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File #: A 25-459    Name: Locumtenens.com, LLC Amendment No. 7
Type: BoS Agreement Status: Passed
File created: 11/12/2025 In control: Board of Supervisors
On agenda: 12/9/2025 Final action: 12/9/2025
Title: Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute amendment No. 7 to the agreement (A-16146) with Locumtenens.com, LLC for recruiting and assignment of physician services, extending the agreement an additional three (3) month period (January 1, 2026 through March 31, 2026) for a revised full agreement term of August 26, 2022 through March 31, 2026, and adding $1,300,000 for a revised total agreement amount not-to-exceed $11,700,000.
Attachments: 1. Board Report, 2. Locumtenens.com, LLC Amendment No. 7, 3. Locumtenens.com, LLC_Amendment No. 6, 4. Locumtenens.com, LLC. Amendment No. 5, 5. Locumtenens.com, LLC. Amendment No. 4, 6. Locumtenens.com, LLC. Amendment No. 3, 7. Locumtenens.com, LLC. Amendment No. 2, 8. Locumtenens.com, LLC. Amendment No. 1, 9. Locumtenens.com, LLC Agreement
Title
Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute amendment No. 7 to the agreement (A-16146) with Locumtenens.com, LLC for recruiting and assignment of physician services, extending the agreement an additional three (3) month period (January 1, 2026 through March 31, 2026) for a revised full agreement term of August 26, 2022 through March 31, 2026, and adding $1,300,000 for a revised total agreement amount not-to-exceed $11,700,000.

Report
RECOMMENDATION:

It is recommended the Board of Supervisors:

Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute amendment No. 7 to the agreement (A-16146) with Locumtenens.com, LLC for recruiting and assignment of physician services, extending the agreement an additional three (3) month period (January 1, 2026 through March 31, 2026) for a revised full agreement term of August 26, 2022 through March 31, 2026, and adding $1,300,000 for a revised total agreement amount not-to-exceed $11,700,000.

SUMMARY:

Locum tenens are physicians who temporarily take the place of physicians during periods when physicians (employed or contracted) are not available (e.g., vacation; illness; continuing medical education; etc.). In order to find highly qualified temporary physicians and other locum tenens, such as advanced practitioners, who match the position we are trying to cover and are available on sometimes very short notice, it is necessary to contract with multiple locum tenens agencies to provide referrals of locum tenens physicians.

DISCUSSION:

Due to multiple factors, including physician shortages in certain hard to fill specialties, NMC is experiencing a high utilization of locum tenens physicians and wishes to amend the agreements to add funds and extend the term ensuring temporary physicians are available if needed to provide the patient care services critical to NMC’s operation without interruption.



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