REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
January 27, 2026
FROM
ANDREW GOLDFRACH, ARMC Chief Executive Officer, Arrowhead Regional Medical Center
SUBJECT
Title
Agreement with Medtronic Sofamor Danek USA, Inc. for the Purchase of Spinal Fixation Implants
End
RECOMMENDATION(S)
Recommendation
1. Approve Agreement with Medtronic Sofamor Danek USA, Inc., including non-standard terms, for the purchase of spinal fixation implants, in the amount not to exceed $4,000,000, for the period of February 3, 2026 through February 2, 2031.
2. Authorize the Purchasing Agent to execute amendments to the Agreement to add, replace or delete products based on product availability, value analysis approved products or cost competitiveness, to meet the needs of Arrowhead Regional Medical Center.
3. Direct the Purchasing Agent to transmit all executed amendments to add, replace, or delete products to the Clerk of the Board of Supervisors within 30 days of execution.
(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 Costs). The cost of $4,000,000 is funded by State Medi-Cal, Federal Medicare, private insurance, and other departmental revenues. 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
Approval of the Agreement with Medtronic Sofamor Danek USA, Inc. (Medtronic) will allow ARMC to purchase spinal fixation implants which provide stability and restore anatomic ...
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