CONTRACT AMENDMENT 1.DOCX

Maricopa County — Formal (2023-11-01)

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CONTRACT NO: C-86-23-044-X-01                                               
AMENDMENT NO:         1      
Page 1 of 3
AMENDMENT TO
CONTRACT 
between
MARICOPA COUNTY 
by and through
DEPARTMENT OF PUBLIC HEALTH
and
Nurse-Family Partnership Implementation Agreement 
I.
The above-named contract is hereby amended as specified below:
A.
Maricopa County will exercise the automatic renewal clause as stated in Section V, Term 
and Default, paragraph B, extending the contract expiration date through October 31, 
2024.
B.
Exhibit D, Fees for Nurse-Family Partnership Services, shall be deleted and replaced with 
an updated Exhibit D beginning on page 2 of this amendment. An additional $60,000 for 
the new term will be added, bringing the new not to exceed total to $120,000.    
 
II.
All other terms and conditions of the original contract shall remain in full force and effect.
IN IN WITNESS WHEREOF, the parties agree to the changes indicated herein:
     
FOR AND ON BEHALF OF                            
MARICOPA COUNTY
FOR AND ON BEHALF OF
NURSE -FAMILY PARTNERSHIP 
                             
By: 
By:
Chairman, Board of Supervisors
Nurse-Family Partnership  
Date
Date
ATTEST
Clerk of the Board
Date
APPROVED AS TO FORM
Attorney for Maricopa County
Date
EXHIBIT D: Nurse-Family Partnership Established Network Partner Annual Fees

CONTRACT NO: C-86-23-044-X-01                                               
AMENDMENT NO:         1      
Page 2 of 3
The Nurse-Family Partnership National Service Office (NSO) is an independent nonprofit organization 
that exists to license and help replicate the NFP program. The NSO provides research, education, and 
supports implementation and improvements to ensure the model continues to produce positive results for 
families and communities in a rapidly changing society. As an independent nonprofit, the NSO receives 
no ongoing government funding and although it helps obtain and sustain funding network partners receive 
to implement the program, such as MIECHV, the NSO does not directly receive any of that funding. Fees 
represent a way for Network Partners to contribute to the overall shared costs of the NFP model they 
implement.
Historically, fees have been set well below actual costs as generous private philanthropy has contributed 
the majority of the NFP Network’s share of common NFP expenses. For the year ending September 30, 
2021, total fees received represented only 31% of actual operating and capital expenditures. On average 
we estimate annual fees represent less than approximately 3% of program expenses.
Contract anniversary renewal date
Annual Fees:
07/01/2023-
12/31/2023  
01/01/2024-
12/31/2024  
NFP Network Partner Licensing and Program Support per team
(Assessed annually based on contract date 
anniversary)
Two Nurse Home Visitor team
$  21,600
$  22,248
Three Nurse Home Visitor team
$  22,704
$  23,388
Four Nurse Home Visitor team
$  23,820
$  24,528
Five Nurse Home Visitor team
$  24,960
$  25,956
Six Nurse Home Visitor team
$  26,124
$  27,168
Seven Nurse Home Visitor team
$  27,048
$  28,128
Eight Nurse Home Visitor team
$  28,104
$  29,316
“NFP Network Partner Licensing and Program Support” fees (formerly called annual program support and 
nurse consultation) are invoiced annually on the contract anniversary date. The number of Nurse Home 
Visitors per team is the number of funded nurse home visitor positions which will directly serve clients 
(whether a position is filled or currently vacant is irrelevant when determining team size). The above fees 
are consistent per team regardless of the number of teams at any location.
Date of event occurrence
Expansion support fees:
07/01/2023-
12/31/2023  
01/01/2024-
12/31/2024 
per occurrence
Supervisor replacement
$   3,673
$  3,783
Team addition (same location)
$  21,393
$  22,035
Regional expansion
$  26,741
$  27,543
Nurse-Family Partnership Established Network Partner Annual Fees
Date course ends

CONTRACT NO: C-86-23-044-X-01                                               
AMENDMENT NO:         1      
Page 3 of 3
Education:
01/01/2023-
12/31/2023  
01/01/2024-
12/31/2024 
per attendance
Nurse Home Visitor (NHV) Education (Unit 2)
$   5,412
$   5,683
NHV Education Materials
$    687
$    721
NHV Education, Unit 2 Supervisor Session
$    850
$    893
NFP Agency Standard Administrator Education
$    640
$    672
NFP Agency Additional Administrator Education (Optional)
$    299
$    314
NFP Program Supervisor Education (Unit 4)
$    979
$   1,028
Fees for special data-related or other services are quoted on an as needed basis.
Please remember that we all operate in a dynamic and evolving environment that may necessitate 
changes. For questions or additional information, please contact AR@nursefamilypartnership.org.
1900 Grant Street, Suite 400 | Denver, CO 80203-4304
303.327.4240 | Fax 303.327.4260 | Toll Free 866.864.5226
www.nursefamilypartnership.org