Employee Health Clinic, Pre-Annual Empl Physicals

This agreement provides comprehensive on‑site health‑clinic services to Fauquier County employees, including primary care, occupational health, wellness, and behavioral‑health counseling. Marathon Health supplies clinical staff, equipment, a digital health portal, and manages all related administrative functions for a fixed annual fee with a performance‑based at‑risk component. The contract incorporates two addenda that expand coverage to dependents, add provider FTEs, and introduce behavioral‑health counseling, each with associated annual and implementation fees. Key financial terms include a base annual service fee of $1,057,140, additional annual fees for expanded services, a one‑time implementation fee, a 5 % annual fee increase, and a 10 % pay‑for‑performance “at‑risk” portion. The agreement runs for an initial three‑year term (Feb 28 2018 – Feb 27 2021) with two optional three‑year renewals, expiring on Feb 28 2027 if not renewed. • Primary care, urgent‑care, and chronic‑condition management delivered on‑site. • Occupational‑health services: pre‑employment, annual, DOT, injury, drug/alcohol screening, vision/audiometry, etc. • Wellness & preventive care plus behavioral‑health counseling (20 hrs/week). • Vendor provides full implementation support, IT platform, marketing materials, and dedicated account management. • Fixed‑price annual fee with 5 % escalations and a 10 % performance‑based “at‑risk” component.