To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #23-560-13 with Mainsail Parent, LLC (dba Aspirion Health Resources LLC)
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract #23-560-13 with Mainsail Parent, LLC (dba Aspirion Health Resources LLC), a limited liability company, in an amount not to exceed $500,000, to provide accounts receivable solutions with processing out-of-state Medicaid billing and provide commercial insurance claim denial resolution for the Health Services Department, for the period February 1, 2026 through January 31, 2027.
FISCAL IMPACT:
Approval of this Contract will result in annual expenditures of up to $500,000 and will be funded 100% by Hospital Enterprise Fund I revenues.
BACKGROUND:
This Contract meets the business needs of the County by providing accounts receivable solutions for out-of-state Medicaid billing and follow up with commercial insurance denials using the latest billing and editing technology available resulting in faster claim submission and increased payments. This Contractor has been providing services to the Health Services Department since October 1, 2014. This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 31000. This Contract was approved by Health Services Personnel to ensure there is no conflict with labor relations. The Office of the Director’s contract monitoring staff meet on a regular basis to ensure monitoring of performance measures set forth in the contract are upheld. This Contractor was approved by the Public Works Department’s Purchasing Division on December 16, 2025.
On April 28, 2025, the Board of Supervisors approved Contract #23-560-12 with Mainsail Parent, LLC (dba Aspirion Health Resources LLC), formally known as Firm Revenue Cycle Management Services, Inc., in an amount not to exceed $500,000, to provide billing services to process out-of-state Medicaid claims, for the period February 1, 2025 through January 31, 2026.
Approval of Contract #23-560-13 will allow the Contractor to continue to provide services through January 31, 2027. Except concerning indemnification, gross negligence and/or willful misconduct, or claims related to breach of confidentiality or the Business Associates’ Agreement, the Contract contains a limitation of liability clause which excludes Contractor’s liability to County for: 1) Any exemplary, punitive, incidental, special, or consequential damages; and 2) Any claims or damages in excess of $1,000,000.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved the County will not have access to these services which may decrease collections/revenue and increase time for claim submissions.