RESOLUTION
NO._______
WHEREAS, on July 8, 1992, Columbus Georgia and the Medical Center Hospital
Authority entered a 30-year contract for the provision of medical care for
indigent persons and prisoners pursuant to Georgia law;
WHEREAS, under the contract, payments have been made to the Medical Center
Hospital Authority based on the value of the tax digest for Muscogee County;
WHEREAS, the Mayor and City officials have worked with Medical Center Hospital
Authority officials to draft the attached First Amendment which allows Columbus
to make payments for indigent and prisoner care based upon actual ad valorem
taxes collected instead of the digest value amount;
WHEREAS, this Amendment will save Columbus taxpayers substantial monies during
the remainder of the contract term;
WHEREAS, the attached First Amendment has been approved by the Medical Center
Authority at its meeting on June 5, 2014;
WHEREAS, this Council deems it appropriate to authorize the Mayor to execute
the attached First Amendment To Contract For The Provision Of Hospital Care To
Indigent Persons Residing In Columbus, Georgia And Prisoners.
NOW, THEREFORE, THE COUNCIL OF COLUMBUS, GEORGIA HEREBY RESOLVES:
We hereby authorize the Mayor to execute the attached First Amendment To
Contract For The Provision Of Hospital Care To Indigent Persons Residing In
Columbus, Georgia And Prisoners. This First Amendment to said Contract shall
be effective July 1, 2014.
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Introduced at a regular meeting of the Council of Columbus, Georgia held on the
10th day of June, 2014, and adopted at said meeting by the affirmative vote of
______ members of Council.
Councilor Allen_____________.
Councilor Baker_____________.
Councilor Barnes____________.
Councilor Davis_____________.
Councilor Henderson_________.
Councilor Huff______________.
Councilor McDaniel__________.
Councilor Pugh______________.
Councilor Thomas____________.
Councilor Woodson___________.
__________________________ ___________________________
SANDRA T. DAVIS TERESA PIKE TOMLINSON
DEPUTY CLERK MAYOR
STATE OF GEORGIA,
COUNTY OF MUSCOGEE
FIRST AMENDMENT TO CONTRACT FOR THE PROVISION OF
HOSPITAL CARE TO INDIGENT PERSONS RESIDING IN COLUMBUS, GEORGIA AND PRISONERS
THIS AMENDMENT, made and entered into on this ____ day of June , 2014, to be
effective July 1, 2014, by and between COLUMBUS, GEORGIA, a consolidated
city-county government as a political subdivision of the State of Georgia
(hereinafter referred to as ?Columbus?), and THE MEDICAL CENTER HOSPITAL
AUTHORITY OF COLUMBUS, GEORGIA, a public body corporate and politic existing
under the Georgia Hospital Authorities Law (hereinafter the "Authority"),
amending that certain contract between them dated July 8, 1992.
W I T N E S S E T H:
WHEREAS, Columbus and the Authority entered into a contract between them dated
July 8, 1992 effective as of July 1, 1992, for the provision of hospital care
to indigent persons residing in Columbus, Georgia, and for the provision of
hospital care to prisoners; and
WHEREAS, Columbus and the Authority desire to make certain modifications to
said contract;
NOW, THEREFORE, in consideration of the premises and of the mutual covenants
and agreements contained herein, and for other good and valuable consideration,
the receipt and sufficiency of which are hereby acknowledged, and intending to
be legally bound hereby, the parties hereto agree and contract as follows:
1. Section 7 of the contract executed on July 8, 1992 is deleted in its
entirety and a new Section 7 shall be substituted as follows:
7. Payments by Columbus to the Medical Center Hospital Authority for
hospital care (including physician services, inpatient services, outpatient
services, emergency room services and outpatient pharmacy) rendered to indigent
residents of Columbus, Georgia qualifying for coverage under this Agreement and
for acute inpatient hospital care and outpatient hospital care rendered to
prisoners of Columbus.
Columbus shall pay to Authority for the hospital care which the Medical
Center renders to eligible indigent residents of Columbus, Georgia and certain
physician services provided under contract to the Medical Center for the care
of eligible indigent residents of Columbus, Georgia and for the acute inpatient
hospital care and outpatient hospital care which Medical Center renders to
prisoners of Columbus, funds provided for in this Section 7 as follows:
(a) Columbus shall levy a three mills (.003) ad valorem tax on the
taxable value of the real and personal property tax digest to pay for the
hospital care which the Medical Center renders to eligible indigent residents
of Columbus, Georgia and certain physician services provided under contract to
the Medical Center for the care of eligible indigent residents of Columbus,
Georgia. Beginning July 1, 2014, Columbus shall pay to the Authority the
actual collected amount resulting from such levy including any past due amounts
collected for tax years 2014 and after. Payments shall be made to the Authority
based on actual collections beginning in September, 2014 and each month
thereafter on the last business day of each month throughout the term of the
contract.
(b) In any contract year in which the ad valorem receipts paid by
Columbus to the Authority to administer the delivery of hospital care and those
physician services provided under contract to the Medical Center to eligible
indigent residents of Columbus, Georgia shall exceed the Indigent Care
Utilization for provision of such care to all eligible indigents under this
Agreement (who are not Prisoners) rendered by Medical Center, Authority shall
refund to Columbus an amount equal to 50% of the Surplus (as defined below)
within thirty (30) days of the final accounting by Medical Center for provision
of such care, but not later than October 1 of the subsequent contract year.
The Indigent Care Utilization shall be the total of the billed charges for
indigent care provided by the Medical Center for eligible individuals under the
contract discounted by fifty (50) percent (The total charges for Indigent Care
Utilization discounted by fifty (50) percent shall be referred to as the
Discounted Billed Charges Rate), and the direct cost without markup of
professional services rendered by physicians under contract to the Medical
Center for the care of eligible indigent residents of Columbus. Surplus is
defined as any positive amount remaining when the total indigent care
utilization (hospital services plus contracted physician services) calculated
at the above referenced rates is subtracted from the total amount of payments
made pursuant to subsection 7(a) above.
(c) Beginning July 1, 2014, Authority shall provide Prisoner Care
defined as acute inpatient hospital care and outpatient hospital care,
including urgent and emergent care as well as Jail Clearance Care rendered in
the Emergency and Trauma Center, which is provided by Medical Center Personnel
at Medical Center facilities to prisoners of Columbus, Georgia at the
Discounted Billed Charges Rate as defined in paragraph (b) above. Jail
Clearance Care is defined as medical services rendered to individuals who are
en-route to jail under police escort and who may not be released by Medical
Center Personnel without notifying the police whether or not the individual is
under arrest at the time medical services are provided. For each contract
year, the first $500,000 of Prisoner Care calculated at the Discounted Billed
Charges Rate will be provided by Medical Center and Authority at no cost to
Columbus, except for payments required under subsection 7(a) herein;
thereafter, the Authority shall bill Columbus and Columbus shall pay Authority
for Prisoner Care Medical Center provides at the Discounted Billed Charges
Rate. Such amounts will be billed to Columbus annually, with a monthly
explanation of benefits provided to the representative designated by Columbus
for the purpose of medical contract review. When in accordance with Paragraph
5(c) of the agreement, Columbus elects for the Medical Center to arrange for
acute inpatient and outpatient hospital care rendered to prisoners of Columbus
by licensed independent practitioners not employed by Medical Center, those
independent practitioners will bill Columbus for reimbursement of such patient
charges.
(d) For purposes of this Section 7, the Billed Established Charges for
any contract year shall be the charges customarily applied to Medical Center
patients generally. Provided however, for purposes of this contract, the
aggregate Billed Established Charges for any subsequent contract year shall be
limited to 110% of Medical Center?s aggregate Billed Established Charges for
services rendered during the previous contract year.
2. The remainder of the contract executed on July 8, 1992 remains unchanged.
3. This amendment shall be executed in two or more counterparts, each of which
shall be deemed an original, but all of which together shall constitute one and
the same instrument.
IN WITNESS WHEREOF, the parties hereto, acting by and through their
duly authorized officers, have caused this amendment to be executed in at least
two counterparts to be effective as of July 1, 2014.
COLUMBUS, GEORGIA
By: ____________________________________
Teresa Pike Tomlinson, Mayor
Attest: ________________________________
Sandra T. Davis, Deputy Clerk of Council
THE MEDICAL CENTER HOSPITAL AUTHORITY
OF COLUMBUS, GEORGIA
By: ____________________________________
Michael Gorum, M.D., Chairman
Attest: ________________________________
Karen Smith, Assistant Secretary
Attachments
No attachments for this document.