To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #26-347-46 with Cross Country Staffing, Inc.
☒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 #26-347-46 with Cross Country Staffing, Inc., a corporation, in an amount not to exceed $5,500,000, to provide temporary medical and specialty staffing services at Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers, for the period from July 1, 2026 through June 30, 2027.
FISCAL IMPACT:
Approval of this Contract will result in annual contractual expenditures of up to $5,500,000 and is funded 100% by Hospital Enterprise Fund I revenues.
BACKGROUND:
CCRMC and Contra Costa Health Centers have an obligation to provide medical and specialty services to patients. Therefore, the County contracts with temporary medical staff to ensure medical staff in many classifications are available when patient care is needed. Contractor’s services include specialized registered nursing services, social workers, and medical cardiology services during peak loads, temporary absences, vacations and emergency situations where additional staffing is required. Contractor continues to be chosen by CCRMC and Contra Costa Health Centers due to its qualified temporary registered nursing services, Sexual Assault Nurse Examiner (SANE) nursing services, Sexual Assault Forensic Examiner (SAFE), diagnostic imaging and other ancillary medical and specialty staffing services. The County has been using the Contractor’s temporary staffing services since September 1998.
This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000. CCRMC and Contra Costa Health Center’s Quality Management, Utilization Management and Contract Monitor Staff meet on a regular basis to ensure monitoring and performance measures in the Contract are upheld. Health Services Personnel approved this Contract to ensure no conflicts with labor relations. These contracted services were determined to be exempt from Administrative Bulletin 600.3 solicitation requirements by the Public Works Department’s Purchasing Division.
On June 24, 2025, the Board of Supervisors approved Contract #26-347-45 with Cross Country Staffing, Inc., in an amount not to exceed $5,500,000, for the provision of temporary medical and specialty staffing services, at CCRMC and Contra Costa Health Centers for the period July 1, 2025 through June 30, 2026.
Approval of Contract #26-347-46 will allow the Contractor to continue providing temporary medical and specialty staffing services through June 30, 2027. This Contract includes services provided by represented classifications and County has met its obligations with the respective labor partner(s).
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, County will not have access to Contractor’s temporary medical staffing services during peak workloads, temporary absences and emergency situations which may increase wait time for patients.