REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
August 4, 2026
FROM
ANDREW GOLDFRACH, ARMC Chief Executive Officer, Arrowhead Regional Medical Center
SUBJECT
Title
Amendment to Asset Management Agreement with Renovo Solutions, LLC for Medical Imaging Equipment Maintenance Services
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No. 2 to Agreement No. 25-227 with Renovo Solutions LLC, for asset management, maintenance, and repair services for medical imaging equipment, to update the equipment list, add preventive maintenance and repair coverage for two Konica Minolta detectors, and increase the agreement amount by $24,002.40, from $1,230,701 to $1,254,703.40, with no change to 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 $24,002.40 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) 2026-27 budget and will be included in future recommended budgets.
BACKGROUND INFORMATION
Amendment No. 2 will allow ARMC to update the equipment list under Agreement No. 25-227 with Renovo Solutions, LLC (Renovo) by adding two pieces of medical imaging equipment, including an Ortho detector and the X-ray Room 2 detector, at an annual cost of $6,000.60 per piece, to receive preventive maintenance and repair services. This change is necessary to ensure the current inventory of medical imaging equipment at ARMC requiring routine preventative maintenance is accurately reflected and remains compliant with applicable regulatory and state requirements.
On April 8, 2025 (Item No. 11), as the result of a competitive procurement, the Board of Supervisors (Board) approved Agreement No. 25-227 with Renovo for asset management services, maintenance, and repair services for medical imaging equipment in the amount of $1,230,701, for a three-year period, effective May 1, 2025 through April 30, 2028.
On June 18, 2025 (Item No. 15), the Board approved Amendment No. 1 to Agreement No. 25-227 with Renovo. The amendment updated the medical imaging equipment list with no change to the not-to-exceed contract amount of $1,230,701 or the agreement term of May 1, 2025 through April 30, 2028.
ARMC recommends approval of Amendment No. 2 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 (Daniella Hernandez, Deputy County Counsel, 387-5465) on May 28, 2026; Purchasing (Veronica Pedace, Lead Buyer, 387-2464) on June 9, 2026; ARMC Finance (Chen Wu, Finance and Budget Officer, 580-3165) on July 10, 2026; and County Finance and Administration (Jenny Yang, Administrative Analyst, 387-4884) on July 14, 2026.