1. Municipal Research and Services Center www.mrsc.org How Interlocal Agreements Can Work for Public Hospitals Local Government Partnerships Municipal Research and Services Center www.mrsc.org

2. 8/23/20122 Interlocal Agreements - Why? Savings

3. 8/23/20123 Efficiency Interlocal Agreements - Why?

4. 8/23/20124 Interlocal Agreements – Why? Desperation

5. 8/23/20125  Agencies Agree to Accomplish a Task Together  Agencies Share Equipment or Personnel  Contract with an Agency to Provide Services  Create a New Agency – Full Consolidation Interlocal Agreements – When?

6. 8/23/20126 Interlocal Agreements – When? Capital Intensive Employee Intensive Skill Intensive

7. 8/23/20127 Interlocal Agreements – How?  The Trust Factor  Cost Versus Control  Governance

8. 8/23/20128 Interlocal Agreements – How?  The Trust Factor

9. 8/23/20129 Can the provider deliver service at the level desired? Will customers be impacted by the change in service delivery? If so, will the changes in service delivery be acceptable to them?  Cost Versus Control Interlocal Agreements – How?

10. 8/23/201210 Will the partnership require personnel transfers or layoffs? If so, are there labor agreement requirements? Are there feasible means to satisfy these requirements?  Cost Versus Control Interlocal Agreements – How?

11. 8/23/201211 What is the preliminary estimate of the cost of service? Is this amount significantly less than your current cost of service? Are there sufficient resources available to develop and sustain the relationship? Interlocal Agreements – How?  Cost Versus Control

12. 8/23/201212 What are the risks to each organization? Is there a large initial investment required? If so, what risks are associated with it? What are the potential benefits to each organization?  Cost Versus Control Interlocal Agreements – How?

13. 8/23/201213  Governance How are Costs Allocated? How are Decisions Made? Interlocal Agreements – How?

14. 8/23/201214 Municipal Research and Services Center of Washington Municipal Research and Services Center Examples of interlocal agreements www.mrsc.org www.mrsc.org Email: askmrsc@mrsc.orgaskmrsc@mrsc.org Phone: (206) 625-1300

15. Municipal Research and Services Center www.mrsc.org