The document summarizes Compass' work with the City of San Angelo to lower healthcare costs. It describes Compass analyzing claims data and negotiating fixed-cost contracts with local hospitals, resulting in projected savings of $3.9 million over 3 years. However, the city challenged paying Compass a percentage of savings as initially agreed without a signed contract first. The document requests city council approval to pay Compass $1.1 million, or settle for $500,000, for services provided and savings achieved.