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
Non-Financial Affiliation Agreement with Prime Healthcare Services - San Dimas, LLC DBA San Dimas Community Hospital for Inpatient Pediatrics Clinical Training
End
RECOMMENDATION(S)
Recommendation
Approve non-financial Affiliation Agreement with Prime Healthcare Services - San Dimas, LLC DBA San Dimas Community Hospital, for family medicine resident physicians to obtain inpatient pediatrics clinical training at Arrowhead Regional Medical Center, for the period of five years from 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 Resident/fellows.
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 Prime Healthcare Services - San Dimas, LLC DBA San Dimas Community Hospital (SDCH) is non-financial in nature.
BACKGROUND INFORMATION
This Agreement will allow SDCH family medicine resident physicians to obtain inpatient pediatric clinical training at Arrowhead Regional Medical Center (ARMC). SDCH operates several accredited residency programs, including a family medicine residency program. Each program has specific requirements as to the numbers and types of patients to which a resident physician must provide care. To meet these requirements, with respect to volume and type, it is frequently necessary to provide educational opportunities at other facilities to supplement those available at SDCH.
Resident physicians typically acquire specialty clinical training 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 SDCH may not offer or have too few patients to provide appropriate experience.
The Agreement with SDCH provides for the safety, health and social service needs of County by providing education and clinical training for resident physicians to ensure future physicians are providing the best care for ARMC pediatric patients.
ARMC recommends approval of this Agreement with SDCH to enable SDCH family medicine resident physicians to obtain inpatient pediatric clinical experience at ARMC.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by County Counsel (Charles Phan, Supervising Deputy County Counsel, 387-5455) on September 3, 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 September 30, 2025.