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
Transfer Agreement and Amendments to Transfer Agreements for Patients Requiring Specialized Hospital Services
End
RECOMMENDATION(S)
Recommendation
1. Approve Transfer Agreement, including non-standard terms, with Loma Linda University Children's Hospital, for the transfer of County patients who require specialized hospital services for the period of December 1, 2025 through November 30, 2030.
2. Approve Amendment No. 1 to Agreement No. 23-808 with Loma Linda University Health Care, for the transfer of County patients who require specialized hospital services, extending the term of the Agreement by approximately four years and four months for a total term of August 5, 2023 through November 30, 2030.
3. Approve Amendment No. 1 to Agreement No. 23-809 with Loma Linda University Medical Center, for the transfer of County patients who require specialized hospital services, extending the term of the Agreement by approximately four years and four months for a total term of August 5, 2023 through November 30, 2030.
(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 any legislative activity related to the repeal and/or replacement of the Affordable Care Act. Adequate appropriation and revenue have been included in the Arrowhead Regional Medical Center (ARMC) 2025-26 budget and wi...
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