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File #: A 25-479    Name: Coker Group Holdings, LLC dba Coker Agreement
Type: BoS Agreement Status: Passed
File created: 12/1/2025 In control: Board of Supervisors
On agenda: 12/9/2025 Final action: 12/9/2025
Title: a. Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute a retroactive standard agreement with Coker Group Holdings, LLC dba Coker for consulting services providing hospital operational and resource efficiency analysis to assist at NMC for a maximum County obligation of $300,000 for the term of December 1, 2025 through November 30, 2026. b. Approve and authorize the Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute up to three (3) future amendments that do not exceed 10% ($30,000) of the original agreement, do not significantly change the scope of services, and do not increase the total not to exceed amount over $330,000. c. Approve the NMC’s Chief Executive Officer’s recommendation to accept non-standard termination provisions within the agreement.
Attachments: 1. Board Report, 2. Coker Group Holdings LLC dba Coker Agreement
Title
a. Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute a retroactive standard agreement with Coker Group Holdings, LLC dba Coker for consulting services providing hospital operational and resource efficiency analysis to assist at NMC for a maximum County obligation of $300,000 for the term of December 1, 2025 through November 30, 2026.
b. Approve and authorize the Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute up to three (3) future amendments that do not exceed 10% ($30,000) of the original agreement, do not significantly change the scope of services, and do not increase the total not to exceed amount over $330,000.
c. Approve the NMC’s Chief Executive Officer’s recommendation to accept non-standard termination provisions within the agreement.

Report
RECOMMENDATION:

It is recommended the Board of Supervisors:

a. Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute a retroactive standard agreement with Coker Group Holdings, LLC dba Coker for consulting services providing hospital operational and resource efficiency analysis to assist at NMC for a maximum County obligation of $300,000 for the term of December 1, 2025 through November 30, 2026.
b. Approve and authorize the Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute up to three (3) future amendments that do not exceed 10% ($30,000) of the original agreement, do not significantly change the scope of services, and do not increase the total not to exceed amount over $330,000.
c. Approve the NMC’s Chief Executive Officer’s recommendation to accept non-standard termination provisions within the agreement.


SUMMARY:

Coker Group is a healthcare consulting firm with significant expertise in public hospital and health system operations. Coker will work closely with Natividad staff to analyze opportunities for operational efficiency and enhan...

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