REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
February 11, 2025
FROM
ANDREW GOLDFRACH, ARMC Chief Executive Officer, Arrowhead Regional Medical Center
SUBJECT
Title
Amendment to Contract with Neuro Integrity, Inc. for Neuromonitoring
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No. 3 to Contract No. 24-344 with Neuro Integrity, Inc., for specialized neuromonitoring, to increase the contract amount by $300,000 from $900,000 to $1,200,000, with no change to the contract period of October 4, 2019, through June 30, 2025.
(Presenter: Andrew Goldfrach, ARMC Chief Executive Officer, 580-6150)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Provide for the Safety, Health and Social Service Needs of County Residents.
FINANCIAL IMPACT
Approval of this item will not result in the use of Discretionary General Funding (Net County Cost). The cost of $300,000 is funded by State Medi-Cal, Federal Medicare, private insurances, and other departmental revenue. Funding sources may change in the future pending any legislative activity related to the repeal and/or replacement of the Affordable Care Act. Adequate appropriation and revenue have been included in the Arrowhead Regional Medical Center (ARMC) 2024-25 budget.
BACKGROUND INFORMATION
This Amendment will allow ARMC to continue to provide access to specialty neuromonitoring in the operating rooms at ARMC for more efficient patient care and safety during specific procedures that require this type of monitoring. Neuromonitoring is a standard medical practice that assesses the function of a patient’s nervous system during surgery. As a Level I Trauma center, there has been an increase in procedures. The increase in funding will allow ARMC to meet the need generated by the increase in patient procedures.
On October 4, 2019, as the result of a non-competitive procurement, the Purchasing Department (Purchasing) approved Contract No. 4400012083 (Contract) with Neuro Integrity, Inc. (Neuro Integrity) in the amount of $500,000, for specialty neuromonitoring for the term of July 1, 2019, through June 30, 2024.
On December 14, 2022, Purchasing approved Amendment No. 1 to the Contract keeping the original terms of the contract from October 4, 2019, through June 30, 2024 and increasing the total contract amount by $200,000, from $500,000 to the not-to-exceed amount of $700,000.
On April 23, 2024 (Item No. 19), The Board of Supervisors approved Amendment No. 2 to Contract No. 24-344 With Neuro Integrity, Inc. for specialized neuromonitoring, to increase the contract amount by $200,000 from $700,000 to $900,000, for a total contract period of October 4, 2019, through June 30, 2025.
ARMC recommends the approval of Amendment No. 3, to provide for the safety, health and social services needs of County residents by ensuring ARMC has access to available providers of neuromonitoring.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by County Counsel (Bonnie Uphold, Supervising Deputy County Counsel, 387-5455) on January 13, 2025; Purchasing (Veronica Pedace, Buyer III, 387-2464) on January 13, 2025; ARMC Finance (Chen Wu, Finance and Budget Officer, 580-3165) on January 17, 2025; Finance (Jenny Yang, Administrative Analyst, 387-4884) on January 23, 2025; and County Finance and Administration (Valerie Clay, Deputy Executive Officer, 387-5423) on January 24, 2025.