To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Contract #26-347-44 with Cross Country Staffing, 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 #26-347-44 with Cross Country Staffing, Inc., a corporation, in an amount not to exceed $5,500,000, to provide temporary medical and specialty staffing services at Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers for the period from July 1, 2024 through June 30, 2025.
FISCAL IMPACT:
Approval of this contract will result in annual contractual expenditures of up to $5,500,000 and is funded 100% by Hospital Enterprise Fund I. (Rate increase)
BACKGROUND:
This contract meets the social needs of county’s population by continuously providing temporary medical and specialty staffing services at CCRMC and Contra Costa Health Centers providing coverage during peak workloads, temporary absences and emergency situations. Contactor has been providing these services to County since July 1, 2005. Contractor continues to be chosen by CCRMC and Contra Costa Health Centers due to its qualified temporary registered nursing services, Sexual Assault Nurse Examiner (SANE) nursing services, diagnostic imaging and other ancillary medical and specialty staffing services.
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 to ensure no conflicts with labor relations. These contracted services were determined to be exempt from Administrative Bulletin 600.3 solicitation requirements by the Public Works Department’s Purchasing Division.
On July 11, 2023, the Board of Supervisors approved Contract #26-347-43 with Cross Country Staffing, Inc., in an amount not to exceed $5,500,000 to provide temporary medical staffing services, including registered nursing, and Sexual Assault Nurse Examiner (SANE) nursing services at CCRMC and Contra Costa Health Centers for the period from July 1, 2023 through June 30, 2024.
Approval of Contract #26-347-44 will allow the contractor to continue providing temporary medical and specialty staffing services through June 30, 2025. This contract includes services provided by represented classifications and county has met its obligations with the respective labor partner(s).
CONSEQUENCE OF NEGATIVE ACTION:
If this contract is not approved, county will not have access to contractor’s temporary medical staffing services during peak workloads, temporary absences and emergency situations which may increase wait time for patients.