HomeMy WebLinkAboutSH21-044 - ELLENSBURG FAMILY MEDICINE - 2026 COST AMENDMENT- Grant and Contract Review FormKittitas County
Review Form
Krm"r-rai n
Grants & Contract Agreement
Today's Date Agenda Date
October 15, November 3, 2026
Fund/Departmmenen t
30 / Sheriff
Contract/Grant Information
Contract /Grant Agency: Professional Service Agreement with Ellensburg Family Medicine and Kittitas
Count Modification of this existing agreement)
Period Begin Date: Upon final signature I I Period End Date: TBD
Total Grant/Contract Amount: The total cost to the Contractor will increase from no greater than $304,500 to no
greater than $383,475 annually, reflecting an estimated cost of the additional personnel and services of $78,975.
Grant/Contract Number: SH21-044
Contract/Grant Summary: The purpose of this modification is to allow for additional compensation for
administrative fees, compensation for malpractice coverage cost increase, and additional nursing hours in
2027. The total cost to the Contractor will increase from no greater than $304,500 to no greater than $383,475
annually, reflecting an estimated cost of the additional personnel and services of $78,975.
Breaking down the requested increase is as follows:
Original Contract for Medical Services was adjusted to $290,000 with an increase of 5% yearly. Fiscal Year 2026
made the contract $304,500 and for 2027 it will cost the county $319,725 for Medical Services and 1 full-time
nurse as stated in the current contract with CompassDirect SH21-044.
In the state of Washington, malpractice insurance has dramatically increased, and many jails are suffering either
large budget demands or losing medical providers because of this estimated increase of 25% over the last couple
of years and forecasted forward. To offset this cost, the request is to provide an additional $61,250 (which
increase based on numbers provided by CompassDirect) in 2027 to CompassDirect to ensure the jail still has the
necessary medical services, with insurance.
Finally, there are extenuating circumstances where a nurse scheduled to be off ended up staying to assist Jail staff
on an emergency, usually saving from sending the individual to the emergency room and all costs associated, but
accrues during this a minimal amount of overtime that CompassDirect is not compensated for. The jail is
requesting $2,500 in 2027 to help cover those unexpected overages.
Current Contract for FY26 $304,500
+ 5% increase at $15,225
+ increase in malpractice insurance at $61,250
+ additional funding for Nurse OT at $2,500
_ $383,475 (increase of $78,975)
Grant/Contract Review Page 1
Financial Information
Grant/'Contract Review page 2
Budget Information
Budget Amendment Needed?
New Division Created? No
Revenue Code N/A
Expense Code:
001300954113
Pass Throug
Agency to Pass
Amount to Pass
Sub -Contract A
Yeso attach budget form
Information
iron h NA
hrou h $0
roved Date:
Prosecutor Review
Has the Prosecutor reviewed this
Co nty Departments I
Auditor
Information Services
Prosecutor
Submitted
Assignment of 7
Auditor's Office
Human Resource
Prosecutor's Office
Who Signed the are
Reviewer
Information
cation
ent? I Y
No ❑x why not
Already budgeted
No
Facilities Maintenance
Human Resource
Treasurer
APPROVED IN LRS #12903
Date
CAMAS# 12903
Grant/Contract Review Page 2