To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment #26-777-11 with Stephen B. Arnold, 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 Amendment #26-777-11 with Stephen B. Arnold, M.D., an individual, effective June 1, 2026, to amend Contract #26-777-10, to provide additional cardiology services at Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers, with no change in the payment limit of $1,736,000 or term ending February 28, 2029.
FISCAL IMPACT:
Approval of this Contract Amendment will not impact the payment limit of $1,736,000 which is 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 rely on contractors to provide necessary specialty health services to its patients. This Contractor has been providing these services at CCRMC and Contra Costa Health Centers fostering a deep understanding of the County’s organizations, mission, values, and long-term objectives since September 2014.
This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000; and Health and Safety Code § 1451. Health Services Personnel approved this Contract to ensure no conflicts with labor relations. 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. Per Administrative Bulletin 600.3, CCRMC Physician services are exempt from Solicitation requirements.
On January 20, 2026, the Board of Supervisors approved Contract #26-777-10 with Stephen B. Arnold, M.D., in an amount not to exceed $1,736,000 to provide cardiology services, including consultation, training, medical and surgical procedures at CCRMC and Contra Costa Health Centers for the period from March 1, 2026 through February 28, 2029.
Approval of Contract Amendment #26-777-11 will allow the Contractor to provide additional cardiology services through February 28, 2029. This contract amendment is being submitted late to the Board due to delays in receiving the finalized supporting documents needed for processing.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract Amendment is not approved, the necessary additional specialty cardiology 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.