To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #26-699-12 with Semon Bader, 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 the County Contract #26-699-12 with Semon Bader, M.D., an individual, in an amount not to exceed $1,170,000, to provide orthopedic services at Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers, for the period January 1, 2026 through December 31, 2028.
FISCAL IMPACT:
Approval of this Contract will result in contractual service expenditures of up to $1,170,000 over a three-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 Health Centers rely on Contractors to provide necessary orthopedic specialty health care services to their patients. Contractor has provided orthopedic services, including but not limited to: clinic coverage, consultation, training, and medical and/or surgical procedures and on-call coverage for CCRMC since August 2011.
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 April 18, 2023, the Board of Supervisors approved Contract #26-699-11 with Semon Bader, M.D., in an amount not to exceed $1,035,000, for the provision of orthopedic services at CCRMC and Contra Costa Health Centers, for the period January 1, 2023 through December 31, 2025.
Approval of Contract #26-699-12 will allow the Contractor to continue providing orthopedic services at CCRMC and Contra Costa Health Centers through December 31, 2028.
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.