Legislation Details

File #: A 26-324    Name: Triage LLC Renewal and Amendment No. 5
Type: BoS Agreement Status: Natividad Medical Center - Consent
File created: 7/10/2026 In control: Board of Supervisors
On agenda: 8/11/2026 Final action:
Title: Authorize the Interim Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute Renewal and Amendment No. 5 to the Agreement (A-16532) with Triage LLC (formerly RTG MSP Medical, LLC dba RTG Medical) for the provision of staff procurement management services, extending the Agreement for an additional one year period (August 1, 2026 through July 31, 2027) for a revised full Agreement term of August 1, 2023 through July 31, 2027, and adding $4,000,000 for a revised total Agreement amount not to exceed $22,200,000.
Attachments: 1. Board Report, 2. Triage LLC Renewal and Amendment No. 5, 3. Triage LLC Amendment No. 4, 4. Triage LLC Amendment No. 3, 5. Triage LLC Amendment No. 2, 6. RTG Medical MSP, LLC. dba RTG Medical Amendment No. 1, 7. RTG Medical MSP, LLC dba RTG Medical Agreement
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Title
Authorize the Interim Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute Renewal and Amendment No. 5 to the Agreement (A-16532) with Triage LLC (formerly RTG MSP Medical, LLC dba RTG Medical) for the provision of staff procurement management services, extending the Agreement for an additional one year period (August 1, 2026 through July 31, 2027) for a revised full Agreement term of August 1, 2023 through July 31, 2027, and adding $4,000,000 for a revised total Agreement amount not to exceed $22,200,000.

Report
RECOMMENDATION:
It is recommended the Board of Supervisors:

Authorize the Interim Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute Renewal and Amendment No. 5 to the Agreement (A-16532) with Triage LLC (formerly RTG MSP Medical, LLC dba RTG Medical) for the provision of staff procurement management services, extending the Agreement for an additional one year period (August 1, 2026 through July 31, 2027) for a revised full Agreement term of August 1, 2023 through July 31, 2027, and adding $4,000,000 for a revised total Agreement amount not to exceed $22,200,000.

SUMMARY:

Approval of Renewal and Amendment No. 5 will ensure NMC maintains access to qualified supplemental clinical personnel needed to support ongoing workforce challenges and operational demands. The renewal and amendment extends the agreement for one year, increases the maximum compensation amount, and updates the approved rate schedule to reflect current market conditions. Continued availability of registry staffing is critical to maintaining safe staffing levels, supporting uninterrupted operations, and ensuring the delivery of high-quality patient care.

DISCUSSION:

Triage LLC provides supplemental clinical personnel through a network of more than thirty specialized healthcare staffing agencies. These services support critical, high-demand patient care areas, including the Emergency Department, Intensive C...

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