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File #: 13650   
Type: Consent Status: Passed
File created: 2/2/2026 Department: Project and Facilities Management
On agenda: 2/10/2026 Final action: 2/10/2026
Subject: Budget Adjustment for Arrowhead Regional Medical Center's Planning and Design Project
Attachments: 1. Item #29 Executed BAI
REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION

February 10, 2026

FROM
MOE YOUSIF, Interim Director, Project and Facilities Management Department
ANDREW GOLDFRACH, ARMC Chief Executive Officer, Arrowhead Regional Medical Center

SUBJECT
Title
Budget Adjustment for Arrowhead Regional Medical Center's Planning and Design Project
End

RECOMMENDATION
Recommendation
1. Approve a budget increase, in the amount of $1,500,000, to the Arrowhead Regional Medical Center Planning and Design Project, Capital Improvement Program Project No. 19-126, increasing the total project budget from $2,150,000 to $3,650,000, for the development of Arrowhead Regional Medical Center's funding ready packages, continuation of program management services, and pre-design services for various projects.
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: Moe Yousif, Interim Director, 387-5000)
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 require the use of Discretionary General Funding (Net County Cost). The proposed budget increase of $1,500,000 for Arrowhead Regional Medical Center (ARMC) Planning and Design Project, Capital Improvement Program (CIP) Project No. 19-126, (Project) (WBSE 10.10.0777) will be fully funded through Medi Cal, Federal Medicare, private insurance reimbursements, and other departmental revenues. Funding sources may change in the future depending on any legislative activity related to the repeal or replacement of the Affordable Care Act.

Approval of this recommendation will allow the Auditor-Controller/Treasurer/Tax Collector to post the following adjustments to the CIP 2025...

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