Vision & strategy · working draft

Redlands Health

Healthcare that keeps you at your highest health.

A community-owned, prevention-first health system for the city of Redlands — and then the Pass. We combine every dimension of a person — body, mind, environment, food, movement, data — into one connected continuum, so people don't just get treated, they get well and stay well. Built around Redlands Community Hospital, owned by the community it serves.

Grounded in real data: 7,264 city businesses, public health-plan filings, and the city's own economic reports. Strategy figures are illustrative planning estimates.

Most "healthcare" is sick-care. We're building health.

The system is paid to wait for you to get sick and then sell you pills. We flip the model: we are paid — and we pay our patients — to keep them at their highest possible health.

The old model — sick-care Fee-for-service. Episodic. Pills first. Siloed specialists who never talk. The patient is a passive recipient. Prevention is nobody's job because nobody gets paid for it.
Redlands Health — whole-person health At-risk for outcomes, so prevention is the business. Interdisciplinary teams that build one shared plan per person. The patient is a stakeholder — rewarded for the data that proves they're getting healthier. Care that runs the full continuum of life.
The differentiator, in one line Private coverage that does more than dispense medication — it gives people the tools, team, data, and incentives to actually raise their health: from physical therapy into the gym, from a prescription into a wellness plan, from a lab result into a life change. We treat the whole human across the whole continuum.

The market is big enough — execution is the constraint

37,000
jobs in the city of Redlands (EDD)
~22,000
capturable covered lives (modeled, non-Kaiser)
82
insured employers in-city we can name & target
1,405
lives on RCH's plan today — the baseline to grow

There are ~36,000 commercially-covered lives tied to Redlands employers. About 40% sit with Kaiser's closed network; the realistic prize is the other ~22,000 on open networks or self-funded plans — starting with the 12 self-funded employers in town who can direct-contract tomorrow. That's 15–20× the lives we cover today.

About Redlands Community Hospital — by the numbers

Everything here is built around RCH, the independent non-profit community hospital at the center of the city. The headline facts below are pulled from official public sources (CMS, California HCAI, IRS Form 990, the City ACFR) — every figure is verified and cited on the data page.

1904
founded (current Terracina Blvd. site since 1929)
211
licensed beds (CA HCAI, 2024)
1,847
employees — largest healthcare employer in the city (City ACFR FY25)
~9,600
annual inpatient discharges (HCAI 2024)
~55,800
annual ED visits (HCAI 2024)
~1,640
babies born per year (RCH FY2023)
$407M
total revenue, FY2024 (IRS Form 990)
2 / 5
current CMS overall star rating

CCN 050272 · CA HCAI ID 106361308 · EIN 95-1643347. Sources: CMS Provider Data Catalog; CA HCAI Annual Utilization Report; IRS Form 990 (ProPublica); City of Redlands ACFR FY2024-25; RCH Community Benefit Plan FY2023.

Six pillars of a vertical health system

Each pillar is a strategy model in its own right. Together they form a continuum — coverage, care, wellness, data, people, and growth — that compounds.

Make the patient a stakeholder in their own health

When prevention is the business model, the patient becomes a partner — and we reward the behaviors and the data that prove health is improving.

Tools, not just pillsCoverage that pays for what actually moves health: wearables & RPM, food assistance, gym memberships after PT graduation, water filtration, and emerging therapies (e.g., exploring apheresis research on microplastics) — evaluated on evidence, offered where it helps.
Data that flows both waysWearables and home devices sync back to the EMR. Patients set up Apple Health & Google Health. We see trends early; patients see their own progress.
Rewards for getting healthierMembers who engage and whose data shows prevention working share in the savings. Health becomes something you build equity in — not just consume.
The continuum we cover Genetics & methylation → nutrition & regenerative-farm partnerships → movement (PT → wellness gym) → behavioral & recovery → primary & specialty care → RPM & hospital-at-home → and back to prevention. One record. One team. One plan per person.

Compete with everyone — and win on health, not volume

We're not trying to be the cheapest sick-care vendor. We're trying to be the system that makes a city measurably healthier — a claim none of the incumbents can make.

CompetitorTheir strengthOur wedge
KaiserClosed, integrated, ~40% of the local marketOpen access + whole-person wellness + local ownership; target their fully-insured employer contracts as they renew
Loma LindaAcademic brand, longevity heritageTurn "Blue Zone" lifestyle into an operating model patients live every day, not a research story
Optum / Beaver Medical (UHC)Dominant local physician group, payer-ownedAggregate the independent physicians; offer them autonomy + AI + better economics
Eisenhower, San Gorgonio, St. BernardineGeographic footholds in the regionOwn Redlands completely first, then extend along I-10 into the Pass before they do
The strategic reality to design around The largest local physician group (Beaver/Optum) is owned by a national payer (UnitedHealth). Building "a network for the whole city" is therefore first a physician-supply problem — see Primary Care and Growth.

North-star metrics

We measure health created, not visits billed.

#1 city
in patient-portal enrollment & active use (Apple/Google Health linked)
Lives enrolled
covered lives on a Redlands Health plan or network, growing each year
Disease prevented
measurable reductions in admissions, A1c, BP, ED visits across the panel
% live in-city
share of our workforce that lives in Redlands — community + retention

A phased path — prove it in Redlands, then take the Pass

Phase 1 · Now

Win Redlands

Direct-contract self-funded employers; stand up the wellness center & RPM; lead on portals.

Phase 2

Build the network

Primary-care foundation + independent-physician alliance; narrow-network product; first at-risk lives.

Phase 3

Own the plan

Provider-sponsored plan (DMHC path); workforce housing; school & city partnerships compound enrollment.

Phase 4

Extend to the Pass

Calimesa, Yucaipa, Beaumont, Banning — re-run the model city by city as a regional health system.

About this site. A working vision-and-strategy document for Redlands Health, an initiative built around Redlands Community Hospital. Market figures are modeled planning estimates drawn from public data (City of Redlands business licenses & ACFR, DOL Form 5500). Clinical service lines described here are directional and would each require evidence review, licensure, and clinical governance before launch. Not medical, legal, actuarial, or investment advice. Slogan and brand are draft.