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
DON DAY, Director, Project and Facilities Management Department
SUBJECT
Title
Capital Improvement Program Project for the Arrowhead Regional Medical Center Emergency Department and Intensive Care Unit Expansion and Reimbursement Resolution
End
RECOMMENDATION(S)
Recommendation
1. Approve Capital Improvement Program Project No. 26-035, in the amount of $1,000,000, for the Arrowhead Regional Medical Center's Emergency Department and Intensive Care Unit Expansion.
2. Adopt Resolution declaring the County's intention to reimburse preliminary project expenditures from future bond proceeds for the financing of the expansion of the Arrowhead Regional Medical Center's Emergency Department and Intensive Care Unit.
3. Authorize the Auditor-Controller/Treasurer/Tax Collector to post necessary budget adjustments to the 2025-26 budget to account for the expenditure mentioned in Recommendation No. 1 for the Arrowhead Regional Medical Center's Emergency Department and Intensive Care Unit Expansion (Four votes required).
(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 cost of $1,000,000 is funded by additional revenues associated with the California Quality Incentive Program. The budget adjustment will provide initial funding for feasibility, environmental, and planning work needed to prepare cost estimates and financing options for the Arrowhead Regional Medical Center's Emergency Department and Intensive Care Unit Ex...
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