Legislation Details

File #: A 26-260    Name: CEP America-California, dba Vituity Agreement
Type: BoS Agreement Status: Natividad Medical Center - Consent
File created: 6/5/2026 In control: Board of Supervisors
On agenda: 6/23/2026 Final action:
Title: a. Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or a designee to execute the Professional Services Agreement with CEP America-California, dba Vituity to provide emergency medicine services for an amount not to exceed $4,400,000 for the period July 1, 2026 to June 30, 2028; and b. Authorize the CEO for NMC or a designee to sign up to three amendments to this Agreement where the total amendments do not significantly change the scope of work, do not exceed 10% ($440,000) of the original contract amount and do not increase the total contract amount above $4,840,000.
Attachments: 1. Board Report, 2. CEP America-California dba Vituity Agreement
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Title
a. Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or a designee to execute the Professional Services Agreement with CEP America-California, dba Vituity to provide emergency medicine services for an amount not to exceed $4,400,000 for the period July 1, 2026 to June 30, 2028; and
b. Authorize the CEO for NMC or a designee to sign up to three amendments to this Agreement where the total amendments do not significantly change the scope of work, do not exceed 10% ($440,000) of the original contract amount and do not increase the total contract amount above $4,840,000.


Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or a designee to execute the Professional Services Agreement with CEP America-California, d.b.a. Vituity to provide emergency medicine services for an amount not to exceed $4,400,000 for the period July 1, 2026 to June 30, 2028; and
b. Authorize the CEO for NMC or a designee to sign up to three amendments to this Agreement where the total amendments do not significantly change the scope of work, do not exceed 10% ($440,000) of the original contract amount and do not increase the total contract amount above $4,840,000.

SUMMARY:
NMC operates a busy Emergency Department (ED) with nearly 60,000 visits annually. NMC must arrange for the professional consultation and treatment of the patients who present to the ED in need of medical care for general illnesses and disease to life-threatening conditions.

DISCUSSION:
NMC wishes to enter into an agreement with Vituity (formerly known as California Emergency Physicians Medical Group), a team of providers including emergency medicine physicians, physician assistants and nurse practitioners to provide exclusive medical director and comprehensive provider services coverage in the ED 24/7. NMC has obtained an independent opinion of fair market value supporting the paym...

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