To: Board of Supervisors
From: Dr. Ori Tzvieli, Interim Health Services Director
Report Title: Rescind Prior Board Action Pertaining to Contracted Services with Manjari Nathan, M.D. Inc
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
RESCIND Board action of April 15, 2025 (C.68), which pertained to a contract with Manjari Nathan, M.D. Inc; and APPROVE and AUTHORIZE the Interim Health Services Director, or designee, to execute on behalf of the County Contract #76-916 with Manjari Nathan, M.D. Inc, a corporation, to provide pulmonary services for Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers in an amount not to exceed $400,000 for the period from September 1, 2025 through August 31, 2026.
FISCAL IMPACT:
Approval of this Contract will result in annual expenditures of up to $400,000 and will be funded 100% by Hospital Enterprise Fund I revenues. (No rate increase)
BACKGROUND:
Due to the limited number of specialty providers available within the community, CCRMC and Contra Costa Health Centers relies on contracts to provide necessary specialty health services to its patients. Contractor will provide pulmonary services, including but not limited to on-call and clinic coverage, consultation, critical care, bronchoscopies procedures, and staffing services at CCRMC and Contra Costa Health Centers.
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 in March 2025 to ensure no conflicts with labor relations. Contractor will cooperate with and participates in CCRMC’s Quality Assurance Program which consists of quality improvement activities such as providing a summary of quality assurance data including temperature monitoring, quantitative and sterility testing results and other relevant data. Per administrative Bulletin 600.3 CCRMC Physician services are exempt from solicitation requirements.
On April 15, 2025, the Board of Supervisors approved Contract #76-916 with Manjari Nathan, M.D. Inc, in an amount not to exceed $400,000 to provide pulmonary services for CCRMC and Contra Costa Health Centers for the period from April 1, 2025 through March 31, 2026.
Approval of this action will rescind the prior incorrect Board Order and allow the Department to correct the term to match the Contract for the period September 1, 2025 through August 31, 2026.
CONSEQUENCE OF NEGATIVE ACTION:
If this recommendation is not approved, the prior incorrect Board action will stand and the department will not have Board authorization for the correct term which was agreed upon by both parties.