REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
January 13, 2026
FROM
ANDREW GOLDFRACH, ARMC Chief Executive Officer, Arrowhead Regional Medical Center
SUBJECT
Title
Amendment to Agreement with Howmedica Osteonics Corp. for Orthopedic Implants for Surgical Patients
End
RECOMMENDATION(S)
Recommendation
1. Approve Amendment No. 3 to Agreement No. 25-148 with Howmedica Osteonics Corp., for the provision of orthopedic implants for surgical patients, updating the list of products available for purchase and increasing the contract amount by $200,000 from a not-to-exceed amount of $1,250,000 to a total not-to-exceed amount of $1,450,000, with no change to the contract term of January 5, 2024 through January 4, 2029.
2. Authorize the Purchasing Agent to add, replace and delete products and adjust product pricing pertaining to Agreement No. 25-148.
(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 $200,000 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. 3 to Agreement No. 25-148 (Agreement) with Howmedica Osteonics Corp. (Howmedica) will allow ARMC to purchase additional products, including upper extremity orthopedic implants for surgical patients at ARMC. There is an increased need for new upper extremity orthopedic implant...
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