R2024-306 Resolution Authorizing Amendment Number 4 to the Management and Professional Services Agreement between the City of Decatur, Illinois and Everside Health, LLC

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Financial Management DATE: 9/16/2024 MEMO: TO: Honorable Mayor Moore Wolfe and City Council Members FROM: Tim Gleason,City Manager Ruby James,City Treasurer&Chief Financial Officer SUBJECT: Resolution Authorizing Amendment Number 4 to the Management and Professional Services Agreement between the City of Decatur,Illinois and Everside Health,LLC SUMMARY RECOMMENDATION: City Administration recommends Council approval for Amendment Number 4 to the Management and Professional Services Agreement between the City of Decatur,Illinois and Everside Health,LLC BACKGROUND: The City executed the original agreement with Everside Health on March 1,2021 to begin health clinic services for the employees and dependents of the City of Decatur. Since that time there have been three previous amendments. The current amendment seeks to add a Medical Assistant to the Clinic staffing in order to handle the increase in visits experienced in the past year and a half. Visits have increased from 79 visits in January 2022 to 170 visits in July 2024,with the highest month being 250 visits. The current average number of monthly visits in a year is 180 compared to 109 in calendar year 2022. The concept of the clinic is to have enough time to spend with patients to not feel like they are being rushed out the door. Urging patients to come to the clinic saves the City money by not paying higher rates for visits at other doctors. If the costs of the clinic are already budgeted, it does not cost the City any additional funds to send more employees to the clinic until the next clinical person must be hired. We are now at the point where another clinical person needs to be hired to support the volume of patients at the clinic. The annual increased cost for a medical assistant is $83,980 a year including salary,benefits, and training. The Clinic successfully saved the City$1.5 million in 2022 and$156,000 in 2023. The reason less was saved during the second year of operation is due to several employees and dependents needing specialized treatment that the clinic cannot provide. Since these specialized services must be sought outside the clinic,we are not able to save money on those type of visits; and the City is charged for outside doctor visits. Clinic savings in 2024 is expected to be higher than in 2023. POTENTIAL OBJECTIONS: None anticipated. INPUT FROM OTHER SOURCES: Everside Health LLC STAFF REFERENCE: Ruby F.James,City Treasurer&Chief Financial Officer BUDGET/TIME IMPLICATIONS: The increase would mostly impact the 2025 budget. ATTACHMENTS: Description Type Resolution Authorizing Amendment Number 4 to the Management and Professional Services Agreement Resolution Letter between the City of Decatur,Illinois and Everside Health, LLC Amendment Number 4 to the Management and Backup Material Professional Services Agreement between the City of