REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
October 21, 2025
FROM
ANDREW GOLDFRACH, ARMC Chief Executive Officer, Arrowhead Regional Medical Center
SUBJECT
Title
Amendment to Affiliation Agreement with Saint George's University Limited to Provide Clinical Training to Medical Students
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No. 1 to Agreement No. 25-362 with Saint George's University Limited, to provide medical students with clinical training at Arrowhead Regional Medical Center, clarifying and correcting the compensation language, with no change to the term of July 1, 2025 through June 30, 2028.
(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). Arrowhead Regional Medical Center (ARMC) will receive reimbursement from Saint George's University Limited (SGU), for the provision of teaching services and support of medical students. SGU will reimburse ARMC $350 per week for each third-year student rotation, and $200 per week for each fourth-year student rotation. Additionally, SGU will pay ARMC $100 per week per student for the administrative costs and $305,000 per academic year to support graduate medical education programs at ARMC. The reimbursement and payment from SGU under the Agreement is estimated to be approximately $2,787,000 for the three-year term. Adequate appropriation and revenue have been included in ARMC 2025-26 budget and will be included in future recommended budgets.
BACKGROUND INFORMATION
Amendment No. 1 to Agreement No. 25-362 clarifies the compensation language to distinguish the component of the compensation that is payable to ARMC for the medical staff and for administrative costs....
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