To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #26-938-30 with David H. Raphael, 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 the County Contract #26-938-30 with David H. Raphael, M.D., an individual, in an amount not to exceed $2,490,000, to provide general surgery physician services at Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers for the period from January 1, 2026 through December 31, 2028.
FISCAL IMPACT:
Approval of this Contract will result in contractual service expenditures of up to $2,490,000 over a three-year period and will be funded 100% by Hospital Enterprise Fund I. (Rate increase)
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 general surgery physician services for its patients. CCRMC has contracted with David H. Raphael for general surgery physician services since August 1, 1996. This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000; Health and Safety Code § 1451. Health Services Personnel approved this Contract to ensure no conflicts with labor relations. Per Administrative Bulletin 600.3, CCRMC Physician services are exempt from Solicitation requirements.
On January 9, 2024, the Board of Supervisors approved Contract #26-938-29 with David H. Raphael, M.D., in an amount not to exceed $1,500,000, for the provision of general surgery physician services at CCRMC and Contra Costa Health Centers for the period from January 1, 2024 through December 31, 2025.
Approval of Contract #26-938-30 will allow Contractor to continue providing general surgery physician services at CCRMC and Contra Costa Health Centers through December 31, 2028.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, patients requiring general surgery physician services will not have access to Contractor’s services and may experience delays in acquiring services.