To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #76-506-17 with Robert J. Liebig, 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 #76-506-17 with Robert J. Liebig, M.D, an individual, in an amount not to exceed $3,300,000, to provide radiology 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 $3,300,000 over a 3-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 Contra Costa Health Centers relies on Contractors to provide necessary specialty health services to its patients. CCRMC has contracted with Robert Liebig, M.D. for radiology specialty services including but not limited to: consultation, on-call coverage, and interpretation of computed tomography scans, magnetic resonance imaging, ultrasounds, invasive procedures and plain films since April 2003. This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000; 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 February 7, 2023, the Board of Supervisors approved Contract #76-506-15 with Robert Liebig, M.D., in an amount not to exceed $2,610,000, for the provision of radiology services including, but not limited to: consultation, on-call coverage, and interpretation of computed tomography scans, magnetic resonance imaging, ultrasounds, invasive procedures and plain films at CCRMC and Contra Costa Health Centers for the period from January 1, 2023 through December 31, 2025.
On October 24, 2023, the Board of Supervisors approved Contract Amendment #76-506-16, effective November 1, 2023, to increase the payment limit by $690,000, to a new payment limit of $3,300,000, for additional radiology services with no change in the term.
Approval of Contract #76-506-17 will allow Contractor to continue to provide radiology services at CCRMC and Contra Costa Health Centers through December 31, 2028. This Contract was delayed due to on-going negotiations between the Division and Contractor regarding rates.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, the necessary specialty radiology 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.