Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Colleen Chawla, Chief, San Mateo County Health
Chester J. Kunnappilly, MD, Chief Executive Officer, San Mateo Medical Center
Subject: Amendment One to the Agreement with Sanford E. Roberts III, MD, Professional Corporation, a California Professional Corporation for General Surgery Services
RECOMMENDATION:
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Adopt a resolution authorizing an amendment to the agreement with Sanford E. Roberts III, MD, Professional Corporation, a California professional corporation, to provide general surgery services for the term of December 1, 2025 through December 31, 2028, increasing the not-to-exceed amount by $1,584,550, for a new amount not-to-exceed $2,284,410.
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BACKGROUND:
General surgery physician coverage is required by the State of California to operate San Mateo Medical Center (SMMC) under “Title 22” general acute care hospital licensing requirements (see 22 Cal. Code Regs. § 70225 “Surgical Services Staff”).
Sanford E. Roberts III, MD (“Dr. Roberts”) filled a gap in coverage when Palo Alto Medical Foundation ceased general surgery services at SMMC effective January 1, 2026. That same month, Dr. Roberts requested, and SMMC consented to, assignment and assumption of his agreement by his professional corporation, Sanford E. Roberts III, MD, Professional Corporation. The assigned agreement provided that Dr. Roberts would cover up to 72 4-hour outpatient general surgery clinics to consult with patients before and after surgery, up to 158 4-hour operating room blocks to provide surgical services, and up to 140 days of 24-hour on-call shifts to respond to emergent patient issues. Under the agreement, Dr. Roberts is compensated via his professional corporation at a rate of $409 per hour for clinical services and $54 per hour unrestricted for on-call coverage.
DISCUSSION:
The proposed (“Amendment”) expands Dr. Roberts’ coverage of general surgical ...
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