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Forvis Mazars, LLP is an independent member of Forvis Mazars Global Limited <br />January 23, 2025 <br />Orange County Health Department <br />P.O. Box 8181 <br />Hillsborough, NC 27278 <br />We appreciate your selection of Forvis Mazars, LLP as your service provider and are pleased to confirm <br />the arrangements of our engagement in this contract. Within the requirements of our professional standards <br />and any duties owed to the public, regulatory, or other authorities, our goal is to provide you an Unmatched <br />Client Experience. <br /> <br />In addition to the terms set forth in this contract, including the detailed Scope of Services, our engagement <br />is governed by the following, incorporated fully by this reference: <br /> <br /> HIPAA Business Associate Agreement <br /> Terms and Conditions Addendum <br />Summary Scope of Services <br />As described in the attached Scope of Services, our services will include the following: <br /> <br /> Preparing the Medicaid Cost Report for the Year Ended 6/30/2024 <br /> <br />You agree to assume full responsibility for the substantive outcomes of the contracted services and for any <br />other services we may provide, including any findings that may result. <br />You also acknowledge these services are adequate for your purposes, and you will establish and monitor <br />the performance of these services to ensure they meet management’s objectives. All decisions involving <br />management responsibilities related to these services will be made by you, and you accept full responsibility <br />for such decisions. <br />We understand you have designated (or will) a management-level individual to be responsible and <br />accountable for overseeing the performance of these services, and you have determined (or will) this <br />individual is qualified to conduct such oversight. <br />Time is of the essence with respect to this Agreement. <br />Engagement Fees <br />Our fees will be based on time, skill, and resources, including our proprietary information required to <br />complete the services. In addition, you will be billed travel costs and fees for services from other <br />professionals, if any, as well as an administrative fee of five (5) percent to cover certain technology and <br />administrative costs associated with our services. <br /> 6/30/2024 NC DHB Medicaid LHD Cost Report Preparation $6,000 <br />Docusign Envelope ID: 183D8F77-022B-48BA-9D7A-59C5C1C4FC1A