To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Payment for Services Provided by ECG Management Consultants, LLC
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Auditor-Controller, or designee, to pay $36,432 to ECG Management Consultants, LLC, a limited liability company, for providing management consulting services for enhancements to the Appointment Unit at Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers, for the months of May and June 2026, as recommended by the Health Services Director.
FISCAL IMPACT:
Approval of this payment will result in a one-time expenditure of up to $36,432 and will be funded 100% by Hospital Enterprise Fund I.
BACKGROUND:
This Contractor has provided consultation and technical assistance with regard to best practices for clinical operations ambulatory clinics, Appointment Unit, materials management, benefits, productivity levels and performance for physicians at CCRMC and Contra Costa Health Centers, since June 15, 2019.
On March 19, 2024, the Board of Supervisors approved Contract #76-658-10 with ECG Management Consultants, LLC, in an amount of $275,000, for the provision of consultation and technical assistance with regard to reviewing compensation, benefits, productivity levels and performance for physicians at CCRMC and Contra Costa Health Centers, for the period June 15, 2024 through June 14, 2027.
On October 22, 2024, the Board of Supervisors approved Contract Amendment #76-658-11 with ECG Management Consultants, LLC, effective October 1, 2024, to increase the payment limit by $133,500, to a new payment limit of $408,500, for additional consultation and technical assistance services with no change in the term.
On June 24, 2025, the Board of Supervisors approved Contract Amendment #76-658-12 with ECG Management Consultants, LLC, effective March 1, 2025, to increase the payment limit by $792,000, to a new payment limit of $1,200,500, for additional consultation and technical assistance services with no change in the term.
On August 11, 2026, the Board of Supervisors ratified the issuance of a 30-day advance written notice to ECG Management Consultants, LLC, to terminate Contract #76-658-10 (as amended by Contract Amendments #76-658-11 and #76-658-12), for the provision of management consulting services for enhancements to the Appointment Unit at Contra Costa Regional Medical Center and Contra Costa Health Centers, effective at close of business on August 31, 2026.
The Department received invoices for additional management consulting services for enhancements to the Appointment Unit at CCRMC and Contra Costa Health Centers provided in May and June of 2026 which exceeded the Contract payment limit of $1,200,500 by $36,432. In order to meet the unexpected increase in management consulting services, additional services were requested by County and provided by Contractor in good faith.
The Contractor is entitled to payment for the reasonable value of its services under the equitable relief theory of quantum meruit. That theory provides that where a Contractor has been asked to provide services without a valid contract, and the Contractor does so to the benefit of the County, the Contractor is entitled to recover the reasonable value of those services. The Contractor has provided services at the request of the County after the original Contract payment limit had been reached. The Department cannot pay Contractor for services rendered that exceed the Contract limits. As such, the Department recommends that the Board authorize the Auditor-Controller to issue a one-time payment not to exceed $36,432 to ECG Management Consultants, LLC.
CONSEQUENCE OF NEGATIVE ACTION:
If this payment is not approved, the Contractor will not be paid for services requested by County staff and provided by Contractor in good faith.