Legislation Details

File #: A 26-258    Name: Joel Weinstein MD Agreement
Type: BoS Agreement Status: Natividad Medical Center - Consent
File created: 6/5/2026 In control: Board of Supervisors
On agenda: 6/23/2026 Final action:
Title: a. Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or a designee to execute the Professional and Call Coverage Services Agreement with Joel Weinstein MD to provide general surgery services for the period July 1, 2026 to June 30, 2028 for an amount not to exceed $800,000 in the aggregate; and b. Authorize the CEO for NMC or a designee to sign up to three amendments to this agreement where the total amendments do not significantly change the scope of work, do not exceed 10% ($80,000) of the original contract amount and do not increase the total contract amount above $880,000.
Attachments: 1. Board Report, 2. Joel Weinstein MD Agreement
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 Title

a. Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or a designee to execute the Professional and Call Coverage Services Agreement with Joel Weinstein MD to provide general surgery services for the period July 1, 2026 to June 30, 2028 for an amount not to exceed $800,000 in the aggregate; and

b. Authorize the CEO for NMC or a designee to sign up to three amendments to this agreement where the total amendments do not significantly change the scope of work, do not exceed 10% ($80,000) of the original contract amount and do not increase the total contract amount above $880,000.

 

Report

RECOMMENDATION:

It is recommended that the Board of Supervisors:

a. Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or a designee to execute the Professional and Call Coverage Services Agreement with Joel Weinstein MD to provide general surgery services for the period July 1, 2026 to June 30, 2028 for an amount not to exceed $800,000 in the aggregate; and

b. Authorize the CEO for NMC or a designee to sign up to three amendments to this agreement where the total amendments do not significantly change the scope of work, do not exceed 10% ($80,000) of the original contract amount and do not increase the total contract amount above $880,000.

 

SUMMARY:

NMC is responsible for ensuring the provision of appropriate care and treatment for patients presenting to the emergency department, outpatient clinic, inpatient units, and operating room who require medical services within the specialty of general surgery. NMC has obtained an independent opinion of fair market value supporting the payment terms of this agreement.

 

DISCUSSION:

NMC wishes to enter into an agreement with Dr. Weinstein, a board-certified general surgeon, to provide outpatient clinic services and to participate in the general surgery call panel from time to time as needed.  This agreement will ensure continuous and adequate coverage of general surgery services twenty‑four hours per day, seven days per week, including all holidays. 

 

OTHER AGENCY INVOLVEMENT:

County Counsel has reviewed and approved this agreement as to legal form.  Auditor-Controller has reviewed and approved this agreement as to fiscal provisions.  The agreement also been reviewed and approved by Natividad’s Finance Committee and Board of Trustees.

 

FINANCING:

The total cost of this agreement is $800,000.  $400,000 is included in the Fiscal Year 2026/2027 Recommended Budget.  The remaining amount will be budgeted in subsequent fiscal years.  There is no impact to the General Fund.

 

BOARD OF SUPERVISORS STRATEGIC INITIATIVES:

The services rendered in this agreement provide Natividad Medical Center with the additional support it needs to be able to provide reliable and quality patient care which improves the health and quality of life for patients and their families.

 

Well-Being and Quality of Life
__ Sustainable Infrastructure for Present and Future

     Safe and Resilient Communities

__Diverse and Thriving Economy

__ Administrative

 

Prepared by: Jeanne-Ann Balza, Director of Physician Services, 783.2506

Approved by: Dr. Charles R. Harris, Chief Executive Officer, 783.2551

 

Attachments:  

Agreement

 

Attachments on File at the Clerk of the Board