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File #: A 25-438    Name: Tele-Rheumatology Medical Associates First Amendment
Type: BoS Agreement Status: Passed
File created: 10/29/2025 In control: Board of Supervisors
On agenda: 12/9/2025 Final action: 12/9/2025
Title: a. Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or a designee to execute the First Amendment to the Professional Services Agreement with Tele-Rheumatology Medical Associates dba Rheum Without Walls to provide rheumatology services, extending the term by 24 months (January 1, 2026 to December 31, 2027) for a revised full agreement term of January 1, 2024 to December 31, 2027, and adding $300,000 for a revised total agreement amount not to exceed $500,000 in the aggregate; and b. Authorize the CEO for NMC or a 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 exceed 10% ($20,000) of the original contract amount, and do not increase the total contract amount above $520,000.
Attachments: 1. Board Report, 2. Tele-Rheumatology Medical Associates First Amendment, 3. Tele-Rheumatology Medical Associates Agreement
Title
a. Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or a designee to execute the First Amendment to the Professional Services Agreement with Tele-Rheumatology Medical Associates dba Rheum Without Walls to provide rheumatology services, extending the term by 24 months (January 1, 2026 to December 31, 2027) for a revised full agreement term of January 1, 2024 to December 31, 2027, and adding $300,000 for a revised total agreement amount not to exceed $500,000 in the aggregate; and
b. Authorize the CEO for NMC or a 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 exceed 10% ($20,000) of the original contract amount, and do not increase the total contract amount above $520,000.

Report
RECOMMENDATION:

It is recommended the Board of Supervisors:
a. Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or a designee to execute the First Amendment to the Professional Services Agreement with Tele-Rheumatology Medical Associates dba Rheum Without Walls to provide rheumatology services, extending the term by 24 months (January 1, 2026 to December 31, 2027) for a revised full agreement term of January 1, 2024 to December 31, 2027, and adding $300,000 for a revised total agreement amount not to exceed $500,000 in the aggregate; and
b. Authorize the CEO for NMC or a 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 exceed 10% ($20,000) of the original contract amount, and do not increase the total contract amount above $520,000.

SUMMARY:

NMC must arrange for care and treatment of hospitalized patients as well as patients who present to the outpatient clinics in need of medical care in the specialty of rheumatology. NMC wishes to amend the agreement with Tele-Rheumatology Medical Associates dba Rheum Without Wall...

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