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Pricing Annual Monthly Fee Category Summary
<br />Note: Pricing is based on Eligible Members as all employees eligible for and participating in Client's health
<br />plan, and their spouses and dependents ages 2 years and up
<br />Start - Up Fee (Estimated;
<br />Client will pay actual costs) "$137,000
<br />Staffing/ Clinic Hours $384,022 Staff Salaries, Benefits, PTO & Fill in,
<br />(Estimated) $32,001 Malpractice, Allocated Hiring Costs,
<br />202. 1 1 •. , hh. i LC All tights wsei %cd, C onlidow,
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<br />Max in year 1::5
<br />Physician Oversite, and Everside
<br />If elected:
<br />Max in year 1:
<br />5$12,016
<br />Regional Oversite & Onsite
<br />Add -On Dietician (FT)
<br />5 $144,192
<br />5 $ 7,325
<br />Management
<br />Add -On Dietician (PT)
<br />5 $ 87,900
<br />5 $14,691
<br />Add -On LCSW (FT)
<br />5 $176,292
<br /><_ $ 8,933
<br />Add -On LCSW (PT)
<br />5 $107,196
<br />Technology Costs
<br />Wellness Portal, Phone & Internet
<br />under Everside's National Contract,
<br />EMR Licenses, Nurse Triage Line,
<br />$79,500
<br />$6,625
<br />Everside's Reporting Analytics &
<br />Everside Insights, Health Specialist
<br />Referral Tool Rubicon, IT Hardware
<br />Support, Multiple Software
<br />Licenses
<br />Program Oversight/Central
<br />Printing & Marketing Expenses,
<br />Support
<br />Facility Onsite Costs, Provider State
<br />$98,974
<br />$8,248
<br />Licensing and License Management,
<br />Health Center
<br />Spot Bonus
<br />Management Fee
<br />$81,721
<br />$6,810
<br />Everside SG&A and Related
<br />Corporate Costs
<br />Wellness Fee
<br />Included
<br />Included in Technology Costs
<br />Biometric labs/HRAs
<br />HRAs completed with in -center staff are included at no additional
<br />cost. HRAs completed
<br />as on-site
<br />events may incur additional staffing
<br />expense. Biometric labs collected during HRAs will be billed on a pass-
<br />through basis.
<br />Claims Integration
<br />Included
<br />Included in Technology Costs
<br />Pass Through- Labs
<br />$20,285
<br />$1,690
<br />All Labs Sent Outside of Health
<br />(Estimated)
<br />Center for Processing.
<br />Pass Through- Clinic/Office
<br />$24,008
<br />$2,001
<br />Medical Supplies & Office Supplies
<br />Supplies (Estimated)
<br />Pass Through- Staff Travel
<br />$3,000
<br />^'$250
<br />Provider Travel & Meals
<br />(Estimated)
<br />Pass Through- Rx (Estimated)
<br />—$27,528
<br />$2,294
<br />All Prescriptions Dispensed at
<br />Everside Health Center
<br />Pass Through -Rent/Utilities
<br />Responsibility of Indian River County
<br />and Maintenance
<br />Pass Through - Estimated
<br />Responsibility of Indian River County
<br />Build Out
<br />TOTAL
<br />$719,038
<br />$59,931.25
<br />Estimated (does not include start-up)
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