REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
April 21, 2026
FROM
ANDREW GOLDFRACH, ARMC Chief Executive Officer, Arrowhead Regional Medical
Center
SHANNON D. DICUS, Sheriff/Coroner/Public Administrator
SUBJECT
Title
2025-26 Budget Adjustments for Increased Pharmaceutical Expenses
End
RECOMMENDATION(S)
Recommendation
Authorize the Auditor-Controller/Treasurer/Tax Collector to post the necessary budget adjustments, as detailed in the Financial Impact section, to the Sheriff/Coroner/Public Administrator and Arrowhead Regional Medical Center's 2025-26 budget to fund increased costs in pharmaceuticals (Four votes required).
(Presenter: Andrew Goldfrach, ARMC Chief Executive Officer, 580-6150)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Operate in a Fiscally-Responsible and Business-Like Manner.
Provide for the Safety, Health and Social Service Needs of County Residents.
FINANCIAL IMPACT
Approval of this item will result in the use of additional Discretionary General Funding (Net County Cost). The recommended budget adjustments, as reflected in the table below, are needed to provide Arrowhead Regional Medical Center (ARMC) with sufficient appropriation authority in 2025-26 to fund increased costs for pharmaceuticals. These costs will be funded by reimbursement from the Sheriff/Coroner/Public Administrator's Department (Sheriff), which includes $500,000 from the Opioid Settlement Funding, $400,000 one-time in Net County Cost, and $200,000 funded by the Sheriff's 2025-26 existing budget allocation.
SAP Fund
Center
Commitment
Item/GL
Description
Action
Amount*
9177104200
52003800
Pharmaceuticals
Increase
$1,100,000
9110004200
55415013
Services And Supplies Transfers In
Increase
$1,100,000
4420001000
55405012
Services And Supplies Transfers Out
Increase
$400,000
1280001000
56006000
APPR Contingencies (For Budget)
Decrease
$400,000
*Requested budget adjustment amount of $...
Click here for full text