To:                                          Board of Supervisors
From:                                          Dr. Grant Colfax, Health Services Director
Report Title:                     Purchase Order with Sysco San Francisco, Inc.
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee

 
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Purchasing Agent, or designee, to execute on behalf of the Health Services Director, a purchase order with Sysco San Francisco, Inc. in an amount not to exceed $1,000,000 for the purchase of food, paper products and kitchen supplies, such as food storage units, serving utensils, serving pans, anti-fatigue mats and other food service production items for Nutrition Services at Contra Costa Regional Medical Center (CCRMC), for the period from November 1, 2025, through October 31, 2028.
 
FISCAL IMPACT:
Approval of this action will result in expenditures of up to $1,000,000 over a three-year period from and will be funded by Hospital Enterprise Fund I revenues.
 
BACKGROUND:
Sysco San Francisco, Inc. has been selected as the secondary distributor for Food and Nutrition for Contra Costa Regional Medical Center. Until 2021, Sysco San Francisco, Inc. had been the primary distributor for food and nutrition at CCRMC. The switch to US Foods was made due to the availability of a more comprehensive product selection and lower prices. CCRMC will still require the services of Sysco San Francisco, Inc., who act as a secondary supplier when products are backordered or unavailable from US Foods.
 
Food and Nutrition Services lost their primary supplier for prepared patient meals in August 2022, as the company made the decision to close their business. Title 22 requires the provision of food quality and quantity to meet the patient's needs in accordance with physicians' orders and, to the extent medically possible, to meet the Recommended Daily Dietary Allowances, adopted by the Food and Nutrition Board of the National Research Council of the National Academy of Sciences.
 
On January 10, 2023, the Board of Supervisors approved agenda item C.82 to execute a purchase order with Sysco San Francisco, Inc., in amount not to exceed $1,000,000 for the purchase of food, paper products and kitchen supplies, such as food storage units, serving utensils, serving pans, anti-fatigue mats and other food service production items for Nutrition Services at CCRMC, for the period from November 1, 2022, through October 31, 2025.
 
Sysco San Francisco, Inc. is an awarded supplier for Food and Nutrition Distribution in the Vizient Group Purchasing Organization (GPO) contract portfolio, which means that CCRMC, a Vizient member, is eligible to receive substantial rebates and access lower pricing. These purchases will be governed by the Vizient Supplier Agreement entered into between Vizient Supply, LLC and Sysco San Francisco, Inc. on July 1, 2024 (Agreement No. FD9142).
 
 
CONSEQUENCE OF NEGATIVE ACTION:
If this action is not approved, CCRMC will be at risk for violation of Title 22, CMS, and other regulatory agencies, as we may not be able to prepare meals for patients, hospital staff, and visitors.