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arrowheadregionalmedical center
205ARROWHEAD REGIONAL MEDICAL CENTERSUMMARYARROWHEAD REGIONAL MEDICAL CENTERARROWHEAD REGIONAL MEDICAL CENTERMEDICAL CENTER LEASE PAYMENTSTOTAL ENTERPRISE FUNDSSan Bernardino CountyPage #205206216RequirementsSourcesNet 52,182)3,6082013-14 Adopted Budgetarrowhead regional medical centerENTERPRISE FUNDS
arrowhead regional medical center206Arrowhead Regional Medical CenterARROWHEAD REGIONAL MEDICAL CENTERPatrick PetreDEPARTMENT MISSION STATEMENTThe San Bernardino County Arrowhead Regional Medical Center is a safetynet hospital with the primary mission of providing quality healthcare—abasic necessity of humankind—to the residents of San Bernardino County.We continuously strive to improve the health of the communities we serveand become the provider of choice for healthcare delivery and education.ORGANIZATIONAL CHARTPatrick A. PetreDirector/Administration(34)Maureen MaloneGeneral Support andPatient Services(620)Richard PittsMedical Director(190)Michelle SayrePatient Services(1,590)Deborah PeaseCompliance(426)Rhoda VincentProfessional Services(37)Johnson GillSupport Services(295)Frank ArambulaFiscal Services(412)Jorge ValenciaBusiness Development/Marketing(4)2012-13 ACCOMPLISHMENTS Continued implementation of the Low Income Health Program called ArrowCare, in conjunction with otherCounty of San Bernardino health departments, providing comprehensive health care to thousands ofuninsured County residents. The program serves as a bridge to health care reform. Joined with the departments of Behavioral Health, Public Health, and Human Services to successfullyadminister the low-cost health coverage program known as ArrowCare and the new “co-location” health carecenter in Rialto. A creative approach to health care, the co-location center has enabled area residents toaccess dozens of services all under one roof. The center includes Arrowhead Regional Medical Center’s(ARMC) Westside Family Health Center, a Public Health Women’s, Infant and Children (WIC) office, andvarious Behavioral Health Services. Finalized installation of a Dual Purpose Angiography laboratory and new Computed Tomography scanner,two major equipment upgrades that will mark a new era in state-of-the-art care for ARMC patients. Largely through extensive facility and health care service expansion, ARMC continued to generate jobs – ahigh percentage of them in the well-paying supervisory, professional and management classifications. In thepast two years, ARMC has hired approximately 350 new employees. Continue to operate many training programs for health care professionals – including 10 physicianresidencies – that are feeding the local jobs “pipeline.” This is crucial to job growth, especially in a sector thatis seeing severe shortages in doctors and other health care professionals. Opened a new and larger Westside Family Health Center, which was expanded from 12 to 21 exam roomsand from 7,000 to 15,000 square feet, and is housed in a new co-location facility in Rialto. Received American College of Surgeons (ACS) verification for the trauma center for a third time, a uniquedistinction that demonstrates it has met the highest national standards for the treatment of injured patients.2013-14 Adopted BudgetSan Bernardino County
Arrowhead Regional Medical Center207COUNTY GOALS AND OBJECTIVES AND DEPARTMENT PERFORMANCE MEASURESCOUNTY GOAL:Objective(s):PROVIDE FOR THE HEALTH AND SOCIAL SERVICES NEEDS OF COUNTY RESIDENTS Implement Federal Healthcare Reform. Maximize the utilization of Federal and State programs and funding to mitigate theeffects of the economic downturn on county residents.Department Strategy: Successfully transition ARMC with the implementation of the Affordable Care Act (ACA) inJanuary 2014 into a financially sustainable, competitive, market driven Medical Center. Prepare, modify, and adjust key Medical Center services such as Obstetrics, Stroke, etc., toattract customers from the new healthcare reform marketplace.MeasurementARMC patient satisfaction percentile (overall rating).COUNTY 3Actual2013-14Target66%67%69%72%PROVIDE FOR THE HEALTH AND SOCIAL SERVICES NEEDS OF COUNTY RESIDENTS Implement Federal Healthcare Reform. To the maximum extent legally allowed, utilize County programs to move participantsto self-sufficiency.Department Strategy: Successfully transition 27,000 ArrowCare (LIHP) patients to the Medi-caid (Medi-Cal)expansion to enable them to continue to receive services at ARMC. Working with the new insurance exchanges, provide a viable contracting arrangement toallow patients in ARMC's marketplace to access ARMC for care.MeasurementNumber of transitioned (ArrowCare to Medi-caid expansion) patients retained atARMC.Number of Healthcare exchange patients that are newly serviced at ARMC.San Bernardino 14TargetN/AN/AN/A27,000N/AN/AN/A6,0002013-14 Adopted Budgetarrowhead regional medical center Received a two-year stroke center recertification from the Healthcare Facilities Accreditation Program. Thisdesignation demonstrates that ARMC has achieved the highest national standards to provide the best careavailable for patients suffering a stroke. Expanded its Breath Mobile service to the High Desert, with service to sites including Adelanto, Apple Valley,Barstow, Hesperia, Phelan, Victorville and Trona. ARMC’s two Breath Mobiles provide pediatric asthma caremanagement at sites throughout the County of San Bernardino. Received a 100,000 grant from the California HealthCare Foundation (CHCF) to build on its successful Leanmanagement initiatives, which are designed to improve patient outcomes in specified areas through betteroperational efficiency. Received two prestigious Achievement Awards from the National Association of Counties, for a cancerawareness and screening event designed to reduce the incidence of cancer and for a program conductedwith Children and Family Services providing foster youth with an opportunity to gain experience in andknowledge of health care careers. Awarded two grants from the Children and Families Commission for San Bernardino County (First 5) thatenabled the Medical Center to continue its successful dental screening program and asthma and allergyservices provided on its Breath Mobiles.
208Arrowhead Regional Medical Centerarrowhead regional medical centerSUMMARY OF BUDGET UNITS2013-14RequirementsNetCounty CostSourcesFundBalanceNetBudgetStaffingEnterprise FundsArrowhead Regional Medical CenterMedical Center Lease PaymentsTotal Enterprise 6085-YEAR REQUIREMENTS TRENDArrowhead Regional Medical CenterMedical Center Lease YEAR SOURCES TRENDArrowhead Regional Medical CenterMedical Center Lease -14(5,217,844)(7,920,808)(8,352,182)5-YEAR NET BUDGET TRENDArrowhead Regional Medical Center(4,492,216)Medical Center Lease : Beginning in fiscal year 2012-13, Capital Expenditures have been included and Depreciation has been excluded inrequirements in enterprise and internal service funds for budgetary purposes. In the table above, prior years have beenrestated for consistency.2013-14 Adopted BudgetSan Bernardino County
Arrowhead Regional Medical Center209Arrowhead Regional Medical CenterArrowhead Regional Medical Center (ARMC) is a state-of-the-artacute care facility embracing advanced technology in all patient andsupport areas. ARMC offers the latest in patient care by providing afull range of inpatient and outpatient services, three off campus andone on campus community health centers, Department of BehavioralHealth’s inpatient activities and numerous specialty services.Freeway access, shuttle service and close proximity to an Omnitransbus hub make ARMC convenient to County residents.Budget at a GlanceTotal RequirementsTotal SourcesNet BudgetEstimated Unrestricted Net AssetsUse of Unrestricted Net AssetsTotal Staff 440,564,187 432,212,005( 8,352,182) 58,446,955 8,352,1823,608ARMC and Behavioral Health facilities are comprised of 456 (90 in Behavioral Health and 366 in ARMC)inpatient rooms, most of which are private. The Emergency Department is a Level II Trauma Center and consistsof 15 observation rooms, 8 treatment rooms, 3 law enforcement holding rooms, 8 trauma rooms and a 9 bayRapid Medical Emergent Treatment area to expedite treatment and improve throughput. The helicopter landingarea can accommodate both standard Medi-Vac helicopters and military helicopters. The outpatient care centerconsists of 109 examination rooms and 8 procedure rooms.The campus houses five buildings which also serve to outline the definitive services/medical center functions:Acute Hospital, Behavioral Health, Outpatient Care Center, Diagnostic and Treatment and the Central Plant.Inpatient Care: Inpatient services provide curative, preventative, restorative and supportive care for general andspecialty units within the General Acute Care Hospital and Behavioral Health Hospital. Care is coordinatedamong multiple care providers responsible for patient care twenty-four hours a day. Nursing functions as aprimary interface with patients, families and others, and is often the interpreter for the hospital experience andtreatment plan. Education is a primary focus, and ARMC offers numerous Residency Programs for the trainingof physicians in Family Practice, Emergency Medicine, Surgery, Neurosurgery, Women’s Health, and InternalMedicine.Outpatient Services: Outpatient Care is an integral part of our multifaceted healthcare delivery system offeringa wide range of emergency, primary, preventive, chronic, follow-up and specialty care in an ambulatory caresetting. Visits have exceeded 250,000 annually exclusive of the Emergency Room volume. Mobile serviceshave been expanded to one Mobile Clinic and two Breath Mobile units for a total of three. This will allow clinicalservices to be delivered in outlying areas and County emergencies when it is needed.ARMC has worked diligently with the California Association of Public Hospitals to maximize funding for Medi-Caland uninsured patients under disproportionate share and safety net care pool sources. These sources areprovided primarily through the California section 1115 Waiver. The initial five year Waiver ended at the end of2009-10. The new Waiver deal was implemented in November 2010. The impact of the new Waiver will increasefunding, but not without new costs for infrastructure and performance to achieve outcomes.Under the new Waiver, ARMC is in the second year of operations for the Low Income Health Plan (LIHP). TheCounty of San Bernardino created a collaborative of community stakeholders and County departments includingBehavioral Health, Human Services, and Public Health that implemented the County’s LIHP, ArrowCare. Thecontract with CMS was approved and started January 1, 2012. ARMC has been a key component in servicedelivery in the LIHP for physical medicine, and will be working with other County departments in preparing,through this program, for the transition to Health Care Reform in 2014. Incrementally, funding under the LIHPonly represents a change in the financing mix and will net to zero since many of the current medically indigentpatients in the County’s CMSP are now a part of ArrowCare.An additional new funding source provided under the waiver, the Delivery System Reform Incentive Plan(DSRIP), is an innovative approach to transform existing delivery systems. The DSRIP has providedInfrastructure Development, Innovation Redesign, Population-Focused Improvement and Urgent Improvement inQuality and Safety. DSRIP funding is strictly tied to results and meeting of transformation milestones.San Bernardino County2013-14 Adopted Budgetarrowhead regional medical centerDESCRIPTION OF MAJOR SERVICES
arrowhead regional medical center210Arrowhead Regional Medical Center2013-14 ADOPTED BUDGETREQUIREMENTS LESS REIMBURSEMENTSOperatingTransf ers eratingExpenses41%OtherRev enue1%OperatingTransf ers In9%Use ofUnrestrictedNet Assets2%Fee/Rate17%Staf f ingExpenses55%State/Fed/Other Gov t71%BUDGETED STAFFINGSTAFFING ANALYSISAuthorized PostitionsRegularLimited TermTotalStaffing Expenses5-YEAR STAFFING 49443,608 213,455,055 234,420,563 234,823,505 244,234,0212013-14 Adopted Budget370 0360 0350 0340 0330 0320 0310 0300 0290 0280 03,5443,6083,4163,2553,116San Bernardino County
211Arrowhead Regional Medical CenterANALYSIS OF 2013-14 ADOPTED BUDGETBUDGET UNIT: EAD MCRFUNCTION: Health and SanitationACTIVITY: Hospital 9,410,516(12,525,640)(6,148,403)0Total Exp 439,231,2890429,967,7620(9,263,527)0Total AppropriationOperating Transfers 891429,967,76210,596,425(9,263,527)777,534Total sRealignmentState, Fed or Gov't AidFee/RateOther 85100(6,707,838)(1,656,378)(553,151)Total RevenueOperating Transfers 394,842,00537,370,000(8,917,367)0Total ,3744,953,6022,195,955RequirementsStaffing ExpensesOperating ExpensesCapital ExpendituresContingenciesNet BudgetBudgeted Staffing(7,920,808)3,5442013-14AdoptedBudgetChange )3,608(431,374)64MAJOR EXPENDITURES AND REVENUE IN 2013-14 ADOPTED BUDGETStaffing expenses of 244.3 million fund 3,608 budgeted positions. Operating expenses of 179.0 million arecomprised primarily of medical supplies, physician fees, purchased medical services, external provider careservices, insurance, utilities, and rent expense.Operating transfers out of 10.6 million primarily represents costs budgeted for debt service in the amount of 8.0 million. The remaining 2.6 million represents costs for construction projects being managed by theArchitecture and Engineering department.Total revenue of 394.8 million include 312.3 million in state and federal funding primarily from Medicare andMedi-Cal, 76.5 million in current services from private pay patients and insurance, and 6.0 million in otherrevenue from cafeteria sales, interest, miscellaneous grants, and services provided to other County departmentsand hospitals through the residency program.Operating transfers in of 37.4 million represents the portion of Health Realignment allocated to ARMC.BUDGET CHANGES AND OPERATIONAL IMPACTDuring 2012-13, ARMC continued to respond to increases in acute care volume and operational changes relatedto the implementation of the LIHP program, Incentive program initiatives, implementation of Electronic HealthRecord, and ever changing regulatory requirements. It has been a year of preparation as this coming year will behistoric for ARMC as Medi-Cal access and eligibility is expanded through the Affordable Care Act. EffectiveJanuary 1, 2014, ArrowCare enrollees will become eligible for Medi-Cal.Staffing expenses have a net increase of 9.4 million representing an increase of 64 net budgeted positionsrelated to regulatory and volume requirements.Operating expenses reflect a decrease of 12.5 million due primarily to the elimination of temporary help costsand physician contract costs. A concerted effort has been undertaken to reduce temporary staff by focusing onposition recruitment. Physician contract costs are a result of the movement of ArrowCare patients to Medi-Calmanaged care post January 1, 2014. Contracted physicians will be able to bill for these patients directly ratherthan seeking payment from ARMC.San Bernardino County2013-14 Adopted Budgetarrowhead regional medical centerGROUP: Arrowhead Regional Medical CenterDEPARTMENT: Arrowhead Regional Medical CenterFUND: Medical Center
212Arrowhead Regional Medical Centerarrowhead regional medical centerSTAFFING CHANGES AND OPERATIONAL IMPACTStaffing expenses of 244.3 million fund 3,608 positions of which 2,664 are regular positions and 944 are limitedterm positions. The 2013-14 budget includes a net increase of 64 positions (155 new positions and reduction of91 positions). The new positions are primarily a result of ARMC’s commitment to meet regulatory requirements(79), reduce overtime premium costs (26), and achieve volume related service goals (42). The reduced positionsare primarily due to the closure of Home Health (20), postponement of development of an Observation Unit (27)and operational adjustments (36).2013-14 POSITION SUMMARYDivisionAdministrationGeneral Support/Patient ServicesMedical DirectorFiscal ServicesBusiness Development/MarketingPatient ServicesComplianceProfessional ServicesSupport imited 17311134ClassificationAdministrative Analyst IIIAdministrative Supervisor IARMC Chief Operating OfficerDirector Arrowhead Reg Med CenterExecutive AssistantExecutive Secretary III -ClassFiscal SpecialistGeneral Services AideOffice Assistant IIOffice Assistant IIIOffice SpecialistPersonnel TechnicianSecretary ISecretary IIStaff Analyst IStaff Analyst IISupervising Fiscal SpecialistTotal2013-14 Adopted 3,608General Support/Patient ssificationAmbulatory Clinic ManagerARMC Patient NavigatorAsst Hospital Admin - Ambulatory ServAsst Hospital Admin-Behavioral HealthAsst Director of Respiratory Care ServClinic AssistantClinical Therapist IClinical Therapist IIClinical Therapist Pre-LicenseContract Occupational Therapist IIContract Respiratory Care Pract IIDirector of Respiratory Care ServicesGeneral Services Worker IIHealth Education Specialist IIHospital Risk CoordinatorHospital Services WorkerHospital Unit AssistantLic Vocational Nurse - Per DiemLicensed Vocational Nurse IIMental Health Clinic SupervisorMental Health Nurse IIMental Health Nurse Manager - ARMCNeurodiagnostic Technolgst IINeurodiagnostic TechnologistNurse EducatorNursing AttendantOccupational Therapist IIOccupational Therapy AssistantOffice Assistant IIOffice Assistant IIIOffice SpecialistPatient Navigation Program lassificationPsychiatric Technician IPulmonary Function SpecialistRegistered Nurse II - ClinicRegistered Nurse II - Per DiemRespiratory Care Practitioner 2Respiratory TherapistRespiratory Care Practitioner 3Secretary IStaff Analyst IISterile Processing Technician 1Supervising Office AssistantSupervising Office SpecialistSupervising Respiratory Care PractUtilization Revieww/Perf Impvmt NurseClinic AssistantClinic Supervisor-ARMCCont Respiratory Care Practitioner IIHealth Services Assistant IHospital Services WorkerHospital Unit AssistantLicensed Vocational Nurse-Per DiemLicensed Vocational Nurse IILicensed Vocational Nurse IIIOffice Assistant IIOral Surgery TechnicianOrthopedic TechnicianRegistered Nurse Case ManagerRegistered Nurse II - ClinicRegistered Nurse II - Per DiemRegistered Nurse II-ARMCRespiratory Care Practitioner 2Respiratory Care Practitioner 2Supv Respiratory Care PractitionerTotalSan Bernardino County
Arrowhead Regional Medical CenterMedical DirectorSan Bernardino CountyFiscal ant IIIAccounting TechnicianAdministrative Supervisor IAdministrative Supervisor IIApplications SpecialistARMC Chief Financial OfficerARMC Medical Services Prgrm CoordARMC Social Services ManagerAsst Hospital Administrator FiscalAutomated Systems Analyst IAutomated Systems Analyst IIAutomated Systems TechnicianBusiness Applications ManagerBusiness Systems Analyst IBusiness Systems Analyst IIBusiness Systems Analyst IIICase Management SupervisorChief Medical Informtn OfficerCont Ancillary Receivables ManagerCollections OfficerContract Medi-Cal SpecialistCont Social Services PractitionerCont Asst Hospital Admin - FiscalCont Asst Hospital Admin - Pnt FiscCont Manager PreMediCal Qual DeptCont Supv PreMediCal Qual DeptDepartmental IS AdministratorFiscal AssistantFiscal SpecialistGeneral Services AideLicensed Vocational Nurse IIMaterial ManagerMedical Records Coder IMedical Records Coder IIMedical Records ManagerMedical Records SupervisorNurse ManagerOffice Assistant IIOffice Assistant IIIOffice Assistant IVOffice SpecialistPatient Accounts SupervisorProgrammer Analyst IProgrammer Analyst IIRegistered Nurse Case ManagerRegistered Nurse II - Per DiemRegistered Nurse II - ARMCRN Case Manager-Per DiemSecretary ISocial Service PractitionerStaff Analyst IStaff Analyst IIStorekeeperStores SpecialistSupervising Office AssistantSupervising Office SpecialistSupvg Auto Systems Analyst ISupvg Utilization Review TechnSystems Support Analyst IIUtilization Review TechnicianTotalBusiness Development/Marketing11114ClassificationARMC Business Development OffiCont Mktg & Bus Dev Coord -ARMCMedia SpecialistPhotographerTotal2013-14 Adopted Budgetarrowhead regional medical center11133143197111190ClassificationARMC Medical DirectorContract Resident PGY IIIContract Resident PGY IVContract Resident PGY VContract Resident PGY VIContract Resident PGY VIIEducation SpecialistOffice Assistant IISecretary IStatistical AnalystTotal213
214Arrowhead Regional Medical Centerarrowhead regional medical centerPatient 113111911423411,590ClassificationARMC House Supervisor - Per DiemAssistant Nurse ManagerAsst Hospital Admin-Nursing ServicesBurn Care TechnicianCertified Trauma RegistrarChief Nursing OfficerClinic AssistantClinical Nurse SpecialistContract Surgical TechEducation Services SupervisorEmergency Room TechnicianFloat Pool Regstrd Nurse-Per DiemHospital Employee Health NurseHospital Services WorkerHospital Unit AssistantHouse SupervisorInjury Prevention CoordinatorLic Vocational Nurse-Per DiemLicensed Vocational Nurse IIMultimedia CoordinatorNurse EducatorNurse ManagerNurse SupervisorNursing AttendantNursing Program CoordinatorOffice Assistant IIOffice Assistant IIIRegistered Nurse II - Per DiemRegistered Nurse II - ARMCRegistered Cardio Pulmonary NurseRespiratory Care Practitioner 2Secretary ISecretary IISterile Processing TechnicianStores SpecialistStudent NurseSurgical TechnicianTelemetry TechnicianUltrasound Technologist IIUtilization Review TechnicianTotal2013-14 Adopted 32119327325233ClassificationAdministrative Supervisor IARMC Ethics & Compliance CoordARMC Executive ChefARMC Laboratory ManagerAssoc Hosp Admin Professional ServAutopsy AssistantClinic AssistantCompliance SpecialistCont First Five Public Educ CoordCont Occupational Therapist IICont Physical Therapist IIContract Radiological TechnicianContract Rehab Therapist - SpeechCont Spec Procedures Rad TechContract Ultrasound TechCook ICook IICook IIICytotechnoligistCytotechnoligstDietary Services SupervisorDietetic TechnicianDietitianFirst Five Contract DentistFirst Five Project DirectorFiscal AssistantFood Service Worker IFood Service Worker IIGeneral Services AideHistology TechnicianHospital Customer AdvocateLaboratory AssistantLaboratory Technologist IILaboratory Technologist IIILaboratory Technologist InternNuclear Medicine TechnologistOccupational Therapist IIOccupational Therapy AssistantOffice Assistant lassificationOffice Assistant IIIOffice Assistant IVOffice SpecialistPhlebotomistPhysical Therapist AssistantPhysical Therapist IIPrivacy and Compliance SpecialistRadiographic Clinical InstructorRadiologic Technologist IIRadiologic Technologist IIIRadiologic Technologist SchoolRadiology ManagerRadiology SupervisorRegistered Nurse II - Per DiemRegistered Nurse II - ARMCRehabilitation Services AideRehabilitation Services ManagerSecretary ISecretary IISpecial Proc Rad Technolog 2Special Proc Rad Technolog 3Speech TherapistStaff Analyst IStaff Analyst IISterile Processing TechnicianSterile Processing Technician 1Sterile Processing Technician 2Stores SpecialistSupervising Office AssistantSupervising Office SpecialistSupervising PhlebotomistSupervising Rehabilitation TherapistSupervising DietitianSupervising Laboratory TechnologistSupervising Sterile Processing TechUltrasound Technologist IIUltrasound Technologist IIIUtil Rvw/Perform Imp NurseVolunteer Services CoordinatorTotalSan Bernardino County
Arrowhead Regional Medical CenterSupport ServicesProfessional ServicesSan Bernardino ficationAir Conditioning MechanicARMC Bldg Maint & Security ManagerARMC Facilities Project CoordinatorARMC Safety TechnicianAssoc Hosp Admin Professional ServBio-Medical Electronic Tech IBuilding Plant OperatorCont ARMC Security TechnicianCustodian ICustodian IIElectricianGeneral Maintenance MechanicGeneral Maintenance WorkerGeneral Services AideHospital Plant OperatorHospital Environ Services SupervisorLinen Room AttendantMaintenance SupervisorMedical Center Hskpg/Linen ManOffice Assistant IIOffice Assistant IIIPainter IPlumberSecretary ISecretary IISecurity Technician ISecurity Technician IIStores SpecialistSupervising Security TechnicianSupv Bio Med Elect TechnicianSupv CustodianTotalarrowhead regional medical center11121114211421221112537ClassificationAssoc Hosp Adm Professional ServAsst Hospital Admin - Nursing SvcsAsst Hospital Administrator FiscalContract Home Health Social WorkerLibrarian IILibrary Assistant ILic Vocational Nurse - Per DiemLicensed Vocational Nurse IIMedical Staff CoordinatorNurse EpidemiologistNurse Informatics CoordinatorOffice Assistant IIOffice SpecialistQuality Improvemnt CoordinatorRegistered Nurse II - Per DiemRegistered Nurse II - ARMCSecretary IISupv Medical Staff CoordinatorStaff Analyst IITumor RegistrarUtil Rvw/Perform Imp NurseTotal2152013-14 Adopted Budget
216Arrowhead Regional Medical Centerarrowhead regional medical centerMedical Center Lease PaymentsDESCRIPTION OF MAJOR SERVICESBudget at a GlanceThis budget unit funds the cost of long-term lease payments to theTotal Requirements 43,150,014Inland Empire Public Facilities Corporation for the ArrowheadTotal Sources 43,150,014Regional Medical Center (ARMC) facility. Funding sources includeNet Budget 0Estimated Unrestricted Net Assets 0state revenues from the Construction Renovation/ReimbursementUse of Unrestricted Net Assets 0Program (SB 1732). This program provides supplementalTotal Staff0reimbursement for construction, renovation, or replacement ofmedical facilities or fixed equipment. Other funding sources areoperating transfers from ARMC consisting of Medicare and fee for service revenues, and operating transfersfrom the general fund backed by Health Realignment revenues and tobacco settlement proceeds.2013-14 ADOPTED BUDGETREQUIREMENTS LESS REIMBURSEMENTSOperatingExpenses100%2013-14 Adopted BudgetSOURCES/REIMBURSEMENTSOperatingTransf ers In56%State/Fed/Other Gov t44%San Bernardino County
217Arrowhead Regional Medical CenterANALYSIS OF 2013-14 ADOPTED BUDGETRequirementsStaffing ExpensesOperating ExpensesCapital lBUDGET UNIT: EMD JPLFUNCTION: GeneralACTIVITY: Property tualChange l Exp otal AppropriationOperating Transfers 090,345043,150,01401,059,6690Total mentState, Fed or Gov't AidFee/RateOther 72,78600Total RevenueOperating Transfers 0819,063,82324,086,191272,786786,883Total 090,34543,150,0141,059,6690000000Budgeted Staffing000Net BudgetMAJOR EXPENDITURES AND REVENUE IN 2013-14 ADOPTED BUDGETOperating expenses of 43.2 million represent lease payments and associated fees and expenses.State, federal, or gov
Arrowhead Regional Medical Center San Bernardino County 2013-14 Adopted Budget 209 Arrowhead Regional Medical Center DESCRIPTION OF MAJOR SERVICES Arrowhead Regional Medical Center (ARMC) is a stateof-the-art - acute care facility embracing advanced technology in all patient and support areas. ARMC offers the latest in patient care by providing a
