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File #: A 25-282    Name: Amendment No.9 to Latham and Watkins Agreement
Type: BoS Agreement Status: Agenda Ready
File created: 6/17/2025 In control: Board of Supervisors
On agenda: 6/24/2025 Final action:
Title: Authorize the County Counsel to execute an Amendment No. 9 to the Services Agreement ("Agreement") with Latham & Watkins LLP, for the provision of healthcare legal services at Natividad Medical Center, adding three years, for a revised full term from May 10, 2010 through June 30, 2028, with no change to the total agreement amount of $1,510,000.
Attachments: 1. Board Report, 2. Amendment No. 9 to Latham and Watkins Agreement, 3. Amendment No. 8 to Latham and Watkins LLP Agreement, 4. Renewal and Amendment No. 7 to Latham and Watkins LLP Agreement, 5. Amendment No. 6 to Latham and Watkins LLP Agreement, 6. Amendment No. 5 to Latham and Watkins LLP Agreement, 7. Renewal and Amendment No. 4 to Latham and Watkins LLP Agreement, 8. Amendment No. 3 to Latham and Watkins LLP Agreement, 9. Renewal and Amendment No. 2 to Latham and Watkins LLP Agreement, 10. Amendment No. 1 to Latham and Watkins LLP Agreement, 11. Original Agreement Latham & Watkins, LLP Original Services, 12. Completed Board Order Item No. 21
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Title
Authorize the County Counsel to execute an Amendment No. 9 to the Services Agreement ("Agreement") with Latham & Watkins LLP, for the provision of healthcare legal services at Natividad Medical Center, adding three years, for a revised full term from May 10, 2010 through June 30, 2028, with no change to the total agreement amount of $1,510,000.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
Authorize the County Counsel to execute an Amendment No. 9 to the Services Agreement ("Agreement") with Latham & Watkins LLP, for the provision of healthcare legal services at Natividad Medical Center, adding three years, for a revised full term from May 10, 2010 through June 30, 2028, with no change to the total agreement amount of $1,510,000.

SUMMARY/DISCUSSION:
Latham & Watkins LLP is one of the pre-eminent law firms representing healthcare systems and local community hospitals throughout the United States. Their healthcare attorneys have specific experience with the nuanced regulations that govern the healthcare industries, including those related to fraud and abuse, Medicare/Medicaid reimbursement, healthcare regulatory requirements, financing regulation, and licensing.

Latham’s legal experts in physician compensation have applied their extensive industry expertise to best serve Natividad’s business needs, while providing Natividad consistent, practical, and reliable guidance on the risks associated with physician compensation arrangements. Latham’s legal advice and consultation have helped Natividad ensure that its compensation arrangements do not unfairly drive referrals from healthcare providers to Natividad.

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 financial provisions. This amendment was reviewed and approved for forwarding to the Board of Supervisors by the Natividad Finance Committee and Natividad Board o...

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