https://monterey.legistar.com/Gateway.aspx?M=LD&From=RSS&ID=8121421&GUID=BF97170E-4967-427B-8EEE-16000D080557Legistar15https://monterey.legistar.com/Gateway.aspx?M=LD&From=RSS&ID=8121421&GUID=BF97170E-4967-427B-8EEE-16000D080557BF97170E-4967-427B-8EEE-16000D080557-2026-07-07-19-23-56Title: a. Authorize the Interim Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute a nonstandard retroactive agreement with R1 RCM Holdco, Inc for billing and appeal process services at NMC for a maximum County obligation of $200,000 for the term of May 15, 2026 through May 14, 2028; and b. Authorize the Interim Chief Executive Officer for Natividad Medical Center or a designee to execute up to three (3) future amendments that do not in total exceed 10% ($20,000) of the original agreement, do not significantly change the scope of services, and do not increase the total not to exceed amount over $220,000; and c. Approve the NMC’s Interim Chief Executive Officer’s recommendation to accept non-standard indemnification, insurance, limitations on liability, and limitations on damages provisions within the agreement; and d. Approve the NMC’s Interim Chief Executive Officer’s recommendation to accept non-standard indemnification, insurance, limitations on liability, and limitations on damages provisions within the Business Associates Agreement, in substantially theTue, 07 Jul 2026 19:23:56 GMT