REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
June 18, 2025
FROM
ANDREW GOLDFRACH, ARMC Chief Executive Officer, Arrowhead Regional Medical Center
SUBJECT
Title a
Master Mobile Medical Clinic Site Agreement Template
End
RECOMMENDATION(S)
Recommendation
1. Approve non-financial Mobile Medical Clinic Site Agreement template between Arrowhead Regional Medical Center and various facilities to use their site for the purpose of providing mobile medical care services to County residents with a term beginning on the date of execution through September 12, 2030.
2. Authorize the ARMC Chief Executive Officer to execute the individual site agreements with facilities on behalf of the County, subject to County Counsel review.
(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). The costs for the provision of medical care services provided by the Arrowhead Regional Medical Center (ARMC) Mobile Medical Clinic Program will be funded by State Medi-Cal, Federal Medicare, private insurance, and other departmental revenue. Funding sources may change in the future pending any legislative activity related to the repeal and/or replacement of the Affordable Care Act. Adequate appropriation and revenue have been included in ARMC’s 2024-25 budget and will be included in future recommended budgets.
BACKGROUND INFORMATION
Establishing Mobile Medical Clinic Site Agreement template will enable ARMC to enter into agreements with various facilities to allow ARMC to use their sites to provide mobile primary care services to San Bernardino County residents. ARMC currently partners with several agencies, including the Redlands Family Service Associates and the Yucaipa Center for Health and Family Well Being, to provide vital health care services to the community through the mobile medical clinic. Site Agreements will be executed with new organizations. This template will also be used for renewals with current organizations.
The Mobile Medical Clinic Program (Program) has been in place since 2008 and assists ARMC in its efforts to improve the health of County residents by providing necessary primary care medical visits. The Program enables ARMC medical personnel to go to County residents in the community to meet their primary healthcare needs. It also allows the hospital to reach residents, who for whatever reason may not have the means to travel to the ARMC hospital facility or one of ARMC’s Family Health Clinics.
The Program targets the following underinsured/uninsured populations: the elderly, homeless, public housing residents, low-income school children/adolescents and their families. The Program will provide these individuals with primary care services while assisting them in obtaining medical coverage and placement in a “Medical Home.” A Medical Home is a team-based health care delivery model led by a physician that provides comprehensive and continuous medical care to patients with the goal of obtaining maximized health outcomes
All facilities under the proposed agreements will be required to provide necessary provisions, including but not limited to utilities such as phone lines and electrical hookups, as required by the MMC. Although the proposed Master Mobile Medical Clinic Site Agreement does not contain all of the standard County insurance provisions generally applicable to vendor contracts, it contains language that the sites will maintain general liability, workers’ compensation liability, and umbrella liability insurance policies with the limits required under County policy.
On November 4, 2008 (Item No. 52), the Board of Supervisors (Board) accepted the donation of a mobile medical clinic from the ARMC Foundation, enabling ARMC to provide mobile primary care health services to San Bernardino communities.
On January 12, 2016 (Item No. 10), the Board approved a Non-Financial Mobile Medical Clinic Agreement for use between ARMC and various facilities for the utilization of their site to provide primary care services to San Bernardino County residents for the period of March 27, 2016, through March 26, 2019, with one two-year option to extend. The Board also authorized the Director of ARMC or Hospital Administrator to execute the individual Site Agreements and the extension options on behalf of the County.
On May 24, 2016 (Item No. 20), the Board approved a revision to the Non-Financial Mobile Medical Clinic Agreement to remove the $25 fee for uninsured patients to eliminate the financial burden on patients and improve access to care.
On August 21, 2018 (Item No. 7), the Board approved a revision to the Non-Financial Mobile Medical Clinic Agreement to establish a new three-year term of August 21, 2018, through August 20, 2021, with one two-year option to extend each individual agreement. The Board also authorized the Director of ARMC or Hospital Administrator to execute the individual Site Agreements and the extension.
On September 14, 2021 (Item No.10), the Board approved a new Non-Financial Mobile Medical Clinic Agreement to establish a new five-year term of September 14, 2021, through September 13, 2026, with one two-year option to extend each individual agreement. The Board also authorized the Director of ARMC or Hospital Administrator to execute the individual Site Agreements with facilities and extension options on behalf of the County, subject to County Counsel review.
ARMC recommends approval of the agreement template to uphold fiscal responsibility while ensuring the continued provisions of primary healthcare services to the County’s underinsured and uninsured populations.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by (Charles Phan, Supervising Deputy County Counsel, 387-5455) on June 6, 2025; Risk Management (Gregory Ustaszewski, Staff Analyst II, 386-9039) on June 3, 2025; ARMC Finance (Chen Wu, Budget and Finance Officer, 580-3165) on May 23, 2025; Finance (Jenny Yang, Administrative Analyst, 387-4884) on May 28, 2025; and County Finance and Administration (Valerie Clay, Deputy Executive Officer, 387-5423) on May 28, 2025.