REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
June 18, 2025
FROM
ANDREW GOLDFRACH, ARMC Chief Executive Officer, Arrowhead Regional Medical Center
SUBJECT
Title
Amendment to Asset Management Agreement with Renovo Solutions LLC for Maintenance Services
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No. 1 to Agreement No. 25-227 with Renovo Solutions LLC, for asset management services, routine scheduled maintenance, and repairs of medical imaging equipment, updating the medical imaging equipment list with no changes to the not-to-exceed contract amount of $1,230,701 or the term of May 1, 2025 through April 30, 2028.
(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 $1,230,701 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 and will be included in future recommended budgets.
BACKGROUND INFORMATION
The Amendment will allow ARMC to update the equipment list under Agreement No. 25-227 with Renovo Solutions LLC (Renovo) by removing three pieces of medical imaging equipment (a computed tomography and two C-arms) and adding one piece of medical imaging equipment (fluoroscopy machine) to receive preventive maintenance and services. The change is necessary to reflect the current inventory of medical imaging equipment that requires preventive maintenance and repair services at ARMC and its associated Family Health Centers.
On April 8, 2025 (Item No. 11), the Board of Supervisors approved Agreement No. 25-227 with Renovo, including non-standard terms, for asset management services, routine scheduled maintenance, and repair of medical imaging equipment, in the amount of $1,231,701, for a three-year period, effective May 1, 2025 through April 30, 2028.
ARMC recommends the approval of the amendment to ensure that the list of equipment to receive services is updated to enable ARMC to maintain and repair radiographic equipment utilized to treat patients in San Bernardino County.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by County Counsel (Charles Phan, Supervising Deputy County Counsel, 387-5465) on May 22, 2025; ARMC Finance (Chen Wu, Finance and Budget Officer, 580-3165) on May 23, 2025; Finance (Jenny Yang, Administrative Analyst, 387-4884) on May 28, 2025; and County Finance and Administration (Valerie Clay, Deputy Executive Officer, 387-5423) on May 28, 2025.