Agenda Date: 01/06/2026
Subject:
Title
Resolution 02-2026: Approving a contract amendment with CareATC for the City of Littleton employee clinic administration
Body
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From: |
James L. Becklenberg, City Manager |
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Prepared by: |
Tracy Hooker, Human Resources Director |
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Presentations: |
N/A |
PURPOSE:
The city contracted with CareATC (previously OnSite Care) for City of Littleton employee clinic services from January 1, 2024, through December 31, 2025. We are seeking a one-year extension through a contract amendment for January 1 - December 31, 2026. Estimated costs are $798,968 based on projected usage and are subject to claims data.
LONG-TERM OUTCOME(S) SERVED:
High-Quality Governance
DISCUSSION:
City of Littleton employees and their dependents are eligible for services through the employee clinic at no or low cost if they are enrolled in the City’s medical insurance plan.
Clinical services include:
• Primary care services
• On-site episodic care
• In person and telemedicine appointments
• Care and/or referral of chronic conditions
• On-site lab testing
• Prescription medications
• Annual wellness exams
Operational and Administrative services include:
• Overall clinic management
• Provider staffing
• Care management of patients
• OSHA/HIPPA compliance
• Waste handling and disposal
BACKGROUND:
The City of Littleton currently partners with Phil Long Ford to rent employee clinic space at Buck Recreation Center. The employee clinic is offered to employees and dependents who opt into the medical insurance plan. Clinic services promote health and wellness, recruitment, and retention for the city. Clinic utilization has averaged more than 85% over the past 2 years, being cited as one of the most valued benefits offered to city employees. Usage of the clinic diverts claim costs from the City’s medical plan, saving the city and plan participants money. The estimated Return on Investment (ROI) for 2023 was $671,034.
A Request for Proposal (RFP) for clinic services is planned for 2026 to evaluate costs and qualifications for 2027 and beyond.
Prior Actions or Discussions
N/A
FISCAL IMPACTS:
The estimated expense of employee clinic costs for 2026 are $798,968 and are variable depending upon usage.
STAFF RECOMMENDATION:
It is recommended to approve a one-year contract extension with CareATC to ensure employee and dependent coverage and accessibility without disruption to their healthcare needs.
ALTERNATIVES:
Alternatives include not approving the one-year contract while the City conducts a RFP for other vendors in the employee clinic administration space, creating a gap in service until a vendor is chosen.
PROPOSED MOTION:
Proposed Motion
I move to approve Resolution 02-2026 approving a contract amendment with CareATC for the City of Littleton employee clinic administration.