To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Amendment to Purchase Order with Arthrex, Inc.
Recommendation: Recommendation of the County Administrator
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Purchasing Agent, or designee, to execute on behalf of the Health Services Director, an amendment to purchase order #29955 with Arthrex, Inc. to increase the payment limit by $800,000 to a new amount not to exceed $2,020,000 to purchase additional instruments, implants, medical and non-medical supplies as needed for Contra Costa Regional Medical Center (CCRMC) with no change to the original term ending January 31, 2027.
FISCAL IMPACT:
Approval of this action would result in additional expenditures of $800,000 for a new total of $2,020,000 and will be funded 100% by the Hospital Enterprise Fund I.
BACKGROUND:
Arthrex, Inc. provides instruments, implants, supplies, and biologics that are necessary for arthroscopic surgeries for better outcomes for our patients. Orthopedic supplies play a critical role in the success and efficiency of orthopedic surgeries by providing specialized tools, ensuring proper patient positioning, protecting soft tissues, and facilitating the use of implants and prosthetics. Having a well-equipped Operating Room (OR) with orthopedic supplies is essential for the safety and effectiveness of orthopedic procedures. Contra Costa Health maintains a Blanket Purchase Order (BPO) with Arthrex, Inc. for orthopedic surgical implants, instruments, and related supplies required for ongoing patient care.
On March 19, 2024, the Board of Supervisors approved the execution of purchase order #29955 with Arthrex, Inc in the amount of $900,000 for the purchase of instruments, implants, medical and non-medical supplies for the period from February 1, 2024 through January 31, 2027.
On December 9, 2025, the Board of Supervisors approved the execution of an amendment to purchase order #29955 to increase the payment limit to a new amount of $1,220,000 for instruments, implants, and supplies with no change in the term. The Sole-Source Form for the amendment was approved on November 19, 2025 by Public Works.
Due to high orthopedic case volumes and the exclusive compatibility of Arthrex products with existing instrumentation and surgeon preference items, the department has nearly exhausted the remaining BPO balance. The remaining funds are insufficient to support upcoming scheduled surgeries, and additional purchasing capacity is urgently needed to avoid disruption to clinical services. Approval of this action will allow CCRMC to continue purchasing with Arthrex, Inc. and ensure continued availability of essential surgical supplies and alignment with operational needs.
CONSEQUENCE OF NEGATIVE ACTION:
If this action is not approved, CCRMC will not be able to provide the surgical needs of the general population of Contra Costa County. This can lead to delays or cancellation of surgeries, and lead to negative outcomes for CCRMC patients.