#14-6293 Amendment No. 3 (Millennium Physician Group) THIRD AMENDMENT TO AGREEMENT #14-6293
FOR
"COLLIER COUNTY ON-SITE MEDICAL CLINIC"
THIS THIRD AMENDMENT, made and entered into on this 2$ day of
�vhG , 2024, by and between Millennium Physician Group, LLC (the "Provider" or
"Millennium") and Collier County, a political subdivision of the State of Florida, (the "County" or
"Owner") (collectively, the "Parties"):
WHEREAS, on September 9, 2014 (Agenda Item 16.E.7), the County entered into an
Agreement with Provider,with a commencement date of November 14, 2014,to provide on-site primary
care health services with an initial five-year term with five (5) additional one (1) year renewal terms;
and
WHEREAS, on October 10, 2017 (Agenda Item 16.E.2), the County approved the First
Amendment to the Agreement expanding all four clinic models to include limited pharmacy services
with reimbursement from the County for the actual cost paid by Provider with no additional markup to
the County; and
WHEREAS, on October 8, 2019 (Agenda Item 16.E.3), the County approved the Second
Amendment to the Agreement to replace Exhibit A Scope of Services in its entirety, include pricing for
the next five-year period (Exhibit B-1 Fee Schedule) and renew the Agreement for an additional five (5)
year term with new Agreement set to expire on November 13, 2024.
WHEREAS, the Parties desire to extend the Agreement through December 31, 2025 and
include pricing for the extended period.
NOW, THEREFORE, in consideration of the mutual promises and covenants herein
contained, it is agreed by the Parties as follows:
1. The above recitals are hereby incorporated into this Third Amendment as if fully set forth herein.
2. The Parties agree to the updated pricing as depicted in Exhibit B-2, Provider Pricing, attached
hereto and incorporated herein by reference, which shall take effect on November 14, 2024.
3. The Parties further agree to extend the Agreement through December 31, 2025.
4. All other terms and conditions of the Agreement, as previously amended, shall remain the same.
SIGNATURE PAGE TO FOLLOW
Page 1 of 3
Third Amendment to Agreement#14-6293 CAO
IN WITNESS WHEREOF, the Parties have executed this Third Amendment on the date and year
first written above by an authorized person or agent.
ATTEST:
Crystal K. Kinzel, Clerk of the Circuit BOARD OF COUNTY COMMISSIONERS
Court and Comptroller COLLIER COUNTY, FLORIDA
By: 'P �l r By:
JO1 �' � Ch lal , Chairman
Dated:
(SEAL) e t.teao•Ctl-a n s
Contractor's Witnesses: CONTRACTOR:
Millennium Physician Group, LLC
Ad L - By. J—c-, _ (-:
First Witness ignature 1
T Ty)e/print wits ss name T Type/print signature and title I
,./,,/ y
Second Witness Da e
VItiI Ak- .A8C jUS
I Type/print witness name
Approved as to Form and Legality:
Carl , anne Sanseverino en Li MA
Assistant County Attorney
Page 2 of 3
Third Amendment to Agreement #14-6293
CAO
EXHIBIT B-2
PROVIDER PRICING
PRICING YEAR 11
(November 14, 2024 through December 31. 2025)
Estimated Eligible Health Plan Enrollment
Enrollee 2,236
Spouse 1,015
Dependents over age 15 1,025
Main Site Operation on Collier County Complex Grounds
MAIN YEAR 11
Option 1 Rate Total Cost Opt 1
Monthly Staffing cost(state as PEPM) $13.92 $375,426.91
Office, Medical Supplies and Insurance $3.60 $96,620.95
(State as PEPM)
Management Fee(state as PEPM) $2.63 $70,507.18
Implementation Fee(lump sum paid at inception) $0
Total PMPM $20.15 $540,555.04
NORTH YEAR 11
Option 1 Rate Total Cost Opt 1
Monthly Staffing cost(state as PEPM) $7.17 $192,314.56
Office, Medical Supplies and Insurance $1.85 $49,759.79
_(State as PEPM)
Management Fee(state as PEPM) $1.35 $36,311.20
Implementation Fee (lump sum paid at inception) $0
Total PMPM $10.38 $279,385.55
Page 3 of 3
Third Amendment to Agreement#14-6293 CAO