Advance Reports Over 50 Pages
50+ page Advance Reports for the Board of Supervisors meeting on Tuesday, December 9, 2025.
Agenda — 9 items
- 1 The following reports are scheduled for the Board of Supervisors meeting on Tuesday, December 9, 2025. The reports are being distributed 11 + days prior to the Board of Supervisors meeting due to the large volume of information. These reports are not numbered at this time.
- 2 Natividad Medical Center - Consent
- 3 a. Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or a designee to execute the Third Amendment to the Professional Services Agreement (A-14537) with Marta Zulik, M.D. Inc. to provide pulmonology critical care services, extending the term by 24 months (January 1, 2026 to December 31, 2027) for a revised full agreement term of November 1, 2019 to December 31, 2027, with no change to the total contract amount of $400,000; and b. Authorize the CEO for NMC or a designee to sign up to three (3) future amendments to this Agreement where the total amendments do not significantly change the scope of work, do not exceed 10% ($40,000) of the original contract amount and do not increase the total contract amount above $440,000.
- 4 a. Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or a designee to execute the Second Amendment to the Professional and Call Coverage Services Agreement (A-16651) with Delphine Engel, MD Inc. to provide general and critical care surgical services, extending the term by 24 months (January 1, 2026 to December 31, 2027) for a revised full agreement term of January 1, 2024 to December 31, 2027 and adding $350,000 for a revised not to exceed amount of $750,000 in the aggregate; and b. Authorize the CEO or a designee to sign up to three (3) future amendments to this agreement where the total amendments do not significantly change the scope of work, do not cause an increase of more than 10% ($40,000) of the original contract amount and do not increase the total contract amount above $790,000.
- 5 a. Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or a designee to execute the Second Amendment to the Professional and Call Coverage Services Agreement (A-16660) with David R. Flemming, MD to provide urology services, extending the term by 24 months (January 1, 2026 to December 31, 2027) for a revised full agreement term of November 1, 2022 to December 31, 2027 and adding $100,000 for a revised not to exceed amount of $500,000 in the aggregate; and b. Authorize the CEO or a designee to sign up to three (3) future amendments to this agreement where the total amendments do not significantly change the scope of work, do not cause an increase of more than 10% ($10,000) of the original contract amount and do not increase the total contract amount above $510,000.
- 6 Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute amendment No. 4 to the agreement (A-14125) with Monarch Medical Technologies, LLC for glucose management system enterprise software subscription services, extending the agreement an additional three (3) period (February 1, 2026 through January 31, 2029) for a revised full agreement term of October 1, 2018 through January 31, 2029 and adding $185,736 for a revised total agreement amount not to exceed $645,559.
- 7 Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or his designee to execute renewal and amendment No. 4 to the agreement (A-14305) with Stryker Sales Corporation dba Stryker Instruments for preventative maintenance on power tools and Neptune equipment services, extending the agreement an additional six (6) month period (May 15, 2025 through November 14, 2025) for a revised full agreement term of May 1, 2018 through November 14, 2025, and adding $40,000 for a revised total agreement amount not to exceed $639,216.
- 8 a. Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or a designee to execute the Second Amendment to the Professional and Call Coverage Services Agreement (A-16661) with J. Anthony Shaheen, M.D., Inc. to provide urology services, extending the term by 24 months (January 1, 2026 to December 31, 2027) for a revised full agreement term of October 1, 2022 to December 31, 2027, with no change to the total contract amount of $400,000; and b. Authorize the CEO or a designee to sign up to three (3) future amendments to this agreement where the total amendments do not significantly change the scope of work, do not cause an increase of more than 10% ($10,000) of the original contract amount and do not increase the total contract amount above $410,000.
- 9 Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute amendments No. 14 to the agreements with Medical Search, LLC dba SUMO Medical Staffing (A-12896) and Medical Doctor Associates, LLC dba Cross Country Locums (formerly known as MDA Holdings, Inc.) (A-12899), and amendment No. 15 to the agreement with AMN Healthcare Locum Tenens, Inc. (formerly known as Staff Care, Inc.) (A-12897) for locum tenens physician referral services at NMC pursuant to Request for Proposals (RFP) #9600-61, extending the agreements for an additional three (3) month period (January 1, 2026 through March 31, 2026) for a revised full agreement term of August 1, 2015 through March 31, 2026; with no change to the total aggregate amount for all agreements not-to-exceed $22,700,000.