Loading...
Loading...
Regional dashboard covering 14 Federally Qualified Health Centers across 149 sites in the Inland Empire region.
This strategic report is analysis compiled from public sources (HRSA UDS, CMS, WARN Act filings, news coverage, public Glassdoor reviews). Claims about workforce stability, financial positioning, or operational resilience are informational only and may not reflect current operations. For authoritative information, contact the organization directly.
The most important things to know about Inland Empire right now. Tap a bullet to jump to the underlying section.
14
across 149 sites
8,955
avg 640 per FQHC
338
2 events tracked
3.3/5
10 of 14 rated
How this region compares against the statewide average across the metrics that matter most.
Resilience
65/100
Glassdoor
3.3/5
Open Jobs / FQHC
4
Coverage Vulnerability
37%
FQHCs grouped by exposure to layoffs, low resilience, and H.R. 1 funding impact. Combines resilience score, layoff history, coverage vulnerability, and funding-impact level.
Yucca Valley · Grade D (47/100)
San Bernardino · Grade C (51/100)
Brawley · Grade C (60/100)
Brawley · Grade C (63/100)
Palm Springs · Grade B (68/100)
Riverside · Grade B (71/100)
Corona · Grade C (52/100)
68% patients at coverage risk
Chino · Grade C (52/100)
68% patients at coverage risk
Riverside · Grade B (73/100)
Moderate exposure
San Bernardino · Grade B (75/100)
Moderate exposure
Loma Linda · Grade A (80/100)
Colton · Grade B (76/100)
Palm Springs · Grade B (74/100)
Palm Springs · Grade B (72/100)
Average resilience score: 65/100. Distribution of grades across 14 FQHCs.
Search by name or city. Sort any column. Filter by resilience grade or H.R. 1 funding impact.
14 of 14 FQHCs
| Loma Linda University Health - SAC Health Loma Linda | Loma Linda | 185 | A | 3.8 | 3 |
| Inland Faculty Medical Group Colton | Colton | 160 | B | — | 3 |
| SAC Health San Bernardino | San Bernardino | 315 | B | 2.8 | 4 |
| Desert Healthcare District & Foundation Palm Springs | Palm Springs | 135 | B | — | 3 |
| Community Health Systems, Inc. Riverside | Riverside | 290 | B | 2.9 | 4 |
| Desert AIDS Project/DAP Health Palm Springs | Palm Springs | 65 | B | 3.3 | 10 |
| Riverside University Health System - Community Health CentersH.R. 1 Riverside | Riverside | 6,000 | B | 3.6 | 12 |
| Dap HealthH.R. 1 Palm Springs | Palm Springs | 850 | B | 3.3 | 10 |
| Borrego HealthH.R. 1 Brawley | Brawley | 785 | C | 2.7 | 5 |
| Clinicas de Salud del PuebloH.R. 1 Brawley | Brawley | 120 | C | 3.4 | 3 |
| Centro Medico Community Clinic Corona | Corona | 50 | C | — | 9 |
| Health Service Alliance Chino | Chino | — | C | — | 7 |
| San Bernardino Public HealthH.R. 1 San Bernardino | San Bernardino | — | C | 3.8 | 7 |
| Hi-desert Memorial Health Care DistrictH.R. 1 Yucca Valley | Yucca Valley | — | D | 3 | 3 |
59 open jobs across 14 FQHCs. 338 workers affected by layoffs.
Rancho Cucamonga · Jan 30, 2026
Medi-Cal managed care plan restructuring CalAIM ECM and Community Supports contracts, reducing staffing across contracted FQHC partners in the Inland Empire.
Borrego Springs · May 1, 2021 · 15.6% of workforce
First round of mass layoffs amid financial crisis. FBI raid in 2021 and state/federal fraud investigations preceded the cuts. Organization served 100,000+ patients at 25+ clinics across Southern California.
Union organizing, NLRB cases, contract negotiations, strikes, and ballot measures touching FQHCs in this region. Statewide CA cases included.
2,400 Kaiser mental health therapists (NUHW) struck March 18, 2026 across Bay Area, Central Valley, and Sacramento. Key issues: AI replacement fears, chronic understaffing, and Kaiser's $200M DMHC settlement. Kaiser's 21.5% raise from the Jan-Feb nursing strike sets a wage benchmark FQHCs cannot match, potentially widening the compensation gap. However, the AI replacement narrative could push BH professionals toward FQHCs where clinician autonomy is higher.
Next: Jun 15 — Strike enters 9th month — NUHW staged FIRST act of civil disobedience April 30 (Session 32, day after Newsom-requested mediation). Kaiser presented no new proposals. Strategic escalation, political pressure intensifying. NUHW expanded organizing wins (1,300 new members / 9 facilities past 12 months including Imperial Beach Community Clinic FQHC) gives leverage. Newsom-requested mediation acceptance remains the swing variable. Watch for additional civil disobedience actions and any Kaiser counter-proposal in May/June.
NUHWSEIU-UHW submitted signatures April 3 for Initiative #25-0008 requiring FQHCs to spend 90% of revenue on 'mission-related expenses.' A Berkeley Research Group study commissioned by Protect Patients CA finds this would redirect $1.7B from community health centers and push two-thirds into operating deficits. The 90% threshold would exclude spending on nurse/physician managers, translation services, enrollment navigators, transportation, community outreach, and new clinic construction. CMA, CPCA, CCALAC, AltaMed, and FHCSD lead the opposition.
Next: Jun 25 — County signature verification deadline — Secretary of State expected to announce qualification by early summer 2026
BallotpediaCompanion measure to #25-0008 capping healthcare executive compensation at $450,000 with a 3.5% annual escalator. Submitted alongside the 90% spending mandate. Together, the two measures would fundamentally restructure how FQHCs allocate resources and compensate leadership.
Next: Jun 25 — County signature verification deadline — Secretary of State expected to announce qualification by early summer 2026
BallotpediaThe most serious NLRB enforcement action against a California FQHC. Despite workers voting 214-132 against SEIU-UHW in July 2024, the NLRB found 'egregious violations' including firing 11 workers and is seeking a bargaining order — forced recognition without a new election. ALJ hearing began March 17, 2026 in San Diego. CEO Yvonne Bell personally named. The outcome will set precedent for FQHC labor relations statewide.
Next: Jun 1 — ALJ ruling expected
Desert ReviewAB 1113 pursues the same 90% mission-spend ratio through the legislature rather than the ballot box. FQHCs must report total revenues by June 30, 2026, using IRS Form 990 Line 25 (Column B, Part IX) as the basis. DHCS must adopt implementation methodology by January 1, 2027. Includes annual registration fees to fund enforcement. This is a two-pronged SEIU-UHW strategy: AB 1113 through the legislature + the ballot measure as backup/pressure. Opposition campaign active at stopab1113.com.
Next: Jun 30 — FQHCs must report total revenues to department
CA LegislatureSEIU-UHW leads a ballot drive for a one-time 5% wealth tax on California's ~200 billionaires (~$2T combined wealth), projected to generate $100B over 5 years. 90% would fund healthcare programs. If passed, this could be the largest state-level healthcare funding mechanism in US history and would directly offset H.R. 1 Medicaid cuts. This is a rare case where SEIU and FQHCs have aligned interests — more healthcare funding benefits both workers and employers.
Next: Apr 30 — Signature collection deadline (Regan target)
SEIU-UHW+ 2 more cases tracked
Coalition actions, ballot initiatives, lawsuits, and legislation actively defending FQHC funding and patients in this region.
The Health4All coalition (CPEHN, California Academy of Family Physicians, CRLAF, immigrant rights organizations) is mobilizing to block Governor Newsom's expected May 14 May Revision proposal to cut $1.1B in additional Medi-Cal funding targeting full-scope coverage for ~200,000 immigrant DV/trafficking survivors and to extend work requirements to state-only programs. Compounds the already-tracked UIS PPS elimination (July 1, 2026), $30/month undocumented adult premium (July 1, 2027), and dental benefits removal. Strategic implication: testimony window through approximately June 15 budget conference committee. CPCA-aligned FQHC executives should brief boards on multi-cliff revenue exposure before signing FY26-27 budgets.
Follow-up: Jun 15, 2026
CPEHNNACHC and Advocates for Community Health (ACH) — historically split on 340B reform direction — publicly set aside their differences in May 2026 for a joint Congressional ask to extend mandatory CHC funding past the January 30, 2026 expiration. Notable because the two organizations disagreed publicly in March 2026 on a 340B compromise bill. Setting differences aside signals existential urgency around the funding cliff. Strategic implication: a unified NACHC + ACH front strengthens FY27 appropriations advocacy at a critical moment. FQHC executives should align CPCA + state PCA messaging with the NACHC+ACH unified ask rather than running parallel independent tracks.
Follow-up: Sep 30, 2026
340B ReportNACHC announced its second 2026 in-district mobilization window: May 24 – June 1, 2026, targeting Members of Congress in their home districts to preserve health center mandatory funding ahead of the December 2026 expiration cliff. Builds on the April in-district window, with bipartisan reconciliation negotiators as the priority audience. NACHC frames the ask around its $7B Senate Finance testimony figure (7.6M patients, 1-in-5 closure scenario). Strategic implication: FQHC CEOs and government affairs leads should plan in-district visits for the May 24 - June 1 window, coordinate messaging with CPCA and CCALAC, and leverage local newspaper editorial boards in this period.
Follow-up: Jun 1, 2026
NACHCCalifornia Assembly Democrats released their 2026-27 budget road map around May 7, 2026 (one week before Newsom's May Revise on May 14), declaring: 'In 2026 we will draw a line in the sand, defending the safety net programs such as in-home care, healthcare and dental care, and food aid.' Assembly Speaker Robert Rivas and Budget Chair Jesse Gabriel are signaling Assembly resistance to UIS Medi-Cal cuts, $1B Medi-Cal Dental cut, enrollment freeze, and IHSS reductions. Paired with the Senate's mid-April equivalent proposal, this creates a bicameral counter-position against the Governor's January budget and forecasted May Revise. FQHC implications: formal legislative resistance to enrollment freeze, $30 UIS premium, dental cuts — all directly impact FQHC revenue cycles. June 15 budget adoption deadline.
Follow-up: May 14, 2026
California Assembly Budget CommitteeBuilding on the ~1M signatures filed April 27, the CalChamber-led 'Affordable California' coalition formally announced (May 6, 2026) that 100+ organizations — including business groups, taxpayer associations, and California Hospital Association — have joined the campaign. Marks the shift from signature-collection phase to coalition-mobilization phase ahead of the June 25 signature verification deadline. Direct counter to SEIU-UHW's twin pressure (90% Mission Spend ballot + Healthcare Executive Compensation Act + AB 1113). FQHC governance teams should: (1) review the public coalition lineup — many CalChamber-aligned orgs are also FQHC business partners; (2) align CCALAC/CPCA opposition messaging with the broader 'cost-impact' frame already running in CalChamber comms; (3) pre-position November 2026 voter education materials for both competing measures (likely to split voter attention).
Follow-up: Jun 25, 2026
CalChamberA coalition of health consumer advocates released 'Medi-Cal 2030: Person-Centered, Accountable, Sustainable' principles on May 5, 2026 — explicitly framed to guide policymakers in the May Revise (May 14) and June 15 budget adoption. Coalition members include Health Access California, National Health Law Program (NHeLP), Western Center on Law & Poverty, plus health consumer organizations representing communities of color, children, and older adults. Principles eliminate exclusions, remove discriminatory barriers, and guarantee comprehensive care across the lifespan with immigration status never as a barrier. Released 9 days before the May Revise and 41 days before budget adoption. Strategic pairing: while the CHCF-led Future of Medi-Cal Commission develops a January 2027 10-year roadmap, this advocacy coalition pushes near-term budget protection. FQHC executives should reference these principles in board materials and CPCA testimony — enrollment freeze, UIS dental, $30 premium are all targeted.
Follow-up: May 15, 2026
National Health Law Program18 intelligence items relevant to this region.
California's State Office of Rural Health (HCAI) confirmed receipt of $233.6M for FFY2026 from the federal Rural Health Transformation Program — California's first concrete tranche from the H.R. 1 Rural Health Transformation Fund ($50B/5yr, already tracked in our intel feed). Strategic implication: this funding represents a partial counter-narrative to the broader H.R. 1 Medicaid cuts. Rural FQHCs across North State, North Coast, Central Valley, and Inland Empire should immediately: (1) monitor HCAI for grant program announcements (RFA cycles likely to launch Q3 2026), (2) document current rural patient catchment area data (HRSA UDS, OCHIN reporting), (3) prepare project narratives around capacity expansion, workforce stabilization, and technology adoption (telehealth, EHR integration, retinal AI screening); (4) coordinate with NACHC/CPCA for regional grant pipeline coordination. Eligible FQHC categories likely include: rural sites (Glenn, Trinity, Lassen, Modoc, Siskiyou, Mendocino, Lake, Humboldt, Del Norte, Kern, Tulare, Imperial counties), HCH grantees serving rural homeless populations, FQHC Look-Alikes pursuing FQHC status, and rural BH integration projects. Pairs with the BHCIP $5.8B announcement as part of the 'California is building backstops' narrative.
HCAI's 2025 supply/demand model (visible in updated 2026 dashboard) confirms ALL 58 California counties are projected short across EVERY behavioral health role examined; 39 counties show severe psychiatrist shortage (-50% or worse). Statewide need: 3,782 additional psychiatrists today; 6,200+ by 2033. 41% projected psychiatrist gap by 2028. 627 mental health HPSAs cover 11.5M Californians; only 23.5% of need is met. Most severe in Northern/Sierra, Inland Empire, San Joaquin Valley — exact regions where FQHCs serve the highest Medi-Cal share. Strategic implication for FQHC executives: this is the quantified hiring environment FQHCs are competing in — and Newsom's $5.8B BHCIP capital expansion is creating NEW BH facilities that will draw from the same talent pool. The MBH-RRP June 1 application window + MBH-FTP Fellowship + MBH-CBPTP Community-Based Provider Training together form the only meaningful workforce-pipeline counterweight. CHROs should: (1) treat BH workforce as a 5-year pipeline problem, not a quarterly hiring cycle; (2) lock in pre-licensure supervision capacity (LCSW, LMFT, ASW, AMFT, APCC pathway); (3) consider grow-your-own pathways (peer support specialists → AMFT trainees → licensed); (4) prioritize MBH-RRP application as a non-discretionary FY26-27 deliverable.
San Bernardino County opened its FY2026-27 budget cycle on May 5, 2026 with workshops at three locations (San Bernardino, Joshua Tree, Hesperia). While the official announcement does not call out Medi-Cal or FQHCs by name, the timing matters because RUHS payor mix is 84% Medi-Cal — the highest county-government health system FQHC exposure in the Inland Empire — and IEHP (1.5M members, 95% Medi-Cal) projects up to 300K member loss from H.R. 1 + UIS rollback. SBC budget direction shapes county BH/CHW/safety-net contract pipelines and FQHC partnership funding lines. Strategic implication for IE-area FQHCs (SAC Health, Borrego Health, RUHS-affiliated FQHCs, Riverside-San Bernardino County Indian Health, Clinicas de Salud del Pueblo): operations directors should track the SBC Recommended Budget Book release, identify county-government FQHC partnership funding lines specifically, and align advocacy timing with the May 14 May Revision and the LA County / SD County parallel budget cycles.
A San Bernardino CHW describes a 'cloud of fear' sweeping immigrant communities following ICE raids across Southern California and Trump administration plans to share Medi-Cal/Medicaid enrollment data with ICE. The impact is most acute in the Inland Empire where 40%+ of FQHC patients are Latino/immigrant. FQHCs are reporting declining appointment adherence and children being pulled from well-child visits. The chilling effect compounds the H.R. 1 Medi-Cal eligibility cliff (75K noncitizens in SD County alone losing coverage October 2026).
A new CHCF brief documents Riverside County FQHC-level distress: Centro Medico Community Clinic (15,000 patients across 5 Inland Empire locations, nearly all Medi-Cal) warns federal cuts would force elimination of dental, vision, and podiatry services first, followed by months-long appointment delays. $11.57 billion in Medi-Cal funding flowed through Riverside County in 2024 — 34% of district residents enrolled. The African American Health Coalition (San Bernardino + Riverside) flags compounding mental health access risks.
Kaiser Permanente is awarding $3.309M in community health grants to 59 SBC organizations in the 2025/26 cycle. SAC Health — the primary Inland Empire FQHC — was recognized under the 'Access to Care' priority for East County region work. Private-sector safety net support is bolstering FQHCs ahead of federal Medicaid cuts and helps offset the compounding pressure from county deficits, H.R. 1 implementation, and Medicaid-ICE chilling effects. Arrowhead United Way reported a separate $4.16M Kaiser round — verify whether distinct or bundled grants.
Inland Empire Health Plan (IEHP) is opening a 33,000 sq-ft Community Wellness Center at 2050 N. Massachusetts Ave., San Bernardino — replacing its existing Second Street site. The two-story facility includes six multi-purpose rooms, a teaching kitchen that seats 50, and five partner suites for CBO co-location. Free programming is open to members AND non-members, making it a practical coordination point for Inland Empire FQHCs (SAC Health in particular). Signals plan-driven wellness infrastructure expansion in a region facing acute FQHC distress (Centro Medico, Innercare NLRB hearing).
Inland Empire Health Plan (IEHP), one of the nation's top 10 largest Medicaid health plans serving 1.5M+ enrollees, projects losing 300,000 members over the next two years. Half (150,000) will be lost due to California's freeze on Medi-Cal for undocumented adults; the other 150,000 from work requirements and semi-annual redeterminations affecting 450,000 members. Over 40% of San Bernardino and Riverside county residents are enrolled in Medi-Cal. IEHP CEO Jarrod McNaughton warns cuts could cause closures of critical health facilities across the Inland Empire, where IEHP's network includes 9,000+ providers, 855 clinics, and 36 hospitals.