Healthcare, Capital Markets Cole Sperry Healthcare, Capital Markets Cole Sperry

Nearly half of IE hospitals lost money last quarter — and the biggest ones lost the most

The most recent hospital financials California has published — covering October through December 2025 — show 14 of the IE's highest-Medi-Cal hospitals running a median loss margin of nearly 17%. Patient payer mix, more than size or ownership, is what separates the hospitals making money from the ones bleeding it.

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Hiring Cole Sperry Hiring Cole Sperry

The Inland Empire trains 42 primary care doctors per 100,000 people. Its hospitals are done waiting for more to arrive.

Citrus Belt Review: The Inland Empire ranks among California's worst for physician supply — and its health employers have stopped waiting for the labor market to fix it. Across the region, hospitals are building their own doctor-training pipelines, a long-cycle hiring strategy aimed at a shortage that recruiting alone can't solve.

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Healthcare Cole Sperry Healthcare Cole Sperry

Two Murrieta-area hospitals are training their own cardiologists because the region can't recruit enough

Citrus Belt Review: Southwest Riverside County now has two competing cardiac programs three miles apart, run on opposite ownership models — and both have responded to the same problem the same way: by building cardiology fellowships to grow the specialists the market can't hire. The contest isn't really for patients. It's for doctors.

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Civic, Manufacturing Cole Sperry Civic, Manufacturing Cole Sperry

California cleared driverless trucks. The Inland Empire is where the reckoning lands.

Citrus Belt Review: In April, California finalized the rules that let heavy-duty autonomous trucks operate on state roads — lifting a ban that made it the only state to explicitly prohibit them. The first commercial driverless runs are headed for Texas, not the I-10. But no region in America has more riding on what happens next than the Inland Empire, where one in five jobs moves freight and the single largest occupation is the thing the technology is built to replace.

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Tribal Cole Sperry Tribal Cole Sperry

The 8(a) overhaul that Inland Empire tribes can mostly ignore

Citrus Belt Review: Native-owned firms took $16.1 billion of the 8(a) program's roughly $26 billion in federal contract awards in fiscal 2024, and the SBA's June 11 proposal to strip race-based eligibility for individually owned firms pointedly leaves the tribal share untouched. For most of Indian Country that protection matters enormously. For the Inland Empire's tribes, it's close to a non-event — and why it's a non-event says more about the Inland Empire’s economy than the rule itself does.

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Energy, Real Estate, Capital Markets Cole Sperry Energy, Real Estate, Capital Markets Cole Sperry

California ordered 6 gigawatts of new power for data centers. The Inland Empire makes almost none of its own.

Citrus Belt Review: A PJM trade group told the eastern grid this month that the generation shortage is over — more than 130 GW of developers have raised their hands to build for data centers, and the only thing missing is signed contracts and transmission. Run that logic through the Inland Empire and it inverts. The corridor doesn't have a generation glut waiting on buyers. It has barely any generation at all.

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The tariff refunds are flowing to whoever held the import-of-record line — which in the IE often isn't the tenant

Citrus Belt Review: Customs is widening the refund portal for the IEEPA tariffs the Supreme Court struck down, and the money is real — but it travels by a rule that cuts against how the IE's distribution economy actually imports. Only the importer of record gets paid. In a region built on outsourced logistics, that party is frequently not the company that ate the cost.

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A national factory revival is a warning the Inland Empire reads backward

Citrus Belt Review: U.S. manufacturing just posted its strongest month in four years, and the reason it happened is the reason it should worry the corridor: factories are stockpiling inputs ahead of war-driven price spikes and shortages — inventory that has to be stored somewhere, and the Inland Empire is where the country stores things.

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Energy, Real Estate Cole Sperry Energy, Real Estate Cole Sperry

Soda Mountain's approval signals the IE desert is becoming California's battery yard

Citrus Belt Review: In April, state regulators greenlit a roughly $700 million solar-and-storage project on 2,670 acres of San Bernardino County desert — up to 300 megawatts of solar paired with 300 megawatts of battery storage. It's the latest sign that the Inland Empire's clean-energy story isn't about generating power for itself so much as becoming the place California builds the storage its grid increasingly runs on — even as new state fire rules raise the bar on every battery that goes in.

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