REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
December 16, 2025
FROM
ANDREW GOLDFRACH, ARMC Chief Executive Officer, Arrowhead Regional Medical Center
SUBJECT
Title
Amendment to Agreement with Inari Medical, Inc. for the Purchase of Medical Devices for Treatment of Pulmonary Embolisms
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No. 1 to Agreement No. 23-02 with Inari Medical, Inc., updating the specialized medical devices available for purchase for the treatment of pulmonary embolisms, increasing the contract amount by $350,000 from an amount not-to-exceed $792,000 to a total not-to-exceed amount of $1,142,000, and extending the term for an additional two years for a total term of January 10, 2023 through January 9, 2028.
(Presenter: Andrew Goldfrach, ARMC Chief Executive Officer, 580-6150)
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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 cost of $350,000 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) 2025-26 budget and will be included in future recommended budgets.
BACKGROUND INFORMATION
Amendment No. 1 (Amendment) to Agreement No. 23-02 (Agreement) will enable ARMC to purchase additional specialized devices from Inari Medical, Inc. (Inari), for the treatment of pulmonary embolisms (PE) and extend the term of the Agreement for an additional two years.
Inari has added products and is offering the ClotTriever(r) Thrombectomy and LimFlow Systems. The ClotTriever Thrombectomy S...
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