Loading...
HomeMy WebLinkAboutAgreements/Contracts - RenewGRANT COUNTY COMMISSIONERS AGENDA MEETING REQUEST FORM (Must be submitted to the Clerk of the Board by 12:00pm on Thursday) REQUESTING DEPARTMENT: Renew REQUEST SUBMITTED BY: Linze Greenwalt CONTACT PERSON ATTENDING ROUNDTABLE: D@II Anderson CONFIDENTIAL INFORMATION: []YES ® NO DATE: 5/1 1/2026 PHONE: 54'70 ®Agreement / Contract ❑AP Vouchers ❑Appointment / Reappointment ❑ARPA Related ❑ Bids / RFPs / Quotes Award ❑ Bid Opening Scheduled ❑ Boards / Committees ❑ Budget ❑Computer Related ❑County Code ❑Emergency Purchase El Employee Rel, ❑ Facilities Related ❑ Financial ❑ Funds ❑ Hearing ❑ Invoices / Purchase Orders ❑ Grants — Fed/State/County ❑ Leases ❑ MOA / MOU El Minutes ❑Ordinances El Out of State Travel ❑Petty Cash ❑ Policies ❑ Proclamations ❑ Request for Purchase ❑ Resolution ❑Recommendation El Professional Serv/Consultant ❑Support Letter ❑Surplus Reg. ❑Tax Levies []Thank You's ❑Tax Title Property ❑WSLCB ---- EME1111HEM:A ► , • mown3T Request for Dell Anderson to DocuSign contract for Professional Consulting Services between Letendre & Associates LLC and Grant County dba Renew for onboarding design, leadership effectiveness and organizational transformation guidance. Effective on date signed with full implementation by 03/31 /27 in the amount of $140,000.00. Resubmitted to Consent per Board direction on 5/11 /2026. If necessary, was this document reviewed by accounting? ❑ YES ❑ NO 7 N/A If necessary, was this document reviewed by legal? 0 YES ❑ NO ❑ N/A DATE OF ACTION:h DEFERRED OR CONTINUED TO: APPROVE: DENIED ABSTAIN D 1: D2: D3: WITHDRAWN: 4/23/24 Renew Grant Behavioral Health & Wellness CONTRACT FOR PROFESSIONAL CONSULTING SERVICES This CONTRACT FOR PROFESSIONAL CONSULTING SERVICES is made on the date of signature of the last signatory to this contract, by and between: Grant County dba Renew Grant Behavioral Health & Wellness, of Grant County, Washington, with offices at 840 E Plum Street, Moses Lake, Washington, hereinafter referred to as "RENEW" and Letendre & Associates LLC, a consultancy established as a single member LLC with offices at 58 Sundog Lane, Middletown Springs, Vermont. hereinafter referred to as "CONSULTANT". Section 1. Scope of Services The CONSULTANT will provide the following services to RENEW: 1. Onboarding Redesign: Redesign the process by which Renew onboards new employees, informed by leading practices in high: performing organizations. The process will be redesigned to more intentionally connect new team members to Renew's vision, mission, values, and culture of excellence, and to establish a lasting relationship with Renew. 2. Leadership Effectiveness System Design: Design a. proactive and systematic approach — to be used on an ongoing basis by which Renew develops its leaders to manage, lead and excel in their roles. This system will serve new and existing leaders alike. 3. Organizational Transformation Guidance: Provide excellence -focused implementation guidance and support to Renew in embedding approaches, tools, and principles of excellence into Renew's processes and practices. and hereinafter referred to as "SERVICES". Section 2. Term Work under this Contract shall be carried out in calendar year 2026 with full implementation by RENEW no later than March 31, 2027. Section 3. Compensation and Payment Terms A. Compensation shall be paid to the CONSULTANT to provide consulting services at a fixed professional engagement fee of $140,000 for SERVICES, including all activities and outcomes delineated in Exhibit A (attached). B. With payment in full on acceptance a professional 5% discount will be applied, for a total net engagement fee of $133,000. C. Alternatively, a deposit of 60% ($84,000) is due on acceptance. The remaining 40% ($56,000) is due 90 days from the date of acceptance. D. Direct expenses will be billed as incurred and are due upon receipt of invoice. They are not subject to any mark-up and may include facilitation tools, educational materials, and resources for ongoing use by RENEW. Travel expenses for on -site sessions in Grant County will be reimbursed and include typical expenses such as airfare, rental car, transportation, lodging, meals, and tips. Section 4. Postponement, Guarantee-, and Termination A. Once accepted, this engagement is non -cancellable and payments are to be made at the times specified. However, RENEW may reschedule, postpone, or delay elements of this engagement as RENEWs business needs may unexpectedly dictate, without penalty and without time limit, subject only to mutually agreeable timeframes in the future. B. Letendre & Associates LLC guarantees to RENEW the quality of the work. If the Executive Director of RENEW (Dell Anderson) feels that CONSULTANT has not assertively and competently pursued the objectives we have jointly agreed on, as delineated in Exhibit A (attached), CONSULTANT Founder (Kathy Letendre) will confer with RENEW Executive Director to identify all problems and develop solutions. If after that process, RENEW Executive Director (Dell Anderson) remains dissatisfied, CONSULTANT will refund fees paid as requested. C. This Contract may be terminated by mutual agreement of both parties if postponement is deemed infeasible due to extenuating circumstances. D. In the event of termination not the fault of the CONSULTANT, the CONSULTANT shall retain compensation for the full value of SERVICES performed and initiated. In the event of the termination through fault of or breach by the CONSULTANT, the CONSULTANT shall retain compensation only for SERVICES provided and performed to the satisfaction of RENEW Executive Director (Dell Anderson). Section 5. Employment Status For purposes of performing the services specified in this Contract, the parties understand and agree that the CONSULTANT is an independent contractor. The CONSULTANT is not an employee of RENEW. RENEW will not provide any individual retirement benefits, group life, health or dental insurance, vacation, sick leave or other similar benefits to the CONSULTANT. Section 6. Insurance CONSULTANT shall maintain in effect during the term of this Contract Professional Liability Insurance with a limit of liability of $1,000,000. Section 7. Limit of Liability The liability of CONSULTANT to RENEW for any reason and upon any cause of action related to performance of the work under this Contract shall be limited to amount paid by RENEW to CONSULTANT in accordance with terms of this Contract. Section 8. Indemnification A. CONSULTANT shall indemnify and hold RENEW harmless from liability and any claims, suits, judgments and damages occurring in conjunction with work performed during this Contract. B. RENEW and their agents shall indemnify and hold CONSULTANT harmless from liability and any claims, suits, judgments and damages occurring from their ongoing use of work created during this Contract. Section 9. Severability Each paragraph and provision of this Contract is severable from the entire Contract; if any provision is declared invalid, the remaining provisions shall nonetheless remain in effect. Section 10:.Jurisdiction and Venue This agreement shall be governed by the laws of the State of Washington, and any legal action arising from this agreement shall occur in Grant County, Washington. Section 11: Agreement and Amendment This Contract, including Exhibit A (attached), represents the entire agreement between RENEW and the CONSULTANT. No changes, modifications or amendments in the terms and conditions of this Contract shall be effective unless reduced to writing and signed by the CONSULTANT and the Executive Director of RENEW (Dell Anderson). This Contract shall be governed by applicable state and federal law. Grant County dba Renew Grant Behavioral Health & Wellness Signature: 3 Letendre & Associates LLC Signature: - C-. Printed Name: Kathleen C. Letendre Date: 04/03/2026 ATTACHMENT: Exhibit A -- Letter of agreement EXHIBIT A March 6, 2026 Dell Anderson, Executive Director Renew Grant Behavioral Health & Wellness 84o E Plum Street .Moses Lake, WA Dear Dell, Letendre & Associates LI,C Kathy Letendre, President P.O. Box 1251 Middletown Springs, VT 05757 renew Grant Behavioral Health & Wellness I am pleased to provide this Letter of Agreement based on our recent conversations and building from the work we have been doing together over the past few years. I look forward to continuing to support you and your team, as Renew advances its Model of Excellence in Behavioral Health & Wellness through three synergistic initiatives. My approach is strategic and facilitative, and is customized to the specifics of Renew, your culture, and the pace of transformational change you are seeking. I. Our understanding of your strategic context Situation Analysis Renew has articulated a vision to become a model of excellence in behavioral health & wellness, serving the needs of your region exceptionally well. This aim is anchored in your Mission, Vision, and five Pillars of Excellence: Valuing Our People, Quality, Service Excellence Access, and Financial Health. Since our work together in setting this Strategic Direction a few years ago, based in understanding the internal and external environment, we have partnered on various initiatives to bring this to reality ... so that it will be the Renew way, in every interaction, for every client and resident, who needs your services. Renew strategic Initiatives 2026 Letendre & associates, LLC To become a model of excellence requires an organizational transformation. And you have not . shied away, but instead have taken bold steps to learn from, examine, and benchmark high - performing Organizations to find approaches that will benefit Grant County, Renew, and your clients. At every step in your leadership and organizational transformation you have asked: What if. You are not satisfied with good enough because you know the residents of Grant County deserve the best in their time of need, crisis, and recovery. The department's rebranding and renewal is intentional, values -driven, and oriented toward being the best for the residents of Grant County. You are striving a recognized to be model of excellence in behavioral health so that you can consistently attract and retain staff, therapists, case managers, counselors and other professionals who are skilled and ready to meet the growing demands for behavioral health in your region. We both know that the needs for mental health and recovery are growing, both because you g g serve a geographic area that is growing but also due to the intensifying situations over the past six years that have exacerbated mental dis-stress. Those who work in this sector experience first-hand the long-term impacts of COVID isolation on well-being y and earl life traumas that are showing up in our communities in record numbers including among youth. The needs are real, growing, and require professionals who are well -qualified to serve. Over the past couple of years, you and your team have engaged in meaningful learning including site visits to high -performing organizations across the country, and attendance at regional and national conferences where leading practices are shared and examined. These experiences have both validated your direction for Renew and inspired new possibilities for how Renew develops its people, welcomes new team members, and embeds the and principles approaches of organizational excellence into everyday practice in many ways. s. y Having successfully completed several strategic initiatives over the past years in service excellence, access to care, and capacity improvement (to name a few), you are now read to . y y undertake three intentional, interconnected strategic initiatives that together will advance Renews model of excellence and strengthen your organizational foundation for years to come. Your Desired Outcomes Based on our conversations and collaborative work, Renew seeks: • A redesigned onboarding experience for members new to the Renew team: One that is welcoming, immersive, and well -orchestrated — occurringover months not days. Y Integrating leading practices used in exemplary organizations. • A proactive leadership excellence and effectiveness system: Establishing a systematic y approach for how Renew develops leaders at all levels to manage, lead and excel — thereby y advancing your model of excellence, strategic direction, core values and ultimately organizational performance. Equipping leaders (new and existing) to succeed and V succeed, continually improve so that the organization can do the same. March 6, 2026 Renew Strategic Initiatives 2026 Letendre & Associates, LLC • organizational transformation guidance: Trusted, experienced, excellence -focused guidance and implementation support as Renew continues its journey to become a model of excellence, embedding systematic approaches, tools, and principles of excellence into processes and practices across Renew. • Well -designed, facilitated processes that promote strategic thinking and strategic idesign, g implementation by members of the Renew team who will be involved in these desi n g, redesign and transformation efforts. • Alignment among the senior leadership council on the results you are seeking to realize and how these strategic initiatives advance these outcomes. Value of Achieving Your Desired outcomes Achieving the desired outcomes will create the following value for Renew: An intentional, value -focused onboarding experience: • Invites a tasting relationship with Renew, connecting new team members to Renew's culture, mission, and values from day one. • Creates an environment of excellent customer service to clients and residents by staff who have chosen Renew as the best place to serve their community. • Prepares new staff members for the Renew culture from the beginning. These new team members are therefore much more likely to: o stay with the organization, o create continuity for clients' care by working as a cohesive care team, o invite others to join the team when job openings happen, and o develop themselves to become and stay at their very best in their professions. • You have invested considerable time and energy into rebranding Renew, and the benefits of that renewal are already showing up with: significant increases in the number of unique individuals served each year, in the increased numbers and caliber of applicants for job openings, and in the satisfaction levels of staff about the work environment. The value of achieving your desired outcomes, is to hold these gains and amplify them even further, so that we are continually ready with high -caliber values- drive staff and professionals to serve community members in their time of need. March 6, 2026 Renew Strategic InitiatiVeS 2026 Letendre &Associates, LLC By equipping leaders at all levels in Renew to succeed, grow, and continually improve through a proactive leadership effectiveness & excellence system, the organization will be well -prepared on an ongoing basis to: • Meet your strategic, operational and clinical priorities and goals each and every year • Grow the reach of your services and program 9 Develop your staff to reach their full potential in serve to clients. And all in all, to equip and support your teams to deliver high -quality services to clients with an outstanding client experience that help clients meet their treatment goals. New managers, supervisors and leaders to Renew, those recently promoted into managerial roles, and those showing high potential for leading will have the means to develop and excel as managers and leaders at Renew, guiding Renew's future success for years to come. Your existing leaders, many who came into leadership through a clinical and clinical supervision background will be supported with tools, resources, and a system to retool, improve and grow. Continuous improvement leads to improving results in all area of the agency/department. Through experienced andtrusted organizational transformation guidance you will be able to realize your strategic goals and vision of excellence years earlier through focused and experienced guidance. My direct experience with your organization, my work in similar organizations across the country, and my decades of experience leading similar transformations both inside of and in an advisory capacity to other health and human services organizations, will be shared in ways that you can readily embed into your organizational work, processes and practices. • Each system we work on will provide those involved with the needed tools, techniques and knowledge to lead the process going forward. Knowledge transfer is key and you and your team already demonstrate an eagerness and determination to learn, embed and carry leading practices forward across Renew. Overall and together, these efforts will improve Renew, your approaches to work, and the results you deliver — fulfilling your mission, advancing your vision, and achieving your strategic pillar goals. March 6, 2026 Renew Strategic Initiatives 2026 Letendre Associates LLC our Strategic Direction Our mission Care for the whole person. Be cohesive and kind. Embrace change, grow hope, innovate always. Our Vision Together, we will empower individuals toward recovery as hea lthy contributing members of our communities. go r PIllar WIs Vatuing Our People: We cultivate an environment where staff feel valued enjoy their work, and have opportunities for individual growth while exceeding performance expectations. Quality: Renew utilizes innovation and best practices to ensure its commitment to care that exceeds industry standards leading to external recognition for the quality of our services. Service Excellence: Within our communities, we work as a cohesive team to provide outstanding customer service with kindness, compassion, and attentiveness to the needs of each individual. Access: Through innovation, we meet the evolving needs of our county. Renew will ensure that our education, outreach, and services are accessible throughout our rural communities. Financial Health: Through proactive management of our internal processes, we create the financial means that allow us to expand the reach of our services. Commitment: We do our best, every time, every day Equality: We treat everyone as an equal, without bias, regardless of location or level Compassion: We seek to understand one another from each perspective Dignity: We will make the other person feel seen and valued Respect: We will treat others as we ourselves want to be treated II. Achieving your Desired Outcomes Our Philosophy At its core, we view organizational excellence as a journey of continuous improvement making informed, intentional, strategic choices about how best to developpeople, design p p � n g processes, and embed practices that matter most to organizational performance and your purpose as an organization. All with the purpose of improving results for the and people communities Renew serves. March 6, 2026 Renew Stratecdc Initiatives 2026 Qtendre Associates, LLC Our Approach We will serve as your trusted partner and advisor across three inter -related initiatives, each of which directly advances one or more of Renew's Pillars of Excellence. Together, these projects form a coherent and mutually reinforcing body of work that will strengthen Renew's organizational foundation for years to come and accelerate its journey to service excellence. Our Pillars of Excellence L Onboarding Experience for new employees Redesign the process by which we onboard new employees informed by leading practices n Leadership Excellence o Develop our leaders at all levels to excel at Renew, oadvancing our: model of excellence, strategic direction, and core values. 0 Equipping them to succeed here, from the start. 0 N L 0 0 Transformation advisor Served as a trusted advisor to leadership in embedding systematic approaches, tools, and principles of excellence into our processes and practice.4 o Orenew liis Our Work Together To achieve your desired outcomes, we have discussed various alternatives for using our expertise, so that you could select the ones that best meet your needs at this time. The following represent the approaches identified as the best fit: Initiative 1: onboarding Experience Redesign the process by which Renew onboards new employees, informed by leading practices in high -performing organizations. Purpose: To create an onboarding experience that is welcoming, engaging, and well - orchestrated unfolding over months, not days that immediately connects new team members to Renew's vision, mission, values, and culture of excellence, and that invites a lasting relationship with Renew. March 6, 2026 ff Rei_new Strategic InitiativeS 2020 Leftendre & Associates, LLC Our Approach: This project utilizes (and teaches) a Design/Redesign process —not merely an improvement process — to build something reflective of who Renew is and aspires to be. Key Elements of this Project: o Defining where the onboarding process begins and ends — both currently and ideally • Establishing the vision and Key Quality Characteristics (KQCs) for the new process • Identifying the "customers", "suppliers" , and key players within the process • Conducting focus groups with recent new hires, as well as managers • Review of pertinent data such as: employee survey results from each of the 3 annual surveys (2O24, 2025) 2026), and turnover statistics among new hires • Incorporating benchmarking by examining, learning from and integrating leading practices used in high -performing organizations. • Identifying required elements per applicable regulations, county requirements, and professional standards to include in the redesign. o And ultimately design of a new process with steps, sequencing, timeframes, roles delineated. This includes identification of accompanying materials to be created by the Renew design team. Timeframe: New onboarding process designed over 2026 and ready for full implementation, with a go -live target of early 2027. Initiative 2: Leadership Excellence & Effectiveness System Develop Renew's leaders at all levels to excel at Renew) advancing the Model of Excellence, strategic direction, core values) and organizational performance — equipping leaders to succeed) grow) and continually improve Purpose: To establish a proactive approach — to be used on an ongoing basis — by which Renew develops its leaders to manage, lead and excel in their roles. This system will serve new and existing leaders alike, creating a culture of leadership excellence that strengthens the entire organization for decades to come. Key Elements of this Project: o Defining our vision for what it means to be a leader at Renew o Describing in descriptive and concrete terms what leadership effectiveness and leadership excellence means at Renew March 6, 2026 Renew Strategic Initiatives 2026 Letendre & Associates, LLC o Identifying important design considerations and required elements per . regulations, county requirements, and professional standards. For example: professional standards around clinical supervision or financial reporting. o Review of pertinent data including employee survey results from 2024. 2025 and 2026 )1:1 conversations with managers/leaders, turnover statistics, and relevant exit and stay interview findings. O Through benchmarking, examine, adopt, and adapt leading practices used in high -performing organizations. For example, we will discuss and share leading approaches such as: GBMC Leadership University, NEDD Leadership Development system, learnings from direct experience in NACo High g Performance Leadership Academy, SCF's Nuka System of Care, Bryan William's Manager Skills Workshop for exceptional service, NMMC's EXCEL system; and PuMP's Evidence -Based Leadership Approach. Evidence -Based Leadership How to create a high-performance culture and measurable success, Result rani ac ' �'?PS. No weasel .-vo us. 0L a::J i„('i ;p lau i";:. i Ca _il.ac.: e. do j,.,.. No TZii iJ e Only`'' bzck, j '°b..:uf_M root, =.s#-is- -IF procrastinate j �e ` i S r3 ��lt 'L.t,`.�i uf'�'li r i i DIRECTION LEARNING DECISION IMPACT EXECUTION EVIDENCE leverage, not f -n paACTION ?.Ler ns, not.00,1fltSh. � .. -.�% Lea+, no, J#..: cl}.�. w,t?;A vS Sj taut <c,ui?. Evidence before ;'neasi es. _ Measure what matter I.."auses, not symptoms.: o Consider approach and cadence for (cyclical) leadership development institutes for all leaders on our new approaches. o Identify alignment and key integration points with the Onboarding Excellence project. o Design the new Leadership Excellence & Effective Program. (LEEP) with all of the needed system elements: steps, roles, sequencing, timeframe, and tools. March 6, 2026 � � B%.enew Straltegic InitiatiVeS 2026 Letendre 81a Associates, LLC A System for Leadership Effectiveness & Excellence, typically includes: => A leadership development approach for new leaders An ongoing leadership development approach for all leaders (e.g., trimester learning) A Leadership Excellence model defining leadership excellence at Renew with developmental tiers (e.g., emerging, mature, role model) A systematic approach for personal, cyclical reflection and leadership growth An approach for developing and managing Personal Development Plans (PDPs) for leaders at all levels A catalog of resources to support achievement of PDPs. For example, Korn Ferry/Lominger's leader development architect. This system will intentionally integrate the NACo High Performance Leadership Academy as a key training platform for all Grant County leaders based on Dell's experience in the April -June 2026 cohort. Timefrarne: Leadership Excellence & Effectiveness system designed and ready for launch, with a full rollout target of early 2027. Initiative 3 : organizational Transformation Advisor %..p Trusted advisor to Renew in embedding systematic approaches, tools, and principles of excellence into Renew's processes and practices. Purpose: To provide targeted, excellence -focused implementation guidance and support as Renew continues its transformative journey — ensuring that the principles, tools, and approaches of organizational excellence are embedded systematically and sustainably into how Renew operates. Key Elements: • Excellence -focused implementation guidance • Participation in Organization Profile sessions where most -useful • Facilitation of key sessions • Providing direction on valuable, high -caliber resources • Guidance on developing, creating, and/or refining one or more of Renewls organizational approaches (e.g., Customer -Focus). March 6, 2026 Renew Strategic InitlativeS 2026 Letendre & A,ssociates, LL All alternatives we have discussed tap into my deep expertise in health and human services strategic execution, performance improvement, and organizational transformation The primary differences between the options discussed are: in the level of internal responsibility versus external support for achieving your desired outcomes; the breadth of knowledge transfer in the detailed design phase of the onboardin g experience. I concur with your desire to have the internal core team create the detailed materials for the onboarding process once the design "blueprints" have been developed. This can be revisited later in the project should you find added -value from my guidance and oversight on this. We will work collaboratively to sequence and synchronize the initiatives in a way that is realistic, manageable, and aligned with Renew's organizational calendar and capacity. The project work will involve core groups at Renew, with detailed scheduling to be confirmed in coordination with Dell Anderson (Executive Director) and Sarah Nelson (Executive Assistant). Both the onboarding Experience and Leadership Excellence projects are designed with a 202 g 7 go -live target. Transformation Advisory support will be ongoing throughout calendar year 2026. My accountabilities I will fulfill all responsibilities described in this Letter of Agreement at a professional level. I will adhere to agreed -upon deadlines and communicate proactively. I will sign all appropriate nondisclosure and confidentiality agreements. I will inform you of any peripheral issues that emerge that merit your attention and provide updates at your request. Your accountabilities Executive Director (Dell Anderson) will be responsible for: providing clear leadership and sponsorship of this engagement; ensuring access to key individuals on mutually convenient dates; sharing all information that may have a bearing on this work; sharing key performance and organizational information that could inform the design of the projects; making decisions needed for moving the work forward in a timely manner; payment in conformance with the terms below; and for reasonable access to yourself and others for necessary discussions questions, and decisions. Executive Assistant (Sarah Nelson), or a highly capable administrative designee, will be responsible for. coordination and timely communication; arranging logistics for sessions and workshops; scheduling participants for interviews, focus groups, and work sessions on Larch 6, 2026 _ 1 6 - R-1 enpew irate is initiatiVeS 2026 Letendre RK Assocnate-s, LLC mutually agreeable timeframes; securing functional spaces for in -person sessions; coordinating use of AV/technology as needed for in -person and virtual sessions; arranging food and beverage for participants during sessions where prudent; and providing administrative support including documentation of key decisions and process components as the work progresses. Our Joint Accountabilities We will both inform each other immediately of any unforeseen changes, new developments, or other issues that may affect the success of this work so that we can both adjust accordingly. We agree to err on the side of over -communication to keep each other abreast of all relevant aspects of this work. We agree to make reasonable accommodations for conflicts, unforeseen events, and other urgent priorities. Success Factors Critical elements for achieving your objectives: • Leadership Commitment: Consistent participation and decision -making by Dell Anderson and the core team members across all three initiatives • Timely Information Sharing: Access to organizational data, survey results, and. other pertinent materials to inform design work • Stakeholder Participation: Engagement of identified participants (new hires, managers, focus group members, leaders) within scheduled timeframes, • Decision -.Making Discipline: Prompt decisions to maintain momentum including with PENW • Resource Allocation: Appropriate administrative support from Sarah Nelson for logistics, scheduling, and documentation The Renew Results Map and Data Walk) depicted in the following graphics, will continue to serve as foundational tools during our work together. March 6, 2026 - 11 - Deuevv Strategic Ioitiatbem202G Letendme& Associates/LLC Renew Results Map Morch8 2026 Renew Strategic Initiatives 2026 Letendre Associates, LLC PROGRESS MIC.TOR S OMW vie measure amed P-D.,-,Ye -7-1 !Luimeas Descri, tion: The mw- thly pefcerftge. of agerc-y-wl P Ge cLrcnl 24-hou-r rx)te completion rate 1-2 Praductiyily� Des -cription: The montHy pefce. ntage- of staff meetIng productivity standards (time!.irvess, no show. etc.) STRATEGIC INITIATIVES �A%c C,-,- "� tl..- ward JL-t I&V49 9 -1 -- Initiative Description S t z i CC(T-lPafe Start, 5'e,j Df. rur bulk e A e-v Cc a, t-t I a r.3 P but ' :sipj Z'j", arid Le a?-' t-- it:-jier r, code cf stt-n IG � t e Y 2025 DATA kVUK PILLAR OF EXCEI -1 - CE We cultivate an erwi, ment %%.,,here staff feel valued, erJoy their work, and have opportunities for vow whale excee-ding P nrf,--rmance expectations.. AU^� 7 -3 !:Ia. ji1ni-Treat larz Description: T�& marittly percentage of cUerA.s enroled whG do not, have an expired treatment play. 8-1 Staff EePJ VaLed Description, Guarteidly aver -age staff rating on a 1-5 ,scale of "how va,ued staff feel,' RL +CY1'IC)N PROMM"? (trivitatiun to vait to off ei* v�piur) can Where do you think we can improve in supporting staff wellbeing or recognition? WORKGROUP (Who to Centactifyould Ake ro get ih"wved) 7. Del. Geary, Juam terw Dayana, Ky!,eigh,'Missy, el Nicole, Noemi, Reim., Tanya, Tra.-I 8, Iretle, De.4, Noerri, Genny, Nllssx 44 40 March 6, 2026 -13- Renew Strategic Initiatives 2026 Letendre & Associates, LL III. Terms of Engagement As a value -focused consultancy, our fees are designed to be commensurate with the value created and therefore are represented as single fee. More time spent does not automatically translate into higher value, which is why we do not assess an hourly or daily rate. Our focus is to support you in achieving the desired outcomes; you should feel comfortable to interact with us without the fear of a "meter" running. Although we have discussed additional add -on features in initiative 1, our most recent understanding is that you wish to proceed with each of these three initiatives as described above to achieve the maximum efficiency and synergy. Professional Fees Your investment is as follows: Initiative 1: Onboarding Experience $60)000 Initiative 2: Leadership Effectiveness & Excellence I $6o,000 System Initiative 3: Organizational Transformation Advisor 1 $20,000 I offer a professional discount for pursuing these in parallel with payment at acceptance, as i noted n payment terms below. Two payment options are available: Option A Payment in Full on acceptance: with full payment on acceptance, I offer a 5% professional discount, for a total to $133,000. Option B Payment in Installment: A deposit of 6 0% ($84,000) is due on acceptance. The remaining 40% ($56,000) due go days from the date of acceptance, for a total of $140,000. Once accepted, this engagement is non -cancellable and payments are to be made at the times specified. However, you may reschedule, postpone, or delay elements of this engagement as your business needs may unexpectedly dictate, without penalty and without time limit subject only to mutually agreeable timeframes in the future. March 6, 2026 -14- Renew Strategic Initiatives 2026 Letendre & Associates, LLC Expenses Direct expenses will be billed as incurred and are due upon receipt of invoice. They are not subject to any mark-up and may include facilitation tools, educational materials, and resources. Travel expenses for on -site sessions will include typical expenses such as airfare, rental car, transportation, lodging, meals, and tips. Guarantee As a consulting firm, our most valuable marketing comes through strong word-of-mouth referrals and glowing references from our highly satisfied clients. As the founder of Letendre & Associates, LLC, I therefore guarantee to you the quality of our work. Your Consultant & Advisor It is our intent that Kathy Letendre will lead all proposed work for this engagement and serve as your trusted advisor. We may, as determined in the final design of sessions and workshops, engage qualified co -facilitators at select points in the process. We would discuss these add - on elements should they arise and be deemed valuable for you. Enclosed in Appendix A you will find additional information about Kathy, including her extensive experience in healthcare, strategic execution, organizational improvement, and excellence -based transformation. Validity This proposal is valid through April 20, 2026. March 6, 2026 .. 15 - ��eneijv Strategic Initiatives 2026 Leten re Ri ssociattes, Lilic Acceptance Your signature below, along with selection of a payment option, indicates acceptance of this Letter of Agreement and your agreement with the terms above. Alternatively, your payment . Py in full or in part also constitutes that acceptance. Payment option Selected: ❑ Option A: Payment in Full ($133,000 —includes 5%discount) ❑ option B: Payment in Installment (6oO/o deposit of $84,000 on acceptance; 400/0 balance of $56,000 due in 90 days) Grant County dba Renew Grant Behavioral Letendre & Associates, LLC Health & Wellness Name: Title: Date: Grant County dba Renew Grant Behavioral Health & Wellness 840 E Plum Street Moses Lake, WA Name: Kathleen C. Letendre Title: President Date: 03/06/26 Letendre & Associates, LLC P.O. Box 1251 Middletown Springs, VT 05757 March 6, 2026 - 16 APPENDIX A Brief Biography Kathy Letendre, MHSA Kathy Letendre creates transformative experiences for organizations, elevating organizational performance to new heights. As a seasoned healthcare executive and champion of organizational improvement, Kathy shares her expertise and methods, helping leaders achieve unprecedented levels of performance for their organizations. An expert in strategy, performance, and organizational excellence, she advises healthcare and human service organizations. She has a reputation as a collaborative and passionate agent of change, and a masterful facilitator of strategic initiatives. Prior to establishing her consulting practice, Kathy served as the Vice President of Planning & Organizational Excellence at a regional healthcare system, where she spearheaded the organization's journey to excellence, resulting in numerous organizational validations including the Governor's Award for Performance Excellence and Magnet designation for Nursing Excellence. In combination with her role in Letendre & Associates, Kathy is also an Organizational Excellence Advisor in Ingenium Healthcare Advisors, a member of PuMP's global team, and a founding member of Healthcare Shapers US. Her associates in these consulting collaboratives engage with Kathy on select client endeavors. Previously, Kathy was a senior consultant & manager in Ernst & Young's Healthcare Performance Improvement Group. She earned a Master's degree in Health Services Administration from the University of Michigan's School of Public Health and a Bachelor of Science in Biomedical Engineering from Duke University. Kathy has also served as a member of the faculty in the University of Vermont's Center for Leadership & Innovation, designing and leading workshops for healthcare managers, executives, and clinical leaders. She is longtime member of the American College of Healthcare Executives. With Kathy's counsel, her clients set new strategic directions and execute their ambitious plans, achieving results of importance to organizations and all those they serve. March 6, 2026 - 17 -