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File #: 12589   
Type: Consent Status: Passed
File created: 7/28/2025 Department: Arrowhead Regional Medical Center
On agenda: 8/5/2025 Final action: 8/5/2025
Subject: Referral Agreements with Loma Linda University Medical Center and Loma Linda University Healthcare for Patients Requiring Specialized Outpatient Care
Attachments: 1. ADD - CON - ARMC - 8-5-25 - LLUHC Outpatient referral agreement, 2. ADD - CON - ARMC - 8-5-25 - LLUMC Outpatient referral agreement
REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION

Augst 5, 2025

FROM
ANDREW GOLDFRACH, ARMC Chief Executive Officer, Arrowhead Regional Medical Center

SUBJECT
Title
Referral Agreements with Loma Linda University Medical Center and Loma Linda University Healthcare for Patients Requiring Specialized Outpatient Care
End

RECOMMENDATION(S)
Recommendation
Approve Referral Agreements with the following entities, including non-standard terms, for the referral of County patients who require specialized outpatient services, for the period of August 5, 2025 through August 4, 2030:
1. Loma Linda University Healthcare
2. Loma Linda University Medical Center
(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) as costs for patient care services will be funded by State Medi-Cal, Federal Medicare, private insurances, and other departmental revenue. Funding sources may change in the future pending and legislative activity related to the repeal and/or replacement of the Affordable Care Act. Adequate appropriation and revenue have been included in the County departments' 2025-26 budget, including, but not limited to, Arrowhead Regional Medical Center (ARMC), Sheriff/Coroner/Public Administrator, and Probation Department, and will be included in future recommended budgets.

BACKGROUND INFORMATION
Approval of these Referral Agreements (Agreements) will allow patients from ARMC and other County departments to refer certain patients to Loma Linda University Medical Center and Loma Linda University Healthcare (collectively, Loma Linda) to receive specialized healthcare services on an outpatient basis that are not available at any County healthca...

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