REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
August 5, 2025
FROM
ANDREW GOLDFRACH, ARMC Chief Executive Officer, Arrowhead Regional Medical Center
SUBJECT
Title
Non-Financial Affiliation Agreement with Rancho Santiago Community College District on behalf of Santa Ana College for Onsite Training
End
RECOMMENDATION(S)
Recommendation
Approve non-financial Affiliation Agreement with Rancho Santiago Community College District on behalf of Santa Ana College, including non-standard terms, for its Occupational Therapy Assistant Program students to receive onsite training, for a period of five-years from the date of execution.
(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 the Affiliation Agreement (Agreement) with Rancho Santiago Community College District on behalf of Santa Ana College (School) is non-financial in nature.
BACKGROUND INFORMATION
A key component of Arrowhead Regional Medical Center’s (ARMC) mission is to provide education to students in a variety of disciplines. ARMC has several agreements with universities, colleges, community colleges, and technical and trade schools to provide onsite clinical training for their students. This training is necessary for students to obtain their degrees, licenses and certifications.
The Agreement with the School authorizes students enrolled in its Occupational Therapy Assistant Program to complete clinical training rotations at ARMC. By serving as a designated clinical training site, ARMC supports the development of qualified candidates for potential future employment within the County workforce.
The volume and diversity of the patient population at ARMC offer a robust educational environment for students at the School. This Agreement establishes a formal relationship through which students receive specialized clinical training and hands-on experience, thereby acquiring essential skills necessary for the development of a competent healthcare workforce.
The Agreement was negotiated by the parties and includes the following non-standard contract terms:
1. The Agreement does not include certain standard County insurance requirements, including the waiver of subrogation, deductibles and self-insured retentions, and acceptability of insurance carrier.
• The County standard contract requires contractors to carry appropriate insurance at limits and under conditions determined by the County's Risk Management Department.
• Potential Impact: Without all of the standard County insurance requirements, the County has no assurance that the School will be financially responsible for claims that may arise under the Agreement, which could result in expenses to the County.
2. The Agreement does not include the standard County general indemnity provision, nor does it include an acceptable revision such as mutual comparative fault indemnification.
• The standard County general indemnity provision requires the contractor to indemnify the County for claims that arise from any cause, including the acts, errors, or omission of any person. Also, County Policy 11-05 does recognize as an acceptable revision mutual comparative fault indemnification of other government entities.
• Potential Impact: The general indemnity provision is more limited and the School is only required to indemnify the County for bodily injury or death and property damage caused by the School’s negligence or willful misconduct. In the event a claim arises as a result of the School’s conduct or any other third-party conduct, the County could be solely responsible for the cost in defending the claim and any resulting settlement/judgment.
ARMC recommends approval of this Agreement with the School, including the non-standard terms, to provide for the safety, health and social services needs of county residents by allowing the students the opportunity to learn and will help increase the pool of qualified healthcare practitioners in the county.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by County Counsel (Charles Phan, Supervising Deputy County Counsel, 387-5455) on July 3, 2025; Risk Management (Gregory Ustaszewski, Staff Analyst II, 386-9008) on July 14, 2025; ARMC Finance (Chen Wu, Finance and Budget Officer, 580-3165) on July 14, 2025; and County Finance and Administration (Jenny Yang, Administrative Analyst, 387-4884) on July 17, 2025.