To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Cancellation Agreement #76-806-4 and Contract #76-806-5 with Allison Sih, M.D., A Professional Corp.
☒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, as follows: (1) Cancellation Agreement #76-806-4 with Allison Sih, M.D., A Professional Corp., effective at the end of business on June 30, 2026; and (2) Contract #76-806-5 with Allison Sih, M.D., A Professional Corp., in an amount not to exceed $810,000, to provide urology services at Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers, for the period July 1, 2026 through June 30, 2029.
FISCAL IMPACT:
Approval of this Contract will result in contractual service expenditures of up to $810,000 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 Contra Costa Health Centers relies on contractors to provide necessary urology specialty health services to its patients. The County has been contracting with Allison Sih, M.D. to provide urology services including, but not limited to: clinic coverage, consultation, on-call coverage, and medical and surgical procedures since December 2022.
This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000; Health and Safety Code § 1451. Contractor currently cooperates with and participates in CCRMC’s Quality Assurance Program which consists of quality improvement activities such as assisting with the completion of CCRMC’s annual performance review. Health Services Personnel approved this Contract to ensure no conflicts with labor relations. Per Administrative Bulletin 600.3, CCRMC Physician services are exempt from Solicitation requirements.
On January 13, 2026, the Board of Supervisors approved Contract #76-806-3 with Allison Sih, M.D., a Professional Corp., in an amount not to exceed $810,000 for the provision of urology services at CCRMC and Contra Costa Health Centers, for the period December 1, 2025 through November 30, 2028.
In consideration of the Contractor’s agreement to continue providing urology services and the departments need to increase rates to maintain an adequate network for services at CCRMC and Contra Costa Health Centers, the department and Contractor have agreed to: (1) mutual cancellation of the current Contract in accordance with General Conditions Paragraph 5 (Termination) of the Contract and Cancellation Agreement #76-806-4 will accomplish this cancellation; and (2) establish a new Contract with the correct terms and conditions for the next three years.
Under new Contract #76-806-5, Contractor will provide urology services at CCRMC and Contra Costa Health Centers for the period July 1, 2026 through June 30, 2029.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, the necessary specialty urology 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.