REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
October 21, 2025
FROM
ANDREW GOLDFRACH, ARMC Chief Executive Officer, Arrowhead Regional Medical Center
SUBJECT
Title
Amendment to Agreement with Arnold Kevin Nourse DBA Nourse Leadership Strategies, to Provide Leadership Coaching and Team Development Programs
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No. 2 to Agreement No. 22-48 with Arnold Kevin Nourse DBA Nourse Leadership Strategies, to provide team coaching, executive coaching, and leadership development programs, increasing the not to exceed contract amount by $460,992, from $1,143,375 to $1,604,367, and extending the term by two years for a total contract period of January 25, 2022 through December 31, 2027.
(Presenter: Andrew Goldfrach, ARMC Chief Executive Officer, 580-6150)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Operate in a Fiscally-Responsible and Business-Like Manner.
Provide for the Safety, Health and Social Service Needs of County Residents.
FINANCIAL IMPACT
Approval of this item will not result in the use of Discretionary General Funding (Net County Cost). The cost of $460,992 is funded by State Medi-Cal, Federal Medicare, private insurances, and other departmental revenue. Funding sources may change in the future pending any legislative activity related to the repeal and/or replacement of the Affordable Care Act. Adequate appropriation and revenue have been included in the Arrowhead Regional Medical Center (ARMC) 2025-26 budget and will be included in future recommended budgets.
BACKGROUND INFORMATION
Amendment No. 2 (Amendment) to Agreement No. 22-48 (Agreement) will allow ARMC to continue to work with Arnold Kevin Nourse DBA Nourse Leadership Strategies (Nourse) on team coaching and facilitation, executive coaching, management development, and future leadership programs. This Amendment will allow for the continuation of the Director Leaders...
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