To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Amendment/Extension #76-934-1 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/Extension #76-934-1 with The Rokos Group, LLC, a limited liability company, effective February 10, 2026, to increase the payment limit by $400,000, from $64,000, to a new payment limit not to exceed $464,000 and extend the termination date from February 28, 2026 to December 31, 2026 to provide additional recruitment services for the vacant Health Services Chief Financial Officer (CFO), Contra Costa Health Plan Chief Operations Officer (COO), and Contra Costa Regional Medical Center COO positions.
FISCAL IMPACT:
Approval of this Amendment will result in additional annual expenditures of up to $400,000 and will be funded as budgeted by the department in FY 2026-27, by 67% Hospital Enterprise Fund I and 33% Contra Costa Health Plan Enterprise Fund II.
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 Contra Costa Regional Medical Center’s Chief of Plant Operations, through February 28, 2026. This recruitment was successful.
Despite multiple previous executive searches, efforts to hire qualified candidates Health Services Chief Financial Officer (CFO), the Contra Costa Health Plan (CCHP) Chief Operations Officer and the Contra Costa Regional Medical Center (CCRMC) Chief Operations Officer 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.
Approval of Amendment/Extension #76-934-1 will allow The Rokos Group, LLC to conduct three national executive searches, leveraging their expertise and network to identify and recruit top-tier candidates for the 3 aforementioned executive leadership positions, through December 31, 2026.
CONSEQUENCE OF NEGATIVE ACTION:
If this contract is not approved:
• CCH will continue to operate without permanent leadership in critical finance and operations roles.
• Lack of a CFO will jeopardize financial oversight, strategic planning, and compliance with fiscal regulations, potentially impacting revenue cycle management and long-term sustainability.
• Absence of COOs for CCRMC and CCHP 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.