REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
November 18, 2025
FROM
ANDREW GOLDFRACH, ARMC Chief Executive Officer, Arrowhead Regional Medical Center
SUBJECT
Title
Amendment to Agreement with Epic Corporation for the Purchase of an Electronic Health Record System Module
End
RECOMMENDATION(S)
Recommendation
1. Approve Amendment No. 7 to Agreement No. 19-557 with Epic Systems Corporation, for the addition of the Epic Wisdom Orthodontics software module, licensing, implementation services, go-live support, and travel expenses related to the Electronic Health Record system, increasing the amount by $12,632, from $44,272,165 to $44,284,797, with no change to the term of August 6, 2019, until terminated with 90 day notice to the other party.
2. Direct the Clerk of the Board of Supervisors to maintain the confidentiality of the Amendment with Epic Systems Corporation pursuant to the confidentiality provision in Agreement No. 19-557.
(Presenter: Andrew Goldfrach, ARMC Chief Executive Officer, 580-6150)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Operate in a Fiscally-Responsible and Business-Like Manner.
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 $12,632 is funded by the Centers for Disease Control and Prevention (CDC) Public Health Infrastructure grant. 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
The amendment with Epic Systems Corporation (Epic) will allow ARMC to implement the Orthodontics module which will provide orthodontic treatment planning appliance documentation, and tools to review the patient's course of treatment to date. Epic's Wisdom Orthodontics module w...
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