To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #26-445-22 with Aaron K. Hayashi, M.D., 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 #26-445-22 with Aaron K. Hayashi, M.D., Inc., a corporation, in an amount not to exceed $1,500,000, to provide radiology services at Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers, for the period October 1, 2025 through September 30, 2027.
FISCAL IMPACT:
Approval of this Contract will result in contractual service expenditures of up to $1,500,000 over a two-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 relies on contractors to provide necessary specialty health services to its patients. This Contractor has been providing radiology specialty services including, but not limited to: clinic coverage, consultation, training, medical and surgical procedures, on-call coverage, and interpretation of Computed Tomography (CT) Scans, Magnetic Resonance Images (MRIs), Ultrasounds, invasive procedures and plain films since July 1, 2005.
This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000; Health and Safety Code § 1451. 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. 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 October 22, 2024, the Board of Supervisors approved Contract #26-445-21 with Aaron K. Hayashi, M.D., Inc., a corporation, in an amount not to exceed $750,000, to provide radiology services at CCRMC and Contra Costa Health Centers, for the period October 1, 2024 through September 30, 2025.
Approval of Contract #26-445-22 will allow the Contractor to continue to provide radiology services at CCRMC and Contra Costa Health Centers through September 30, 2027.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, the necessary specialty radiology 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.