To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Amendment Agreement #23-837-2 with Alvarez & Marsal Healthcare Industry Group, LLC
Recommendation: No Recommendation
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract Amendment #23-837-2 with Alvarez & Marsal Healthcare Industry Group, LLC, a limited liability company, effective November 1, 2026, to increase the payment limit by $274,000, from $2,200,000 to a new total payment limit of $2,474,000, and to extend the term of the agreement from December 31, 2026, to June 30, 2027 to provide additional strategic planning services, including Strategic Plan Initiative Charter Development and Partnership Diligence, in support of Contra Costa Health’s organizational strategic planning objectives.
FISCAL IMPACT:
Approval of this amendment will result in additional expenditures of $274,000 in FY 26/27. These costs will be funded by the department, supported 100% by Hospital Enterprise Fund I.
BACKGROUND:
On January 16, 2024, the Board of Supervisors approved Contract #23-837 with Alvarez & Marsal Healthcare Industry Group, LLC, in an amount not to exceed $400,000, to provide consultation and technical assistance to the Health Services Director regarding strategy development for health system transformation, payment reform, and compensation and human resources processes, for the period January 1, 2024 through December 31, 2026.
On June 25, 2024, the Board of Supervisors approved Contract Amendment #23-837-1 with Alvarez & Marsal Healthcare Industry Group, LLC, effective June 1, 2024, to increase the payment limit by $1,800,000, from $400,000 to a new total of $2,200,000, to provide additional consultation, review, and technical assistance including financial review and support for organizational structural planning for Contra Costa Health and an audit assessment for the Contra Costa Health Plan, with no change to the original contract term of January 1, 2024 through December 31, 2026.
Approval of this Contract Amendment #23-837-2 with Alvarez & Marsal Healthcare Industry Group, LLC, will increase the payment limit by $274,000, from $2,200,000 to a new total of $2,474,000, to provide additional strategic planning services including Strategic Plan Initiative Charter Development, Partnership Diligence support and extend the term of the agreement from December 31, 2026 to June 30, 2027. The Contractor’s recommendations will be actionable and support any future change initiatives currently contemplated by the County. The Public Works Purchasing Division has reviewed and determined that the services described in this amendment align with the original scope of services approved under Contract #23-837, and that no additional solicitation is required.
CONSEQUENCE OF NEGATIVE ACTION:
Without this amendment, Contra Costa Health Services' ability to advance its strategic planning priorities, evaluate partnership opportunities, and maintain momentum on its health system transformation efforts would be significantly impaired.