To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #26-971-27 with Ramon Berguer, M.D.
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee

RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of County Contract #26-971-27 with Ramon Berguer, M.D., an individual, in an amount not to exceed $1,410,000, to provide general surgery services at Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers, for the period January 1, 2026 through December 31, 2028.
FISCAL IMPACT:
Approval of this Contract will result in contractual service expenditures of up to $1,410,000 over a three-year period and will be funded 100% by Hospital Enterprise Fund I revenues.
BACKGROUND:
Due to the limited number of specialty providers available within the community, CCRMC and Contra Costa Health Centers relies on contractors to provide necessary specialty health services to its patients. Contractor provides general surgery services including, but not limited to: clinic coverage, consultation, on-call coverage, and medical and surgical procedures. CCRMC has contracted with Ramon Berguer, M.D. for general surgery services since October 1, 1999. 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. Per Administrative Bulletin 600.3, CCRMC Physician services are exempt from Solicitation requirements.
On January 9, 2024, the Board of Supervisors approved Contract #26-971-26 with Ramon Berguer, M.D., in an amount not to exceed $850,000, for the provision of general surgery services at CCRMC and Contra Costa Health Centers, for the period January 1, 2024 through December 31, 2025.
Approval of Contract #26-971-27 will allow the Contractor to continue providing general surgery services at CCRMC and Contra Costa Health Centers through December 31, 2028.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, the necessary general surgery services needed for patient care will not be available or will create increased wait times due to the limited number of providers available within the community.