REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
August 19, 2025
FROM
DON DAY, Director, Project and Facilities Management Department
ANDREW GOLDFRACH, ARMC Chief Executive Officer, Arrowhead Regional Medical Center
SUBJECT
Title
Budget Adjustment for the Magnetic Resonance Imaging Replacement Project at Arrowhead Regional Medical Center
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RECOMMENDATION(S)
Recommendation
1. Approve a budget increase to Capital Improvement Program Project No. 17-112, for the Magnetic Resonance Imaging Replacement Project, in the amount of $449,189, increasing the total project budget from $6,222,984 to $6,672,173, for the renovation of the space used to replace the existing end of life magnetic resonance imaging machine.
2. Authorize the Auditor-Controller/Treasurer/Tax Collector to post the necessary budget adjustments as detailed in the Financial Impact section (Four votes required).
(Presenter: Don Day, Director, 387-5000)
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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). The budget increase of $449,189 for the Arrowhead Regional Medical Center (ARMC) Magnetic Resonance Imaging (MRI) Replacement Project (Project) (WBSE 10.10.0246), is funded by State Medi-Cal, Federal Medicare, private insurances, and other departmental revenue. Funding sources may change in the future pending any legislative activity related to the repeal and/or replacement of the Affordable Care Act. This funding was previously approved by the Board of Supervisors (Board) on September 26, 2023 (Item No. 16) as part of the 2023-24 Capital Improvement Program (CIP) Budget.
Approval of the following budget adjustments will authorize the Auditor-Controller/Treasurer/Tax Collector to post adjustments to the CIP 2025-26 budget:
Fund Center
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