REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
November 17, 2026
FROM
ANDREW GOLDFRACH, ARMC Chief Executive Officer, Arrowhead Regional Medical Center
SUBJECT
Title
Amendment to Contract with Forward Advantage Holdings, Inc. for Imprivata, Inc. Subscription Licensing and Related Software Maintenance and Technical Support Services
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No. 2 to Contract No. 26-287 with Forward Advantage Holdings, Inc., for subscription licensing and related software maintenance and technical support services related to Imprivata, Inc. single sign-on software, increasing the total not-to-exceed amount by $8,755, from $692,471 to $701,226, with no change to the contract term of March 26, 2025 through March 26, 2028.
(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 $8,755 is funded by State Medi-Cal, Federal Medicare, private insurance, 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) 2026-27 budget and will be included in 2027-28 recommended budget.
BACKGROUND INFORMATION
This amendment with Forward Advantage Holdings, Inc. (Forward Advantage) will allow for subscription licensing and related software maintenance and technical support for Imprivata Inc. (Imprivata) OneSign Single Sign-On/Authentication Management (SSO/AM), ConfirmID Electronic Prescribing of Controlled Substances (EPCS) licenses, related implementation services including ARMC’s electronic healthcare system (EHR) connector, and necessary equipment and authentication devices in support of the Community Connect Program between ARMC and the County’s Department of Public Health (DPH).
The Community Connect Program allows DPH to access ARMC's Epic EHR system to support its clinical operations. Imprivata is currently integrated with ARMC's Epic environment and provides single sign-on (SSO), user authentication, and EPCS. The licensing and related services included in this amendment will extend these capabilities to authorized DPH users, allowing them to securely access Epic through ARMC's existing system while meeting required security and authentication standards.
Imprivata software will not be used with County multi-factor authentication systems, such as virtual private network or Azure active directory. This is used exclusively at ARMC and on ARMC assets.
On March 26, 2025, as the result of formal solicitation No. ARMC125-ARMC-5603, pursuant to County Policy 11-05, the County Chief Executive Officer and the Purchasing Department approved an End User License Agreement (EULA) with Imprivata, including non-standard terms, for single sign-on software licenses and service as purchased from reseller Forward Advantage via the standard County contract (SAP Contract 4400027851), in the not-to-exceed amount of $500,000, beginning on the date of execution for a period of three years.
On April 21, 2026 (Item No. 7), the Board of Supervisors approved Amendment No. 1 to SAP Contract 4400027851 (Contact No. 26-287) with Forward Advantage, for subscription licensing and related software maintenance and technical support services related to Imprivata, Inc. single sign-on software, increasing the total not-to-exceed amount by $192,471 for a 12-month period, from $500,000 to $692,471, with no change to the contract term of March 26, 2025, through March 26, 2028.
The Imprivata software and services are sold through Forward Advantage under County standard contract terms, but once the order was accepted by Forward Advantage, ARMC was required to accept the online Imprivata EULA to access the software and services.
ARMC recommends approval of Amendment No. 2 with Forward Advantage to provide for the safety, health and service needs of County residents by ensuring that ARMC has a two-factor authentication sign-on and secure verification system.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by County Counsel (Bonnie Uphold, Supervising Deputy County Counsel, 387-5455) on September 15, 2026; Purchasing (Veronica Pedace, Buyer III, 387-2464) on October 8, 2026; ARMC Finance (Chen Wu, Finance and Budget Officer, 580-3165) on October 21, 2026; and County Finance and Administration (Jenny Yang, Administrative Analyst, 387-4884) on October 23, 2026.