Aerial view of mountains community health facilities

Protecting Local Emergency Care in the San Bernardino Mountains

For 75 years, the San Bernardino Mountains Community Hospital District, also referred to as Mountains Community Hospital (MCH), has provided essential healthcare and emergency services to residents and visitors across our mountain communities.

Mch logo plain colors

Your Hospital. Your Community. Your Support.

MCH is a public district hospital owned by the community, not a large corporation. Funds are reinvested locally to support patient care, emergency services, and the long-term health needs of our region.

As a designated Critical Access Hospital and the only emergency room within 45 minutes for many residents and visitors, MCH plays an essential role in keeping care close to home — especially during fires, earthquakes, storms, and other emergencies that can cut our community off from outside help.

Building a Safer, Stronger Hospital for the Future

While no decision has been made, the Mountains Community Hospital Board of Directors is considering placing a local bond measure on the November 2026 ballot to help repair, upgrade, and expand hospital facilities to meet current standards and community needs. A potential bond measure would help MCH with:

Disaster Readiness: Upgrading the hospital to remain fully functional during natural disasters, even if cut off from external utilities

Emergency Room Expansion: Building a new emergency room and inpatient care unit for better patient privacy and modern medical care

Modern Technology: Building a new hospital wing with adequate electrical and plumbing to support advanced medical equipment and future technologies

Legal Compliance: Retrofitting the 1951 building to meet mandatory earthquake safety and disability access standards to prevent legally required closure

Skilled Nursing and Outpatient Care: Expanding our skilled nursing facility and outpatient care services to ensure that local residents needing these services can stay close to home

Mountains Community Hospital has secured a USDA loan to help pay for a portion of needed improvements, including an emergency room expansion. Because the loan would not cover all needed updates and must be repaid over time, a potential bond measure could help repay the loan and bridge the funding gap. The measure would cost property owners no more than $25 per $100,000 of assessed — not market — value annually while bonds are outstanding and would cost the typical homeowner less than $85 per year.

Mch admin helping a client

Fiscal Accountability and Oversight

A potential local bond measure would include clear accountability requirements to help ensure funds are spent as voters intended, including the following:

  • Independent citizens’ oversight would help ensure bond funds are spent as voters intended
  • Annual public disclosure and independent audits would keep the community informed about how funds are spent
  • All funds would stay in the community to improve the hospital, and, by law, no funds could be taken by the County or State or used for other purposes

We Want To Hear From You

As MCH plans for the future, we welcome input from the community. To share your priorities and feedback, please complete our community survey by clicking on the button below.