Title
a. Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute the Professional and Call Coverage Services Agreement with Francis M. Wright Jr. M.D. to provide obstetrics and gynecology physician services July 1, 2026 to June 30, 2028 for an amount not to exceed $600,000 in the aggregate; and
b. Authorize the Chief Executive Officer for NMC or a designee to sign up to three future amendments to this Agreement where the total amendments do not significantly change the scope of work, do not cause an increase of more than 10% ($10,000) of the original contract amount and do not increase the total not to exceed amount above $660,000.
Report
RECOMMENDATION:
a. Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute the Professional and Call Coverage Services Agreement with Francis M. Wright Jr. M.D. to provide obstetrics and gynecology physician services July 1, 2026 to June 30, 2028 for an amount not to exceed $600,000 in the aggregate; and
b. Authorize the Chief Executive Officer for NMC or a designee to sign up to three future amendments to this Agreement where the total amendments do not significantly change the scope of work, do not cause an increase of more than 10% ($10,000) of the original contract amount and do not increase the total not to exceed amount above $660,000.
SUMMARY:
NMC operates a high‑volume labor and delivery unit, averaging approximately 200 deliveries per month, and outpatient clinics that provide comprehensive gynecological services and prenatal care for both low‑ and high‑risk pregnancies. To ensure appropriate coverage and continuity of care, the service line requires a team of obstetrics and gynecology (OBGYN) physicians, including both employed providers and independent contractors.
DISCUSSION:
NMC wishes to enter into an agreement with Dr. Wright to provide OBGYN services on an as‑needed basis, alongside other members of the physician panel, to support adequate coverage of the service line. NMC has obtained an independent opinion of fair market value supporting the payment terms.
OTHER AGENCY INVOLVEMENT:
County Counsel has reviewed and approved this Amendment as to legal form. Auditor-Controller has reviewed and approved this Amendment as to fiscal provisions. The Amendment has also been reviewed and approved by NMC’s Finance Committee and Board of Trustees.
FINANCING:
The cost of this Agreement is $600,000. The total cost of this Agreement is $660,000 for the period July 1, 2026 to June 30, 2028. $300,000 is included in the Fiscal Year 2026/2027 recommended budget. Funding will be provided from NMC's Enterprise Fund 451-9600-6608.
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.
X 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