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 Affiliation Agreement with Saint George’s University Limited to Provide Clinical Training to Medical Students
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No. 1 to Agreement No. 25-362 with Saint George’s University Limited, to provide medical students with clinical training at Arrowhead Regional Medical Center, clarifying and correcting the compensation language, with no change to the term of July 1, 2025 through June 30, 2028.
(Presenter: Andrew Goldfrach, ARMC Chief Executive Officer, 580-6150)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
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). Arrowhead Regional Medical Center (ARMC) will receive reimbursement from Saint George’s University Limited (SGU), for the provision of teaching services and support of medical students. SGU will reimburse ARMC $350 per week for each third-year student rotation, and $200 per week for each fourth-year student rotation. Additionally, SGU will pay ARMC $100 per week per student for the administrative costs and $305,000 per academic year to support graduate medical education programs at ARMC. The reimbursement and payment from SGU under the Agreement is estimated to be approximately $2,787,000 for the three-year term. Adequate appropriation and revenue have been included in ARMC 2025-26 budget and will be included in future recommended budgets.
BACKGROUND INFORMATION
Amendment No. 1 to Agreement No. 25-362 clarifies the compensation language to distinguish the component of the compensation that is payable to ARMC for the medical staff and for administrative costs. Additionally, it corrects the estimated total amounts that are payable to ARMC based on the estimated number of SGU medical students who participate in training under the Agreement.
ARMC offers clinical training to SGU medical students, aiding in patient care delivery under the supervision of the medical staff. The clinical training is in the fields of emergency medicine, family medicine, internal medicine, obstetrics/gynecology, pediatrics, and general surgery.
A key component of ARMC’s mission is to provide education to students in a variety of disciplines. ARMC has agreements with universities and colleges, junior colleges, and technical and trade schools to provide on-site clinical training for students. This clinical training is necessary for students to obtain their degrees, licenses, and/or certifications.
On June 10, 2025 (Item No. 15), the Board of Supervisors (Board) approved Agreement No. 25-362 with SGU, to provide their medical students with clinical training and experience at ARMC under the supervision of the medical staff, from July 1, 2025 through June 30, 2028.
ARMC recommends approval of this amendment to clarify and correct the compensation language in the Agreement.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by County Counsel (Charles Phan, Supervising Deputy County Counsel, 387-5455) on September 10, 2025; ARMC Finance (Chen Wu, Finance and Budget Officer, 580-3165) on September 26, 2025; and County Finance and Administration (Jenny Yang, Administrative Analyst, 387-4884) on October 1, 2025