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Sanford to seek new manager for employee clinic; Weare TLC proposed, $60-per-employee implementation fee
Summary
Human resources director Sharon Kra proposed switching the city’s employee wellness clinic management from Premise Healthcare to Weare TLC, citing staffing instability and unbudgeted charges. Staff said monthly costs would be cost-neutral but an implementation fee of $60 per employee (about $30,000) is required; transition could occur by Oct. 1, with a technical implementation of EHR and minimal patient downtime.
Sharon Kra, Sanford’s director of human resources and risk management, presented a proposal on June 8 to change management of the city employee wellness clinic from Premise Healthcare (which acquired the prior operator) to Weare TLC, a Longwood-based clinic-management firm.
Kra said the clinic provides occupational health services (pre-hire physicals, drug screens, two-day police/fire applicant physicals), vaccinations, a flu campaign, and primary care access to employees and covered dependents. The clinic is structured to reduce the city’s self-insured medical spend by routing many care needs through a closed system managed for cost and continuity.
Kra said the city has experienced staffing instability under Premise (including a 60% staff loss and loss of the clinic doctor in November 2025) and has seen charges on invoices that the city had not budgeted for. She recommended Weare TLC based on reference checks; staff reported the proposed arrangement would be cost-neutral on monthly operating costs but would include an implementation fee of $60 per enrolled employee (the staff estimate was approximately $30,000). Kra introduced Weare TLC leadership attending the meeting.
Christy Bowman, Weare TLC’s chief clinical services and operations leader, described implementation steps: EHR import or extraction of records, staff training, and mock drills to preserve continuity. Bowman said the firm has completed clinic transitions in as little as four business days and would expect minimal patient downtime; worst-case implementation was estimated at about one week. Legal counsel and staff discussed records transfer; counsel said patient records are not owned indefinitely by Premise and that standard transfers and imports are feasible.
Kra said the switch must also be approved by Lake Mary (a partner in the shared clinic) and staff would attempt to negotiate a shorter termination notice with Premise; if a full notice is required the target date is Oct. 1. The item was on the regular meeting agenda and staff will return with contract documents and timing details.
What this means: if approved, Sanford expects to maintain clinic operations while replacing the management vendor and to avoid increased monthly operating costs. Staff identified an up-front implementation expense that would be charged per employee and said local references indicated Weare TLC’s experience with municipalities.
Next steps: contract approval at the regular meeting, coordination with Lake Mary, notice to the incumbent (Premise) and implementation planning with Weare TLC.
