2009-072 Sheriff - Southern Health Partners, Inc. to provide medical services for inmates

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10 adding the population or head count totals taken at a consistent time each day and dividing by the number of counts taken. The excess over an average of 180, if any, will be multiplied by the per diem rate and by the number of days in the month to arrive at the increase in compensation payable to SHP for that month. In all cases where adjustments become necessary, the invoice adjustment will be made on the invoice for a subsequent month's services. For example, if there is an average population for any given month of 185 inmates, resulting in an excess of five (5) inmates, then SHP shall receive additional compensation of five (5) times the per diem rate times the number of days in that month. The resulting amount will be an addition to the regular base fee and will be billed on a subsequent monthly invoice. This per diem is intended to cover additional cost in those instances where minor, short-term changes in the inmate population result in the higher utilization of routine supplies and services. However, the per diem is not intended to provide for any additional fixed costs, such as new fixed staffing positions that might prove necessary if the inmate population grows significantly and if the population increase is sustained. In such cases, SHP reserves the right to negotiate for an increase to its staffing complement and its contract price in order to continue to provide services to the increased number of inmates and maintain the quality of care. This would be done with the full knowledge and agreement of the Sheriff and other involved County officials, and following appropriate notification to County. 7.3 Future Years' Compensation. The amount of compensation (i.e., annual base price and per diem rate as defined in Sections 7.1 and 7.2, respectively) to SHP shall increase at the beginning of each contract year. The amount of compensation shall increase by two and one-half percent (2.5%) for the renewal period effective July 1, 2010, and by three percent (3%) for the renewal period effective July 1, 2011. The amount of compensation increase for renewal periods effective on or after July 1, 2012, will be determined by mutual agreement after discussions between SHP and County. 7.4 Inmates From Other Jurisdictions. Medical care rendered within the Jail to inmates from jurisdictions outside Orange County, and housed in the Jail pursuant to written contracts between County and such other jurisdictions will be the responsibility of SHP, but as limited by Section 1.7. Medical care that cannot be rendered within the Jail will be arranged by SHP, but SHP shall have no financial responsibility for such services to those inmates. 7.5 Responsibility For Work Release Inmates. SHP and County agree that SHP will be responsible for providing medical services to inmates assigned to work release and/or released for community service work for government or nonprofit agencies. In all cases, SHP will assist with necessary transportation for injured inmates on work release or community service to obtain appropriate medical care.