To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Contract Amendment Agreement #26-604-17 with Michael C. Gynn, 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 the County Contract Amendment Agreement #26-604-17 with Michael C. Gynn, M.D., an individual, effective October 1, 2023, to amend Contract #26-604-15, to increase the payment limit by $170,000, from $1,590,000 to a new payment limit of $1,760,000, with no change in the original term of January 1, 2021 through December 31, 2023.
FISCAL IMPACT:
Approval of this amendment will result in additional expenditures of up to $170,000 and will be funded 100% by Hospital Enterprise Fund I revenues. (No rate increase)
BACKGROUND:
CCRMC has been contracting with Michael C. Gynn, M.D., since June 2007, to provide general surgery services including, but not limited to: clinic coverage, consultation, training, medical and/or surgical procedures, and on-call coverage at Contra Costa Regional Medical Center (CCRMC) and Health Centers.
On October 20, 2020, the Board of Supervisors approved Contract #26-604-15 with Michael C. Gynn, M.D., in an amount not to exceed $1,590,000, for the provision of general surgery services at Contra Costa Regional Medical Center and Health Centers, for the period January 1, 2021 through December 31, 2023.
Approval of Contract Amendment Agreement #26-604-17 will allow the contractor to provide additional general surgery services, through December 31, 2023.
CONSEQUENCE OF NEGATIVE ACTION:
If this contract is not approved, CCRMC and Contra Costa Health Centers will not have sufficient funding to reimburse the Contractor and patients will not have access to contractor’s additional general surgery services provided.