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File #: 25-241    Version: 1 Name:
Type: Resolution Status: Passed
File created: 2/27/2025 Departments: HEALTH
On agenda: 3/25/2025 Final action: 3/25/2025
Title: Adopt a resolution authorizing a second amendment to the agreement with California Advanced Imaging Medical Associates, Inc. for radiology services, extending the term of the agreement by two months through May 31, 2025, and increasing the maximum amount payable of the agreement by $567,342, to an amount not to exceed $10,807,342.
Attachments: 1. 20250325_r_California Advanced Imaging Medical Associates, Inc..pdf, 2. 20250325_a_California Advanced Imaging Medical Associates, Inc..pdf
Special Notice / Hearing: None__
Vote Required: Majority

To: Honorable Board of Supervisors
From: Colleen Chawla, Chief, San Mateo County Health
Chester J. Kunnappilly, MD, Chief Executive Officer, San Mateo Medical Center
Subject: Second Amendment to the Agreement with California Advanced Imaging Medical Associates, Inc. for Radiology Services

RECOMMENDATION:
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Adopt a resolution authorizing a second amendment to the agreement with California Advanced Imaging Medical Associates, Inc. for radiology services, extending the term of the agreement by two months through May 31, 2025, and increasing the maximum amount payable of the agreement by $567,342, to an amount not to exceed $10,807,342.

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BACKGROUND:
San Mateo County is responsible for providing necessary medical care to its medically indigent population. Since 2008, California Advanced Imaging Medical Associates, Inc. (CAIMA) has provided radiology services under contract for San Mateo Medical Center (SMMC). During that time, CAIMA also provided SMMC's Medical Director for Radiology under contract. Currently the parties are operating under that certain radiology services agreement for the term of April 1, 2022 through March 31, 2025, in an amount not to exceed $10,215,000. Radiology services are a necessary component of basic hospital services under California's hospital licensing regulations, known collectively as "Title 22." The agreement was amended once to add $25,000 to the "not to exceed" amount, bringing it to $10,240,000.

DISCUSSION:
The parties both agree that a two-month extension of the current agreement is needed for productive negotiations to continue. The proposed amendment would increase the "not to exceed" amount of the agreement by $567,342, reflecting two months of payment at the existing contract rate. The term would be extended by two months through May 31, 2025.

The rates in the current contract are within fair market value according to VMG Health, a n...

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