File #: 23-0890    Version: 1 Name:
Type: CM Action Item - Health and Human Services Status: Passed
File created: 11/28/2023 In control: Board of Commissioners
On agenda: 12/6/2023 Final action: 12/6/2023
Title: Request approval of an Agreement between Fulton County, DeKalb County, Grady Memorial Hospital Corporation ("GMHC") and the Fulton-DeKalb Hospital Authority (the "Authority") for the provision of support payments and other funding from the counties to GMHC for use by GMHC and the Authority to ensure the provision of medical care and adequate facilities at Grady Hospital and in other Neighborhood Health Centers in the counties for residents of the counties regardless of their ability to pay, and for other purposes, for an initial term of six (6) years, commencing January 1, 2024 and ending December 31, 2029, with the Agreement terminating and automatically renewing on December 31 of each year; and with two (2) additional, successive renewal terms of two (2) years each thereafter for a final termination date of December 31, 2033, with the amount for Fulton County's share of support set at $43,297,870.00 for the term of January 1, 2024 through December 31, 2024, and increasing automatical...
Attachments: 1. 2023.11.17 - Operating Agreement Summary - Final Version, 2. 2023.11.29 - Clean Version- OPERATING AGREEMENT.11.30 redline

DEPARTMENT
County Manager

REQUESTED ACTION (Identify appropriate Action or Motion, purpose, cost, timeframe, etc.)
title

Request approval of an Agreement between Fulton County, DeKalb County, Grady Memorial Hospital Corporation ("GMHC") and the Fulton-DeKalb Hospital Authority (the "Authority") for the provision of support payments and other funding from the counties to GMHC for use by GMHC and the Authority to ensure the provision of medical care and adequate facilities at Grady Hospital and in other Neighborhood Health Centers in the counties for residents of the counties regardless of their ability to pay, and for other purposes, for an initial term of six (6) years, commencing January 1, 2024 and ending December 31, 2029, with the Agreement terminating and automatically renewing on December 31 of each year; and with two (2) additional, successive renewal terms of two (2) years each thereafter for a final termination date of December 31, 2033, with the amount for Fulton County's share of support set at $43,297,870.00 for the term of January 1, 2024 through December 31, 2024, and increasing automatically thereafter by an amount equal to the percentage change in the Consumer Price Index, Medical Care for the preceding calendar. The County Attorney is authorized to approve the Agreement as to form and to make modifications thereto prior to execution by the Chairman. (APPROVED)
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REQUIREMENT FOR BOARD ACTION (Cite specific Board policy, statute or code requirement)
Pursuant to Fulton County Code ? 1-117, the Board of Commissioners has exclusive jurisdiction and control over directing and controlling all property of the County. General funds may be used to finance care for the county's indigent sick. O.C.G.A. ? 48-5-220. The County may contract with a hospital authority for the purpose of using the services and facilities of the hospital authority. O.C.G.A. ? 31-7-85. See also, O.C.G.A. ? 36-60-13 regarding multi-year agreements.

STRATEGIC PRIORITY AREA R...

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