REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
November 18, 2025
FROM
ANDREW GOLDFRACH, ARMC Chief Executive Officer, Arrowhead Regional Medical Center
SUBJECT
Title
Amendment to Multiple Product Purchase Agreement with Integra LifeSciences Sales LLC for Supplies
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No. 1 to Multiple Product Purchase Agreement No. 25-04 with Integra LifeSciences Sales LLC, for products, supplies and equipment accessories, increasing the total not-to-exceed amount by $30,000, from $3,500,000 to $3,530,000, to purchase airway balloons supplies and inflation devices, with no change to period of January 14, 2025 through January 13, 2028, with the option to extend for two additional one-year terms.
(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 cost of $30,000 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
The Multiple Product Purchase Agreement No. 25-04 (Agreement) with Integra LifeSciences Sales LLC (Integra) will allow for the purchase of airway balloons, inflation devices and related supplies utilized by ARMC physicians to expedite access to multiple air war dilation systems during trauma cases. These additional ear, nose, and throat (ENT) supplies were not included in the current Agreement.
AR...
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