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HomeMy WebLinkAboutAgreement A-24-615 Amendment IV to Master Agreement for Locum Tenens.pdf Agreement No. 24-615 1 AMENDMENT IV TO AGREEMENT 2 THIS AMENDMENT, hereinafter referred to as Amendment IV, is made and entered into this 3 3rd day of December 12024, by and between the COUNTY OF FRESNO, a Political 4 Subdivision of the State of California, hereinafter referred to as "COUNTY", and each CONTRACTOR to 5 be listed in Revised Exhibit A-3 "List of Contractors," collectively hereinafter referred to as 6 "CONTRACTORS". Reference in this Agreement to party or"parties" shall be understood to refer to 7 COUNTY and each individual CONTRACTOR(S), unless otherwise specified. 8 WITNESSETH: 9 WHEREAS, COUNTY through its Department of Behavioral Health (DBH) has a need for licensed 10 psychiatrists in order to provide psychiatric services to patient/clients, as well as additional services as 11 stated in the Agreement; and 12 WHEREAS, the parties entered into that certain Agreement, identified as COUNTY Agreement No. 13 19-200, effective May 7, 2019, Amendment I, identified as COUNTY Agreement No. 23-081, effective 14 February 28, 2023, Amendment II, identified as COUNTY Agreement No. 23-305, effective June 20, 15 2023, and Amendment III, identified as COUNTY Agreement No. 23-591, effective November 7, 2023 16 Amendment III, collectively referred to as the "Agreement,"whereby CONTRACTORS are qualified and 17 willing to source, screen, present, and coordinate certain logistics for locum tenens psychiatrists; and 18 WHEREAS, the COUNTY now desires to revise the Rates of Reimbursement for CONTRACTOR 19 Jackson & Coker LocumTenens, LLC to meet current market rates for locum tenens psychiatry services 20 and to maintain an adequate provider-to-service recipient ratio by retaining psychiatry providers provided 21 through this agreement; and 22 NOW, THEREFORE, for good and valuable consideration, the receipt and adequacy of which is 23 hereby acknowledged, the parties agree as follows: 24 1. That all references to "Revised Exhibit A-2" shall be deemed references to "Revised 25 Exhibit A-3", which is attached and incorporated by this reference. 26 2. The CONTRACTORS' Exhibit B sub-parts, "Rates of Reimbursement," as indicated on 27 Revised Exhibit A-3, are attached and incorporated by this reference. 28 3. That all references to "Exhibit B-1A" shall be deemed references to "Exhibit B-1 B", which 1 1 is attached and incorporated by this reference. 2 4. CONTRACTORS hereby agree to all terms of the Agreement, as amended, and agree to 3 be bound by the terms of the Agreement, as amended. CONTRACTORS hereby acknowledge that 4 they have received a complete copy of the Agreement, as amended. 5 5. The parties agree that this Amendment IV is sufficient to amend the Agreement; and that 6 upon execution of the Agreement, Amendment I, Amendment II, Amendment III, and Amendment IV 7 together shall be considered the Agreement. 8 6. The Agreement, as hereby amended, is ratified and continued. All provisions, terms, 9 covenants, conditions, and promises contained in the Agreement and not amended herein shall remain in 10 full force and effect. This Amendment IV shall be effective upon execution. 11 W 12 W 13 N 14 N 15 N 16 N 17 N 18 N 19 N 20 N 21 W 22 W 23 W 24 W 25 W 26 W 27 W 28 W 2 1 IN WITNESS WHEREOF, the parties hereto have executed this Amendment IV to 2 Agreement as of the date first above set forth. 3 Contractor: County of Fresno 4 Jackson &Coker LocumTenens, LLC 5 6 By. . qtq - 7 Nathan Magsig, Chairman of the Board o Supervisors of the County of Fresno 8 Print Name: Matt Hale Attest: 9 Bernice E. Seidel Clerk of the Board of Supervisors 10 Title: Senior Vice President County of Fresno, State of California 11 Chairman of the Board, or President or any Vice President 12 Deputy Date: 10/23/2024 13 14 15 By ' � � 7 7- 16 17 Print Name: Jay Mitchell For accounting use only: 18 Title: _Secretary Org No.: 56302999 19 Secretary of Corporation, or 56302175 20 Any Assistant Secretary, or 56302246 Chief Financial Officer, or 21 Any Assistant Treasurer Account No.: 7295 Fund No.: 0001 22 Date: 10/23/2O24 Subclass No.: 10000 23 24 Mailing Address: 2655 Northwinds Parkway 25 Alpharetta, GA 30009 26 Phone No.: (678)690-7964 Contact: Matt Hale 27 28 3 I Revised Exhibit A-3 LOCUM TENENS SERVICES LIST OF CONTRACTORS CONTRACTOR NAME RATES OF REIMBURSEMENT (Exhibit B sub-part) 1. Jackson & Coker LocumTenens, LLC Exhibit B-1 B 2655 Northwinds Parkway Alpharetta, GA 30009 Attention: Matt Hale Phone No.: (678) 690-7964 2. LocumTenens.com, LLC Exhibit B-2 2575 Northwinds Parkway Alpharetta, GA 30009 Attention: Kristopher Ware Phone No.: (678) 690-7358 3. ExMed, Inc. Exhibit B-3 4550 Kearny Villa Road, Suite 224 San Diego, CA 92123 Attention: Adam Exum Phone No.: (619) 665-3789 4. DrWanted.com, LLC Exhibit B-4 4170 Ashford Dunwoody Road NE, Suite #485 Atlanta, GA 30319 Attention: Nate Hancock Phone No.: (678) 359-3136 5. Curative Talent, LLC Exhibit B-5 370 Las Colinas Blvd W STE 104 Irving, TX 75039 Attention: Kim Hickingbotham Phone No.: (469) 202-4033 6. Cross Country Staffing, Inc. DBA Cross Country Locums Exhibit B-6 4775 Peachtree Industrial Blvd, #300 Berkeley Lake, GA 30092 Attention: Anne Anderson Phone No.: (800) 780-3500 Page 1 of 2 Revised Exhibit A-3 7. Lavaca Street Ventures, LLC DBA Monroe & Weisbrod, LLC Exhibit B-7 7514N. Mopac Expressway, Suite 200 Austin, TX 78731 Attention: Celeste Madison Phone No.: (512) 270-2886 8. Orbit Health, A Professional Corporation Exhibit B-8 26565 West Agoura Road, Suite 200 Calabasas, CA 91302 Attention: Josephine Tseng Phone No.: (925) 997-9093 Page 2 of 2 Exhibit B-1B Locum Tenens Services Rates of Reimbursement Contractor: Jackson & Coker LocumTenens, LLC SERVICE TYPE RATES Dail All-inclusive Rate— Psychiatrist This rate is for services provided between 8:OOam- Psychiatrist: $ 300-375 /hr 5:OOpm Monday through Sunday, with a 40-hour Nurse Practitioner: $ 185-220 /hr maximum per week. Dail All-inclusive Rate— Psychiatrist & Nurse Practitioner Telehealth This rate is for services provided between 8:OOam- Psychiatrist: $ 230-276 /hr 5:OOpm Monday through Sunday, with a 40-hour Nurse Practitioner: $ 208 /hr maximum per week. The rate for NP supervision is for NP Supervision: $ 325 /hr 1 hour per 1 FTE per week. Dail All-inclusive Rate - Forensic Services This rate is for services provided between 8:OOam- Psychiatrist: $ 300-395 5:OOpm Monday through Sunday with a 40-hour Nurse Practitioner: $ N/A maximum per week, with an emphasis on services performed in the County Jail or at trial evaluations. Weekend Call Rate This rate is for carrying a pager and taking calls via Psychiatrist: $ 1,200-1,500 /hr phone from Saturday at 5:OOpm through Monday at Nurse Practitioner: $ N/A 8:OOam, when the psychiatrist is scheduled less than eight hours on Saturday or Sunday. In-House Call Rate This rate is for carrying a pager and taking calls via Psychiatrist: $ 1,650-2,062.50 phone from Saturday at 5:OOpm through Monday at /hr 8:OOam, when the psychiatrist is scheduled to work an Nurse Practitioner: $ N/A eight-hour shift on Saturday or Sunday between 8:OOam and 5:OOpm. Weeknight Call Rate This rate is for carrying a pager and taking call via Psychiatrist: $ 450-562.50 /hr phone from Monday at 5:OOpm through Saturday at Nurse Practitioner: $ N/A 8:OOam, no matter whether the psychiatrist is scheduled to work a shift Monday through Friday. Overtime Rate This rate is for hours worked after 40 hours per week Psychiatrist: $ 450-562.50 /hr or in the instance the psychiatrist is called back into Nurse Practitioner: $ N/A the facility while on call. Acquisition Fee This rate is what the County will pay to the Contractor Psychiatrist: $ 45,000 in the event a psychiatrist is hired and placed as a Nurse Practitioner: $ N/A permanent staff psychiatrist by the County. Page 1 of 1