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File #: 2634   
Type: Consent Status: Passed
File created: 7/21/2020 Department: Arrowhead Regional Medical Center
On agenda: 7/28/2020 Final action: 7/28/2020
Subject: Amendment to Physician Service Agreement with San Bernardino Medical Orthopedic Group, Inc. DBA Arrowhead Orthopedics
Attachments: 1. Item #17 Executed BAI
REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF THE COUNTY OF SAN BERNARDINO
AND RECORD OF ACTION

July 28, 2020

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

SUBJECT
Title
Amendment to Physician Service Agreement with San Bernardino Medical Orthopedic Group, Inc. DBA Arrowhead Orthopedics
End

RECOMMENDATION(S)
Recommendation
Affirm Amendment No. 3, effective May 1, 2020, to Physician Service Agreement No. 17-887 with San Bernardino Medical Orthopedic Group, Inc. DBA Arrowhead Orthopedics increased the annual base amount by $221,000, from $2,683,000 to $2,904,000 plus variable costs, in order to add podiatry services, with no change to the current expiration date of December 31, 2020.
(Presenter: William L. Gilbert, Director, 580-6150)
Body

COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Provide for the Safety, Health and Social Service Needs of County Residents.

FINANCIAL IMPACT
Amendment No. 3 to Physician Service Agreement No. 17-887, in the annual amount of $221,000, does not result in the use of Discretionary General Funding (Net County Cost). This amendment includes variable costs that fluctuate with patient volume. Actual costs for services are funded by State Medi-Cal, Federal Medicare, private insurances, and in some cases reimbursed by County departments. Funding sources may change in the future pending any legislative activity related to the repeal and/or replacement of the Affordable Care Act. Sufficient appropriation and revenue are included in the Arrowhead Regional Medical Center (ARMC) 2020-21 budget.

BACKGROUND INFORMATION
On April 21, 2020 (Item No. 10), the Board of Supervisors approved Amendment No. 3, effective May 1, 2020, to Physicians Service Agreement No. 17-887 with San Bernardino Medical Orthopedic Group, Inc. DBA Arrowhead Orthopedics. After the board date, it was discovered that the April 21st board agenda item did not clearly identify the amendment as an increase to t...

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