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File #: 9572   
Type: Consent Status: Passed
File created: 2/15/2024 Department: Arrowhead Regional Medical Center
On agenda: 2/27/2024 Final action: 2/27/2024
Subject: Appropriation Adjustments to Agreements with Intuitive Surgical, Inc. for Da Vinci Xi Dual Console Robotic Surgical System and Related Instruments and Accessories
Attachments: 1. Item #15 Executed BAI
REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION

February 27, 2024

FROM
WILLIAM L. GILBERT, Director, Arrowhead Regional Medical Center

SUBJECT
Title
Appropriation Adjustments to Agreements with Intuitive Surgical, Inc. for Da Vinci Xi Dual Console Robotic Surgical System and Related Instruments and Accessories
End

RECOMMENDATION(S)
Recommendation
1. Approve an increase in funding allocation to Agreement No. 23-273 with Intuitive Surgical, Inc. in the amount of $70,000 for taxes related to the lease of a Da Vinci Xi Dual Console Robotic Surgical System, increasing the total contract amount from $634,000 to $704,000, with no change to the contract term of June 12, 2023 through June 11, 2024.
2. Approve an increase in funding allocation to Agreement No. 23-274 with Intuitive Surgical, Inc. in the amount of $484,000 for the purchase of instruments and accessories for use with the Da Vinci Xi Dual Console Robotic Surgical System, increasing the total contract amount from $116,000 to $600,000, with no change to the term of June 12, 2023 through June 11, 2024.
(Presenter: William L. Gilbert, Director, 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 $554,000 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) 2023-24 budget.

BACKGROUND INFORMATION
On April 11, 2023 (Item No. 11), the Board of Supervisors (Board) approved Agre...

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