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File #: 13033   
Type: Consent Status: Agenda Ready
File created: 10/10/2025 Department: Arrowhead Regional Medical Center
On agenda: 10/21/2025 Final action:
Subject: Amendment to Revenue Professional Services Agreement with LaSalle Medical Associates for Outpatient Ancillary and Specialty Medical Services
Date Action ByActionResultAction DetailsAgenda DocumentsVideo
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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 Revenue Professional Services Agreement with LaSalle Medical Associates for Outpatient Ancillary and Specialty Medical Services
End

RECOMMENDATION(S)
Recommendation
1. Approve Amendment No. 1 to Revenue Agreement No. 24-660 with LaSalle Medical Associates, for outpatient ancillary and specialty medical services, extending the term by two years for a total contract term of January 1, 2023, through December 31, 2027.
2. Direct the Clerk of the Board of Supervisors to maintain the confidentiality of the amendment pursuant to Health and Safety Code Section 1457(c)(1).
(Presenter: Andrew Goldfrach, ARMC Chief Executive Officer, 580-6150)
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 result in the use of Discretionary General Funding (Net County Cost). The amendment to the revenue agreement will be utilized to ensure continued reimbursement to Arrowhead Regional Medical Center (ARMC) from LaSalle Medical Associates (LaSalle) for providing outpatient care to managed care plan members who are assigned to LaSalle. Adequate appropriation and revenue have been included in the ARMC 2025-26 budget and will be included in future recommended budgets.

BACKGROUND INFORMATION
Approval of the Amendment to Professional Services Agreement (Agreement) No. 24-660 with LaSalle will allow ARMC to continue to be reimbursed for healthcare services provided by ARMC to managed care plan members assigned to LaSalle. LaSalle is an Independent Practice Association that contracts with health plans to arrange care for their managed care members. Under...

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