To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #76-792-3 with Peter Greene, 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 County Contract #76-792-3 with Peter Greene, M.D., an individual, in an amount not to exceed $900,000, to provide urology services at Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers, for the period September 1, 2026 through August 31, 2029.
FISCAL IMPACT:
This Contract will result in contractual service expenditures of up to $900,000 over a three-year period and will be funded 100% by Hospital Enterprise Fund I revenues. (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 their patients. Contractor’s urology services will include clinic coverage, on-call services, medical and surgical procedures. This Contractor has been providing urology services at CCRMC and Contra Costa Health Centers since September 1, 2022.
This Contract is entered into under and subject to the following legal authorities: California Government Code § 26227 and 31000. This Contract was approved by Health Services Personnel to ensure there is no conflict with labor relations. CCRMC’s 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, the Contractor provides physician services and is exempt from solicitation requirements.
On August 15, 2023, the Board of Supervisors approved Contract #76-792-1 with Peter Greene, M.D., in an amount not to exceed $600,000, for the provision of urology services at CCRMC and Contra Costa Health Centers for the period September 1, 2023 through August 31, 2026.
On May 12, 2026, the Board of Supervisors approved Contract Amendment #76-792-2 with Peter Greene, M.D., effective May 1, 2026, to amend Contract #76-792-1 to increase the payment limit by $46,000, from $600,000 to an amount not to exceed $646,000, to provide additional urology services at CCRMC and Contra Costa Health Centers with no change in the term ending August 31, 2026.
Approval of Contract #76-792-3 will allow the Contractor to continue providing urology services at CCRMC and Contra Costa Health Centers through August 31, 2029.
CONSEQUENCE OF NEGATIVE ACTION:
If this contract is not approved, the necessary specialty urology services needed for patient care will not be available or will create increased waiting times due to the limited number of specialty providers available within the community.