BOS-2026-39 : Adopt Resolution superseding Resolution No. BOS-2024-124, and delegating authority to the County Executive, or designee, to negotiate, execute, amend, or terminate ancillary clinical staffing service agreements and amendments, increasing the delegation amount by $15,200,000 from $28,400,000 to $43,600,000, with no change to the term of the delegation, following approval by County Counsel as to form and legality, and approval by the Office of the County Executive. Delegation of authority shall expire on September 30, 2027.

County of Santa Clara Santa Clara Valley Health & Hospital System 127931 DATE: April 14, 2026 TO: Board of Supervisors FROM: Paul E. Lorenz, Chief Executive Officer, SCVH SUBJECT: Supersede and Replace Resolution BOS-2024-124 RECOMMENDED ACTION Adopt Resolution superseding Resolution No. BOS-2024-124, and delegating authority to the County Executive, or designee, to negotiate, execute, amend, or terminate ancillary clinical staffing service agreements and amendments, increasing the delegation amount by $15,200,000 from $28,400,000 to $43,600,000, with no change to the term of the delegation, following approval by County Counsel as to form and legality, and approval by the Office of the County Executive. Delegation of authority shall expire on September 30, 2027. FISCAL IMPLICATIONS The recommended action, if approved, would not require modification to the current modified budget for Santa Clara Valley Healthcare (SCVH). Funds to support the agreement are included in the appropriation for services and supplies. Expenses under the Delegation have averaged $1.1M per month from 2022-2023 through 2024-2025 and are at a similar level in FY2025-2026 as decreases in spend at other...

RESOLUTION NO: RESOLUTION OF THE SANTA CLARA COUNTY BOARD OF SUPERVISORS SUPERSEDING AND REPLACING RESOLUTION BOS-2024-124 DELEGATING AUTHORITY TO THE COUNTY EXECUTIVE OR DESIGNEE, TO NEGOTIATE, EXECUTE, AMEND, OR TERMINATE ANCILLARY CLINICAL STAFFING SERVICE AGREEMENTS WHEREAS, the County of Santa Clara owns and operates the County of Santa Clara Health System (“County” and/or “Health System”), which includes O’Connor Hospital, Regional Medical Center, Saint Louise Regional Hospital, Santa Clara Valley Medical Center, and various Community Clinics collectively known as Santa Clara Valley Healthcare (“SCVH”); WHEREAS, the Health System needs flexibility to quickly respond to ancillary clinical staffing needs to ensure safe and quality patient care and compliance with regulatory requirements; WHEREAS, the use of contracted personnel has generally been as a supplement to the County’s workforce where staffing vacancies and urgent needs have not been met through employed staff; WHEREAS, various ancillary clinical staffing agencies have been identified and qualified through a formal Request for Statement of Qualification solicitation process, and this delegation is being requested to...