Department
Sheriff
Requested Action (Identify appropriate Action or Motion, purpose, cost, timeframe, etc.)
title
Request approval to amend an existing contract - Sheriff’s Office, 17RFP07012016B-BR, Inmate Medical Services with NaphCare of Fulton County, LLC (Birmingham, AL) to increase the spending authority for Year 7 (effective July 1, 2025 through December 31, 2025) in the amount of $948,060.00; to amend the annual and monthly compensation for years 8 - 10; to adjust staffing levels to meet patient care needs; and, to adjust the Average Daily Population to include all County Jail Facilities. Effective upon BOC approval. (APPROVED)
body
Requirement for Board Action (Cite specific Board policy, statute or code requirement)
In accordance with Purchasing Code Section 102-420, contract modifications within the scope of the contract and necessary for contract completion of the contract, in the specifications, services, time of performance or terms and conditions of the contract shall be forwarded to the Board of Commissioners for approval.
Strategic Priority Area related to this item (If yes, note strategic priority area below)
Justice and Safety
Commission Districts Affected
All Districts ☒
District 1 ☐
District 2 ☐
District 3 ☐
District 4 ☐
District 5 ☐
District 6 ☐
Is this a purchasing item?
Yes
Summary & Background
This amendment will amend the existing agreement for staffing modifications in order to comply with the Department of Justice Consent Decree for physical and mental health services .
I. Article 10, Compensation, Exhibit E shall be deleted and replaced with the attached Exhibit E which provides, effective June 1, 2025, additional compensation for Service Provider to modify its staffing levels.
II. Schedule 1, Staffing Levels, set forth in Amendment No. 4 shall be deleted and replaced with the attached Schedule 1, Staffing Levels.
III. Article 11, Personnel and Equipment, Paragraph 11.4 shall be deleted and replaced with the following language:
11.4 Service Provider will provide medical, dental, technical, and support personnel necessary for the staffing of Inmate Medical Services as described in and as required by this Agreement. Service Provider shall provide staffing as described in Schedule 1 of this Agreement, attached hereto and incorporated herein by reference. The Parties mutually agree that the ADP is two thousand seven hundred (2,700) and is applicable to the County’s inmate patient population physically housed in the Fulton County jail at Rice Street, Atlanta City Detention Center (“ACDC”), the South Annex, and Alpharetta jails. If the ADP either exceeds two thousand nine hundred (2,900) or is below two thousand five hundred (2,500) for at least two (2) consecutive months, then Parties hereby agree to meet and confer to establish new staffing levels and adjust compensation accordingly. Furthermore, should Service Provider be required to provide additional staffing not set forth within this Agreement as a result of any Court Order, Consent Decree, or otherwise, County shall be responsible for payment to Service Provider for any costs associated with same, notwithstanding, any such modification(s) or obligations to make payments to the agreement shall not become effective or binding unless approved by the Board of Commissioners and shall conform to the requirements of Fulton County Purchasing Code §102-420 which is incorporated by reference herein.
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NaphCare Amended Pricing |
Monthly |
|
Year 8 |
1/1/2025 - 5/30/2025 |
Seventh Renewal Term |
$2,928,621.43 |
|
Amended Seventh Renewal Term Pricing (Effective 6/1/2025) |
Addition of 23.8 FTEs |
$255,754.38 |
|
|
Reduction of 9.5 FTEs |
$(71,657.32) |
|
|
RN/LPN Swap |
$32,245.43 |
|
|
Reduction of ADP |
$(58,333.33) |
|
Amended Seventh Renewal Term 6/1/2025 - 12/31/2025 Total |
$3,086,630.59 |
This Amendment also amends the annual amount for Renewals 7- 9 as detailed in Exhibit 1, Amendment No. 4 to Form of Contract.
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NaphCare Amended Pricing |
Annual (Partial) |
Monthly |
|
Amended Year 8 |
1/1/2025 - 6/30/2025 |
Seventh Renewal Term |
$14,643,107.15 |
$2,928,621.43 |
|
Amended Year 8 |
7/1/2025 - 12/31/2025 |
Seventh Renewal Term |
$22,014,747.47 |
$3,086,630.59 |
|
Amended Year 9 |
1/1/2026 - 12/31/2026 |
Eighth Renewal Term |
$39,249,149.76 |
$3,210,095.81 |
|
Amended Year 10 |
1/1/2027 - 12/31/2027 |
Ninth Renewal Term |
$40,819,115.76 |
$3,338,499.64 |
Scope of Work: To provide comprehensive correctional physical and mental health services to inmates at the Fulton County jail facilities including the Rice Street Jail, Atlanta City Detention Center and any other jail facility as determined by the Fulton County Sheriff’s Office.
Community Impact: Facilitate a safe environment to provide physical and mental health services to individuals housed in Fulton County jail facilities.
Department Recommendation: Recommend approval.
Project Implications: The Sheriff’s Office is Constitutionally required to provide inmate healthcare at all Fulton County jail facilities.
Community Issues/Concerns: There must be a safe environment to provide physical and mental health services to individuals housed in Fulton County jail facilities.
Department Issues/Concerns: The Sheriff’s Office is Constitutionally required to provide inmate healthcare at all Fulton County jail facilities.
Contract Modification
|
Current Contract History |
BOC Item |
Date |
Dollar Amount |
|
Original Award Amount |
17-0934 |
11/15/2017 |
$20,730,349.08 |
|
Renewal No. 1/Amendment No. 1 |
18-1006 |
12/19/2018 |
$21,559,563.04 |
|
Amendment No. 2 |
19-0610 |
8/7/2019 |
$440,157.73 |
|
Renewal No. 2 |
19-0839 |
10/16/2019 |
$24,181,655.29 |
|
Renewal No. 3 |
20-0743 |
10/21/2020 |
$25,131,315.19 |
|
Renewal No. 4 |
21-0955 |
12/1/2021 |
$26,118,961.49 |
|
Renewal No. 5 |
22-0675 |
9/21/2022 |
$27,146,113.64 |
|
Amendment No. 3 |
23-0381 |
6/7/2023 |
$4,786,187.20 |
|
Renewal No. 6 |
23-0831 |
11/15/2023 |
$33,791,785.73 |
|
Renewal No. 6 pass through costs |
|
|
$5,500,000.00 |
|
Amendment No. 4 |
23-0830 |
11/15/2023 |
$1,200,394.20 |
|
Renewal No. 7 |
24-0745 |
11/6/2024 |
$35,143,457.16 |
|
Renewal No. 7 pass through costs |
|
|
$6,000,000.00 |
|
Amendment No. 5 |
|
|
$948,060.00 |
|
Total Revised Amount |
|
|
$232,677,999.75 |
Contract & Compliance Information (Provide Contractor and Subcontractor details.)
Contract Value: $948,060.00
Prime Vendor: NaphCare
Prime Status: Non-Minority
Location: Birmingham, AL
County: Jefferson County
Prime Value: $915,920.77 or 96.61%
Subcontractor: CharDonnay Dialysis, Inc.
Subcontractor Status: White Female Business Enterprise
Location: Danville, IL
County: Vermillion County
Contract Value: $4,740.30 or 0.50%
Subcontractor: Bio-Reference Laboratories, Inc.
Subcontractor Status: Non-Minority
Location: Elmwood Park, NJ
County: Passaic County
Contract Value: $14,789.74 or 1.56%
Subcontractor: Global Diagnostic
Subcontractor Status: African American Male Business Enterprise
Location: Conyers, GA
County: Rockdale County
Contract Value: $12,324.78 or 1.30%
Subcontractor: Institutional Eye Care
Subcontractor Status: Non-Minority
Location: Lewisburg, PA
County: Union County
Contract Value: $284.42 or 0.03%
Total Contract Value: $948,060.00 or 100.00%
Total Certified Values: $17,065.08 or 1.80%
Exhibits Attached
Exhibit 1: Amendment No. 5 to Form of Agreement
Exhibit 2: Performance Evaluation
Contract Attached
title
No
Previous Contracts
title
Yes
Total Contract Value
|
Original Approved Amount: |
$20,730,349.08 |
|
Previous Adjustments: |
$210,999,590.67 |
|
This Request: |
$948,060.00 |
|
TOTAL: |
$232,677,999.75 |
Grant Information Summary
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Amount Requested: |
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☐ |
Cash |
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Match Required: |
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☐ |
In-Kind |
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Start Date: |
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☐ |
Approval to Award |
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End Date: |
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☐ |
Apply & Accept |
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Match Account $: |
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Fiscal Impact / Funding Source
Funding Line 1:
100-330-3302-1158: General, Sheriff’s Office, Medical Services
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Key Contract Terms |
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Start Date: 6/1/2025 |
End Date: 12/31/2025 |
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Cost Adjustment: $948,060.00 |
Renewal/Extension Terms: Two renewal options remain |
Overall Contractor Performance Rating:82
Would you select/recommend this vendor again?
Yes
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Report Period Start: |
Report Period End: |
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1/1/2025 |
3/31/2025 |