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File #: 2026-0427   
Type: Agenda Item Status: Passed
File created: 12/5/2025 In control: City Council
On agenda: 12/16/2025 Final action: 12/16/2025
Title: Fifth Amendment to the agreement with Premise Health Employer Solutions, LLC, for on-site health and wellness center services in an amount not to exceed $2,271,022
Attachments: 1. FOR COUNCIL - Amendment 5 - Employee Health Center - Premise Health Employer Solutions, LLC (RSK 08-001).pdf, 2. City of Ocala 2025 Client Budget .5 MD 12.3.2025.pdf, 3. 9-5-2023 Council Report.pdf, 4. Fully Executed - Fourth Amendment - Premise Health RSK-08-001, 5. Fully Executed - Third Amendment - Premise Health - RSK 08-001, 6. Fully Executed - Second Amendment - CareHere, LLC - RSK-08-001, 7. Fully Executed - First Amendment - CareHere - RSK-08-001, 8. 7-7-2015 Council Approval, 9. Fully Executed - Original Agreement - Carehere - RSK-08-001, 10. 12-04-2012 Council Approval
Related files: 2023-1599
Submitted By: Todd Swanson
presenter
Presentation By: Todd Swanson
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Department: Human Resources and Risk Management

FORMAL TITLE:
title
Fifth Amendment to the agreement with Premise Health Employer Solutions, LLC, for on-site health and wellness center services in an amount not to exceed $2,271,022
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OCALA'S RELEVANT STRATEGIC GOALS:
Operational Excellence, Fiscally Sustainable

PROOF OF PUBLICATION:
N/A

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BACKGROUND:
The City of Ocala is self-insured for health insurance and pharmacy drug claims. To save costs for both the City and its employees, it has established an on-site health and wellness center. Employees, retirees, and their dependents who are enrolled in the City's health insurance plan can access medical services and receive many generic prescription drugs at no cost. The City's self-insured plan covers any remaining costs. Additionally, the health and wellness center offers occupational health services, including physicals for new hires and treatment for employees injured on the job.

The City of Ocala has been operating its on-site employee health and wellness clinic since December 15, 2008. In 2013, the City Council approved a three-year agreement for clinic services with CareHere, LLC (now called Premise Health Employer Solutions, LLC). Since then, the City has continued to operate the clinic through a series of subsequent amendments.

In 2023, there were 1,303 unique patients who utilized the center. The total number of labs drawn was 14,352, with 7,772 medications dispensed, 216 health risk conditions discovered, and 13,773 medical diagnoses treated.

In 2024, there were 1,243 unique patients who utilized the center. The total number of labs drawn was 15,130, with 6,462 medications dispensed, 176 health risk conditions discovered, and 15,489 medical diagnoses treated.


FINDINGS AND CONCLUSIONS:
This Fifth Amendment extends the current contract term for nine months, from January 1, 2026, to September 30, 2026, in order to...

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