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File #: 13239   
Type: Consent Status: Agenda Ready
File created: 11/7/2025 Department: Arrowhead Regional Medical Center
On agenda: 11/18/2025 Final action:
Subject: Budget Adjustment for the Purchase of Ultrasound Machines
Attachments: 1. ADD - CON - ARMC - 11-18-25 - Budget Adjustment, 2. R1 - COV - ARMC - 11-18-25 - Budget Adjustment
Date Action ByActionResultAction DetailsAgenda DocumentsVideo
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REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION

November 18, 2025

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

SUBJECT
Title
Budget Adjustment for the Purchase of Ultrasound Machines
End

RECOMMENDATION(S)
Recommendation
1. Approve Quote, including non-standard terms, with Mindray DS USA, Inc, for the purchase of three TE X Plus Diagnostic Ultrasound Systems, for an amount not to exceed $174,495 plus applicable taxes and freight, to ensure the continuation of patient care.
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: 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 the item will not result in the use of Discretionary General Funding (Net County Cost). The cost of $174,495 plus applicable taxes and freight will be reimbursed through the Maddy Emergency Medical Services (EMS) Fund (SB12/SB 612) administered by the Inland Counties Emergency Medical Agency (ICEMA). The Maddy EMS Fund provides financial assistance to emergency medical service providers for uncompensated care and for system improvements that enhance patient care and response capabilities. Funding for this reimbursement supports the County's continued investment in emergency medical readiness and ensures no adverse impact to ARMC's operating budget.

Funds Center
Commitment Item
Description
Action
Amount
9186104200
54404040
Equipment
Increase
$174,495
9110004200
40609954
Other Operating Revenue Grants
Increase
$174,495

BACKGROUND INFORMATION
This purchase request is for three Mindray TE X Plus Diagnostic Ultrasound Systems for use in the Emergency Department (ED) at Arrowhead Regi...

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