Recommendation to: A) Adopt a resolution: 1. Authorizing an amendment to the agreement with Epic Systems Corporation to expand the Electronic Health Medical Record system to additional divisions within San Mateo County Health, increasing the County’s fiscal obligation by $21,620,589, for a total amount not to exceed $85,079,673; and 2. Authorizing an amendment to the agreement with Epic Hosting LLC to expand the Electronic Health Medical Record system to additional divisions within San Mateo County Health, increasing the County’s fiscal obligation by $2,983,000, for a total amount not to exceed $17,830,484; and 3. Authorizing an amendment to Master Salary Resolution 081316 to add thirty-five positions to the General Fund; and B) Authorizing an Appropriation Transfer Request (ATR) increasing unanticipated revenue by $7,058,660, Fixed Assets by $5,362,779, Other Financing Uses by $1,695,881 for Capital Projects Fund and increasing unanticipated revenue by $2,833,827, Salaries and Benefits by $1,896,577, Other Charges by $750,000, Dept Employee Training Expense by $187,250 for the General Fund for the second phase of implementation of the Electronic Health Record.

Resolution Passed Introduced December 26, 2025

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