Agenda - 09-20-2018 8-g - Health Services Agreement Amendments for the Orange County Detention Center

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, AMENDMENT #1 TO HEALTH SERVICES AGREEMENT This AMENDMENT #1, to Health Services Agreement dated August 18, 2009, between Orange County, North Carolina (hereinafter referred to as "County ", and Southern Health Partners, Inc.. a Delaware Corporation, (hereinafter referred to as "SHP"), with services commencing on September 1, 2009, is entered into as of the / day of WITNESSETH: WHEREAS, County and SHP desire to amend the Health Services Agreement dated August 18, 2009. between County and SHP. NOW THEREFORE, in consideration of the covenants and promises hereinafter made, the parties hereto agree as follows: Section 1.5 is hereby replaced in its entirety by the following: 1.5 Limitations On Costs - Cost Pool. SHP shall. at its own cost. arrange for medical services for any inmate who, in the opinion of the Medical Director (hereinafter meaning a licensed SHP physician), requires such care. SHP's maximum liability for costs associated with all medical, dental, and mental health services for inmates rendered outside the Jail, for all prescription pharmaceuticals and all x -ray procedures, will be limited by a pool established in the amount of $60,000.00 in the aggregate for all inmates in each twelve -month period of this Agreement. Effective July 1, 2011, County and SHP agree that, if the costs of all care as described in this Section 1.5 exceed the amount of $60 „000.00 in any year (defined as a twelve- month contract period).. then 'SHP will pay for the additional services and submit invoices supporting the payments to County along with an SHP invoice for fifty percent (50 %) of the costs in excess of $60,000.00. If the costs of all care as described in this Section 1.5 exceed the amount of $140.000.00 in any year (defined as a twelve -month contract period), then SHP will pay for the additional services and submit invoices supporting the payments to the County along with an SHP invoice for one hundred percent (100 %) of the costs in excess of $140,000.00. For all invoices payable to SHP as reimbursement for pool excess costs, such amounts shall be payable by County within thirty days of the SHP invoice date. For purposes of this Section 1.5, the pool amounts will be prorated for any contract period of less or more than twelve months. The intent of this Section 1.5 is to define SHP's maximum financial liability and limitation of costs for all prescription pharmaceuticals, all x -ray procedures, all hospitalizations, and all other medical, dental and mental health services rendered outside the Jail. Section 7.1 is hereby replaced in its entirety by the following- 7 1 Base Compensation. Effective July 1, 2011. County will pay to SHP the annualized price of $291,632.64, based on a twelve -month period of this Agreement, payable in monthly installments. Monthly installments during the term of this Agreement effective July 1, 2011, through June 30, 2012, will be in the amount of $24,302.72 each. SHP will bill the County approximately thirty days prior to the month in which services are to be rendered. The County agrees to pay SHP prior to the tenth day of the month in which services are rendered.