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Saecial Assessment Agreement and Indemnity Agreement <br />This Special Assessment Agreement and Indemnity Agreement (this "Agreement") is entered <br />into as of the 29 day of September, 2021 (the "Effective Date") by and among INDIAN RIVER <br />COUNTY ("the County") and STEWARD SEBASTIAN RIVER MEDICAL CENTER, INC., a <br />Delaware corporation, including its successors and/or assigns (the "Hospital"). <br />Recitals: <br />WHEREAS, on September 14, 2021, the Board of County Commissioners (the "Board") may <br />enact Ordinance 2021-�, (the "Assessment Ordinance") at the request of the privately -owned <br />hospitals (collectively, the "hospitals") that are located in Indian River County (the "County"); and, <br />WHEREAS, the Assessment Ordinance, if passed, will authorize the Board to annually levy <br />assessments on properties owned or used by the hospitals; and, <br />WHEREAS, the Assessment Ordinance will create the Local Provider Participation Fund, a <br />special revenue fund in which the County shall account for the collected assessments; and, <br />WHEREAS, pursuant to the Assessment Ordinance, the sole purposes for which the Board <br />may utilize the money so collected and accounted for in the Local Provider Participation Fund are to <br />fund participation in Florida's Medicaid supplemental payment programs by making <br />intergovernmental transfers to the Agency for Health Care Administration ("AHCA") and to fund <br />payment of administrative costs as defined in the Assessment Ordinance; and, <br />WHEREAS, AHCA will apply the intergovernmental transfers that it receives from the <br />County towards the non-federal share of a Medicaid supplement payment program; and, <br />WHEREAS, as a result of the County's payments of the intergovernmental transfers, the State <br />of Florida, through State Medicaid Managed Care organizations or other means, will reimburse the <br />hospitals at a higher rate for the services that they provide to Medicaid -managed care enrollees. <br />NOW, THEREFORE, the parties to this Agreement, in consideration of the promises, <br />covenants, and agreements made by each to the other, do hereby agree as follows: <br />1. Incorporation of Recitals. <br />The foregoing Recitals are incorporated into this Agreement by reference, including the <br />definitions set forth therein. <br />