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Fort Myers narrows employee‑clinic bids to Marathon Health and My Health On‑Site; council probes costs and ROI
Summary
Consultants presented two finalists for an on‑site employee health clinic after a seven‑vendor RFP. Staff estimated first‑year operating costs near $875,000–$882,000; council sought details on occupational‑health integration, build‑out costs and long‑term return on investment.
City consultants and two finalist vendors outlined proposals to establish an on‑site employee health clinic for city employees and plan members. Catherine Herring, representing the consultant team, said the city received seven proposals and advanced Marathon Health and My Health On‑site as finalists.
"We've narrowed it down to 2," Herring said, summarizing the process. She described two different pricing models: Marathon's proposal tied administrative fees to staffing (the consultant reported a year‑one operating estimate of about $875,000), while My Health On‑site proposed a per‑member administrative fee model and estimated about $882,000 for year one but offered a one‑time $90,000 fund to the city (about $10,000 for EHR setup and $80,000 discretionary).
Staff described a likely year‑one staffing mix (one ARNP, one RN or LPN and one medical assistant) and a proposed 40‑hour weekly schedule, noting build‑out costs for the HR building space remain to be estimated. Councilmembers questioned how the clinic would handle occupational‑health services currently provided by an outside contractor and whether annual testing for police and fire could be integrated; Herring said those services are possible but that year‑one utilization models typically delay heavy occupational work until years two or three.
No final vendor selection was made. Staff said they will return with additional cost detail, build‑out estimates and a recommended contract for the council to consider at a future meeting.
