Title
a. Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or his designee to execute the Third Amendment to the Professional and Call Coverage Services Agreement with Salinas Valley Plastic Surgery Associates (A 14391) to provide plastic surgery services, extending the term by 24 months (July 1, 2025 to June 30, 2027) for a revised full agreement term of July 1, 2019 to June 30, 2027, and adding $547,500 for a revised not to exceed amount of $1,642,500 in the aggregate; and
b. Authorize the Chief Executive Officer for NMC or his 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% ($36,500) of the original contract amount and do not increase the total not to exceed amount above $1,679,000.
Report
RECOMMENDATION:
a. Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or his designee to execute the Third Amendment to the Professional and Call Coverage Services Agreement with Salinas Valley Plastic Surgery Associates (A 14391) to provide plastic surgery services, extending the term by 24 months (July 1, 2025 to June 30, 2027) for a revised full agreement term of July 1, 2019 to June 30, 2027, and adding $547,500 for a revised not to exceed amount of $1,642,500 in the aggregate; and
b. Authorize the Chief Executive Officer for NMC or his 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% ($36,500) of the original contract amount and do not increase the total not to exceed amount above $1,679,000.
SUMMARY:
Natividad must arrange for the care and treatment of hospitalized patients and patients who present to the emergency department in need of medical care in the specialty of plastic surgery. NMC wishes to amend the agreement with Salinas Valley Plastic Surgery Associates, so that it’s board-certified plastic surgeons can continue to provide 24/7/365 emergency department call coverage without interruption. NMC has obtained an independent opinion of fair market value supporting the payment terms of this agreement.
OTHER AGENCY INVOLVEMENT:
County Counsel has reviewed and approved this Amendment as to legal form. Auditor-Controller has reviewed and approved this Amendment as to fiscal provisions. The Amendment has also been reviewed and approved by NMC’s Finance Committee and Board of Trustees on May 9, 2025.
FINANCING:
The cost of this Amendment is $547,500. The total cost of this Agreement is $1,642,500 for the period July 1, 2019 to June 30, 2027. $273,750 is included in the Fiscal Year 2025/2026 Recommended Budget. Funding will be provided from NMC's Enterprise Fund 451-9600-6608.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
The services rendered in this agreement provide NMC with the additional support it needs in order to provide reliable and high-quality patient care which improves the health and quality of life for patients and their families.
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Administration
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Prepared by: Jeanne-Ann Balza, Director of Physician Services, 783.2506
Approved by: Dr. Charles R. Harris, Chief Executive Officer, 783.2551
Attachments:
Third Amendment
Second Amendment
First Amendment
Agreement
Attachments on File at the Clerk of the Board