REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
March 10, 2026
FROM
ANDREW GOLDFRACH, ARMC Chief Executive Officer, Arrowhead Regional Medical Center
SUBJECT
Title
Non-Financial Transfer Agreement with Haven Crest Congregate Living, Inc. for the Transfer of Patients
End
RECOMMENDATION(S)
Recommendation
Approve non-financial Transfer Agreement with Haven Crest Congregate Living, Inc., to allow for the transfer of patients who require higher level of care services to Arrowhead Regional Medical Center, for the period of March 10, 2026 through March 9, 2031.
(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 non-financial Transfer Agreement (Agreement) does not include any associated costs. 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 Haven Crest Congregate Living, Inc. (Haven Crest), a congregate living health facility, will enable Arrowhead Regional Medical Center (ARMC) to provide acute care services when Haven Crest residents require a higher level of care.
Federal and state regulations require congregate living facilities to maintain transfer agreements with an acute care hospital. The Agreement allows Haven Crest to transfer patients to ARMC when a physician determines that hospital-level care is medically necessary.
Under the Agreement, Haven Crest is responsible for physician documentation, obtaining informed consent, coordinating patient transportation, and providing medical records to support continuity of care. ARMC will evaluate transfer requests and provide appropriate care consistent with federal and state requirements, including the Emergency Medical Treatment and Labor Act (EMTALA). The Agreement also establishes procedures for the return of patients to Haven Crest when clinically appropriate.
ARMC recommends approval of this Agreement to ensure timely access to hospital services for residents whose medical needs exceed the level of care available at the facility.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by County Counsel (Charles Phan, Supervising Deputy County Counsel, 387-5455) on February 12, 2026; ARMC Finance (Chen Wu, Finance Budget Officer, 580-3165) on February 13, 2026; and County Finance and Administration (Jenny Yang, Administrative Analyst, 387-4884) on February 17, 2026.