REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
May 5, 2026
FROM
ANDREW GOLDFRACH, ARMC Chief Executive Officer, Arrowhead Regional Medical Center
SUBJECT
Title
Transfer Agreements and Letters of Agreement for Higher Level of Care Transfers with Non-Contracted Medical Facilities
End
RECOMMENDATION(S)
Recommendation
1. Rescind the action of the Board of Supervisors on November 15, 2022 (Item No. 11), authorizing the Director or Chief Operating Officer of Arrowhead Regional Medical Center to execute transfer related agreements, Letters of Agreement, and Transfer Agreements, which may include non-standard terms, for the transfer of insured and indigent patients from Arrowhead Regional Medical Center to other medical facilities for higher level of care services for a period of five years from November 15, 2022 through November 17, 2027.
2. Authorize the ARMC Chief Executive Officer or Chief Operating Officer to execute transfer agreements, which may include non-standard terms, for the transfer of insured and indigent patients from Arrowhead Regional Medical Center to other medical facilities for higher level of care services not available at Arrowhead Regional Medical Center, upon approval of the Chief Executive Officer and County Counsel, for a period of five years from May 6, 2026, through May 7, 2031.
(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 Discretionary General Funding (Net County Cost) as costs associated with the provision of higher level of care services to indigent patients are funded by State Medi-Cal, Federal Medicare, private insurances, departmental revenue. Funding sources may change in ...
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