REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
November 17, 2026
FROM
ANDREW GOLDFRACH, ARMC Chief Executive Officer, Arrowhead Regional Medical Center
SUBJECT
Title
Amendment to Agreement with Steris Corporation for Rental of Mobile Sterile Processing Department Trailer
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No. 1 to Agreement No. 25-202 with Steris Corporation, for the rental of a mobile sterile processing department trailer, increasing the agreement amount by $330,517.77, from $1,769,602 to a total amount not to exceed $2,100,119.77, plus applicable taxes, and extending the term for three months, for a total term of May 6, 2025 through May 9, 2027.
(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 additional cost of $330,517.77 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.
BACKGROUND INFORMATION
On April 8, 2025 (Item No. 13), as the result of a non-competitive procurement, the Board of Supervisors (Board) approved Agreement No. 25-202 with Steris Corporation (Steris), for the rental of a mobile sterile processing department (SPD) trailer, in an amount not to exceed $1,769,602, plus applicable taxes, effective May 6, 2025 until one year after the trailer becomes operational according to equipment specifications, with the option to extend the term in three-month increments, for up to six additional months. The mobile SPD trailer met all equipment specifications and became operational on February 9, 2026; therefore, the agreement currently expires on February 9, 2027.
The mobile SPD trailer is necessary to maintain onsite sterile processing services while ARMC completes the Sterilization System Installation Project No. 21-154 (SPD Project). During construction, ARMC's permanent SPD area is unavailable for normal operations. The mobile SPD trailer enables hospital staff to continue providing sterile processing services, including cleaning, decontamination, assembly, and sterilization of medical and surgical instruments and instrument trays. The mobile SPD trailer also supports sterilization of instruments used with the hospital's Da Vinci Robotic Surgical System after the instruments are cleaned by Steris offsite and returned to ARMC's SPD staff.
Additional time is required for the permanent SPD to become licensed and operational. This requires approval of the license application by the Centralized Applications Branch (CAB) of the California Department of Public Health (CDPH), followed by an onsite survey and final approval by the CDPH District Office.
ARMC anticipates the mobile SPD trailer will be needed through May 9, 2027, to maintain uninterrupted sterile processing services. Amendment No. 1 will increase the agreement amount by $330,517.77 and extend the term by three months, through May 9, 2027. The initial cost allocated to the agreement included a monthly rental fee of $82,629.72 for 20 months instead of 21 months for the initial term. The additional $330,517.77 will cover the rental fee for the one month of the initial term and the additional three months.
ARMC recommends approval of Amendment No. 1 to provide for the health and safety needs of County residents by ensuring the continuation of sterile processing services for patients undergoing surgical procedures at the hospital during the SPD Project.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by County Counsel (Bonnie Uphold, Supervising Deputy County Counsel, 387-5455) on October 13, 2026; Purchasing (Veronica Pedace, Buyer III, 387-2464) on October 1, 2026; ARMC Finance (Chen Wu, Finance and Budget Officer, 580-3165) on October 23, 2026; and County Finance and Administration (Jenny Yang, Administrative Analyst, 387-4884) on October 23, 2026.