To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #26-616-11 with InfoIMAGE of California, Inc. (dba InfoIMAGE, Inc.)
☒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 #26-616-11 with InfoIMAGE of California, Inc. (dba InfoIMAGE, Inc.), a corporation, in an amount not to exceed $350,000, to provide patient billing services at Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers, for the period January 1, 2026 through December 31, 2027.
FISCAL IMPACT:
Approval of this Contract will result in expenditures of up to $350,000 over a two-year period and will be funded as budgeted by the department 100% by Hospital Enterprise Fund I Funds revenues.
BACKGROUND:
This Contractor has been providing patient billing services at CCRMC and Contra Costa Health Centers while fostering a deep understanding of CCRMC’s mission, values, and long-term objectives since January 2008. InfoIMAGE, Inc. was chosen because of their compliance with Assembly Bill AB1020 as well as their seamless integration with the County’s third-party debt collector. This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000. Health Services Personnel approved this Contract to ensure no conflicts with labor relations. CCRMC’s Quality Management, Utilization Management and Contract Monitor Staff meet to ensure monitoring and performance measures in the Contract are upheld. This Contract was approved by the Public Works Department’s Purchasing Division on October 22, 2025.
On December 5, 2023, the Board of Supervisors approved Contract #26-616-10 with InfoIMAGE of California, Inc. (dba InfoIMAGE, Inc.), in an amount not to exceed $350,000, for the provision of patient billing services at CCRMC and Contra Costa Health Centers, for the period January 1, 2024 through December 31, 2025.
Approval of Contract #26-616-11 will allow the Contractor to continue providing patient billing services through December 31, 2027.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, County will not have access to Contractor’s patient billing services and delivery of patients invoices and letters may be delayed.