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File #: 13903   
Type: Consent Status: Passed
File created: 3/30/2026 Department: Arrowhead Regional Medical Center
On agenda: 4/7/2026 Final action: 4/7/2026
Subject: Amendment to Contract with Optimum Healthcare IT, LLC for the Assessment of ServiceNow Platform
Attachments: 1. ADD - CON - ARMC - 4-7-26 - Optimum Healthcare IT LLC A-3 to 25-354, 2. Disposition Report
REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION

April 7, 2026

FROM
ANDREW GOLDFRACH, ARMC Chief Executive Officer, Arrowhead Regional Medical Center

SUBJECT
Title
Amendment to Contract with Optimum Healthcare IT, LLC for the Assessment of ServiceNow Platform
End

RECOMMENDATION(S)
Recommendation
Approve Amendment No. 3 to Contract No. 25-354 with Optimum Healthcare IT, LLC for a time and materials engagement for assessment services of the ServiceNow platform, increasing the contract amount by $99,500, from $8,981,589.60 to a total not to exceed amount of $9,081,089.60, with no change to the contract term of June 16, 2025 through June 15, 2030.
(Presenter: Andrew Goldfrach, ARMC Chief Executive Officer, 580-6150)
Body

COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Improve County Government Operations.
Operate in a Fiscally-Responsible and Business-Like Manner.

FINANCIAL IMPACT
Approval of this item will not result in the use of Discretionary General Funding (Net County Cost). The cost of $99,500 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) 2025-26 budget and will be included in future recommended budgets.

BACKGROUND INFORMATION
Amendment No. 3 (Amendment) to Contract No. 25-354 (Contract) will provide ARMC with ongoing project hours to obtain additional support from Optimum Healthcare IT, LLC (Optimum) for the ServiceNow Software Platform (ServiceNow), with a focus on assessing the current state of use. Optimum will provide approximately 440 hours to review the current platform configuration, management processes, ARMC's identified "pain" points, and ongoing initiatives.

Optimum will in...

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