To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Establish the classification of Chief Operating Officer - Exempt, in the Contra Costa Health department
☐Recommendation of the County Administrator ☐ Recommendation of Board Committee

RECOMMENDATIONS:
ADOPT Position Adjustment Resolution No. 26610 to establish the classification of Chief Operating Officer - Exempt (VAB4) at salary plan and grade B85-1032 ($30,833.10 - $37,477.82) in the Contra Costa Health Department. (Unrepresented)
FISCAL IMPACT:
There is no fiscal impact associated with establishing this classification. If a position in this classification is added in a future action, all costs associated with salary and benefits will be funded by Hospital Enterprise Fund I and will be offset by cancellation of comparable position.
BACKGROUND:
The Department requests to establish this new classification as part of the recent re-organization of Contra Costa Health. This single-position classification will provide executive-level leadership and be accountable for the overall operational and financial performance of all divisions. Establishing this classification strengthens fiscal stewardship, supports long-term planning, and aligns financial management with the Department’s broad and complex service responsibilities. County Counsel will amend the Ordinance as required for exempting positions from the merit system, pending Board approval.
CONSEQUENCE OF NEGATIVE ACTION:
If not approved, the Department's ability to effectively manage a large and complex healthcare system serving county residents may be impacted due to the absence of a dedicated executive role responsible for departmentwide operational coordination, executive accountability, and implementation of strategic initiatives.