REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
September 9, 2025
FROM
ANDREW GOLDFRACH, ARMC Chief Executive Officer, Arrowhead Regional Medical
Center
SUBJECT
Title
Non-Financial Transfer Agreement with Olive Tree Haven LLC for the Transfer of Patients
End
RECOMMENDATION(S)
Recommendation
Approve non-financial Transfer Agreement with Olive Tree Haven LLC, to allow for the transfer of patients who require higher level of care services to Arrowhead Regional Medical Center for the period of September 9, 2025 through September 8, 2030.
(Presenter: Andrew Goldfrach, ARMC Chief Executive, 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 non-financial Transfer Agreement (Agreement) does not have any costs associated. Each facility will be responsible for billing the applicable third-party payors for the costs associated with patient care provided at the respective facilities.
BACKGROUND INFORMATION
Approval of the Agreement with Olive Tree, a San Bernardino County congregate living health facility, will enable ARMC to provide acute care services when residents require a higher level of care.
Federal law requires congregate living facilities to establish transfer agreements with an acute care hospital. The Agreement allows Olive Tree to transfer patients to ARMC, ensuring compliance with federal and state regulations.
All transfers will follow applicable laws, regulatory standards, and ARMC policies. The Agreement promotes patient safety, continuity of care, and timely transfer of patients and medical records.
ARMC recommends approval of this Agreement to provide care and services to residents that require medical needs not available at Olive Tree.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by County Counsel (Charles Phan, Supervising Deputy County Counsel, 387-5455) on August 12, 2025; ARMC Finance (Chen Wu, Budget and Finance Officer, 387-5285) on August 15, 2025; and County Finance and Administration (Jenny Yang, Administrative Analyst, 387-4884) on August 20, 2025.