Get Full Government Meeting Transcripts, Videos, & Alerts Forever!
Get email alerts on the Ac Health Procurement topic
No spam. Unsubscribe anytime.
Alameda County Health says CBOs received majority of contract dollars in FY22-23; agency asks for better prospective reporting
Summary
Crystal Acasio, Alameda County Health financial services director, told the committee that FY22-23 contracts totaled $774 million across 810 POs, with CBOs receiving the majority of contracts by count (about 74%) and by dollar amount (about 87% of the agency's reported total); AC Health said it will work to standardize data fields to report service locations and job impacts prospectively.
Crystal Acasio, Alameda County Health financial services director, presented the agency9s annual procurement update on July 15, reporting that Health managed or issued 42 of 47 formal RFPs between Oct. 2021 and Sept. 2023 and that FY22-23 contract awards totaled about $774 million across roughly 810 unique purchase orders.
Acasio explained that Health uses two primary contract types: CBO master contracts (typically renewed annually to avoid service disruption) and standard services agreements (time-limited, often tied to funding). She said roughly 74% of contract counts went to CBO providers; by dollar amount she reported that about 87% of the $774 million went to exempt/CBO providers, with the remaining share going to non-CBO vendors.
Acasio reviewed non-CBO contract details: of 212 non-CBO contracts, about 42% included certified SLAB primes or SLAB subcontractors, approximately 14% were federally waived (funded by sources that prohibit local preference), and the remainder received GSA or board waivers. She said that some contracts are exempt by policy but that Health encourages eligible exempt organizations to certify as SLABs when appropriate.
Supervisors asked for examples of contracts in the Office of the Agency Director category (Acasio cited programs including HealthPak, the Center for Healthy Schools, housing and homelessness work, and Emergency Medical Services). Committee members also pressed to understand how the county decides whether GSA or Health issues an RFP; Acasio said decisions are based on delegation, subject-matter expertise and departmental bandwidth.
Acasio and supervisors agreed that the county should prospectively standardize certain reporting fields (service location, demographic impacts, job counts) so future reports can show how contract dollars translate into local jobs and services. She said FY23-24 information will be brought to the committee as staff complete the next reporting cycle.
Next steps: AC Health will provide the FY23-24 update and will work with IT, GSA and the auditor to explore standardized fields for future procurement reporting.
