To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #26-792-10 with Edward Y. Tang, 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 #26-792-10 with Edward Y. Tang M.D., Inc., a corporation, in an amount not to exceed $1,485,000 to provide orthopedic services at Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers, for the period from April 1, 2026 through March 31, 2029.
FISCAL IMPACT:
Approval of this Contract will result in contractual service expenditures of up to $1,485,000 over a 3-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. The County has contracted with Edward Y. Tang M.D., Inc. for orthopedic specialty services since March 2015.
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. Division Contract monitoring staff meet on a regular basis to ensure monitoring of performance measures set forth in the contract are upheld. Per Administrative Bulletin 600.3, CCRMC Physician services are exempt from solicitation requirements.
On April 8, 2023, the Board of Supervisors approved Contract #26-792-9 with Edward Tang, M.D. Inc., in an amount not to exceed $1,410,000, for the provision of orthopedic services including, consultation, training, on-call coverage and medical/surgical procedures, at CCRMC and Contra Costa Health Centers, for the period April 1, 2023 through March 31, 2026.
Approval of Contract #26-792-10 will allow the Contractor to continue providing orthopedic services at CCRMC and Contra Costa Health Centers, through March 31, 2029.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, the necessary specialty orthopedic 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.