#17-7209 (Amendment #1 Community Health Partners) 3/8/22, 11:40 AM Detail by Entity Name
DIVISION OF CORPORATIONS
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Detail by Entity Name
Florida Not For Profit Corporation
NAPLES PHYSICIAN HOSPITAL ORGANIZATION, INC.
Filing Information
Document Number N93000005824
FEI/EIN Number 65-0531134
Date Filed 12/30/1993
State FL
Status ACTIVE
Last Event CANCEL ADM DISS/REV
Event Date Filed 10/31/2008
Event Effective Date NONE
Principal Address
851 FIFTH AVE. N
STE.201
NAPLES, FL 34102
Changed: 03/19/2004
Mailing Address
851 FIFTH AVE. N
STE.201
NAPLES, FL 34102
Changed: 04/12/2012
Registered Agent Name&Address
COMMUNITY HEALTH PARTNERS
851 FIFTH AVE N
201
NAPLES, FL 34102
Name Changed: 04/12/2012
Address Changed: 04/12/2012
Officer/Director Detail
Name&Address
Title D
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3/8/22, 11:40 AM Detail by Entity Name
Talano, James MD
851 Fifth Ave North
STE 201
NAPLES, FL 34102
Title D
Lewis, John MD
851 FIFTH AVE. N
STE.201
NAPLES, FL 34102
Title D
Kamerman, Max MD
851 FIFTH AVE. N
STE.201
NAPLES, FL 34102
Title D
WOLFF, BRIAN MD
851 FIFTH AVE. N
STE.201
NAPLES, FL 34102
Title Director
Perez-Trepichio,Alejandro MD
851 FIFTH AVE. N
STE.201
NAPLES, FL 34102
Title Director
Mascotti, Kristin MD
851 FIFTH AVE. N
STE.201
NAPLES, FL 34102
Title Director
Dimond, Margaret
851 FIFTH AVE. N
STE.201
NAPLES, FL 34102
Title Director
Murphey, Bryan MD
851 FIFTH AVE. N
STE.201
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3/8/22, 11:40 AM Detail by Entity Name
NAPLES, FL 34102
Title Director
Leach, Gregory MD
851 FIFTH AVE. N
STE.201
NAPLES, FL 34102
Title COO
Jardone, Susan Kathleen
851 FIFTH AVE. N
STE.201
NAPLES, FL 34102
Title D
Scanlon,James, MD
851 Fifth Ave North Suite 201
Naples, FL 34102
Title D
Najm Masoud, Sobia, MD
851 Fifth Ave North Suite 201
Naples, FL 34102
Title D
Wyles, Rick
851 Fifth Ave North Suite 201
Naples, FL 34102
Annual Reports
Report Year Filed Date
2020 06/09/2020
2021 02/04/2021
2022 03/07/2022
Document Images
03/07/2022--ANNUAL REPORT View image in PDF format
02/04/2021--ANNUAL REPORT View image in PDF format
06/09/2020--ANNUAL REPORT View image in PDF format
04/11/2019--ANNUAL REPORT View image in PDF format
03/08/2018--ANNUAL REPORT View image in PDF format
03/28/2017--ANNUAL REPORT View image in PDF format
02/05/2016--ANNUAL REPORT View image in PDF format
11/24/2015--AMENDED ANNUAL REPORT View image in PDF format
04/23/2015--ANNUAL REPORT View image in PDF format
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3/8/22, 11:40 AM Detail by Entity Name
02/27/2014--AMENDED ANNUAL REPORT View image in PDF format
01/10/2014--ANNUAL REPORT View image in PDF format
01/25/2013--ANNUAL REPORT View image in PDF format
04/12/2012--ANNUAL REPORT View image in PDF format
01/06/2011--ANNUAL REPORT View image in PDF format
02/17/2010--ANNUAL REPORT View image in PDF format
04/28/2009--ANNUAL REPORT View image in PDF format
10/31/2008--REINSTATEMENT View image in PDF format
04/23/2007--ANNUAL REPORT View image in PDF format
03/13/2006--ANNUAL REPORT View image in PDF format
02/03/2005--ANNUAL REPORT View image in PDF format
03/19/2004--ANNUAL REPORT View image in PDF format
04/17/2003--ANNUAL REPORT View image in PDF format
03/13/2002--ANNUAL REPORT View image in PDF format
03/01/2001--ANNUAL REPORT View image in PDF format
03/27/2000--ANNUAL REPORT View image in PDF format
03/29/1999--ANNUAL REPORT View image in PDF format
02/06/1996--ANNUAL REPORT View image in PDF format
03/10/1997--ANNUAL REPORT View image in PDF format
04/22/1996--ANNUAL REPORT View image in PDF format
06/23/1995--ANNUAL REPORT View image in PDF format
Fio=:da Depa-meat cf state,DIC C Cn of Corpo2fion5
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FIRST AMENDMENT TO AGREEMENT #17-7209
FOR
MANAGED CARE & PREFERRED PROVIDER PAYOR NETWORK AGREEMENT
THIS FIRST AMENDMENT, made and entered into on this \ day of
Se p kcr,b e v 2022, by and between Naples Physician Hospital Organization, Inc. d/b/a
Community Health Partners (the "CHP" or "Contractor") and Collier County, a political
subdivision of the State of Florida, (the "County" or"Owner") (collectively, the "Parties"):
WHEREAS, on September 26, 2017 (Agenda Item No. 16.E.20), the County entered into an
Agreement No. #17-7209-NS "Managed Care & Preferred Provider Payor Network Agreement" (the
"Agreement") with Contractor to provide the professional administration of the Collier County Group
Health Plan; and
WHEREAS,the Agreement is set to expire on December 31, 2022; and
WHEREAS, the Parties desire to extend the Agreement for a period of three years
commending on January 1, 2023 to December 31, 2025 with two additional one-year renewal terms
and to add Schedule 4.7, Programs Fees setting forth the fees for services provided by CHP effective
January 1, 2023.
NOW, THEREFORE, in consideration of the mutual promises and covenants herein
contained, it is agreed by the Parties as follows:
1. Upon execution of this First Amendment, the Agreement shall be extended from a period
commencing January 1, 2023 through December 31, 2025 and may be renewed for two (2)
additional one (1) year periods at the rates set forth on Schedule 4.7. unless either party gives
the other notice of its intention not to renew at least ninety (90) days prior to the annual
anniversary of the Effective Date.
2. The County shall pay CHP as listed on Schedule 4.7, attached hereto this First Amendment, as
compensation for Managed Care Service programs CHP provides.
3. Unless modified through this First Amendment, all other terms and conditions of the agreement
shall remain in full force and effect.
[Signature page to follow]
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Page 1 of 3
First Amendment to Agreement# 17-7209-NS �Q
IN WITNESS WHEREOF,the Parties have executed this First Amendment on the date and year first written
above by an authorized person or agent.
ATTEST:
Crystal <$Unzel, Clerk of the Circuit BOARD OF CO • TY COMMISSIONERS
Court a4;Comptroller COLLIER COU 4 V, FLO'
•
0_1.,By: By: , C— -� . .
' ,_,, ,iS ' WIL 'AM L. MCDANIEL JR.,Chairman
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(SEAL) sira r£•
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Witnesses: Naples Physician Hospital Organization, Inc.
d/b/a Community Health Partners
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O BY: �St' —AC'�_cAG7U.--e,
First Witness Sig attire
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Second Witness Z Z
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App rrm nd Le lity:
c Iq County Attorney
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Print Name
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Page 2 of 3 �1\�
First Amendment to Agreement# I7 7209 NS ,0
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SCHEDULE 4.7
PROGRAM FEES
Effective January 1,2023
Board of County Commissioners Collier County, Florida shall pay Community Health Partners monthly the fee
listed below for the Managed Care Service programs — Utilization Review Management with Large Case
Management, Maternity Case Management and Disease Management. The fee shall be received by Community
Health Partners by the 20th of each month. Fee to be disbursed to:
Community Health Partners
851 Fifth Avenue N#201
Naples, FL 34102
Utilization Management/Case Management Fees:
CHP Utilization Review Management program with
Large Case Management/Care Coordination including Maternity Management
01/01/2023 — 12/31/2023 $2.84 per employee per month
01/01/2024— 12/31/2024 $2.93 per employee per month
01/01/2025— 12/31/2025 $3.02 per employee per month
OPTIONAL: Two Additional 1-year terms:
01/01/2026— 12/31/2026 $3.11 per employee per month
01/01/2027— 12/31/2027 $3.20 per employee per month
CHP Provider Network Access Fees:
01/01/2023— 12/31/2027 $1.50 per employee per month
Two Additional 1-year renewal terms $1.50 per employee per month
Page 3 of 3
First Amendment to Agreement# 17-7209-NS 0
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