To: Board of Supervisors
From: Dr. Ori Tzvieli, Interim Health Services Director
Report Title: Contract #26-577-24 with All Health Services, Corporation
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee

RECOMMENDATIONS:
APPROVE and AUTHORIZE the Interim Health Services Director, or designee, to execute on behalf of the County Contract #26-577-24 with All Health Services, Corporation, in an amount not to exceed $1,000,000, to provide temporary medical staffing services at the Contra Costa Regional Medical Center (CCRMC), Contra Costa Health Centers and County Detention Facilities for the period from July 1, 2025 through June 30, 2026.
FISCAL IMPACT:
Approval of this Contract will result in budgeted annual expenditures of up to $1,000,000 for FY 2025-26 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 July 1, 2006.
This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000; Health and Safety Code § 1451. CCRMC and Contra Costa Health Center’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 May 14, 2024, the Board of Supervisors approved Contract #26-577-23 with All Health Services, Corporation in an amount not to exceed $1,000,000 to provide temporary medical staffing services at CCRMC, Contra Costa Health Centers, and County Detention Facilities, including specialty registered nurses, nurse practitioners and medical surgery registered nurses for the period from July 1, 2024 through June 30, 2025.
Approval of Contract #26-577-24 will allow Contractor to continue to provide temporary medical staffing services at CCRMC, Contra Costa Health Services and County Detention Facilities through June 30, 2026. 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, the Department may not have appropriate levels of clinical/medical staff at CCRMC, Contra Costa Health Centers, and County Detention Facilities to cover during temporary staff absences, vacations and vacancies, which may result in longer wait times for patients to receive services.