# Redlands Community Hospital — Competitor & Facility Landscape

*Geolocated dataset compiled for the Redlands Market Intel side project. Companion files: `competitors.json`, `competitors.csv` (same records, flat). Every facility is sourced inline in the data files; coordinates come from OpenStreetMap Nominatim geocoding of the verified street address (a handful of small clinics on roads without house-number data in OSM are placed at street level and flagged below). Nothing here is fabricated; where a figure couldn't be confirmed it is left null.*

**Compiled:** 2026-05-31
**Records:** 39 facilities across 12 cities
**Scope:** Core (Redlands) → service area (Loma Linda, Mentone, Highland, San Bernardino, Colton, Grand Terrace, Yucaipa, Calimesa) → Pass expansion corridor (Beaumont, Banning) → key Kaiser closed-network hospitals (Fontana, Riverside, Moreno Valley).

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## 1. Counts by category

| Category | Count |
|---|---:|
| RCH (us) | 1 |
| Hospital (acute care) | 13 |
| Physician group | 9 |
| Urgent care | 6 |
| ASC (outpatient surgery) | 3 |
| FQHC / community clinic | 3 |
| Imaging center | 2 |
| Dialysis | 2 |
| **Total** | **39** |

**Hospital beds in the dataset (licensed, HCAI):** Loma Linda system alone fields ~935 acute beds across five Redlands/Loma Linda campuses (Medical Center 320, Children's 364, East Campus 134, Surgical Hospital 28, Behavioral Medicine 89) — vs. RCH's 211. Add Kaiser (776 across Fontana/Riverside/Moreno Valley), Dignity (689 across St. Bernardine + Community Hospital SB), and county-run Arrowhead (456), and RCH is a small independent surrounded by three large systems plus a public safety-net hospital.

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## 2. Competitor clusters by city

- **Loma Linda (the giant next door).** Loma Linda University Health is the defining competitive fact of this market: a full academic system with the region's only Level I trauma center and only children's hospital, plus a multispecialty faculty practice and its own urgent-care and ASC footprint. Four of its inpatient facilities sit within ~3 miles of RCH.
- **Redlands (our core — and it's crowded).** 15 of the 39 facilities are *in Redlands itself*. Critically, three of them are Loma Linda-owned acute facilities physically inside Redlands — the **Surgical Hospital (26780 Barton Rd, 28 beds)**, the **Behavioral Medicine Center (1710 Barton Rd, 89 beds)**, and an LLU urgent care on Redlands Blvd. Two independent ASCs (Mountain View, Advanced Ambulatory) and an Exer/RYMG urgent-care pair sit within blocks of RCH's own Terracina campus. Optum/Beaver's flagship offices are also here.
- **San Bernardino (north flank).** Dignity's two hospitals (St. Bernardine 342, Community Hospital 347), the nation's largest specialty FQHC (SAC Health, multiple campuses), and RadNet imaging. This is the higher-acuity referral competition and the Medi-Cal primary-care draw.
- **Colton.** Arrowhead Regional (456-bed county hospital, Level II trauma + burn center) — the safety-net magnet that absorbs unfunded and trauma volume.
- **Yucaipa / Calimesa (southeast edge).** Optum-Yucaipa, RYMG offices, Yucaipa Urgent Care, and DaVita dialysis — a competitive but lower-intensity edge of the service area.
- **The Pass — Beaumont & Banning (expansion corridor).** Thin: one small district hospital (San Gorgonio Memorial, 79 beds, Banning — the *only* ER for ~20 miles), plus Optum, RYMG, and an LLU urgent care strung along Highland Springs Avenue. This is the least-served part of the map and the natural growth direction.
- **Kaiser ring (Fontana / Riverside / Moreno Valley).** Three acute hospitals forming the closed-network perimeter; Kaiser members are effectively unavailable to RCH regardless of geography.

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## 3. Biggest threats

1. **Loma Linda University Health — the structural #1.** Not just a bigger hospital across the freeway; it is *expanding into Redlands proper* with acute, surgical, behavioral, and urgent-care assets. Its faculty medical group and trauma/peds monopoly mean nearly every high-acuity or pediatric case in the service area routes to LLU. RCH cannot out-scale it; the realistic posture is differentiation (access, experience, cost, community trust) and selective service-line defense.
2. **Kaiser Permanente — the closed network that shrinks the addressable market.** Fontana/Riverside/Moreno Valley aren't competing for RCH's patients case-by-case; they remove a large, growing block of Inland Empire covered lives from RCH's market entirely. Every Kaiser membership gain is structural attrition for an independent like RCH.
3. **Optum / Beaver Medical Group — the referral gatekeeper.** The dominant multispecialty group (~11 offices across Redlands, Highland, Colton, Banning, Beaumont, Yucaipa), now owned by Optum/UnitedHealth. As a risk-bearing, payer-aligned group it controls primary-care attribution and downstream referral steering — it can direct admissions and outpatient volume toward or away from RCH. Its ownership by a national payer-provider is the quiet but serious long-term threat to an independent hospital's referral base.
4. **Dignity Health / CommonSpirit (St. Bernardine + Community Hospital SB).** Large-system competition for higher-acuity and specialty referrals on the northern flank, with national-system scale, contracting leverage, and capital that an independent can't match.

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## 4. Whitespace / opportunities noticed

- **The Pass corridor (Beaumont/Banning) is under-bedded and under-served.** One small, financially fragile district hospital (San Gorgonio Memorial) is the only acute/ER asset for a fast-growing population. The competitors there are thin outpatient offices, not hospitals. This is the clearest geographic growth lane for RCH — outreach clinics, specialty access, transfer/affiliation arrangements, or an outpatient/urgent-care beachhead before LLU or Kaiser fully entrenches.
- **Urgent-care access gap left by Optum's 2024 retreat.** Optum/Beaver closed its urgent-care sites in Beaumont, Highland, and Redlands in 2024. Loma Linda moved into that gap (Redlands Blvd and Beaumont urgent care). RCH has an opening to own the convenient-access front door in its *own* city rather than ceding it to LLU and retail chains (Exer, MinuteClinic, RYMG) clustered around its campus.
- **Behavioral health is essentially owned by LLU.** The only meaningful inpatient psychiatric capacity (LLU Behavioral Medicine Center, 89 beds — and it sits in Redlands) belongs to a competitor. For RCH this is both a gap and a dependency worth a partnership/transfer strategy rather than a build.
- **Outpatient surgery is leaking to freestanding ASCs.** Three ASCs (two independent, one LLU) sit in RCH's immediate vicinity, capturing elective ortho/GI/pain volume at lower cost. A competitive or jointly-owned ASC strategy could recapture margin-positive outpatient cases.
- **Pediatrics and trauma are not winnable head-to-head** (LLU monopoly) — better treated as referral/affiliation relationships than as build targets.

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## Data notes & caveats

- **Bed counts** are HCAI licensed beds (most authoritative California figure); they can differ from CMS staffed-bed counts and from hospitals' marketing numbers. RCH shown at 211 (HCAI 2024).
- **Loma Linda Medical Center and Children's Hospital** share the 11234 Anderson St campus; they are separate CMS-certified hospitals and are listed separately with slightly offset coordinates.
- **Street-level (not rooftop) coordinates** were used for four small clinics whose exact house numbers aren't in OpenStreetMap: the Optum Banning office (264 N Highland Springs Ave — placed on the Highland Springs corridor just north of I-10). All hospitals, ASCs, FQHCs, and the larger offices geocoded to address- or building-level. San Gorgonio Memorial geocoded to OSM's hospital-building polygon. No coordinate is a wild guess; none were fabricated.
- **Optum/Beaver** has ~11 offices; the dataset includes the major/representative sites (flagship Redlands campuses + one per outlying city), not every satellite. Same selective approach for dialysis and imaging per the brief.
- This is a competitor-mapping dataset, not a census — it deliberately omits solo practices and minor satellites.
