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HomeMy WebLinkAboutAgreements/Contracts - RenewDocuSign Envelope ID: 362F1331-7B77-4A5D-8112-F5700147E148 FIRST AMENDMENT TO BEHAVIORAL HEALTH SERVICES TELEMEDICINE AGREEMENT THIS FIRST AMENDMENT TO BEHAVORIAL HEALTH SERVIES TELEMEDICINE AGREEMENT (this "First Amendment") is made and entered into as of August 1, 2023 (the "First Amendment Effective Date") by and between SEATTLE CHILDREN'S HOSPITAL, a Washington non-profit corporation ("Children's"), and GRANT COUNTY, WASHINGTON, a political subdivision of the State of Washington, by and through its operating division, Renew ("Renew"). RECITALS A. Grant Integrated Services, formerly Grant Mental Health Care (collectively, "GMHC"), and Children's entered into that certain Behavioral Health Services Telemedicine Agreement last executed on May 51 2015 (the "Agreement"), pursuant to which Children's provides or arranges for the provision of certain behavioral health telemedicine services to pediatric and adolescent patients of GMHC. B. In October 2021, GMHC re -branded itself and changed its name to Renew. C. The parties now wish to update the Agreement to reflect the foregoing name change, to increase the hours of service per week, and to otherwise amend the Agreement as set forth below. AGREEMENT NOW, THEREFORE, for good and valuable consideration, the receipt and sufficiency of which are acknowledged, the parties hereby amend the Agreement as follows: 1. Name. All references throughout the Agreement to "Grant Integrated Services," "Grant Mental Health Care" and "GMHC" shall hereafter be deemed to refer to Renew, as described above. 2. Term. The parties acknowledge that, pursuant to Section 4.1 of the Agreement, the term of the Agreement has renewed annually since its original effective date. The term, however, is hereafter amended to expire one (1) year after the First Amendment Effective Date. Thereafter, the parties may further extend the term only by mutual written agreement. 3. The following updates and replaces Section 6.4 of the Agreement: "6.4 Each party will promptly notify the other party in writing of any complaints received and/or adverse patient events related to Services provided by Children's or its providers under this Agreement. Any such information created or shared by the parties or their providers related to quality improvement, patient grievance, adverse event and risk management activities, and any coordination, cooperation and communication between the parties and their providers related to such activities, will be considered confidential, privileged, and protected, are not intended to waive any rights to confidentiality or immunity from discovery provided under applicable law, and will not be subject to disclosure to the extent protected by applicable law." 4. Notice. The notice addresses for Renew under Section 7.6 of the Agreement is updated as follows: Grant County dba Renew 840 E. Plum St. Moses Lake, WA 98837 Attn: Dell Anderson, M.N., LMHC — Executive Director Grant County dba Renew DocuSign Envelope ID: 362F1331-7677-4A5D-8112-F5700147E148 5. Services and Compensation. The chart at the end of Exhibit A of the Agreement is updated as follows: 6. Effect. Except as amended in this First Amendment, all terms and conditions of the Agreement shall remain unchanged and shall continue in full force and effect. 7. Counterparts. This First Amendment may be executed electronically and in multiple counterparts, each of which shall be deemed an original, but all of which together shall constitute one in the same instrument. [Signatures on following page] Grant County dba Renew Hours per week Hourly Rate Total Monthly Hours Total Monthly Cost The Services 8 hours $250.00 32 hours $8,000 6. Effect. Except as amended in this First Amendment, all terms and conditions of the Agreement shall remain unchanged and shall continue in full force and effect. 7. Counterparts. This First Amendment may be executed electronically and in multiple counterparts, each of which shall be deemed an original, but all of which together shall constitute one in the same instrument. [Signatures on following page] Grant County dba Renew DocuSign Envelope ID: 362Fl331-7B77-4A5D-8112-F5700147El48 IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to be effective as of the First Amendment Effective Date noted above. CHILDREN'S SEATTLE CHILDREN'S HOSPITAL r--Docuftned by: 1ByjDd1& fA�(" NthjWB&j"2N91'ey Title: Director., Psychiatry ATTEST: Bar ar J. Vasqup Cler. o the Board Approved as to form: Rebekah Kaygr 7 WSBA #53257 Civil Deputy Prosecuting Attorney Date: g Z Grant County dba Renew RENEW .GRANT COUNTY, WASHINGTON., BY AND THROUGH ITS OPERATING DIVISION., RENEW By: Name:a*)-e �AAAA4:� BOARD OF COUNTY COMMISSIONERS GRANT COUNTY, WASHINGTON 7Z> 6o7 /?,.,,3 Rob Jose, air Cindy Ca&—rVice-Chair Danny .Stone, Member BEHAVIORAL HEALTH SERVICES TEL.EMEDICINE AGREEMENT This Behavioral Health Services Telemedicine Agreement (this Agreement) 1 * s! made -and entered into for the period January 1, 2015 through December 31,2015, between SEATTLE CHILDREN'S HOSPITAL, 4800 Sand Point Way NE, S,eaftle, WA 98105(Children's) and Grant Integrato.d Servi�oe's, Grant Mental lle8fth Care PO Box 1057, Moses Lake, WA 98837 (GMHc , RECITALS A. GMHC provides mental health outpatient services throughout the county, with its primary office located in Moses Lake, Washington, B, Children's, exempt from federal income to Linder Section 501(c)(3) of the Internal Revenue Code, fulfills its charitable health care mission in part through the operation of an acute care children's hospital In Seattle3 Washington and the provision of other children's health services and at facilities throughout the Washington, Wyoming, Alaska, Montana) and Idaho it region, In furtherance of its clinical and educational missions, Children's has formed strategic relation hip With health care faollifles and providers aro ss the region to ensure that children have access to high quality health care in their local communities. GMH C wishes Children's -to provide or arrange for -the provision of 4 behavioral health telemedicine services to pediatric patients of GMHC. Children's employs or otherwise has arrangements with licensed child and adolescent psychiatrists and child psychiatry fellows (collectively referred to herein as Psychiatrists) o are qualified to provide the behavi Moral health telemedicine services required by MHG.. NOW, THEREFORE, Children's and GMHC agree as followsi: AGREEMENT 1 . * * Behavioral Health Services, children's 1dren's shall provide or arrange. for the provision of behavioral health telemedicine services for pediatric and adolescent patients of GMHC at GMHC's clinics, as specified in Exhibit A. 1 A Delivery of Services, All Services to be furnished pursuant to this Agreement shall be provided in accordance with the following: (a) the recognizeu standard of' care for psychiatrists praoticing in Washington under the same or in circumstancec s, (b) applit I . able standards of relevant professional socleties, and (c) all applicable taws. 1.2 Administrative Supp.ort. Throughout the term of this Agreement, GMHC will provide the following administrative support of the Services, at no Seattle Children's Hospital page 1 of 9 APAI'l, 2015 Grant .Integrated Ser Grant Mewed flealih Care Behavioanq!!Lg�lld n-Vivesd rr c?tlit Vag."). farity-a-1, 2015 — Dgconlbw 31 2015 charge to Children's: reasonable and necessary receptionist, patient scheduling, and Medical record services, 4 k # 24, PsveniaTrist Qualifications, Each Psychiatrist providing Services shall have.andmaintain, the following qualifications at all times, all of which 1* qualifications are and shall at all times be active and in good standing and none of which criteria are or shall at any time b restricted, conditional, suspended, reprimanded, sanctioned, or disciplined, ;summarily or otherwise: (a) licensure as a psychiatrist in the State of Washington; and (b) all narcotics and controlled substances numbers, licenses, registrations and certifications required by federal or state laws or regulations to provide the services described in this Agreement, 3. CoMpgnsafion And. Billina 3.1 Co,.;w,m nsation. MHC shall pay Children's professional fees for Services hereunder at the applicable rates as set forth in Exhibit A, Such fees will be payable M. onthly within thirty (30) days of GMHC' receipt of Children's invoice. The parties agree that the compensation to be paid over the term of this Agreement (a) does not exceed fair market value; (b) i's not determined in manner that takes into account the volume or value of referrals or other business that might be generated between Children's and GMHG, except as may be permitted by law; and (c) does not require the limitation or withholding of items or services from patients in violation of any federal, state, or local law. 3.2 hillincl and Collection. GMH C shall be responsible for billing and collection of fees or charges for Services provided by Children's under the terms of this Agreement, and the parties agree that only GMHC shall bill and collect any fees or charges for such Services, 4 MHC shall have the right to establish all fee schiBdules regarding Services provided hereunder. Children's shall have no interest in or claim to any fees or charges for, or any revenues or receipts attributable to the Services and hereby assigns to GMHC all professional fees attributable to Services provided hereunder, with full authorityin GMHG to collect such fees and to enforce payment by all legal means, Upon request by GMHC, Children's shall cause its employees and agents to execute and deliver instruments of assignment prepared by GMHC and reasonably acceptable to Children's.. 4. Term and Termination 4.1 Term, The term of this Agreement shall be for one (1) year commencing on the effective date and continuing until December 31, 2015 and thereafter automatically renews for successive one (1) year terms, unless earlier terminated m accordance with this Section 4. 4.2 Termination of the Agreement. The entire Agreement may be terminated as follows: Seattle Children's Hospital Page 2 of 9 April 1, 2015 Grant hilegratudVurWous, (Irrant Afented Health Care, Behavioural Health S(wvice&4IgLge_,Lt 1, 2015 -- Te in Joao- 1 -, 2 1) /.� 4.2.1 Without Gau.se. Either party may terminate this Agreement in its entireity without cause upon at least sixty (60) days prior written notice.' 4.2,2 For Material Breach. Either party may terminate this Agreement in its entirety in the event of. a breach by the other party of a material provision of this Agreement, which breach is not cured within thirty (30) days after the non -breaching party nOtifies the breaching party of such breach, To terminate the Agreement undor this section, the non -breaching party must send the breaching p6rty written notice describing in detedl the nature of the alleged material breach. Notice under this section $hall conform to the requirements. of Section 7.6. The breaching party shall have thirty (30) days from receipt of such notice to correct or cure said breach, Failure to correct or cure said material branch within the thirty (30) day period shall permit the non -breaching party to i i mmediately terminate this Agreement at the end of such thirty (30) day period, 4,3 Effects of Termination,, Upon the expiration or termination of this Agreement, the parties shall cooperate fully to ensure the transfer of care of all patients receiving services pursu"ant to thi's Agreement to other providers, To' the extent required by 42 U.S.C. '1 nn (the Stark law), 42 U,S.C. I 0a_7b(b) (the anti -kickback jaw), and the regulations thereunder, if this Agreement is terminated other than at the end of its term, the parties shall not -enter into another agreement for the provision of s.imllar services until the exp iratioh of such term. 5, Documentation. of Services Provided. Children's shall require Psychiatrists to document Services provided to patients pursuant to this Agreement consistent with applicable laws and professional standards and to comply with GMHC' policies regarding the confidentiality and treatment of medio,al records and .related Patient Information, Children's shall comply with state and federal law regarding the maintenance, Use and disclogure of medical records and other individual health information. 6. Insurance an-fl-ndemnification ,1 'Professional Liabilitv Coverage. ChildrenT s- shall be responsible to arrange for continuous professibnal liability coverage to injure Children's employees against claims for damage arising by reason, of death or injury, 'r occasioned directly or indirectly by the performance of or failure to perform any IIIMjtS services arising out of this Agreement with liability 1 of net. less than Two Million Dollars ($1,000,'000). per ocdurrence and Three Million Dollars ($3,000,600)'In the annual aggregate of claims rnade.,lf non -employed medical staff are used by Children's to- perform services under this contract, Children's shall ensure that those physicians shall have professional hability insuranice with minimum liability limits of not less,than One Million Dollars ($1,000,000) per occurrence and Three Million Dollars ($3,000,000) in the annual aggregate. GMH C shall maintain at its- sole expense, professional liability coverage with minimum liability limits of not less than One Million Dollars ($1,000,000) per Seattle Children's Hospital page 3 of 9 April Ij 2015 Grant Inkegraled Services, t; -,'rant Mental ffealth Care Bohavioural 1a 2 (?I �: - �Del v e- i �d e r �31 2 CII: occurrence and Three Million Dollars ($3,000,000.) in the annual aggregate of Claims made. Each party shall promptly notify the other parties 'inwriting of any ca.ncellation, reduction, or other material change in the amount or soope of any coverage(s) required under this Section 0.1. 6.2 General Liability Coverage, Each party shall maintain at its sole expense general liability coverage with liability limits of not less than One Million Dollars .($1 000-,000) per occurrence and Three Million Dollars ($3,000,000) in the annual a' I g9regate of claims made, 6.3 ' Indemnification. To the fullest extent permitted by law, Children's i shall ndemnify and hold GMHC and its members, directors or trustees, officers, employees and agents harmless from and against any and all claims, demands, filabifities, damages, judgments and expenses, 'Including reasonable attorneys' fees (collectively, "Damages") to, the extent that such Damages relate to any breach of, any of the -term of this Agreement or result from any negligent acts or om'iss.ion s relating to the performance of Services under this Agreement by Children's, its employees or agents. Children's shall, not be liable to GMHC for any Damages to the extent that such Damages relate solely to facilities equipment, materials, supplies ('Including drugs or biologicals), or personnel made available to Childrenz by GIVIHC for'any reason relating to the performance of Services under this Agreement by Children's. To the fullest extent permitted by law, GMHC, shall indemnify Children's, its members, directors, trustees, officers, employees, agents, and the Psychiatrists providing care under this Agreement for any Damages to the extent that such Damages relate to any breach of any of the terms of this Agreement, or result from any negligent act or ornis§lon of GMHC or its members, directors, officers employees and agents relating to the performance of Services under this Agreement by Children's, its employees or agents, The indemnity obligations of each party hereunder extend only to extent of such party's negligence in the case of concurrent negligence by the parties, or their respective members, directors, trustees, officers, employees or agents. This Section 63 shall survive the termination of this Agreement. 6.4 GMHC shall notify Children's of any complaints and/or adverse patient event's related to services provided key Psychiatrists under this Agreement. If such complaints or adverse patient events relate to services provided by a Psychiatrist who is a group physician of Children's University Medical -Group (CU MG), Childrori"s shall provide such notice as well as any i I nformation related to .any such complaints- to the psychiatrist and CUIVIG. Any such information will be considered by Children's and CUMG to be confidential information protected Le der the coordinated Quality Improvement Program for Children's and/or UW Medicine as authorized by RCW 43.70,.,510, and all such information will be treated as confidential and not subject to disclosure except as provided under Washington law. 7. GENERAL PROVISIONS Seattle Children's Hospital page 4 of 9 April 1, 2015 GVant InIC91-aled S'ewvic:0-9, Grant Afettial Real& Care Behaiko®rd I-TeaNl' �� �lwmem aryol 20,0 —Beconber 31, 111 5 7.1 Complianae with Law. .1.`'I HIPAA Coni oliance. In performing its obligations under this Agreement, each party represents and warrants to the other that it will corn -ply with all applicable requirements. concerning the disclosure of "protected health information" as that term is defined by the He.alth Insurance Portability -and Accountability Act of 1996, as amended ("HI AA") and its implementing regulations, 7.1.2 Medicare Access fo Books and Records. If the Secretary of Health and Human Services or the. Comptroller General of the United States or their respective representatives determine this Agreement is a co I ntract described in Section 1861(v)(1 of -the Social Security Act, 42 U.S.C. Sebtion 1395x(v)(1)(I) as amended from time to time, until the expiration of four (4) years after the termination of this Agreement, Children's agrees that Children's shall make available, upon written request of the Secretary or Comptroller General r` their duly authorized representatives, and to GMHC such books, documents and records as are necessary to certify the nature and extent of compe nsation paid by Children's pursuant to this Agreement, Children's shall notify GIH C of any such request Gwithin ten (10) business days of receipt -thereof, and shall provide to Mf HC copies o , a J . .. 11 documents provided to the requester. The provisions of this paragraph shall survive the termination of this Agreement. 7.1.3 Federal Law Corn tiance,. A party currently may be, and in the future may become, subject to the Executive Order Program of the Office of Federal Contract Compliance applicable to employers that receive federal grants or perform services or provide goods and services pursuant to federal contracts. To the extent applicable, th * e parties shall (and shall cause any authorized subcontractors to) comply with the nondiscriminati H ion and affirmative action requirements of applicable law and of the requirements of the Executive Order Program, 7.1.4 Compliance With Medicare Fraud And Abuse And Stark Laws. GMHC and Children's shall not associate employ, or ongage I in any activity prohibited by 42 CFR Part 411 (411.1 to 411,36 1), Part 1001 (1001.952(x) to 1001,953), or any other federal, state or local law or regulation - relating to the referral of patieh-ts, including, without limitations, anti -rebating and self -referral prohibitions and limitations, as those regulations now exist or as subsequently amended, renumbered or revised, nor shall GMHC or Children's engage in similar activities with respect to any third party, including., but not limited to, soliciting or receiving, directly or indirectly, any compensaiti-on, in cash or in kind or offering to pay any cbmpensation to a third person in exchange for referring an individual to a person for the furnishing of ;a-ny item or service for which payment may be made in whole or in part by Medicare- or Medicaid, except as permitted by law. Seattle Children's Hospital page 5 of 9 April 1, 2015 Oro ni h aegreaf,-W &rvives, Grant Mental Health Qye Behav! trat Health Set ccss A r -ee TerM:,kqgy(Lr 1, y 7.1.5 No Sanctions or Rettri ction s. Each party represents and warrants that it has never been, 'is not currently, and shall, not at any time during the term of this Agreement be (a) excluded, barred from participation in, or sanctioned by any state or federal healthcare pro- gram, including without limitation Medicare or Medicaid; or (b) tho recipient of a crimineil conviction or guilty plea related to any such health care program. In addition, each represents and warrants that it is- not a party to any. agroemeot, understanding or arrangement that would prohibit or restrict, or require the consent or approval of any other party to, the performance its respective duties and obli-gations as set forth in this Agreement. T1.6 Contract Modiffication.s. In the, event that any state or federal laws or regulations, now existing or enacted or promulgated after the Effective to 8reinterpreted by judicialdec1 'slon, a regulatory agency, or legal counsel in such a manner as to indicate that the structure of this AgreemOnt may be in violation of such laws or regulations, the parties shall make good faith efforts to amend this Agreement -as necessary. If, aftorthe exercise Of good faith efforts for a period of at least thirty (30) days, the parties have not agreed on amendment(s) to this Agreement that resolve the legc1l issues referred to above, either may terminate this Agreement immediately up -on written notice to the othEir. To the- maximum extent possible, any such am,endment shall preserve the underlying economic and financial Ewrangement8 between the parties,, 7.2 Non Solicitation. GMH C agrees that it will not solicit or employ any individual performing Services under this Agreement during the term of this Agreement and for two (2) years following its -termination. e 7.3 Private Practice, Children's and any . individuals petforming Services hereunder may. provide professional services outside the scope of this Agreement when consistent with the. satisfactory discharge of their respective responsibilities under this Agreement, 7.3 Use -of Name. Neither party may use the name, logo or any 'Identifying symbolof the other party in cionnection With the services to be provided under* this Agreement without the other party's express prior permission, which may be given or withheld for any reason. Any permission granted under this Section 7.3 shall be revokedautomatically up.on the expiration or termination, of this Agreement, 7.4 Referrals. The parties ackn owledge that none of the benefits granted them hereunder are conditioned on any requirement that Children's or GMHC, or their physicians, if any, make referrals to, be I in aipos I t*on to make or 'Influence referrals to, or otherwise generate business for the other party. Seattle ChIldrens Hospital Page 6 of 9 — April 1, 2015 Graw Infograted Serviecs, Oram Mental fkaffir {','are T jrn� .15 1.20 -7-r)ekvaber3i 2m 7.5 Independent-Contr Each Psychiatrist providing Services under the terms of this Agreement shall exercise clinical judgment free of any direction or control by Children's or GMHC. In performing the responsibilities de8cribed in this Agreement, Children's 'is at all times acting and performing as: an independent contractor. Nothing in this -Agreement is intended to creat 6 an employer/employee relationship between the Children's or GMH C and any individual that did not exist prior to this Agreement. Children's shall be solely responsible for compensating -Psyohiatri sts for Services rendered pursuant to this Agreement, 7.6 Notice, Written notice required under this Agreeme'nt shall be delivered personally or sent by United States certified mail, posMage prepaid and return receipt. requested, and addressed or delivered to the parties at the following addresses (or su�ch other address as may hereafter be designated by a party by written notice thereof to the other party): If to Children's: Seattle Children's Hospital PO Box 5371,1/ OA,5,154 Seattle, WA 98145-6005 If to GMF: Attention: Leslie Pierson GMHC PO Box 1057 Moses Lake, WA 98837 Attention.- Leroy Allison, Executive Director Notice shall be effective upon delivery, 7.7 Construction. No provision of this Agreement shall be int* rpreted for e or 'nst, 'the , O rty, 4p'b auso"that party's legal representative drafted such provision. 7.8 Severability. The provislon8 of this Agreement shall be deemed severable and if any portion shall be held invalid, illegal or unenforceable for any reason, the remainder of this Agreement shall be effective and binding upon the parties. .V 7.9 Waiver. The failure of a party to insist upon strict adherence to or performance of any provision of this Agreement on any occasion shall not be considered a waiver nor shall it deprive that party of the right thereafter to enforce performance of or adherence to that provision or any other provision of this Agreement, Seattle Children's Hospital Page 7 of 9 April 1, 2015 (11-0111 Se"VIO?X, Chant Aleinal Heallh Care 31 201.5 7.10 force Mje , Neither party shall be liable nor deemed to be in default for any delay or failure in perf6rmance under the Agreement or other interruption of service or employment deemed resulting, directly or indirectly, from acts of nature, civil or military authority, acts of public enemy, war, accidents, fires, explosions, earthquakes, floods, failure of transportation, machinery or supplies, vandalism, strikes or other work interruptions or any similar or dissimilar cause beyond the reasonable control of either party. However, both parties shall make good faith efforts toperform un' der this Agreement in the event of any such circumstance, 7.11 Entire Acireernent, Amendment. This Agreement and, all exhibits and attachments hereto, which are incorporated horein by this ref eren-ceVand all documents referenced herein, constitute a full and complete expros8lon of the rights and obligations of the parties. and shallsupersede all other understandings and agreements, written or oral, heretofore made by the parties. This Agreement may be modified only in writing, signed by theparties hereto, 7.12 No Third Part .enef I ici . Nothing in this Agreement I's intended to confer or shall confer upon any person not a party to this Agreements nor rights, remedies, obligations, or Rabilitles whatsoever. 7.13 Counter arts. This Agreement may be executed in any number of 1. counterparts, each of which shall be deemed an original, but all such counterparts together shall constitute but one and the same instrument. The undersigned represents and warrants that s/he is duly authorized to execute and deliver this Agreement as set forth below and that this Agreement is binding upon that party in accordance with its terms. EXECUTED by the parties on: the i final date signed below, Grant Integrated Services, Grant Seaftle Childreh's Hospital Mental Health C re ByM- :Zia 5y; Printed l"chae.vePrinted �elly Walface Rrd Stns Name Name Title: BOCC Chair Title.,. Sr, VP, Chief Financial Officer --;w- �P� (00"� Date:--{ S Date: ATTACHED EXHIBIT, Exh 1 bit A SERVICES AND COMPENSATION Seattle Children's Hospital Page 8 of 9 Apfil 1, 2015 (I 17 -ant Integratud Svrvices, Grant Memo/ Health ("are 120L5----PecQ mber 3LX15 90 X0,1�mjtgk I Services. Children's agrees to provide or to arrange through its contracted or affiliated entities, 'including Children's University Medical Group ("CUIQ( G"), for the provision of the Services for GC as more fully described hereunder.: pgychlatric diagnosis, intervention, cairn selfin g, and medication management services to GHIVICs pediatric and adolescent patients and their; and mutually agreed upon consultation and trainlrfg services to GHNI 's clinicians. The Services will be provided via telemedicine in accordance to the schedule a.s more fully described in hereunder and the mutually agreement of the parties, Children's shall 'invoice GHM.0 'In a0cordance with the monthly schedule and fees hereLinder and it is the responsibility of GHMC to schedule patients into these blocks of time. The parties acknowledge and agree that the number and type of patients scheduled Will be clinically appropriate, 2, Compensation. Children's shall invoice and QHMC shall pay Children for the Services according the.monthly schedule and fee rates hereunder, In the event Children's is unavailable to provide the Services pursuant to the following monthly schedule, that month's invoice shall be adjusted accordincilv. Hours* per Hourly Total Monthly Total Monthly Week Rate Hours Cost The Services ------- - ----- 5.5 hours $260.00 22 hours $5,500.00 The number of hours may beincreas'ed by prior mutually agreement of the Pa rties. Seattle Childi-en's Hospital Page 9 of 9 April 1, 2015