To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #26-681-10 with Mark Kogan, M.D.
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee

RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of County Contract #26-681-10 with Mark Kogan, M.D., an individual, in an amount not to exceed $610,000, to provide gastroenterology services at Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers, for the period January 1, 2026 through December 31, 2028.
FISCAL IMPACT:
This Contract will result in contractual service expenditures of up to $610,000 over a three-year period and will be funded 100% by Hospital Enterprise Fund I revenues.
BACKGROUND:
Due to the limited number of specialty providers available within the community, CCRMC and Contra Costa Health Centers rely on contractors to provide necessary specialty health services to its patients. Contractor’s gastroenterology services will include clinic coverage, consultation, training, medical procedures, and on-call coverage. CCRMC has contracted with Mark Kogan, M.D., for gastroenterology services since January 2011.
This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000; Health and Safety Code § 1451. This Contract was approved by Health Services Personnel to ensure there is no conflict with labor relations. CCRMC’s Quality Management, Utilization Management and Contract Monitor Staff meet on a regular basis to ensure monitoring and performance measures in the Contract are upheld. Per Administrative Bulletin 600.3, CCRMC Physician services are exempt from Solicitation requirements.
On January 10, 2023, the Board of Supervisors approved Contract #26-681-9, with Mark Kogan, M.D., in an amount not to exceed $330,000, for the provision of gastroenterology services at CCRMC and Contra Costa Health Centers for the period January 1, 2023 through December 31, 2025.
Approval of Contract #26-681-10 will allow the Contractor to continue providing gastroenterology services at CCRMC and Contra Costa Health Centers through December 31, 2028.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, the necessary specialty gastroenterology services needed for patient care will not be available or will create increased wait times due to the limited number of specialty providers available within the community.