To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Contract #23-861 with Alvarez & Marsal Healthcare Industry Group, LLC
?Recommendation of the County Administrator ? Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract with Alvarez & Marsal Healthcare Industry Group, LLC, a limited liability company, in an amount not to exceed $6,139,200 to provide interim Chief Financial Officer services, including management of all day-to-day financial operations of the Health Services department, subject to County Counsel and County Administrator approval, for the period October 1, 2024 through September 30, 2025.
FISCAL IMPACT:
Approval of this Contract will result in an amount not to exceed $6,139,200 and will be funded as budgeted by the department (20% Enterprise Fund I, 80% Enterprise Fund II).
BACKGROUND:
Engagement History
On January 16, 2024, the Board of Supervisors approved Contract #23-837 with Alvarez & Marsal Healthcare Industry Group, LLC (A&M), for the period January 1, 2024 through December 31, 2026, in an amount not to exceed $400,000 to provide consultation and technical assistance to Contra Costa Health Services (CCHS) regarding health system transformation including, but not limited to, strategy development, payment reform, selected leader compensation review, and an assessment of human resources processes. To date, CCHS has expended $399,894 and the following work has been completed related to this initial scope of service:
* Strategy development that included briefings on health industry trends, an assessment of their impacts on CCHS and its partners, and actionable recommendations on sustainability, growth, and payment reform.
* CCHS leader compensation review for the Contra Costa Health Plan Chief Executive Officer (CEO) and Chief Operating Officer (COO) positions, as well as the Contra Costa Regional Medical Center CEO.
* An assessment...
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