To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #77-684-1 Ibrahimi Medical, Inc. (dba Symphony Health)
Recommendation: Recommendation of the County Administrator

RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract #77-684-1 with Ibrahimi Medical, Inc. (dba Symphony Health), a corporation, in an amount not to exceed $800,000, to provide primary care physician (PCP) services for Contra Costa Health Plan (CCHP) members and County recipients for the period August 1, 2026 through July 31, 2028.
FISCAL IMPACT:
Approval of this Contract will result in expenditures of up to $800,000 over a two-year period and will be funded as budgeted 100% by CCHP Enterprise Fund II revenues.
BACKGROUND:
CCHP has an obligation to provide certain PCP services for its members under the terms of their Individual and Group Health Plan membership contracts with the County. This Contractor has been a part of the CCHP Provider Network providing these PCP and specialty medical services while fostering a deep understanding of the CCHP organization’s mission, values, and long-term objectives since August 2024. This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000; Health and Safety Code § 1451. Health Services Personnel approved this Contract to ensure no conflicts with labor relations. Contractor currently cooperates and participates in CCHP’s Quality Management Program which consists of quality improvement activities to improve the quality of care, services and member experience. Cooperation includes collection and evaluation of performance measurement data and participation in the organization’s clinical and service measure Quality Improvement Programs. Per Administrative Bulletin 600.3 CCHP Physician services are exempt from solicitation requirements.
In November 2024, the Purchasing Services Manager approved and executed Contract #77-684 with Ibrahimi Medical, Inc. (dba Symphony Health), in an amount not to exceed $200,000, for the provision of PCP services for CCHP members and County recipients for the period August 1, 2024 through July 31, 2026.
Approval of Contract #77-684-1 will allow the Contractor to continue providing PCP services for CCHP members and County recipients through July 31, 2028.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, certain PCP services for CCHP members under the terms of their Individual and Group Health Plan membership contract with the County will not be provided and such services may be delayed.