To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment #76-806-7 with Genisis Healthcare Partners, P.C.
Recommendation: Recommendation of the County Administrator

RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract Amendment #76-806-7 with Genesis Healthcare Partners, P.C., a corporation, effective November 18, 2026, to amend Contract #76-806-5, to increase the payment limit by $1,121,000, from $810,000 to a new payment limit of $1,931,000, to provide additional urology services at Contra Costa Regional Medical Center (CCRMC) and Health Centers, with no change in the term ending June 30, 2029.
FISCAL IMPACT:
Approval of this Contract Amendment will result in additional annual expenditures of up to $1,121,000 as budgeted by the department and funded 100% by Hospital Enterprise Fund I revenues. (No rate increase)
BACKGROUND:
Due to the limited number of specialty providers available within the community, CCRMC and Contra Costa Health Centers rely on Contractors to provide necessary specialty health services to their patients. CCRMC has contracted with Genesis Healthcare Partners, P.C. for urology specialty services while fostering a deep understanding of CCRMC organization’s mission, values, and long-term objectives since September 1, 2026.
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 600.4, CCRMC Physician services are exempt from Solicitation requirements.
On June 23, 2026, the Board of Supervisors approved Contract #76-806-5 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 Health Centers, for the period July 1, 2026 through June 30, 2029.
On October 1, 2026 the County Administrator approved and executed Assignment #76-806-6 between Allison Sih, M.D., A Professional Corp. and Genesis Healthcare Partners, P.C., a corporation, assigning all right under Contract #76-806-5 to Genesis Healthcare Partners, P.C., effective September 1, 2026, with no change in the original payment limit or term.
Approval of Contract Amendment #76-806-7 will allow the Contractor to provide additional urology services at CCRMC and Health Centers through June 30, 2029.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract Amendment is not approved, certain specialized urology services for CCRMC and Health Centers patients will not be provided and/or may be delayed.