REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
May 6, 2025
FROM
ANDREW GOLDFRACH, ARMC Chief Executive Officer, Arrowhead Regional Medical Center
SHANNON D. DICUS, Sheriff/Coroner/Public Administrator
MATTHEW ERICKSON, County Chief Financial Officer
SUBJECT
Title
2024-25 Budget Adjustments for Increased Hospital Expenses
End
RECOMMENDATION(S)
Recommendation
1. 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 2024-25 budget to fund increased costs in staffing, pharmaceuticals, physician costs, and medical supplies (Four votes required).
2. Approve Medication-Assisted Treatment Services Initiative related to the Opioid Settlement Expenditure Plan.
3. Approve the addition of the Medication-Assisted Treatment Services Initiative to the County Opioid Settlement Funding Expenditure Plan, increasing the amount by $1,000,000 from $22,249,532 to a total amount of $23,249,532, to address the opioid epidemic within the County.
(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 not 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 2024-25 to fund increased costs for staffing, computer software, pharmaceuticals, and other medical supplies. These costs will be funded by fixed asset savings from unpurchased fixed asset in the budget, additional supplemental revenue fr...
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