REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
May 20, 2025
FROM
ANDREW GOLDFRACH, ARMC Chief Executive Officer, Arrowhead Regional Medical Center
SUBJECT
Title
Non-Financial Affiliation Agreement for Graduate Medical Education with the U.S. Department of Veterans Affairs
End
RECOMMENDATION(S)
Recommendation
Approve Non-Financial Affiliation Agreement with the U.S. Department of Veterans Affairs, for Arrowhead Regional Medical Center resident physicians to obtain specialized clinical experience at Veteran Affairs Healthcare facilities in Loma Linda, effective upon full execution through June 30, 2030.
(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) as this Affiliation Agreement (Agreement) with the U.S. Department of Veterans Affairs (VA) is non-financial in nature.
BACKGROUND INFORMATION
This Agreement will allow Arrowhead Regional Medical Center’s (ARMC) resident physicians to obtain specialized clinical experience at the VA healthcare facilities in Loma Linda.
Resident physicians typically acquire specialty clinical knowledge at other medical facilities. These medical facilities offer the opportunity for resident physicians to gain experience caring for patients and performing procedures in specialties that ARMC may not offer or have too few patients to provide appropriate experience.
ARMC operates several accredited residency programs. Each program has specific requirements as to the numbers and types of patients that a resident physician must provide care. To meet these requirements, with respect to volume and type, it is necessary to provide educational opportunities at other facilities to supplement those available at ARMC.
The Agreement is the VA’s standard affiliation agreement that is non-negotiable and omits all of the standard County contract terms.
ARMC recommends approval of this Agreement with the VA to enable ARMC’s resident physicians to obtain specialized clinical experience at VA facilities to help provide for the safety, health and social service needs of County patients.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by County Counsel (Charles Phan, Supervising Deputy County Counsel, 387-5465) on May 7, 2025; Risk Management (Gregory Ustazewski, Staff Analyst II, 386-9008) on April 18, 2025; ARMC Finance (Chen Wu, Finance and Budget Officer, 580-3165) on April 28, 2025; Finance (Jenny Yang, Administrative Analyst, 387-4884) on April 30, 2025; and County Finance and Administration (Valerie Clay, Deputy Executive Officer, 387-5423) on April 30, 2025.