REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF THE COUNTY OF SAN BERNARDINO
AND RECORD OF ACTION
October 27, 2020
FROM
WILLIAM L. GILBERT, Director, Arrowhead Regional Medical Center
SUBJECT
Title
Budget Adjustments for Cardiovascular Program
End
RECOMMENDATION(S)
Recommendation
1. Authorize the purchase of unbudgeted fixed assets, in the total amount of $450,000, for the following items:
a. Six Hemosphere Advanced Monitoring systems in the total amount of $420,000
b. One Simulation Manikin System in the amount of $30,000
2. Authorize the Auditor-Controller/Treasurer/Tax Collector to post budget adjustments in the amount of $450,000 as detailed in the Financial Impact section below to the Arrowhead Regional Medical Center for expenses related to the implementation of a Cardiovascular Program. (Four Votes Required).
(Presenter: William L. Gilbert, Director, 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 the item will not result in the use of Discretionary General Funding (Net County Cost). The $450,000 are 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.
Arrowhead Regional Medical Center (ARMC) is requesting a budget adjustment in the amount of $450,000 to cover expenditures for equipment related to the implementation of a Cardiovascular Program. The costs in this request specifically pertain to six Hemosphere Advanced Monitoring systems at a total cost of $420,000 and one Simulation Manikin System at a total cost of $30,000. The original expenses were budgeted in the wrong SAP General Ledger Account. This item seeks to correct the accounts with a net bud...
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