To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment #23-904-1 with Acuvance, LLC
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 #23‑904‑1 with Acuvance, LLC, a limited liability company, effective November 1, 2026, to increase the payment limit by $90,000, from $478,080 to a new payment limit not to exceed $568,080, and to add additional Revenue Cycle Service Activities, with no change to the contract term of March 1, 2026 through April 30, 2027.
FISCAL IMPACT:
Approval of this amendment will increase expenditures by up to $90,000, for a revised total contract amount not to exceed $568,080. The contract is funded 100% by Hospital Enterprise Fund I as budgeted by the Health Services Department.
BACKGROUND:
On March 17, 2026, the Board of Supervisors approved Contract #23‑904 with Acuvance, LLC, in an amount not to exceed $478,080, to provide specialized consultation and technical assistance to conduct a comprehensive assessment of Contra Costa Health’s operations, infrastructure, and financial performance, supporting the Department’s efforts to identify opportunities for improved efficiency, strengthened operational practices, and long‑term financial sustainability, for the period from March 1, 2026 through April 30, 2027.
The Health Services Department requires expanded specialized consultation to support long‑term planning efforts. The amendment adds Additional Revenue Cycle Service Activities, including development of a target‑state revenue cycle organizational model, staffing benchmarks, KPI frameworks, outsourcing considerations, and facilitated working sessions.
Acuvance, LLC was competitively selected by the California Association of Public Hospitals (CAPH) as the statewide subject‑matter expert on labor and non‑labor expense management for CAPH member organizations. Through its work with multiple California public health systems, Acuvance provides deep expertise in operational, workforce, and financial challenges unique to safety‑net systems.
Acuvance will deliver updated data analysis, an expanded Findings & Recommendations Report, an aspirational revenue cycle model, and associated implementation planning materials. The Department will monitor all deliverables in accordance with Section III(B)(7) of the Purchasing Policy.
Approval of this amendment will allow Acuvance to complete both the assessment activities authorized in the original contract and the additional revenue‑cycle planning work through April 30, 2027.
CONSEQUENCE OF NEGATIVE ACTION:
If this amendment is not approved, Contra Costa Health will not be able to proceed with critical revenue‑cycle planning work necessary to inform organizational design, staffing, and long‑term modernization efforts. This may delay operational improvements and limit the County’s ability to optimize revenue cycle functions.