AC Health reports FY24‑25 contracting: CBOs received most dollars; $891.7M awarded across 1,064 contracts

Maria Smith, director of the Special Projects Office at Alameda County Health, presented a FY24‑25 contracts update to the Procurement & Contracting Committee on March 16, describing community‑based organization (CBO) and non‑CBO contracting activity and the split between contracts run by GSA and those handled internally by AC Health.

Smith said AC Health awarded approximately $891.7 million in FY24‑25 across roughly 1,064 contracts. She reported that 74% of contracts (by count) were awarded to CBOs, and that 93% of dollars awarded in the year—about $832 million—went to CBOs. CBO master contracts accounted for about $729.3 million (82% of the total dollars) and represented many of the agency’s long‑term master agreements.

Smith described the two main contract types in the analysis—CBO master contracts and standard services agreements (professional and other services)—and noted that increases in professional services awards in FY24‑25 were driven by a surge of small public‑health purchase orders. She told supervisors that public health accounted for a large share of FY24‑25 award dollars and that AC Health will continue to refine reporting, including service‑location breakdowns supervisors had requested.

Supervisor questions focused on whether Alameda Health Systems or other entities were included in the counts, how nonprofit exemptions affect SLED status, and whether historical trends would be shown in future reports. Smith said nonprofits, public schools and government entities are SLED‑exempt and encouraged eligible vendors to pursue SLED certification to receive preference points in procurements.

The committee took the report for information and asked AC Health to provide additional requested breakdowns at a future meeting; no formal committee action was taken.