To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment #76-934-2 with The Rokos Group, 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 Amendment #76-934-2 with The Rokos Group, LLC, a limited liability company, effective May 1, 2026, to amend Contract #76-934, as amended by Contract Amendment/Extension #76-934-1, to provide additional recruitment services for the vacant Contra Costa Health Plan (CCHP) Chief Medical Officer (CMO) position in addition to the other ongoing recruitments including the Health Services Department Chief Financial Officer (CFO) and Contra Costa Regional Medical Center (CCRMC) Chief Operation Officer (COO) positions with no change in the payment limit of $464,000 or term ending December 31, 2026.
FISCAL IMPACT:
Approval of this Amendment will not impact the payment limit of $464,000 funded by 67% Hospital Enterprise Fund I and 33% CCHP Enterprise Fund II. (No rate increase)
BACKGROUND:
In October 2025, the Purchasing Agent executed Contract #76-934 with The Rokos Group, LLC, in the amount of $64,000, for the recruitment of CCRMC’s Chief of Plant Operations, through February 28, 2026. This recruitment was successful.
Despite multiple previous executive searches, efforts to hire qualified candidates for Health Services CFO, CCHP COO, CCRMC COO and CCHP CMO positions have been unsuccessful. The CFO and COO roles are critical to ensuring financial stability, operational efficiency, and strategic leadership across this system. These roles are highly specialized and require experience in managing large, multifaceted health organizations. Contra Costa Health (CCH) operates a complex integrated health system that includes CCRMC and CCHP, serving hundreds of thousands of County residents.
In October 2025, the Purchasing Services Manager approved and executed Contract #76-934 with The Rokos Group, LLC, in an amount not to exceed $64,000 to provide recruitment services for the CCRMC Chief of Plant Operations for the period September 1, 2025 through February 28, 2026.
On February 10, 2026, the Board of Supervisors approved Contract Amendment/Extension #76-934-1 with The Rokos Group, LLC, effective February 10, 2026, to increase the payment limit by $400,000 to a new payment limit of $464,000 to provide additional recruitment services for the vacant Health Services Department’s CFO, CCRMC COO, and CCHP COO positions and extend the term through December 31, 2026.
Approval of Contract Amendment #76-934-2 will allow the Contractor to provide recruitment services for the CCHP CMO through December 31, 2026.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, CCH will continue to operate without permanent leadership in critical operations roles and lack of a CCHP CMO will hinder operational efficiency, delay implementation of key initiatives, and compromise patient care coordination. Prolonged vacancies may lead to increased reliance on interim leadership, higher costs, and risk of operational disruptions, ultimately affecting the County’s ability to deliver high-quality healthcare services to residents.