REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
March 25, 2025
FROM
ANDREW GOLDFRACH, ARMC Chief Executive Officer, Arrowhead Regional Medical Center
SUBJECT
Title
Amendment to Agreement with Avante Heath Solutions for Preventative Maintenance and Service of Ultrasound Equipment
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No. 5 to Agreement No. 20-1115 with Avante Health Solutions for preventative maintenance and service of ultrasound equipment, to increase the agreement amount by $150,000, from $664,218 to $814,218, with no change to the term of December 5, 2020 through December 4, 2025.
(Presenter: Nanette Buenavidez, ARMC Chief Operating 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 $150,000 is funded by State Medi-Cal, Federal Medicare, private insurance, 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 and will be included in the 2025-26 recommended budget.
BACKGROUND INFORMATION
Amendment No. 5 (Amendment) to Agreement No. 20-1115 (Agreement) will increase the amount to enable Avante Heath Solutions (Avante) to provide labor and parts needed for repairs, which were deemed necessary upon conducting scheduled preventative maintenance inspections of ultrasound equipment.
On November 17, 2020 (Item No. 22), as the result of informal bids, the Board of Supervisors (Board) approved the Agreement with Avante, in the amount of $329,000, for the preventative maintenance of ultrasound equipment, for the term of December 5, 2020 through December 4, 2025.
On May 4, 2021 (Item No. 9), the Board approved Amendment No. 1 to the Agreement to increase the amount by $155,190, from $329,000 to $484,190, to add an additional four ultrasound probes for preventative maintenance, with no change to the Agreement term.
On August 23, 2022 (Item No. 5), the Board approved Amendment No. 2 to the Agreement for preventative maintenance of 33 ultrasound probes, increasing the amount by $92,143, from $484,190 to $576,333, with no change to the Agreement term.
On April 11, 2023 (Item No. 12), the Board approved Amendment No. 3 to the Agreement to add preventative maintenance for additional ultrasound equipment, effective May 1, 2023, and to increase the amount by $26,260, from $576,333 to $602,593, with no change to the Agreement term.
On June 11, 2024 (Item No.18), the Board approved Amendment No. 4 to add preventative maintenance for additional ultrasound equipment, effective June 11, 2024, and to increase the amount by $61,625, from $602,593 to $664,218, with no change to the Agreement term of December 5, 2020 through December 4, 2025.
ARMC recommends approval of this Amendment as it will ensure the hospital remains compliant with The Joint Commission for accreditation requirements relating to the maintenance of ARMC ultrasound equipment for the health and safety of county residents.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by County Counsel (Charles Phan, Supervising Deputy County Counsel, 387-5455) on February 10, 2025; Purchasing (Veronica Pedace, Buyer III, 387-2464) on February 10, 2025; ARMC Finance (Chen Wu, Finance and Budget Officer, 580-3165) on February 28, 2025; Finance (Jenny Yang, Administrative Analyst, 387-4884) on March 3, 2025; and County Finance and Administration (Valerie Clay, Deputy Executive Officer, 387-5423) on March 6, 2025.