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AC Health proposes roughly $758 million for CBO contracts and projects funding for thousands of FTEs
Summary
Alameda County Health reported a proposed FY25-26 CBO contracts budget of about $758 million (a roughly $83M increase over last year), mapped allocations by district and city, and projected the portfolio could fund about 4,303 aggregate FTEs; presenters cautioned these are estimates and headquarter location may not reflect service delivery locations.
Crystal Ocasio, Financial Services Director for Alameda County Health, presented the agency's fourth annual contracts update to the Procurement Contracting Committee. "We've included over $758,000,000 to fund approximately 368 CBO contracts," she said, describing the planned FY25-26 CBO portfolio as a conservative count that could change as allocations and vendor selections finalize.
The nut graf: AC Health told supervisors the CBO contracts budget is a significant part of the agency's spending (about 58% of its ~$1.3 billion budget) and that the proposed CBO portfolio is projected to fund roughly 4,303 aggregate FTEs; staff cautioned this is a projection that includes partial FTEs and may change once contracts are finalized.
Ocasio walked supervisors through district and city breakdowns using CBO headquarter locations as the metric: District 3 and the City of Oakland accounted for the largest shares (Oakland headquarters ~59% of the CBO budget in the county breakout). She cautioned that headquarter location is a proxy and does not necessarily indicate where services are provided; satellite offices and service sites may shift the true local impact.
When supervisors asked about the apparent mismatch between the slide showing ~368 contracts and another slide showing ~436 contracts tied to FTE projections, Ocasio said the FTE figure includes additional amounts to be allocated and contracts still in negotiation; staff agreed to follow up with clarifying data.
AC Health also reported that, for fiscal 23'24 actuals, most expenditures were under the CBO master contract (91% of expenditures) and that non-CBO purchase orders represent a smaller share. The agency flagged SLAB-exemption rules for CBOs and presented counts/dollar shares showing that roughly 43% of dollars spent on non-CBO POs went to certified SLEDS subcontractors.
The committee did not take formal action; staff said they will return with updated data and can target a six-month follow-up.
