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File #: A 25-311    Name: Vigilant Neuromonitoring LLC Amendment No. 2
Type: BoS Agreement Status: Natividad Medical Center - Consent
File created: 7/14/2025 In control: Board of Supervisors
On agenda: 8/5/2025 Final action:
Title: Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or his designee to execute amendment No. 2 to the agreement (A-15549) with Vigilant Neuromonitoring LLC for intraoperative neurophysiological monitoring services, with no changes to the agreement term of October 1, 2021 through September 30, 2026, and adding $200,000 for a revised total agreement amount not to exceed $400,000.
Attachments: 1. Board Report, 2. Vigilant Neuromonitoring Amendment No. 2, 3. Vigilant Neuromonitoring Renewal and Amendment No. 1, 4. Vigilant Neuromonitoring Agreement
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Title

Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or his designee to execute amendment No. 2 to the agreement (A-15549) with Vigilant Neuromonitoring LLC for intraoperative neurophysiological monitoring services, with no changes to the agreement term of October 1, 2021 through September 30, 2026, and adding $200,000 for a revised total agreement amount not to exceed $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. 2 to the agreement (A-15549) with Vigilant Neuromonitoring LLC for intraoperative neurophysiological monitoring services, with no changes to the agreement term of October 1, 2021 through September 30, 2026, and adding $200,000 for a revised total agreement amount not to exceed $400,000.

 

SUMMARY/DISCUSSION:

 

Vigilant Neuromonitoring is a company that provides intraoperative neuromonitoring (IONM) and neurodiagnostic services. They specialize in using electrical signals from the nervous system during surgery to minimize the risk of neurological damage after the procedure.

 

OTHER AGENCY INVOLVEMENT:

 

The Office of County Counsel reviewed and approved this amendment No. 2 as to form, and the Auditor-Controller reviewed and approved as to payment provisions. The amendment No. 2 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. 2 is $200,000 of which $85,000 is included in the FY 2025-26 Adopted Budget. Amounts for remaining years of the agreement will be included in those budgets as appropriate. Funding will be provided from NMC’s Enterprise Fund 451-9600-6613. 

 

BOARD OF SUPERVISORS STRATEGIC INITIATIVES:

 

Vigilant will provide intraoperative neuromonitoring for patients undergoing Neuro Procedures in the Operating Room. Technologists shall monitor patient’s nervous system via a computer monitor with real time remote supervision by a Group Physician in accordance with Hospital Rules

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Health and Human Services

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Prepared by: Wally Sayles Director Surgical services 831 772-7771

Approved by: Charles R. Harris, Chief Executive Officer, 783-2553

 

Attachments:

Vigilant Neuromonitoring Amendment No. 2

Vigilant Neuromonitoring Renewal and Amendment No. 1

Vigilant Neuromonitoring Agreement

 

Attachments on file with the Clerk of the Board