Title
Authorize Deputy Purchasing Agent for Natividad Medical Center (NMC) to execute the First Amendment to the Professional Services Agreement with Kyle Youngflesh D.O. to provide family medicine services at NMC effective September 1, 2015, extending the term and adding $100,000 for a revised Agreement amount not to exceed $200,000 for the full term of the Agreement November 1, 2014 to December 31, 2016.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Authorize Deputy Purchasing Agent for Natividad Medical Center (NMC) to execute the First Amendment to the Professional Services Agreement with Kyle Youngflesh D.O. to provide family medicine services at NMC effective September 1, 2015, extending the term and adding $100,000 for a revised Agreement amount not to exceed $200,000 for the full term of the Agreement November 1, 2014 to December 31, 2016.
SUMMARY/DISCUSSION:
NMC entered into an agreement on November 1, 2014 with Kyle Youngflesh D.O. to provide family medicine services including rounding on hospitalized patients on the medical surgical unit. Shortly after Dr. Youngflesh started working at NMC, the Family Medicine service had a need for additional staff to see patients in the family medicine clinic. The maximum liability was nearly reached in the first six months of the agreement due to the need to cover for a vacant Hospitalist position and the additional need for coverage in Family Medicine. NMC wishes to amend the agreement with Dr. Youngflesh add family medicine clinic services to the scope of services; extend the term and add to the amount payable for services provided under this contract.
Dr. Youngflesh is paid an hourly rate according to the terms of the Agreement. The amount of services may increase due to patient volume and need for services, but the rate of pay remains the same. NMC has obtained an independent opinion of fair market value supporting the payment terms of this Agreement.
OTHER AGENCY INVOLVEMENT:
County Counsel has reviewed and approved this Amendment as to legal form and risk provisions. Auditor-Controller has reviewed and approved this Amendment as to fiscal provisions. The Amendment has also been reviewed and approved by Natividad Medical Center’s Finance Committee on April 23, 2015 and Board of Trustees on May 1, 2015.
FINANCING:
The cost of this Amendment is $100,000. The maximum not to exceed amount of this Agreement is $200,000 for the period November 1, 2014 to December 31, 2016. $82,925 was disbursed in Fiscal Year 2014/2015. $100,000 is included in Fiscal Year 2015/2016 Adopted Budget. There is no impact to the General Fund.
Prepared by: Jeanne-Ann Balza, Management Analyst, 783.2506
Approved by: Gary Gray D.O., Interim Chief Executive Officer, 783.2553
Attachments:
First Amendment
Agreement
Attachments on file at the Clerk of the Board