NOT ALLOWED, SUCH AS STAFF AND SERVICE
AREAS AND THE NURSE STATION OR PATIENT LAUNDRY ROOM.
LEVELIB
THESE ARE AREAS WHERE PATIENTS ARE UNDER CONSTANT SUPERVISION OR WHERE
PATIENTS ARE ESCORTED UNDER DIRECT SUPERVISION.
LEVEL II
AREAS WHERE PATIENTS ARE HIGHLY SUPERVISED AND LEFT ALONE FOR ONLY VERY SHORT
PERIODS. NOALCOVES OR BLIND SPOTS. SUITABLE FOR ACTIVITY ROOMS USED ONLY WITH
STAFF PRESENT, SUCH AS ACTIVITY THERAPY ROOMS AND GROUP ROOMS.
LEVEL III
AREAS WHERE PATIENTS MAY SPEND TIME WITH MINIMAL SUPERVISION. TELEVISION
VIEWING ROOMS AND OTHER INFORMAL NON -STRUCTURED ACTIVITY SPACES LIKE
LOUNGES AND DAY ROOMS,
LEVEL IVA
AREAS WHERE PATIENTS SPEND A GREAT DEAL OF TIME ALONE WITH MINIMAL OR NO
SUPERVISION, SUCH AS PATIENT ROOMS (SEMI -PRIVATE AND PRIVATE).
LEVEL IVB
LEVELIB LEVELIII
AREAS WHERE PATIENTS SPEND A GREAT DEAL OF TIME ALONE WITH MINIMAL OR NO
SUPERVISION, SUCH AS PATIENT TOILETS.
.a.::;:a
LEVEL VA
AREAS WHERE STAFF INTERACT WITH NEWLY ADMITTED PATIENTS WHO PRESENT
UNKNOWN RISKS OR WHERE PATIENTS MAY BE IN HIGHLY AGITATED CONDITION CREATE
UNIQUE ISSUES THAT FALL OUTSIDE THE RANGES DESCRIBED IN LEVELS I THROUGH IV
AND REQUIRE SPECIAL CONSIDERATIONS FOR THE SAFETY OF BOTH PATIENTS AND
STAFF. SUCH AREAS INCLUDE EXAMINATION ROOMS AND ADMISSION ROOMS.
LEVEL VB
AREAS WHERE STAFF INTERACT WITH NEWLY ADMITTED PATIENTS WHO PRESENT
UNKNOWN RISKS OR WHERE PATIENTS MAY BE IN HIGHLY AGITATED CONDITION CREATE
UNIQUE ISSUES THAT FALL OUTSIDE THE RANGES DESCRIBED IN LEVELS 1 THROUGH IV
AND REQUIRE SPECIAL CONSIDERATIONS FOR THE SAFETY OF B07H PATIENTS AND
STAFF. SUCH AREAS INCLUDE SECLUSION ROOMS.
Al I PATIENT SAFETY MSK ASSESSMENT -OVERALL
LEVEL VB
-ENT BAFEtt RISK LEGEND
■ LEVEL N
❑ LEVELIB
❑LEVEL ➢
❑ LEVEL III
❑ LEVEL NA
■LEVELIVB
❑LEVELVA
LEVELVS
DLOL &WfffA_�S
�CdITerCouTrty
COLLIER COUNTY
BEHAVIORAL HEALTH CENTER
Collier County Behavioral Health Center- Rendering - Exteriors
South & West Elevations - along Golden Gate Pkwy looking east
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L'
s-
i'
RG
8rady�
� r
Z•" Y _
ra _
r=
I _
tar 4t
�M
JA �E
A
Collier County Behavioral Health Center- Rendering - Exteriors
North & West Elevations - Looking Southeast
mar
Collier County Behavioral Health Center- Rendering - Exteriors
South & East Elevations - Along Golden Gate Pkwy Looking North
Collier County Behavioral Health Center- Rendering - Exteriors
South & West Elevations - along Golden Gate Pkwy looking east
Collier County Behavioral Health Center- Rendering - Exteriors
Main Exterior Entrance - west elevation
F
F- r.
Y1���'
Collier County Behavioral Health Center- Rendering - Exteriors
lie in F m;j
O
West Elevation
EXTERIOR PAINT COLOR EXTERIOR PAINT COLOR EXTERIOR PAINT COLOR
SW7570-EGRET WHITE SW7045- INTELLECTUAL GRAY SW7046-ANONYMOUS
■O on ■■ .. .. ...�� oil
EXTERIOR PAINT COLOR - ACCENT
SW 6465 - SPEARMINT
® Huntons
FY 2025
County
Funding for
David
Lawrence
Mental Health
Center
FY 2025 Total
CRF
NON-CRF
Funding Source
$ 11719,500
$ 11139,800
$ 579,700
Gen Fund
Funding
$ 5229000
$ 522,000
Opioid Funding
$ 812,800
$ 5509000
$ 2629800
SURF
$ 390549300
$ 292119800
$ 8429500
Ed Morton - Comments
DLC Chairman of the Board
Scope of Services
a. The CRF will be open 24 hours a day, seven days a week;
b. David Lawrence shall provide 87 beds, comprised of (but subject to
reallocation depending on client demand and as approved by the County Manager or his/her
designee):
i. 45 dually licensed Baker Act and Marchman Act Crisis
Stabilization beds;
ii. 30 licensed psychiatric hospital beds capable of serving
Medicare patients; and
iii. 12 Emergency Behavioral Health Assessment Center (ESAC)
observation beds
Scope of Services (cont'd)
c. The CRF will act as a single drop-off location for law enforcement for
individuals in need or in crisis, including those who require the use of the
Florida Mental Health Act (Baker Act) and Substance Use Crisis Services
(Marchman Act);
d. Receive individuals on voluntary and walk-in basis for crisis care and
emergency behavioral health services;
e. Make available initial crisis assessments, triage, and related services;
f. Follow the MOU/ Transportation Plan entered into between DLC and the Collier
County Sheriffs Office on June 27, 2023, as may be updated or renewed from
time to time; and
g. Comply withal[ applicable Department of Children and Families (DCF)
evidence -based guidelines, as the same may be amended from time to time.
Annual Performance Measures
a. 100% of persons who walk into the CRF requesting screening services shall be
screened as soon as practicable, but shall not exceed 24 hours;
b. 100% of persons brought into the CRF involuntarily by law enforcement under
Baker Act will be evaluated. Appropriate admission to the CRF or other Crisis
Stabilization Unit/Inpatient units will be provided upon evaluation and
determination by DLC staff that is medically required;
c. 100% of persons brought in involuntarily under the Marchman Act will be
evaluated. Appropriate admission to the CRF or other Crisis Stabilization Unit/
Inpatient units will be provided upon evaluation and determination by David
Lawrence staff that admission is medically required;
d. A minimum of 95% of persons determined by the assessment process to need
outpatient services will be offered an appointment with an appropriate provider
within seven (7) business days of the assessment;
Annual Performance Measures (cont'd)
e. A minimum of 80% of persons referred to outpatient services who provide
correct contact information but do not present for their scheduled
appointment will receive afollow-up outreach attempt within seventy-two (72)
business hours following the scheduled appointment, and offered 1 alternative
appointment;
f. 90% of clients are provided with a client satisfaction questionnaire at
discharge;
g. No more than 40% CSU and Addiction Receiving Facility readmissions within
thirty (30) calendar days for customers referred internally for post CSU
discharge services;
h. Drop-off processing time by law enforcement officers for admission to crisis
services are maintained at an average of the greater of (i) no more than 15
minutes or (ii) as established by DCF from time to time; and
i. The total number of admissions annually is at least 500 admissions.
PUD Commitments
8. PLANNING
A. One security officer shall always be present within Tracts 43, 50 and/or 66 of the
Golden Gate Parkway Institutional Subdistrict.
B. The County shall build a bus shelter within or adjacent to the Golden Gate Parkway
Institutional Subdistrict.
C. Applicant shall cause to be constructed a ten -foot wall along the eastern and
northern borders of the Golden Gate Parkway Institutional Subdistrict, subject to
the cooperation of the owner of Tract 59, with an additional 6-foot fence or ten -foot
wall on the western Subdistrict boundary.
D. David Lawrence Center shall create a Security Plan with the Collier County Sheriff's
Office that shall be approved by the Board of County Commissioners. This Security
Plan shall also include best practices regarding security cameras.
E. Transportation shall be offered to every client being discharged and best
reasonable efforts made to ensure clients are brought to an off -site location.
F. David Lawrence Center shall hold monthly open meetings with the neighborhood.
The date, time and location of the meetings shall be posted on the David Lawrence
Center website.
BEFORE new Facility is Built
30
45**
ADULT/CHILD CSU**
E SAC
3
3
D ETOX
15
15
TOTAL BEDS
48
63
**After Hurricane Ian, DLC was granted atemporary waiver from DCF to operate 15 additional designated
Children's CSU beds until completion of the new CRF.
AFTER new Facility is Built
• •
ADULT CSU
0
45
45
MEDICARE INPATIENT
0
15
15
ACUTE INPATIENT
0
15
15
ADULT E SAC
0
12
12
CHILD ESAC/CSU +
FUTURE ADULT SUD
CAPACITY
78
0
78
TOTAL BEDS
78
87
165
History
• June 2021: County approves contract to acquire approximately 5.15 acres of land, at no cost to the
county, proximate to DLC's outpatient services for the Behavioral Health Center site
• February 2023: PUD approved for Behavioral Health Center to allow up to 102 beds in a one-story
building
• December 2024: DLC offers and county approves a multi -million dollar opportunity for FF&E and
yearly operating costs in Naming Rights Agreement
• January 2025: County approves SDP for a 58,416 square feet, 87-bed Behavioral Health Center,
including 10' walls on north and east boundaries of property
• January 2025: County approves construction contract for 87-bed Behavioral Health Center
• Projection for 2027: 102 new beds between the Behavioral Health Center and DLC campus added to
county's supply
FISCAL PROJECTIONS
4.1.25
Y-e a r e ri-d i ng Y loa r en -ding
3D-Jun-24 30-lurv-25
Total Income (lass) 1 $2,345, 503j
Year -ending:
3O-J u ri--2--G
(W4r341 M
Vasmr imrfdirM
3>3-lkar1--d�
1 $83GrGG1]
Ylma r iend i rbg Ye-ar -ending: Y-ear -mrrdi rrg 'fomar imrrd ing Ylmar emnrd ing:
30-lun-2B 3#-J u rr-2-9 30-Jun-30 3O-J un-31 3A3L-1 u rr-2k2
[$2,534,232} t$2r917,HG) [$3, i r318 M (OA91,57z) 1$3,809A3$) 1$4.3-D7,4,64)
5.7.2025
FY25 FY26 FY27 FY28 FY29 FY30 FY31 FY32
Opt,rationallncuine (933,637) (167,57Gj (73(1,08(1) (870,886) (1,014,974) (1,314,41.3) (1,465,276) (1,619,635)
SUPPLY OF NEW MENTAL HEALTH BEDS
FOR COLLIER COUNTY
�qc
EXISTING 63
BEHAVIORAL HEALTH 87 +24
CENTER OPENING
DLC BUILD OUT 78 +78
TOTAL 102 new
From April 25, 2025 County Staff/DLC meeting
AFTER new Facility is Built
JUNE 2023 VERSION
• •
• : •
0010
ADULT CSU
0
45
45
MEDICARE INPATIENT
0
15
15
ACUTE INPATIENT
0
15
15
ADULT ESAC
0
12
12
CHILD CSU
15
0
15
CHILD ESAC
3
0
3
DETOX
15
0
15
FUTURE CAPACITY
30
0
30
TOTAL BEDS
63
87
150
AFTER new Facility is Built
APRIL 2025 VERSION
• •
Variance June
2023 to April
2025
• : •
• •
ADULT CSU/ADDICTION
RECEIVING/DETOX
0
45
45
0
MEDICARE INPATIENT
0
15
15
0
ACUTE INPATIENT
0
15
15
0
ADULT ESAC
0
12
12
0
CHILD CSU
30
0
30
15
CHILD ESAC
6
0
6
3
D ETOX
0
0
0
-15
SUD TREATMENT BEDS
(RES IV/PHP and CROSSROADS)
42
0
42
12
TOTAL BEDS1
78
87
165
15
LEASE
9_ Net I-t-ase. T is a fWly aet lease- with IAssee nnpmsible for A costs. fees aad
charges conce=g the Prenusm except with rest to Lesser- s obhgatims un&f paragraph 10.
Accer&y: Lessee sha1 promptly pay When due and to any de1ifl acy as appEcable. all
costs. fen, tomes_ bush removal semcM asses.menN ttility charges., and obligatims of any k i ad
that relate to the P`reniis _ Lessee will - and hold LesseThanailess qua mar all
J i J J' &% T - M .i T1 i i J .J M
OPERATING AGREEMENT
FUNDING, David Lawrence shall also seek operational funding from other sources, including, but not
limited to, excess proceeds generated bythe Naming Rights Agreement, as applicable, and governmental funding
sources such as grants and Medicaid reimbursement, for operation of the CRF.
It is understood and agreed by the parties that the projected revenues to operate the CRF include the
current levels of Federal, State and Collier County government funding. If sources of revenue for operation
of the CRF from the Federal Government, State Government or Collier County are reduced, DLC may submit
a request for deficit operational funding of the CRF to the County.
The request must be accompanied by correspondence by DLC requesting financial support for operation of
the CRF from the participating hospital system(s), municipalities in Collier County, philanthropic
organizations which have previously pledged funding commitments for operation of the CRF, and the local
school district, and the stakeholder's response, if any, received within 30 days of the date of DLC's
correspondence. The County Manager will present the funding request to the Board of County
Commissioners as soon as reasonably practical, and the Board of County Commissioners may (1) approve
and fund the amount requested, (2) allow for an adjustment to the level of services proportionate to actual
revenue until such time as governmental funding resumes to prior levels to enable a full -service operation,
or (3) disapprove both the funding request and adjustment in level of service ("Terminatable Event 2"), in
which case the provisions of Section 25 of this Agreement shall apply.
NAMING RIGHTS AGREEMENT
3, DLC =demmds and agrees that a]I donatiOnS acquired in consideration for
naming a spate within the Behavioral Health Ccater shall be restricted specifically
for use within the Behavioral Hcaltb Centoir and for no Ot r r son_ Proceeds
gcncrated UmQh mamiiig rights shall initi 9L IN be used to ftind the furniture,
ture s and �gMyttleiit for the BchaviorR l Hea Its, ni Exce� cd&
hrouu h tnarning rights shall be Lmsed soled for D LC `s pp rat -Owl
expgnses for h gya-zal HPalth Corit 4�ycr the to= of the L&asc. For
clarification, t'L is N 'pig 'Rights Agreement applies mly to the n=ing rLghl & tO
th-c Behavioral licalth Center lei [ding and the donati&ns rcccivcd by DLC for such
naming rim_ DLC retains the ri , indcpcnd nt of this arcing Rights
Agre�emenr and the Echayiurai Health meter' to grmt nam ing rights in other
Lawrmor bulildinp and properties and to mcelve donati Gns irk exchange for those
H ghm
PUD Commitments --EXHIBIT F
1. GENERAL
A. One entity (hereinafter the Managing Entity) shall be responsible for PUD monitoring until closeout of
the PUD, and this entity shall also be responsible for satisfying all PUD commitments until close-out
of the PUD. At the time of this PUD approval, the Managing Entity is Collier County. Should the
Managing Entity desire to transfer the monitoring and commitments to a successor entity, then it
must provide a copy of a legally binding document that needs to be approved for legal sufficiency by
the County Attorney. After such approval, the Managing Entity will be released of their/its obligations
upon written approval of the transfer by County staff, and the successor entity shall become the
Managing Entity. As Owner and Developer sell off tracts, the Managing Entity shall provide written
notice to County that includes an acknowledgement of the commitments required by the PUD by the
new owner and the new owner's agreement to comply with the Commitments through the Managing
Entity, but the Managing Entity shall not be relieved of its responsibility under this Section. When the
PUD is closed -out, then the Managing Entity is no longer responsible for the monitoring and
fulfillment of PUD commitments.
B. Issuance of a development permit by a county does not in anyway create any rights on the part of the
applicant to obtain a permit from a state or federal agency and does not create any liability on the
part of the county for issuance of the permit if the applicant fails to obtain requisite approvals or fulfill
the obligations imposed by a state or federal agency or undertakes actions that result in a violation of
state or federal law." (Section 125.022, FS)
C. All other applicable state or federal permits must be obtained before commencement of the
development.
2. TRANSPORTATION
A. The maximum total daily trip generation for the proposed CFPUD shall not exceed 139 two-way PM peak hour
net new trips based on the land use codes in the ITE Trip Generation Manual in effect at the time of
application for SDP/SDPA or subdivision plat approval.
3. ENVIRONMENTAL
A. The preservation requirement shall be 10% of the existing native vegetation on -site. (4.3-acres of existing
native vegetation x 10% = 0.43-acre preserve requirement)
B. At time of development review, a Black Bear Management Plan and the Eastern Indigo Snake Protection
Precautions will be provided, if necessary.
4. LIGHTING
A. Newly installed site lighting shall be Dark Skies compliant to protect neighboring residential properties from
direct glare.
5. UTILITIES
A. At the time of application for subdivision Plans and Plat (PPL) and/or Site Development Plan (SOP) approval,
as the case maybe, offsite improvements and/or upgrades to the water and/or wastewater
collection/transmission system maybe required to adequately handle the total estimated peak hour flow
from the project. Whether or not such improvements are necessary, and if so, the exact nature of such
improvements and/or upgrades shall be determined during PPL or SOP review. Such improvement and/or
upgrades as may be necessary shall be permitted and installed at the developer's expense and may be
required to be in place prior to issuance of a certificate of occupancy for any portion or phase of the
development that triggers the need for such improvements and/or upgrades.
PUD Commitments
6. LANDSCAPING
A. An enhanced 15' Type 'B' Buffer shall be provided along the northern and eastern
PUD boundaries, as depicted in Exhibit F-1. The enhancement shall consist of a
single row of canopy trees, which shall be a minimum of 12'-14' in height at time of
planting; a single row of understory trees, which shall be a minimum of 8' in height
at time of planting and shall be spaced 25' on center (alternating the canopy tree
spacing); and a 10' solid wall. 100% of the trees and hedge plantings shall be
Located on the external side of the wall, so that the plantings are visible from
abutting residential development.
B. An enhanced 15' Type 'B' Buffer shall be provided along the southern PUD
boundary, as depicted in Exhibit F-2. The enhancement shall consist of a single
row of canopy trees, which shall be a minimum of 12'-14' in height at time of
planting; and a single row of understory trees, which shall be a minimum of 8' in
height at time of planting and shall be spaced 25' on center (alternating the
canopy tree spacing).
7. ARCHITECTURAL
A. There shall be no windows on the second floor facing the adjacent properties to
the north or east.
B. The facility shall have an enclosed receiving area for client access.
Collier County Behavioral Health Center (CRF)
Proforma
Source: DLC
FY25
FY26
FY27
FY28
FY29
FY30
FY31
FY32
IA. STATE SAMH FUNDING
(1) Central Florida Behavioral Health Network
4,473,732
4,607,944
4,654,024
4,700,564
4,747,569
4,795,045
4,842,996
4,891,426
III. OTHER GOVT. FUNDING
(1) Other State Agency Funding
-
-
-
-
-
-
-
-
(2) Medicaid (LIP Only)
715,812
859,750
1,074,687
1,074,687
1,074,687
1,074,687
1,074,687
1,074,687
(3) Local Government - State Mandated and Opioid
946,085
948,811
1,272,499
1,272,499
1,272,499
1,120,500
1,120,500
1,120,500
(4) Federal Grants and Contracts - ARP Only
550,001
-
-
-
-
-
-
-
(5) In -kind from local government only
-
-
-
-
-
-
-
-
TOTAL GOVERNMENT FUNDING =
2,211,898
1,808,561
2,347,187
2,347,187
2,347,187
2,195,187
2,195,187
2,195,187
IC. ALL OTHER REVENUES
(1) 1 st & 2nd Party Payments (included in 3rd Party)
-
-
-
-
-
-
-
-
(2) 3rd Party Payments (except Medicare)
3,714,237
4,238,159
5,202,930
5,306,989
5,413,129
5,521,391
5,631,819
5,744,456
(3) Medicare
-
-
1,471,371
1,500,798
1,530,814
1,561,430
1,592,659
1,624,512
(4) Contributions and Donations
-
-
-
-
-
-
-
-
(5) Other
134,637
242,825
242,825
242,825
242,825
242,825
242,825
242,825
(6) Potential Revenue
-
793,193
1,393,193
1,393,193
1,393,193
1,393,193
1,393,193
1,393,193
TOTAL ALL OTHER REVENUES =
3,848,874
5,274,178
8,310,320
8,443,806
8,579,961
8,718,840
8,860,497
9,004,986
TOTAL ACTUAL FUNDING =
10,534,504
11,690,683
15,311,530
15,491,556
15,674,717
15,709,072
15,898,679
16,091,599
PART II: ACTUAL EXPENSES
EXPENSE CATEGORIES
IIA. PERSONNEL EXPENSES
(1) Salaries
6,436,245
6,758,058
9,323,601
9,510,073
9,700,274
9,894,280
10,092,165
10,294,008
(2) Fringe Benefits
1,262,214
1,284,031
1,771,484
1,806,914
1,843,052
1,879,913
1,917,511
1,955,862
TOTAL PERSONNEL EXPENSES =
7,698,459
8,042,089
11,095,085
11,316,986
11,543,326
11,774,193
12,009,676
12,249,870
IIB. OTHER EXPENSES
(1) Building Occupancy
538,753
544,140
879,587
897,179
915,123
933,425
952,093
971,135
(2) Professional Services
96,883
97,852
98,571
100,542
102,553
104,604
106,696
108,830
(3)Travel
93,005
93,935
141,491
144,321
147,207
150,152
153,155
156,218
(4) Equipment
16,500
16,665
17,367
17,715
18,069
18,431
18,799
19,175
(5) Food Services
245,939
248,399
383,776
391,451
399,280
407,266
415,411
423,720
CRF Projections 5.7.2025-Original
Collier County Behavioral Health Center (CRF)
Proforma
Source: DLC
FY25
FY26
FY27
FY28
FY29
FY30
FY31
FY32
(6) Medical and Pharmacy
156,418
157,983
255,501
260,611
265,823
271,140
276,562
282,094
(7) Subcontracted Services
-
-
-
-
-
-
-
-
(8)Insurance
100,753
101,761
106,471
108,600
110,772
112,987
115,247
117,552
(9) Interest Paid
-
-
-
-
-
-
-
-
(10) Operating Supplies & Expenses
172,706
174,433
182,558
186,209
189,933
193,731
197,606
201,558
(11) Donated Items
-
-
-
-
-
-
-
-
(12) Other Expense
-
-
-
-
-
-
-
-
TOTAL OTHER EXPENSES =
1,420,957
1,435,167
2,065,321
2,106,628
2,148,760
2,191,735
2,235,570
2,280,281
TOTAL PERSONNEL & OTHER EXPENSES =
9,119,416
9,477,256
13,160,406
13,423,614
13,692,086
13,965,928
14,245,247
14,530,151
IIC. DISTRIBUTED INDIRECT COSTS
(b) Administration
TOTAL DISTRIBUTED INDIRECT COSTS =
2,353,925
2,401,004
2,881,204
2,938,828
2,997,605
3,057,557
3,118,708
3,181,082
TOTAL ACTUAL OPERATING EXPENSES =
11,473,341
11,878,259
16,041,610
16,362,442
16,689,691
17,023,485
17,363,955
17,711,234
IID. UNALLOWABLE COSTS
-
-
-
-
-
-
-
-
IIE. CAPITAL EXPENDITURES
-
-
-
-
-
-
-
-
TOTAL ALLOWABLE OPERATING EXPENSES =
11,473,341
11,878,259
16,041,610
16,362,442
16,689,691
17,023,485
17,363,955
17,711,234
Operational Income
(938,837)
(187,576)
(730,080)
(870,886)
(1,014,974)
(1,314,413)
(1,465,276)
(1,619,635)
CRF Projections 5.7.2025-Original