To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Purchase Order with Therapeutic Research Center, LLC
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee

RECOMMENDATIONS:
APPROVE and AUTHORIZE the Purchasing Agent, or designee, to execute on behalf of the Health Services Director, a purchase order with Therapeutic Research Center, LLC in an amount not to exceed $685 and Service Order Form for Pharmacy Math Skills eLearning Competency verification subscription for the Contra Costa Regional Medical Center (CCRMC) Inpatient Pharmacy for the period from February 1, 2026 through November 30, 2026, and annually thereafter until terminated by one of the parties.
FISCAL IMPACT:
Approval of this action will result in expenditures of up to $685 for the Math Competency subscription and will be funded in the Hospital Enterprise Fund I budget.
BACKGROUND:
The Inpatient Pharmacy uses Therapeutic Research Center, LLC for competency learning. This Math Skills competency verification subscription is a USP 797 regulatory requirement because we are a licensed sterile compounding pharmacy.
On September 24, 2024 the Board of Supervisors approved agenda item C.69 to execute purchase order #31238 with Therapeutic Research Center, LLC in the amount of $775 for a Pharmacy Math Skills eLearning Competency verification subscription for CCRMC Inpatient Pharmacy for the period from August 1, 2024 through July, 31, 2025.
Due to negotiations between Therapeutic Research Center, LLC and Contra Costa County the submission of this subscription was delayed. The Pharmacy Math Skills eLearning Competency subscription was not utilized after the purchase order expiration while negotiations were being finalized. The Inpatient Pharmacy will submit renewals in a timely manner. Approval of this action would allow the subscription to be available to the Inpatient Pharmacy through November 30, 2026, and annually thereafter until terminated by one of the parties.
The Terms and Conditions of the Therapeutic Research Center, LLC Service Order Form obligate the County to indemnify Therapeutic Research Center, LLC and its affiliates from and against any claims, arising out of the County's breach of the agreement, unauthorized use of service, or the negligence or willful misconduct of the County. The vendor’s liability under this agreement is limited to the amount paid by the County in the twelve months preceding the claim.
CONSEQUENCE OF NEGATIVE ACTION:
If this action is not approved, the Inpatient Pharmacy will not be able to purchase the Pharmacy Math Skills eLearning and competency verification subscription.