Boone County approves partnership with Marathon for employee clinic, contingent on council funding

Boone County Commissioners · January 6, 2026

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Summary

County commissioners voted to proceed with a Marathon-run employee clinic, contingent on the county council earmarking existing funds. Commissioners discussed pros and cons of Marathon and Hendricks Regional Health and noted cancellation clauses in both contracts.

Boone County commissioners voted to proceed with a contract with Marathon to provide a county employee health clinic, contingent on the county council earmarking dollars already in the fund.

Boone County Health Department staff presented two proposals: one with Hendricks Regional Health (HRH) that would provide a hospital-based clinic with expanded daily hours and one from Marathon, which operates multiple standalone clinics across the region. "So you received 2 contracts. One's for, Hendricks Regional Health ... and then 1 is for Marathon," said Abby of the Boone County Health Department.

Commissioners debated access and convenience. Supporters of HRH said it would provide an on-site hospital clinic and potential for expanded services; supporters of Marathon said the company's network of clinics would give employees more locations within a reasonable drive. Marathon provided a "heat map" showing members within 10- and 25-mile radii of county employees, a detail commissioners said factored into access calculations.

Commissioners also noted both contracts contain cancellation provisions. "Both contracts have a clause in there that you can cancel," Abby said, describing the ability to end the agreement if it does not meet expectations.

An initial motion to accept the HRH arrangement failed to proceed. Later, an unidentified commissioner moved to approve Marathon pending the county council's confirmation that funds are available and earmarked; the motion was seconded and approved by voice vote. The motion record in the transcript shows the approval by voice but does not provide a roll-call tally.

The contract approval is conditional: commissioners asked that administrative staff confirm funding availability with the county council before final execution. Commissioners also noted a one-year review/cancellation point in the contract language and said they expect staff to report performance metrics during that period.

Next steps: staff will work with the county council to confirm funding and will return any final contract documents for execution once the earmark is confirmed.