Title
Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or his designee to execute Amendment No. 6 to the Agreement (A-16146) with Locumtenens.com, LLC for recruitment and assignment of physician services, extending the Agreement through December 31, 2025, for a revised full Agreement term of August 26, 2022 through December 31, 2025, and adding $1,400,000 for a revised total agreement amount not-to-exceed $10,400,000.
Report
RECOMMENDATION:
It is recommended the Board of Supervisors:
Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or his designee to execute Amendment No. 6 to the Agreement (A-16146) with Locumtenens.com, LLC for recruitment and assignment of physician services, extending the Agreement through December 31, 2025, for a revised full Agreement term of August 26, 2022 through December 31, 2025, and adding $1,400,000 for a revised total agreement amount not-to-exceed $10,400,000.
SUMMARY/DISCUSSION:
In order to find highly qualified temporary physicians and other locum tenens, such as advanced practitioners, who match the position we are trying to cover and are available on sometimes very short notice, it is necessary to contract with multiple locum tenens agencies to provide referral of locum tenens physicians.
Locum tenens are physicians who temporarily take the place of physicians during periods when physicians (employed or contracted) are not available (e.g., vacation; illness; continuing medical education; etc.).
Due to multiple factors, including physician shortages in certain hard to fill specialties, NMC is experiencing a high utilization of locum tenens physicians and wishes to amend the agreements to add funds ensuring temporary physicians are available if needed to provide the patient care services critical to NMC’s operation without interruption.
OTHER AGENCY INVOLVEMENT:
The Office of County Counsel has reviewed and approved this Amendment No. 6 as to form, and the Auditor-Controller has reviewed and approved as to payment provisions. The Amendment No. 6 has also been reviewed and approved by NMC’s Finance Committee and by its Board of Trustees on July 11, 2025.
FINANCING:
The cost for this Amendment No. 6 is $1,400,000 of which $1,400,000 is included in the FY 2025-26 Adopted Budget. Funding will be provided from NMC’s Enterprise Fund 451-9600-6613.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
The services rendered in this agreement are required for Level II Trauma Centers and provide NMC with the additional support it needs in order to deliver reliable and high-quality patient care which improves the health and quality of life for patients and their families.
__ Economic Development
__ Administration
X Health and Human Services
__ Infrastructure
__ Public Safety
Prepared by: Jeanne-Ann Balza, Director of Physician Services, 783-2506
Approved by: Charles R. Harris, Chief Executive Officer, 783-2553
Attachments:
Locumtenens.com, LLC. Amendment No. 6
Locumtenens.com, LLC. Amendment No. 5
Locumtenens.com, LLC. Amendment No. 4
Locumtenens.com, LLC. Amendment No. 3
Locumtenens.com, LLC. Amendment No. 2
Locumtenens.com, LLC. Amendment No. 1
Locumtenens.com, LLC. Agreement
Attachments on file with the Clerk of the Board