SEVENTH AMENDMENT TO PROFESSIONAL SERVICES AGREEMENTSEVENTH AMENDMENT TO
PROFESSIONAL SERVICES AGREEMENT
This is the Seventh Amendment ("Amendment") to the Professional Services Agreement ("Agreement")
between City of Clearwater ("Client") with offices located at 100 South Myrtle Avenue, Clearwater, Florida 33756
and Evernorth Direct Health, LLC ("Evernorth") with offices located 26500 North Norterra Drive, Phoenix, Arizona
85085 effective October 1, 2015. This Amendment is effective July 27, 2022 ("Amendment Effective Date").
Client and Evernorth are sometimes referred to herein individually as a "Party" and collectively as the "Parties."
WHEREAS, pursuant to Section 28 of the Agreement, the Parties wish to amend the Agreement in accordance
with the terms stated herein.
NOW, THEREFORE, for valuable consideration, the receipt and sufficiency of which is hereby acknowledged, as
of the Amendment Effective Date, the Agreement is hereby amended as follows:
1. For purposes of this Amendment, capitalized terms used herein shall be as defined in the Agreement, as
amended, or in any of the Schedules or Appendices attached thereto, unless otherwise specified.
2. Section 3, Term, of the Agreement is hereby renewed for the Renewal Term of twelve (12) months from
10/1/2022 through 9/30/2023.
3. The Operating Budget (Appendix 1) attached to Schedule B — Fees of the Agreement is hereby deleted in its
entirety and replaced with the Operating Budget (Appendix 1) attached to this Amendment for the Renewal
Term of 10/1/2022 through 9/30/2023.
4. The recitals and representations are true and accurate and are incorporated herein by reference.
jTHIS SECTION INTENTIONALLY LEFT BLANK]
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5. Except as modified by this Amendment, all other terms and provisions of the Agreement, as amended, and
all Schedules and Appendices attached thereto, shall continue in full force and effect.
IN WITNESS THEREOF, the Parties hereto have caused this Amendment to be executed and signed by their
respective officers duly authorized to do so. Electronic signatures are acceptable and have the same
binding effects as original signatures.
EVERNORTH DIRECT HEALTH, LLC
Signature:
/
/644 Pae4
Print Name:
r� - , . ' - rry, DBA,, P
Title:
Chief Operating Officer, VP
Date:
July 27, 2022
Countersigned:
CITY OF CLEARWATER, FLORIDA
Frank Hibbard/C/r 4'" „e.JC;"2
Jon Jennings
Mayor City Manager
App_ved as to fo
wen Kohl - r
Assistant City Attorney
Attest:
Rosemarie Call
City Clerk
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Appendix 1
€VERNORTH-,
Evernorth Direct Health
Cost Projection Estimates Prepared for: City of Clearwater - Budget Renewal
Temp Labor Identified Separately
r
Description
10/1/22 - 9/30/23
Participants - Eligible for Access
Potential Visits
Penetration Rate
Projected Primary Care Visits
PreventionHealth Promotion Visits
FTE's Physician
Nurse Practitioner
Medical Assistant
Front Office
LPN & Office Manager
Total FTE's
Salaries & Benefits
Temp Labor
Supplies
Other Direct Expenses
System Expenses
3,140
7,850
68.0%
5,339
1,602
1.00
1.00
2.00
1.00
1.00
6.00
808,000
57,000
234,000
110,000
79,000
Total Operational Expense Estimate
Admin Fee
Management Fee
Infrastructure Costs
1,288,000
21,000
86,000
303,000
Total Fee Estimate
410,000
Total On Site Health Center Cost Estimate
1,698,000
CHC - Operating funding incentive
Total Cost Estimate After Cigna Contribution
161,177
1,536,823
Assumptions
1) The facility is staffed as indicated in the FTE section above, temporary staff is not included in FTE count.
2) Full-time is considered to be 40 hours per week and represented by 1.0D FTE.
3) Operating costs include system licensure based an the number of professional staff.
4) Marketing for communications to those eligible for access to the site is planned at $5000 per year (pass thru exp, only charged if used).
5) Recruitment cost for staff is projected at $10000 per year (pass thru exp. only charged if used).
0) Assumes 5D% of eligible participants receive a flu shot in the clinic.
7) Visits include medical and heahh promotion (estimate 2.5 visits per participant per year).
8) Lab vendor will be paid through clinic instead of lab vendor submitting claim directly to insurance. Estimated at $4K per mo. (pass thru exp).
9) Includes cost of prepackaged medicine at $13.25 per scnpt assuming 1.3 scripts per visit
10) The projection does not Include an estimate for temporary labor coverage (pass thru exp if approved and incurred).
11) Does not include data conversion.
12) High Speed Internet must be available to the building and extended to demark within vendor service distance requirements. Additional
connectivity charges for Internet/DSL(relephone svcs could apply if clinic cannot use client's existing service providers.
13) Radiology expenses are included and average $3.000 per month (pass thru exp)
14) Other Direct Expenses includes Audiometer, Spirometer and Hearing Booth equipment purchases 8 shipping in Year 1 (Approx. $8,300)
15) Includes cost of temporary PA.
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