To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #26-362-14 with Apheresis Care Group, 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 #26-362-14 with Apheresis Care Group, Inc, in an amount not to exceed $400,000 to provide therapeutic plasmapheresis and hemodialysis services for Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers, for the period December 1, 2025 through November 30, 2028.
FISCAL IMPACT:
Approval of this Contract will result in budgeted expenditures of up to $400,000 over a 31-month period and will be funded 100% by Hospital Enterprise Fund I revenue.
BACKGROUND:
CCRMC has an obligation to provide therapeutic plasmapheresis and hemodialysis services for patients requiring a higher level of care to the County and these services are not provided at CCRMC. This Contractor has been part of the CCRMC Provider Network providing gastroenterology services and fostering a deep understanding of the CCRMC’s organizations, mission, values, and long-term objectives since January 1, 1999.
This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000. 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. These contracted services were determined to be exempt from Administrative Bulletin 600.3 solicitation requirements by the Public Works Department’s Purchasing Division.
On December 15, 2020, the Board of Supervisors approved Contract #26-362-13 with Apheresis Care Group, Inc., in an amount not to exceed $700,000 to provide therapeutic plasmapheresis and hemodialysis services at CCRMC and Contra Costa Health Centers for the period December 1, 2020 through November 30, 2025.
Approval of Contract #26-362-14 will allow the Contractor to continue to provide therapeutic plasmapheresis and hemodialysis at CCRMC and Contra Costa Health Centers through November 30, 2028. This Contract includes a mutual indemnification to defend, indemnify and hold harmless both parties for any claims arising out of the performance under the Contract. This Contract is late due to extended negotiations between Contractor and the Division.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, certain therapeutic plasmapheresis and hemodialysis services will not be provided to patients who need these services at CCRMC and Contra Costa Health Centers.