To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Terminate Contract #76-658-10 with ECG Management Consultants, LLC
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
RATIFY the Health Services Director, or designee’s issuance of a 30-day advance written notice to ECG Management Consultants, LLC, a limited liability company, to terminate Contract #76-658-10 (as amended by Contract Amendments #76-658-11 and #76-658-12), for the provision of management consulting services for enhancements to the appointment unit at Contra Costa Regional Medical Center and Contra Costa Health Centers, effective at the close of business on August 31, 2026.
FISCAL IMPACT:
This Contract was funded 100% by Hospital Enterprise Fund I.
BACKGROUND:
On March 19, 2024, the Board of Supervisors approved Contract #76-658-10 with ECG Management Consultants, LLC, in an amount of $275,000, for the provision of consultation and technical assistance with regard to reviewing compensation, benefits, productivity levels and performance for physicians at CCRMC and Contra Costa Health Centers, for the period June 15, 2024 through June 14, 2027.
On October 22, 2024, the Board of Supervisors approved Contract Amendment #76-658-11 with ECG Consultants, LLC, effective October 1, 2024, to increase the payment limit by $133,500, to a new payment limit of $408,500, for additional consultation and technical assistance services with no change in the term.
On June 24, 2025, the Board of Supervisors approved Contract Amendment #76-658-12 with ECG Consultants, LLC, effective March 1, 2025, to increase the payment by $792,000, to a new payment limit of $1,200,500, for additional consultation and technical assistance services with no change in the term.
Approval by the Board of Supervisors will allow the Health Services Department to issue a thirty-day advance written notice to the Contractor, in accordance with General Conditions, Paragraph 5. (Termination) that the Contract is terminated effective at the close of business on August 31, 2026.
CONSEQUENCE OF NEGATIVE ACTION:
If this action is not approved, the Board will not ratify the Health Services Director’s issuance of the 30‑day advance written notice to terminate the Contract. As a result, the Department’s termination notice would not be formally recognized as appropriate by the Board.