San Bernardino Mountains Community Hospital District Measure Q — District Bonds

What it does

To repair and upgrade 75-year-old Mountains Community Hospital including: fixing deteriorating roofs, plumbing, electrical, and safety systems; upgrading/expanding emergency department, medical technology, and treatments; and maintaining local access to life-saving emergency medical care for accidents, heart attacks, strokes, and other emergencies, shall San Bernardino Mountains Community Hospital District's measure be adopted authorizing $61,000,000 in bonds at legal rates, levying $25 per $100,000 assessed value ($3,500,000 annually) while bonds are outstanding, with independent oversight and all money locally-controlled?

A YES vote means

San Bernardino Mountains Community Hospital District could issue $61,000,000 in bonds to repair and upgrade Mountains Community Hospital, including its emergency department, repaid by a property tax of $25 per $100,000 of assessed value (about $3,500,000 a year).

A NO vote means

The hospital district would not issue these $61,000,000 in bonds, and the related property tax would not be levied.

Needed to pass

A two-thirds supermajority: at least 2 out of every 3 YES and NO votes must be YES, so a measure can get a majority and still fail.

Left–right lean

Not a left–right issue: a procedural or local question that liberals and conservatives don't typically split on (AI read of the official ballot summary).

The YES and NO lines are SpectrumVote's plain-language reading of the official text above; the official text is what you vote on.

Official text: source

Only on your ballot if you live in the San Bernardino Mountains Community Hospital District.

Background

The San Bernardino Mountains Community Hospital District Board of Directors placed this measure on the ballot by Resolution No. 2027-02, adopted August 5, 2026 by a 4-0 vote with one director absent, according to the resolution and the County Counsel's impartial analysis.

The measure would authorize up to $61,000,000 in bonds, requiring two-thirds voter approval; according to the analysis, listed projects include a new replacement inpatient acute care wing and emergency department, renovation of the existing unit for long-term care beds, access and parking improvements, and seismic and utility upgrades so the hospital can run up to 72 hours without outside utilities.

The district would conduct annual audits with oversight by an independent Citizens' Oversight Committee; the bonds would be repaid by property taxes in the district.

Put on the ballot by San Bernardino Mountains Community Hospital District Board of Directors, 4-0 (1 absent), August 5, 2026 (Resolution No. 2027-02).

From official source 1, official source 2.

Next elections here

• 2028 presidential election · Who has filed so far, from FEC filings

Also on San Bernardino County ballots

• San Bernardino County Transportation Authority Measure I — Local Transportation Improvement Program: San Bernardino County Road Repair/Traffic Relief Extension
• Rim of the World Recreation and Park District Measure R — Special Parcel Tax

All San Bernardino County races and measures →

Quick answers

What does a YES vote on San Bernardino Mountains Community Hospital District Measure Q mean?

San Bernardino Mountains Community Hospital District could issue $61,000,000 in bonds to repair and upgrade Mountains Community Hospital, including its emergency department, repaid by a property tax of $25 per $100,000 of assessed value (about $3,500,000 a year).

What does a NO vote on San Bernardino Mountains Community Hospital District Measure Q mean?

The hospital district would not issue these $61,000,000 in bonds, and the related property tax would not be levied.

How many votes does San Bernardino Mountains Community Hospital District Measure Q need to pass?

A two-thirds supermajority: at least 2 out of every 3 YES and NO votes must be YES, so a measure can get a majority and still fail.

Should I vote yes or no on San Bernardino Mountains Community Hospital District Measure Q?

SpectrumVote doesn't endorse anyone or tell you how to vote. Read what a YES and a NO vote each do, and the official text, then decide based on what you want to happen.

When is the vote?

The general election was Tuesday, November 3, 2026. Counts are unofficial until each state certifies its results over the following weeks; your state or county election office has the official results.