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HomeMy WebLinkAbout20260236 CO *VC4 c� � 1 c o5 BOARD OF COUNTY COMMISSIONERS PASS-AROUND REVIEW PASS-AROUND TITLE: Wellpath Medical Services, Amendment#5 DEPARTMENT: Sheriffs Office - Detentions Division DATE: 1/22/26 PERSON REQUESTING: Lieutenant Mark Pollard Brief description of the problem/issue: In collaboration with the Sheriffs Office and Wellpath, the staffing matrices for the Weld County Jail and the Southwest Booking Substation were reviewed for effectiveness and efficiencies. Amendment #5 to the Wellpath service contract makes changes to better reflect the operational needs of the Sheriffs Office through changes to staffing titles and manpower, eliminating and reorganizing positions that create a cost savings to the County. What options exist for the Board? The Board can approve or not approve this Amendment. Consequences: If not approved, the County will continue to receive medical services through Wellpath at the previously approved staffing level, but this does not reflect current operational needs and would include payment for personnel that are not utilized due to the closing of the Southwest Substation. Impacts: If the Board approves the amendment, medical services will continue through Wellpath at the new staffing levels, which meets current operational needs with a reduction in costs. Costs (Current Fiscal Year / Ongoing or Subsequent Fiscal Years): This amendment reduces the monthly costs by$52,615.63, and annual costs of the contract by $631,387.51 in 2026. Recommendation: It is recommended that the Board approve this amendment. The services that Wellpath provides are comprehensive and meet the needs of the County to deliver inmate medical services to the Weld County Sheriffs Office. This contract has been reviewed by County Attorney's Office, Byron Howell. Support Recommendation Schedule Place on BOCC Agenda Work Session Other/Comments: Perry L. Buck Scott K. James � _,, Jason S. Maxey .-\:c Lynette Peppler 6 Kevin D. Ross LUn5cn- cc,Gh x (50) 2026-0236 7/Z/ZO Z/VZcC) so o()(41 Docusign Envelope ID: AlFB5805-3608-4641-8501-459282AEEC1B IN WITNESS WHEREOF, the Parties hereto have duly executed the Agreement as of the day, month, and year first above written. COUNTY: ATTEST ( .) S ;.''4'u BOARD OF COUNTY COMMISSIONERS Clerk to the Board WELD COUNTY, COLORADO BY: I!AA Le: L_I JAM V----- r Deputy Clerk to the B.1:r..� EZ��,cott K. James, Chair FE3 0 2 ? '_: 1 ,, '.. d„,A $ NTRACTOR: 1 �? 1 \ied-u--m, 14:, c ellpath LLC ' 6550 Carothers Parkway, Suite 500 Franklin, TN 37067 nn DoocuS,gggqqned"""by By: 6EA59?757A394 Signature uthority, Title Date:1/13/2026 2-UZ10 -Le 3(C _1 Docusign Envelope ID: AlFB5805-3608-4641-8501-459282AEEC1B uN AMENDMENT TO PROFESSIONAL SERVICES AGREEMENT BETWEEN WELD COUNTY AND WELLPATH, LLC • This Fifth Amendment is made and entered into this Ind day of , 202(oby and between the Board of Weld County Commissioners, on behalf of the Weld County Sheriffs Office, hereinafter referred to as the "County", and Wellpath LLC, hereinafter referred to as the "Contractor", each a "Party", and collectively the "Parties". RECITALS WHEREAS the Parties entered into an Agreement for Inmate Medical Services (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2023-2252, approved on August 2, 2023. WHEREAS the Parties have previously completed four amendments to the original agreement. WHEREAS the parties agree to a Fifth Amendment to amend the terms of the Original Agreement in accordance with the terms of the Original Agreement and any previously adopted amendment, which is incorporated by reference herein, as well as the terms provided herein. NOW THEREFORE, in consideration of the premises, the Parties hereto covenant and agree as follows: • The Parties agree to Staffing Adjustments and Title Changes as proposed by Wellpath and detailed in Exhibit A, which also includes Attachment #1 — Proposed Staffing Matrices, all attached and incorporated herein. Parties also agree to the pricing adjustments with credit back to the County detailed in the Exhibit A proposal. • This Amendment, together with the Original Agreement and previous amendments, constitutes the entire understanding between the parties. • All other terms and conditions of the Original Agreement remain unchanged. wellpath To hope and healing. Exhibit A December 12, 2025 Mark Pollard, Lieutenant Weld County Sheriff's Office 1950 0 Street Greeley, Colorado 80631 RE: Proposal For Staffing Adjustments&Title Changes Greetings Lieutenant Pollard: I hope this letter finds you well. Wellpath is proud to be your partner. We strive to exceed your expectations regarding the level and quality of services we provide for the Weld County Sheriff's Office. Proposed Title Changes & Staffing Adjustments Per our discussion with Wellpath Operational Leadership, we have reviewed the request to modify the current staffing matrices for both the North Jail Complex and Southwest Substation Facilities. Therefore, we have prepared the following cost proposal to reflect the requested title and staffing changes, starting with title changes, which come at no cost to the County: • Convert 2.10 FTEs of Registered Nurse Clinic to Registered Nurse—Clinic/2W (Days) • Convert 4.20 FTEs of Licensed Practical Nurse—Med Pass/Clinical to Licensed Practical Nurse— Med Pass (Days) • Convert 1.00 FTEs of Quality Assurance/Community Coordinator to Medical Assistant (Days) • Convert 1.00 FTEs of CMA/Records to Medical Records Clerk(Days) • Convert 2.10 FTEs of Charge RN (Night)to Registered Nurse—Charge/Booking(Nights) • Convert 2.10 FTEs of Registered Nurse—Booking to Registered Nurse 2W (Nights) In addition, 2.10 FTEs of Registered Nurse—Clinic shall be converted into 2.10 FTEs of Licensed Practical Nurse—Med Pass (Nights).The hourly rate of this position shall be decreased from forty-nine dollars per hour($49.00)to thirty-seven dollars per hour($37.00). Having addressed the title conversions,we now present the corresponding staffing adjustments required to support the revised operational structure: • Removal of 1.50 FTEs of Registered Nurse—Substation (Days) & a removal of 0.60 FTEs of Registered Nurse—Substation (Day/Weekends)for a total of 2.10 FTEs removed • Increase of 0.90 FTEs of Licensed Practical Nurse—Med Pass (Days) • Increase of 0.045 FTEs of Dental Assistant (Days) • Removal of 2.10 FTEs of Registered Nurse—Clinic(Nights) • Increase of 2.10 FTEs of Licensed Practical Nurse—Med Pass (Nights) These staffing changes will result in a credit back to the County in the amount of$631,387.51 annually, or$52,615.63 monthly, if accepted. 1 Wepat00' 6550 Carothers Parkway, Suite 500 - Franklin, TN 37067 mi.. www.wellpathcare.com wellpath To hope and heating. A copy of the proposed staffing matrices is attached to page four and five (4&5)for reference. The table below details the associated monthly and annual cost to implement the proposed adjustments. Weld County,CO—Proposed Staffing Adjustments Compensation Position FTE Hours Monthly Annually Registered Nurse—Substation (Days) -1.5 -60 ($19,645.72) ($235,748.00) Registered Nurse—Substation (Day/Weekends) -0.6 -24 ($8,179.03) ($98,148.41) Licensed Practical Nurse -Med Pass (Days) 0.9 36 $9,296.93 $111,563.16 Dental Assistant(Days) 0.05 1.8 $331.12 $3,973.48 Registered Nurse-Clinic (Nights) -1.5 -60 ($22,051.32) ($264,615.82) Registered Nurse-Clinic (Night/Weekends) -0.6 -24 ($9,141.27) (109,695.29) RN -Clinic to LPN - Med Pass (Nights) 1.5 60 ($2,547.10) ($30,565.25) RN -Clinic to LPN -Med Pass(Night/Weekends) 0.6 24 ($679.23) ($8,150.74) Totals -1.16 -46.2 ($52,615.63) ($631,387.51) This is a proposal only and does not constitute a contract amendment. Wellpath has developed this proposal based on current wage rates. The prices in this proposal shall remain valid for 90 days from the date of this letter. Wellpath reserves the right to adjust the prices to reflect current market data. As per previous years,we will await the County-drafted amendment before proceeding. However, if the County prefers that Wellpath prepare the amendment, please sign the following page and email a signed copy to Aiden Preciado, Retention Specialist, at APreciado@wellpath.us. Upon receipt of the signed, our Legal Department will draft a formal contract amendment and route to the appropriate County individual(s)for signature. All other terms of the current Agreement, including any changes detailed above, shall remain in full force and effect. We appreciate our relationship over the years and look forward to continued success. Please do not hesitate to contact Michelle Pounders, Regional Director of Operations, at (406) 258-4064 with any questions or concerns. Sincerely, Cole Casey, Division President Cc: Kesha Poland, Regional Vice President Michelle Pounders, Regional Director of Operations Christi Cunningham, Client Retention Manager 2 VVellpath® 6550 Carothers Parkway, Suite 500 - Franklin, TN 37067 �1i www.wellpathcare.com ;• wellpath To hope and healing. Attachment #1 — Proposed Staffing Matrices Weld County-NJC Day Shift POSITION Mon Tues Wed Thur Fri Sat Sun Hrs/Week FTEs Health Services Administrator RN 8 8 8 8 8 40 1.000 Director of Nursing 8 8 8 8 8 40 1.000 Medical Director 8 8 0.200 Mid-level Provider NP/PA 8 8 8 8 32 0.800 Psych NP 8 6 8 22 0.550 Administrative Assistant 8 8 8 8 8 40 1.000 Charge RN 12 12 12 12 12 12 12 84 2.100 Registered Nurse-2E 12 12 12 12 12 12 12 84 2.100 Registered Nurse-Booking 12 12 12 12 12 12 12 84 2.100 Registered Nurse-Clinic/2W 12 12 12 12 12 12 12 84 2.100 Licensed Practical Nurse-Med Pass 24 36 36 36 24 24 24 204 5.100 Dentist 6 7 13 0.325 Dental Assistant 6 9 15 0.375 Medical Assistant 8 8 8 8 8 40 1.000 Medical Records Clerk 8 8 8 8 8 40 1.000 Total Hours/FTE -Day 830 20.750 Night Shift Registered Nurse-Charge/Booking 12 12 12 12 12 12 12 84 2.100 Registered Nurse-2E 12 12 12 12 12 12 12 84 2.100 Registered Nurse-2W 12 12 12 12 12 12 12 84 2.100 Licensed Practical Nurse-Med Pass 24 24 24 24 24 24 24 168 4.200 Total Hours/FTE-Night 420 10.500 Weekly Total TOTAL HOURS/FTE-Per Week 1,250 31.250 MAT Staffing- 100-150 ADP Day Shift POSITION Mon Tues Wed Thur Fri Sat Sun Hrs/Week FTEs Nurse Practitioner 8 8 8 24 0.600 RN MAT Program Coordinator 8 8 8 8 8 40 1.000 LPN Dosing 8 8 8 8 8 8 8 56 1.400 MHP/Discharge Planner 8 8 8 8 8 40 1.000 Total Hours/FTE-Day 160 4.000 Weekly Total TOTAL HOURS/FTE-Per Week 160 4.000 SOUTHWEST SUBSTATION-CLOSED Day Shift POSITION Mon Tues Wed Thur Fri Sat Sun Hrs/Week FTEs 0 0.000 Total Hours/FTE-Day 0 0.000 4 Wepat0 6550 Carothers Parkway, Suite 500 - Franklin, TN 37067 7'' www.wellpathcare.com • wellpath To hope and heating. The undersigned is authorized to accept the above terms: Fc3 0 2 2 : Authori d Representative Date Signed Scott K.James Chair, Board of Weld County Commissioners Print Name Title Attest: VAirdLitii i-V..110144;tikyl lerk to the Board 1861 0 .0 By: 1 .Gak 0 Deputy Clerk to theb`ard P Y U1WS PLEASE NOTE: Final delivery of the contract amendment will be via email. If hard copies with original signatures are required,please indicate the number of copies needed: 3 Wellpath® „' 6550 Carothers Parkway, Suite 500 - Franklin,TN 37067 tt�,, www.wellpathcare.com ZUZ( - OZS(9 —2- Contract Form Entity Information Entity Name* Entity ID* New Entity? Please use the job WELLPATH LLC SUP-47461 aid linked here to add a supplier in Workday. Contract Name* Contract ID Parent Contract ID 2026 WELLPATH MEDICAL SERVICE CONTRACT FOR 1 0305 WELD COUNTY JAIL, AMENDMENT 5 Requires Board Approval Contract Lead* YES Contract Status TMATTHEWS CTB REVIEW Department Project # Contract Lead Email tmatthews@weld.gov Contract Description* AMENDMENT 5: CHANGE TO BETTER REFLECT OPERATIONAL NEEDS OF THE SO THROUGH CHANGES TO STAFFING TITLES & MANPOWER, ELIMINATING & REORGANIZING POSITIONS THAT CREATE COST SAVINGS TO THE COUNTY BY $52,61 5.63/MONTH OR ANNUAL SAVINGS OF $631 ,387.51 IN 2026. Contract Description 2 ORIGINAL DOCUMENT $2023-2252, APPROVED ON 08/02/2023. AMENDMENT 1 #2023-2584; AMENDMENT 2 #2024-0944; AMENDMENT 3 2024-31 1 8; AMENDMENT 4 2025- 2416 Contract Type* Department Requested BOCC Agenda Due Date AMENDMENT SHERIFF Date* 01 /31 /2026 02/04/2026 Amount* Department Email $8,1 96,124.62 CM-Sheriff@weld.gov Will a work session with BOCC be required?* NO Renewable* Department Head Email NO CM-Sheriff- Does Contract require Purchasing Dept. to be DeptHead@weld.gov included? Automatic Renewal County Attorney Grant GENERAL COUNTY IGA ATTORNEY EMAIL County Attorney Email CM- COUNTYATTORNEY@WEL D.GOV If this is a renewal enter previous Contract ID If this is part of a MSA enter MSA Contract ID Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in OnBase Contract Dates Effective Date Review Date* Renewal Date 01 /01 /2026 06/01 /2026 Expiration Date* Termination Notice Period Committed Delivery Date 12/31 /2026 Contact Information Contact Info Contact Name Contact Type Contact Email Contact Phone 1 Contact Phone 2 Purchasing Purchasing Approver Purchasing Approved Date Approval Process Department Head Finance Approver Legal Counsel DONNIE PATCH CHRIS D'OVIDIO BYRON HOWELL DH Approved Date Finance Approved Date Legal Counsel Approved Date 01 /27/2026 01 /27/2026 01 /27/2026 Final Approval BOCC Approved Tyler Ref# AG 020226 BOCC Signed Date Originator BOCC Agenda Date TMATTHEWS 02/02/2026 Hello