To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #26-395-37 with Locumtenens.com, LLC
☒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 #26-395-37 with Locumtenens.com, LLC, a limited liability company, in an amount not to exceed $3,600,000, to provide temporary physician services during peak loads, temporary absences, vacations and emergency situations where additional physician staffing is required at Contra Costa Regional Medical Center (CCRMC), Contra Costa Health Centers, and Detention Centers for the period January 1, 2026 through December 31, 2026.
FISCAL IMPACT:
Approval of this Contract will result in annual contractual service expenditures of up to $3,600,000 and will be funded 100% by Hospital Enterprise Fund I.
BACKGROUND:
CCRMC has an obligation to provide medical staffing services to patients at CCRMC, Contra Costa Health Centers, and Detention Centers. Therefore, the County contracts with temporary help firms to ensure patient care is provided during peak loads, temporary absences, vacations and emergency situations where additional staffing is required. The County has been using the contractor’s temporary staffing services, fostering a deep understanding of the CCHP organizations mission, values, and long-term objectives since January 1, 2001.
This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000. 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. This Contract was approved by Health Services Personnel to ensure there is no conflict with labor relations. Per Administrative Bulletin 600.3 CCRMC Physician services are exempt from Solicitation requirements.
On January 21, 2025, the Board of Supervisors approved Contract #26-395-35 with Locumtenens.com LLC, in an amount not to exceed $3,250,000, for the provision of temporary physician services during peak loads, temporary absences, vacations and emergency situations where additional physician staffing is required at CCRMC, Contra Costa Health Centers, and Detention Centers, for the period January 1, 2025 through December 31, 2025.
On September 9, 2025, the Board of Supervisors approved Contract Amendment #26-395-36 with Locumtenens.com LLC., effective September 1, 2025, to include additional temporary physician services during peak loads, temporary absences, vacations and emergency situations where additional physician staffing is required at CCRMC, Contra Costa Health Centers, and Detention Centers with no change in the payment limit of $3,250,000 or term.
Approval of Contract #26-395-37 will allow Contractor to continue to provide temporary locum tenens physician services, through December 31, 2026. This Contract includes services provided by represented classifications and the County has met its obligations with the respective labor partner(s).
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, Contractor will not provide temporary physician coverage during peak loads, temporary absences, vacations and emergency situations when additional physician staffing is required.