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File #: 25-4574    Version: 1 Name:
Type: Consent Item Status: Agenda Ready
File created: 10/23/2025 In control: BOARD OF SUPERVISORS
On agenda: 11/4/2025 Final action:
Title: APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract amendment with Peter A. Castillo, M.D., Inc., to provide additional urogynecology services at Contra Costa Regional Medical Center and Health Centers with no change in the payment limit of $600,000 or term ending November 30, 2026. (100% Hospital Enterprise Fund I)
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To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment #26-786-11 with Peter A. Castillo, M.D., 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 Amendment #26-786-11 with Peter A. Castillo, M.D., Inc., a corporation, effective October 1, 2025, to amend Contract #26-786-10, to provide additional urogynecology services at Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers with no change in the payment limit of $600,000 or term ending November 30, 2026.

FISCAL IMPACT:
Approval of this Contract Amendment will result in no change to the original budgeted expenditure of up to $600,000 and is funded 100% by Hospital Enterprise Fund I revenues. (No rate increase)

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 will provide urogynecology services including, but not limited to: clinic coverage, consultation and on-call coverage. CCRMC has been contracting with Peter A. Castillo, M.D., Inc., since December 2014 to provide urogynecology services including administrative duties and medical and/or surgical procedures at CCRMC and Contra Costa Health Centers.

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. CCRMC'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. Per Administrative Bulletin 600.3, CCRMC Physician services are exempt from Sol...

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