Agenda Cover Memorandum for 02/ - City of West Palm Beach

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A. COMPENSATION (Base Salary Compensation Model) EXHIBIT A. PHYSICIAN COMPENSATION i. Employer shall pay Physician an annual salary of $__________ per year ("Salary"), payable in bi-weekly installments of $_________ at the same frequency as payments by the Employer or other employees of the Employer who are exempt from overtime wages. The Salary payments shall be conditioned upon Physician's maintaining an annual threshold of $___________ in Net Revenue as defined below (hereinafter, the "Threshold"). The salary payments shall be subject to all state and federal withholding taxes and any other applicable benefits. ii. Each quarter during the Agreement Term, Physician’s Net Revenue will be averaged, and such average will be compared to the Threshold. In the event that the average of Physician’s Net Revenue is less than the Threshold for two consecutive quarters, Physician’s Salary shall be reduced within fifteen (15) days, effective as of the first pay period of the current quarter, by a percentage equal to the average percentage shortfall between Physician’s Net Revenue and the Threshold for such two quarters. In the event that the average of Physician’s Net Revenue exceeds the Threshold for two consecutive quarters, Physician’s Salary shall be increased within fifteen (15) days, effective as of the first pay period of the current quarter, by a percentage equal to the average percentage excess of Physician’s Net Revenue over the Threshold for such two quarters. iii. Notwithstanding the generality of the foregoing, at no time during the Agreement Term shall Physician Compensation exceed fair market value (“FMV”). Accordingly, Employer may conduct an FMV analysis of Physician Compensation during the term hereof and will reduce Physician Compensation after completion of such analysis if necessary to reflect a reduction in FMV. iv. Capitation Payments is defined as all accrued revenues determined on a per capita or per member basis for physicianrelated services for which Physician is designated the designated primary physician for the covered individual or member, provided, however, that any accruals for covering, specialty or services provided by other physicians or other at-risk services (i.e., ancillary services, outpatient services, etc.) shall be excluded from the definition of “Capitation Payments,” and Capitation Payments shall be reduced by a reasonable reserve for claims incurred but not reported. Unless otherwise agreed in writing, Capitation Payments shall be pooled on a group basis among Physician and like compensated physicians assigned to the Practice, and allocated among said physicians and Physician. v. Net Revenue is defined as Gross Revenue minus Contractual Allowances and allowances for bad debt. Gross Revenue is defined as (i) charges for patient services provided after the Effective Date in the Practice locations(s) that are generated on behalf of the Practice as a result of professional medical services personally furnished to patients by Physician, (ii) Capitation Payments, (iii) revenues from testing, clinical trials and other drug research studies, and (iv) the professional component (but not the technical component) of revenue generated from the provision by Practice or any other Entity of ancillary services, supplies, or “designated health services” to Physician’s patients (as such term is defined at 42 C.F.R. § 411.351, as such section may be amended from time to time after the date hereof) or on the “List of CPT/HCPCS Codes Used to Describe Certain Designated Health Services Under the Physician Referral Provisions (Section 1877 of the Social Security Act)” as published by the Centers for Medicare and Medicaid Services from time to time after the date hereof, regardless of whether such services are rendered in an inpatient or outpatient setting and regardless of whether services are rendered to HMO, PPO, Medicare, Medicaid or other patients. Gross Revenue shall not include the technical component of revenue generated from the provision by Practice or any other Entity of ancillary services, supplies, or “designated health services” to Physician’s patients. Contractual Allowances and allowances for bad debt are defined as the value of services performed for which payment is not expected, as calculated on an accrual basis by Employer in accordance with generally accepted accounting principles, including, without limitation, adjustments relating to charge restrictions imposed by Medicare, such as the difference between the full undiscounted charge and the Medicare limiting charge, contractual adjustments required by third party payors, and other adjustments such as charitable, professional courtesy and employee discounts. B. OTHER i. Physician shall be entitled to _____ days of leave per year (to be pro-rated for partial years). Leave is to be used for personal time, vacation time, and holidays. Unused days of leave cannot be carried over to the following calendar year. Leave may not be cashed out at any time, including at termination of employment. In addition, Physician shall be entitled Page 15 of 16 Formatted: Bullets and Numbering
to use up to ____________ (_____) regular work days per calendar year for the purpose of attending medical conventions and/or continuing medical education seminars. All leave shall be pre-approved by Employer including, but not limited to, personal time, vacation, holidays and continuing medical education seminars. Physician agrees that all leave shall be scheduled to accommodate the needs of Employer. ii. In accordance with its policies, Employer shall reimburse Physician for Physician's attendance at medical conventions and/or seminars (including, but not limited to, registration, travel, lodging and meals), business-related cellular telephone, and/or pager expenses. iii. Physician shall be eligible for a productivity bonus based upon ____percentage (%) of base salary. Productivity criteria include: a. Patient Satisfaction b. Critical outcomes c. Other criteria agreed upon by client and First OnSite and/or recommended by First OnSite Page 16 of 16 Formatted: Bullets and Numbering Formatted: Bullets and Numbering
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Originating Department: Human Resou
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AGENDA COVER MEMORANDUM Page 3 C.M.
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February 7, 2011 RESOLUTION NO. 48-
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February 7, 2011 4 RESOLUTION NO. 4
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February 7, 2011 FUND 133 - WATERFR
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February 7, 2011 8 RESOLUTION NO. 4
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RESOLUTION NO. 41-11 A RESOLUTION O
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Matter No. 10067 ITN No. 08/09-131
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“Medical Professionals” shall m
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less the estimated cost of any Supp
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longer in good standing with his or
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isk; thus, the amount forfeited in
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SECTION 3. Covenants and Responsibi
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Exhibit K b. Start Up Costs; c. the
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SECTION 8. Indemnification. First O
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9.7 Certificates of Insurance. Firs
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Page 35 and 36: 12.15 No Discrimination in Employme
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Page 39 and 40: Exhibit A Scope of Clinical Service
Page 41 and 42: Medical Surveillance � Hearing -
Page 43 and 44: EXHIBIT B SCOPE OF MANAGEMENT SERVI
Page 45 and 46: EXHIBIT D INVENTORY (attached heret
Page 47 and 48: EXHIBIT F PHYSICIAN’S AGREEMENT (
Page 49 and 50: EXHIBIT H CREDENTIALING PROCESS (at
Page 51 and 52: EXHIBIT J MINIMUM SQUARE FOOTAGE RE
Page 53 and 54: EXHIBIT L REPORTING REQUIREMENTS (a
Page 55 and 56: Assessing Health Risks Personal Hea
Page 57 and 58: City of West Palm Beach January 18,
Page 59 and 60: � What the coach has learned abou
Page 61 and 62: Online Content & Tools City of West
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Page 65 and 66: COMPREHENSIVE SUPPLIES AND EQUIPMEN
Page 71 and 72: e sent to such patient and emergenc
Page 73 and 74: life, disability, and dental benefi
Page 75 and 76: compensation due to him or her for
Page 77 and 78: A. Custody of Medical Records. Phys
Page 79 and 80: 6.A.iii hereof, Employer agrees tha
Page 81 and 82: Attn: Brian Jones, Vice President 3
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Page 87 and 88: 2 Chapter 5 General Policy 5-1 Admi
Page 89 and 90: SECTION V- MISCELLANEOUS PROVISIONS
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Page 93 and 94: City of West Palm Beach employment:
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Page 97 and 98: City of West Palm Beach 1. candidat
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Page 105 and 106: City of West Palm Beach ESTIMATED P
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Agenda Cover Memorandum for 02/ - City of West Palm Beach

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