To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #26-294-50 with AMN Healthcare Locum Tenens, 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 #26-294-50 with AMN Healthcare Locum Tenens, Inc., a corporation, in an amount not to exceed $10,000,000, to provide temporary specialty physician services to Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers, for the period from November 1, 2025 through October 31, 2027.
FISCAL IMPACT:
Approval of this Contract will result in contractual expenditures of up to $10,000,000 over a two-year period and will be funded 100% by Hospital Enterprise Fund I.
BACKGROUND:
CCRMC and Contra Costa Health Centers have an obligation to provide medical staffing services to patients. Therefore, the county contracts with temporary help firms to ensure patient care is provided during peak loads, temporary absences, vacations and emergency situations where additional staffing is required. The County has been using the contractor’s temporary staffing services since January 1, 2006.
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 November 7, 2023, the Board of Supervisors approved Contract #26-294-48 with AMN Healthcare Locum Tenens, Inc., in an amount not to exceed $8,000,000, for the provision of locum tenens physicians to cover during vacation, sick leave, and provide extended leave relief for County-employed physicians at CCRMC and Contra Costa Health Centers for the period November 8, 2023 through October 31, 2025.
On April 15, 2025, the Board of Supervisors approved Contract Amendment #26-294-49 with AMN Healthcare Locum Tenens, Inc., to increase the payment limit by $1,500,000 to a new payment limit of $9,500,000 to provide additional temporary specialty Physician staffing services Contra Costa Regional Medical Center and Contra Costa Health Centers with no change in the term.
Approval of Contract #26-294-50 will allow Contractor to continue providing temporary locum tenens physician services, through October 31, 2027. This Contract includes services provided by represented classifications and the County has met its obligations with the respective labor partner(s).
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, patients requiring appropriate physician coverage during temporary staff absences will not have access to Contractor’s services.