Issuu

20 24

RIVERSIDE COMMUNITY HEALTH FOUNDATION COMMUNITY HEALTH NEEDS ASSESSMENT SUPPLEMENTAL REPORT

Table of Contents Purpose of the Community Health Needs Assessment Supplemental Report ................................................. 3 Survey Representation in the Expanded Service Area................................................................................ 4 Research Partnership.......................................................................................................................................... 5 Methodology ........................................................................................................................................................ 7 Survey Responses............................................................................................................................................... 8 Key Findings from the Supplemental Survey ................................................................................................... 8 Healthcare Coverage and Service Utilization ................................................................................................... 9 Preventive Care and Health Maintenance ............................................................................................................. 9 Barriers to Healthcare Access ............................................................................................................................. 11 Satisfaction with Healthcare Services ................................................................................................................. 11 Awareness of Healthcare Services and Health Literacy.................................................................................... 12 Mental Wellness and Coping Strategies ............................................................................................................. 13 Community Needs and Priorities ......................................................................................................................... 13 Demographics and Representation ..................................................................................................................... 14 Comparative Analysis: .......................................................................................................................................... 15 Alignment with Regional and National Healthcare Trends ............................................................................... 15 Preventive Care Utilization and Early Intervention ............................................................................................ 16 Mental Health Needs and Behavioral Health Trends ......................................................................................... 17 Older Adults, Aging Services, and Care Coordination ...................................................................................... 17 Healthcare Access, Health Literacy, and Community Partnership Implications ............................................ 18 Summary of Comparative Findings ..................................................................................................................... 18 Strategic Implications for Community Health .................................................................................................... 19 Implications for Future RCHF Programming and Community Partnerships................................................... 20 Conclusion ............................................................................................................................................................. 21 Public Accountability and Charitable Benefit Statement .................................................................................. 21 Commitment to Health Equity .......................................................................................................................... 22 Advancing Community Health Through Partnerships................................................................................... 22 Expanding Health Literacy ............................................................................................................................... 23 Measuring Community Benefit ......................................................................................................................... 24 Strategic Direction ............................................................................................................................................. 24 Statement of Ongoing Commitment ................................................................................................................ 24 Appendices ............................................................................................................................................................ 26 2

Purpose of the Community Health Needs Assessment Supplemental Report The Riverside Community Health Foundation (RCHF) completed its 2024 Community Health Needs Assessment (CHNA) and sent the report in August 2024 in fulfillment of its commitment to finding and addressing the health priorities of the communities it serves. This supplemental report expands upon that assessment by strengthening the evidence base within RCHF’s recently expanded service area and ensuring that future planning, funding decisions, and community investments are informed by data that more accurately reflects the health experiences of all residents. The purpose of this supplement is not to replace the 2024 CHNA, but to enhance its validity by addressing disparities in survey representation that appeared following RCHF geographic expansion. In doing so, the report provides a more comprehensive understanding of community health needs, shows emerging trends, and strengthens the Foundation's ability to develop equitable, data-driven strategies that improve health outcomes across its entire service area. Historically, RCHF served thirteen ZIP codes within the Cities of Riverside and Jurupa Valley. Following amendments to RCHF Articles of Incorporation in 2022, the service area expanded to include eight added ZIP codes encompassing the Cities of Corona, Norco, Moreno Valley, and Perris. As a result, RCHF service population increased by more than 315,000 residents and now includes approximately 807,000 individuals across twenty-one ZIP codes. While approximately sixty-one percent of residents continue to live within RCHF original service area, forty percent now live within the newly incorporated communities. This expansion stands for a substantial shift in both geographic reach and population diversity, requiring a corresponding expansion in community engagement, health assessment, education, and resource planning. The supplemental assessment recognizes that meaningful community health planning depends upon equitable representation. Although the original CHNA employed multiple research methods, including secondary health data, key informant interviews, focus groups, and community surveys, the resident survey responses were disproportionately concentrated within RCHF's long-established service area. This imbalance reflected differences in organizational visibility, community partnerships, and outreach infrastructure rather than differences in community need. To address this limitation, RCHF commissioned more research using a probability-based sampling method focused exclusively on the eight newly added ZIP codes. The resulting data improves proportional representation across RCHF's expanded service area and provides a stronger analytical foundation for understanding local health conditions, barriers to care, preventive health behaviors, and community priorities. Beyond improving statistical representation, this supplemental report advances RCHF’s broader charitable mission by expanding healthcare knowledge within underserved and historically underrepresented communities. The findings show opportunities to strengthen healthcare access, improve health literacy, increase awareness of preventive services, enhance community education, and develop culturally responsive programming tailored to the unique needs of individual ZIP codes. 3

The report also provides an important framework for assessing both the current and future implications of healthcare delivery throughout the expanded service area. Findings related to preventive care, behavioral health, healthcare use, service awareness, aging populations, and persistent barriers to care offer valuable guidance for future investments in community benefit programs, cross-sector partnerships, outreach initiatives, and health equity strategies. As Riverside County continues to experience significant population growth and demographic change, ensuring equitable access to health information and healthcare services will remain essential to improving community health outcomes. The supplemental findings position RCHF to better align future grantmaking, advocacy efforts, educational initiatives, and community programming with documented local needs while strengthening accountability to residents, community partners, healthcare providers, and public agencies. This supplemental assessment reflects RCHF's ongoing commitment to evidence-based decisionmaking, transparent public stewardship, and continuous improvement. By expanding community representation and deepening RCHF's understanding of healthcare needs across all twenty-one ZIP codes, the report supports informed planning that advances health equity, improves access to care, strengthens health literacy, and promotes healthier communities throughout RCHF's entire service area.

Survey Representation in the Expanded Service Area The 2024 Community Health Needs Assessment (CHNA) employed a comprehensive mixed-method research design that incorporated secondary public health data, public opinion research, 20 key informant interviews, 11 community focus groups involving 73 participants, and 721 resident health needs surveys. Collectively, these research methods provided a robust assessment of community health conditions and informed the identification of priority health issues throughout RCHF's service area. Following completion of the assessment, Riverside Community Health Foundation (RCHF) conducted an internal evaluation of the data to figure out whether the expanded twenty-one ZIP-code service area was proportionately represented. This review showed a notable difference in survey participation between RCHF's long-established service area and the eight ZIP codes added following the 2022 expansion of its Articles of Incorporation. Of the 721 completed surveys, 540 responses (75%) were received from residents of Riverside and Jurupa Valley, while 181 responses (25%) were received from residents of the newly incorporated communities of Corona, Norco, Moreno Valley, and Perris. Although the original survey successfully captured valuable community perspectives, the distribution of responses did not closely reflect the population composition of RCHF's expanded service area, where approximately 39 percent of residents now live within the eight newly added ZIP codes. RCHF found that this difference in participation was primarily attributable to methodological and operational factors rather than differences in community need. The original CHNA utilized a 4

convenience sampling approach supported by outreach through existing community partnerships, local media, community events, organizational networks, and public awareness campaigns. Because these relationships had been developed over many years within Riverside and Jurupa Valley, resident engagement was naturally stronger in those communities than in areas where RCHF had only recently expanded its service responsibilities. Importantly, this difference in representation was limited primarily to the resident survey part of CHNA. Secondary health data, key informant interviews, and focus group findings continued to provide valuable information about conditions throughout RCHF’s service area. Nevertheless, RCHF concluded that enhancing the representativeness of the resident survey would strengthen the overall reliability of the assessment and improve its usefulness for future strategic planning, grantmaking, community benefit investments, and health equity initiatives. Consistent with its commitment to transparency, continuous quality improvement, and evidence-based decision-making, RCHF commissioned a supplemental data collection effort focused exclusively on the eight newly incorporated ZIP codes. Based on population distribution and statistical considerations, RCHF decided that approximately 250 more complete surveys would improve proportional representation and provide a more balanced understanding of community health priorities across RCHF's entire service area. This supplemental effort reflects RCHF's commitment to ensuring that all communities it serves are meaningfully represented in community health planning. By strengthening resident participation within the expanded service area, RCHF has enhanced the accuracy of its needs assessment, reinforced the integrity of its planning process, and established a stronger RCHF for future investments in healthcare access, health literacy, preventive services, community partnerships, and evidence-based programming that advances health equity throughout Riverside County.

Research Partnership Following completion of the 2024 Community Health Needs Assessment (CHNA), Riverside Community Health Foundation (RCHF) decided that more research was necessary to strengthen representation within the eight ZIP codes added to RCHF’s expanded service area. While the original assessment successfully identified community health priorities across the region, RCHF recognized that the convenience sampling methodology and its stronger historical presence in Riverside and Jurupa Valley resulted in lower participation from residents in the newly incorporated communities of Corona, Norco, Moreno Valley, and Perris. Recognizing the importance of equitable representation and methodological rigor, RCHF commissioned an independent supplemental research effort to ensure that future planning, grantmaking, and community benefit investments would be informed by data that more accurately reflected the perspectives of residents throughout RCHF's entire twenty-one ZIP-code service area. To conduct this work, RCHF selected EVITARUS, a California-based public opinion research and strategic consulting firm specializing in community-engaged research, public policy analysis, and 5

quantitative and qualitative evaluation. EVITARUS was selected because of its demonstrated expertise in designing statistically sound research that elevates community voices and supports evidence-based decision-making for RCHFs, government agencies, nonprofit organizations, and other public-serving institutions. The firm's stated mission is to "illuminate, elevate, and amplify the voices of everyday people," an approach that closely aligns with RCHF's commitment to ensuring that all communities within its service area have an opportunity to inform future health priorities. EVITARUS brings extensive experience in survey research, focus groups, in-depth interviews, multilingual data collection, statistical analysis, and community participatory research. The firm has conducted research in support of public policy initiatives, health-related studies, community engagement efforts, and strategic planning projects throughout California. Its experience includes partnerships with healthcare organizations, philanthropic RCHFs, and statewide initiatives focused on understanding the needs of diverse and historically underrepresented populations. For this supplemental assessment, EVITARUS recommended replacing the original convenience sampling approach with a probability-based random sampling method. This methodological enhancement was intended to reduce sampling bias, improve proportional representation across the expanded service area, and produce findings that more accurately reflected the health experiences and priorities of residents in the newly incorporated ZIP codes. The supplemental survey was administered online in both English and Spanish and incorporated demographic weighting by gender and city to improve representativeness. EVITARUS also conducted subgroup analyses examining differences by age, geography, insurance status, and healthcare use, providing RCHF with a deeper understanding of community needs than was available through the original survey alone. RCHF's decision to engage an independent research partner reflects its commitment to transparency, scientific rigor, and responsible stewardship of charitable resources. By using an external organization with specialized expertise in public opinion research and community engagement, RCHF strengthened the reliability of its findings while ensuring that future strategic planning is grounded in objective, datadriven evidence. This partnership also supports RCHF's broader commitment to health equity by improving representation among communities that historically had fewer opportunities to take part in community health planning. The resulting supplemental assessment enhances RCHF's capacity to name emerging health priorities, evaluate disparities across geographic areas, strengthen community partnerships, and guide future investments in healthcare access, prevention, health literacy, behavioral health, and community-based programming. Together, RCHF and EVITARUS have proven a stronger evidence base that will support informed decision-making and measurable community benefit throughout RCHF’s expanded service area.

Methodology Working collaboratively with RCHF, EVITARUS designed and implemented a supplemental survey to obtain more resident perspectives from the eight newly incorporated ZIP codes: • • • • • • • •

92551 – Moreno Valley 92553 – Moreno Valley 92557 – Moreno Valley 92570 – Perris 92571 – Perris 92860 – Norco 92879 – Corona 92881 – Corona

The supplemental research differed from the original 2024 CHNA in one important respect: the participant selection method. Whereas the original assessment used a convenience sampling approach designed to maximize community participation through existing partnerships and outreach networks, the supplemental assessment employed a probability-based random sampling method. EVITARUS collected 260 complete surveys from residents within the targeted ZIP codes using a randomly selected sample of registered voters living in the expanded service area. This methodological enhancement was intended to reduce sampling bias, improve proportional representation, and provide a more statistically reliable assessment of community health priorities within RCHF’s expanded service area. The survey instrument was based on the questionnaire used in the original 2024 CHNA to support comparability across both studies. Minor revisions were made to improve clarity and readability without materially changing survey content or response options. The survey was administered online and made available in both English and Spanish to increase accessibility. No financial or material incentives were offered for participation, thereby minimizing the potential for response bias associated with incentivebased recruitment. Following data collection, EVITARUS applied demographic weighting by gender and city of residence to better align survey results with the demographic composition of the targeted communities. The firm also conducted subgroup analyses examining differences by age, geography, insurance status, healthcare use, and other relevant demographic characteristics. These analyses offered added insight into population-specific needs and helped find disparities that may not have been clear through aggregate findings alone. The supplemental method significantly strengthens the overall Community Health Needs Assessment by improving representation within RCHF's expanded service area while keeping consistency with the broader aims of the original assessment.

Survey Responses EVITARUS administered the supplemental Community Health Needs Assessment (CHNA) survey between June 25, 2026, and July 2, 2026, resulting in 260 validated responses from residents of the eight ZIP codes added to RCHF's expanded service area. Survey eligibility was limited to residents of the targeted communities, and completed responses underwent quality assurance procedures before inclusion in the final analysis. The survey was offered in both English and Spanish to improve accessibility and encourage participation among the diverse populations living within the expanded service area. Although bilingual survey options were available, only three completed surveys were given in Spanish. This finding highlights an important consideration for future community engagement efforts and suggests that language accessibility alone may not be sufficient to ensure participation among populations with limited English ability. Consistent with community-based public opinion research trends, participation was lower than expected among some historically underserved populations. Contributing factors may have included limited familiarity with RCHF in newly incorporated communities, varying levels of trust in research conducted by unfamiliar organizations, and the lack of longstanding community partnerships that often support participation among culturally and linguistically diverse populations. These findings should not be interpreted as evidence of limited community interest. Rather, they underscore the importance of continuing to build trusted relationships with community-based organizations, faith-based organizations, schools, healthcare providers, and local leaders that can strengthen future outreach efforts and improve participation among populations that have historically been underrepresented in health assessments. RCHF views these observations as an opportunity to further strengthen its community engagement strategy. Future Community Health Needs Assessments will continue to emphasize culturally responsive outreach, multilingual communication, trusted community partnerships, and inclusive engagement practices to ensure that all residents have meaningful opportunities to contribute to community health planning.

Key Findings from the Supplemental Survey The supplemental assessment was undertaken to enhance the representativeness of the 2024 Community Health Needs Assessment by increasing resident participation within RCHF’s expanded service area. The analysis incorporates 260 randomly sampled resident surveys together with updated ZIP code-level secondary health data, providing a more comprehensive understanding of health conditions, healthcare use, and community priorities across the eight newly incorporated ZIP codes. The supplemental findings reinforce the priorities shown in the original 2024 CHNA while offering more insight into the healthcare experiences of residents living in Corona, Norco, Moreno Valley, and Perris. 8

The data also shows issues that call for continued attention, including preventive healthcare use, behavioral health, awareness of available community resources, barriers to accessing care, and opportunities to improve health literacy. Taken together, the original assessment and this supplemental analysis provide a stronger evidence base for future strategic planning, community benefit investments, grantmaking, advocacy, health education initiatives, and collaborative partnerships. Detailed survey distributions, statistical tables, and subgroup analyses are included in the Appendices to support transparency and help future evaluation.

Healthcare Coverage and Service Utilization Survey findings show that residents of the expanded service area experience high levels of health insurance coverage and regular engagement with healthcare providers. Nearly all respondents (97%) reported having medical insurance, while 75% showed that they also supported dental insurance coverage. Only 3 percent of respondents reported having neither medical nor dental insurance. Employer-sponsored health insurance stood for the most common source of coverage (49%), followed by Medicare (38%), reflecting the substantial proportion of older adults represented within the survey population. Kaiser Permanente was identified as the primary healthcare provider by 42% of respondents, showing its significant role in delivering healthcare services throughout the expanded service area. Healthcare patterns suggest that most residents support regular contact with healthcare providers. One-half of respondents (49%) reported visiting a healthcare provider within the previous month, while 93% showed they had received medical care within the preceding twelve months. These findings suggest favorable access to routine healthcare services among insured residents. When seeking medical care, respondents most often named Kaiser Permanente or another health maintenance organization (39%) as their usual source of care, followed by private physician offices (23%) Approximately 15% reported relying primarily on emergency departments or urgent care facilities. Although these findings show broad access to healthcare services, they also show opportunities to strengthen primary and preventive care use. Reliance on emergency departments and urgent care settings for routine healthcare needs may show barriers related to appointment availability, convenience, healthcare navigation, or continuity of care. Encouraging stronger connections with primary care providers may improve preventive service use while reducing dependence on higher-cost episodic care. Subgroup analyses conducted by EVITARUS also found meaningful differences in healthcare experiences by insurance type and usual source of care. Respondents who primarily used emergency departments or urgent care facilities were more likely to postpone medical care and report lower satisfaction with healthcare providers than those receiving ongoing care through primary care physicians or integrated healthcare systems. These findings underscore the importance of expanding 9

access to continuous, coordinated primary care to improve patient experience and long-term health outcomes.

Preventive Care and Health Maintenance The supplemental survey findings show that residents within the expanded service area show positive engagement with preventive healthcare services. However, the findings also show opportunities to improve preventive care participation, strengthen health education, and increase awareness of recommended screenings and early intervention services. 77% of respondents reported receiving a routine medical checkup within the previous 12 months, showing a strong connection to healthcare services. Preventive screenings for common health risks were also often reported, including blood pressure screening (68%) and combined cholesterol and blood glucose testing (59%). While routine preventive care use was encouraging, gaps are still in certain areas. Cancer screening participation was reported by 39% of respondents, and only 12% reported receiving self-care education. These findings suggest that healthcare access alone does not always translate into preventive health action and that continued education, outreach, and navigation support remain important components of improving health outcomes. Parents and caregivers reported similar patterns about preventive care for children. Routine pediatric checkups were the most common preventive service reported; however, overall use of recommended screenings and preventive services remained more limited. Continued family-centered outreach and education may help increase awareness of age-appropriate preventive care recommendations and show healthy behaviors early in life. Compared with the 2024 CHNA findings, the supplemental survey showed higher participation in several preventive health activities, including routine checkups, blood pressure screenings, dental and vision exams, vaccinations, cholesterol testing, and cancer screenings. Respondents also showed greater awareness of recommended screening intervals. However, preventive care varies across demographic groups. Younger adults ages 18–34 showed lower awareness of recommended screenings and were less likely to report receiving preventive care compared with older adults. Additionally, respondents who postponed healthcare services during the previous 12 months were less likely to report receiving regular cancer screenings. These findings reinforce the importance of targeted preventive health initiatives, including communitybased education campaigns, screening awareness programs, healthcare navigation services, and partnerships with healthcare providers. Future RCHF programming may focus on increasing preventive care participation among younger adults, improving cancer screening follow-through, and expanding health literacy efforts throughout the service area.

Barriers to Healthcare Access The supplemental assessment reinforces that healthcare access is influenced by factors beyond insurance coverage alone. Although 97% of respondents reported having medical insurance, 44% showed that they postponed medical or dental care within the previous 12 months. The most often reported barriers included cost, competing personal responsibilities, healthcare access challenges, and emotional concerns associated with seeking care. Among residents who delayed care, 60% identified cost as a contributing factor, with dental services standing for a particularly significant financial barrier. Work schedules, competing responsibilities, and limited availability of time also affected healthcare use, with 60% of respondents showing these factors as barriers. In addition, 45% reported challenges related to insurance limitations or difficulties accessing healthcare services, while 46% showed fear or anxiety as contributing factors. These findings prove that insurance coverage, while essential, does not fully address the practical and personal challenges that influence healthcare use. Barriers related to affordability, scheduling, transportation, healthcare navigation, and emotional readiness may contribute to delayed treatment, missed preventive screenings, and increased reliance on urgent or emergency care. Cost-related barriers appeared more pronounced within the newly added ZIP codes compared with findings from the 2024 CHNA. Residents who postponed care were significantly less likely to report receiving recommended cancer screenings, showing the relationship between access challenges and preventive health outcomes. The findings support continued investment in programs that improve healthcare navigation, expand awareness of affordable healthcare resources, strengthen referral networks, and connect residents with preventive, behavioral health, and supportive services.

Satisfaction with Healthcare Services Overall satisfaction with healthcare providers was favorable among residents in the expanded service area, particularly for physical healthcare services. More than 60% of respondents rated primary care physicians, nurses/nurse practitioners, and specialists as excellent or very good. However, satisfaction varied significantly by service type. Mental health services received lower satisfaction ratings compared with other healthcare services. Only 28% of respondents rated mental health professionals as excellent or very good, and 54% reported that they had never received care from a mental health provider. Among healthcare service categories evaluated, vision care received the highest satisfaction ratings, with 68% of respondents showing that they were satisfied or very satisfied. Primary care and specialty services followed at 59%, while dental services received satisfaction ratings of 56%. 11

A large number of respondents reported neutral opinions about several healthcare service categories, including mental health, rehabilitation, long-term care, and addiction services. More than 50% of respondents showed that they either had no opinion or were neutral about each of these service areas. These findings suggest that limited awareness and use may contribute to lower familiarity with certain healthcare services. Increasing community education, improving referral pathways, and expanding awareness of available behavioral health and supportive services may help residents access care earlier and more consistently. Patient experience is still an important measure of healthcare quality. RCHF will continue to support partnerships and programming that promote accessible, responsive, and trusted healthcare services throughout the communities it serves.

Awareness of Healthcare Services and Health Literacy The supplemental survey found significant opportunities to improve awareness of available healthcare resources and strengthen community health literacy within the expanded service area. Compared with the 2024 CHNA survey, residents in the newly added ZIP codes showed lower awareness of free and low-cost healthcare clinics. 77% of respondents reported that they were unaware of these resources, compared with 49% in the original 2024 survey. Limited awareness of available services may contribute to delayed care, reduced use of preventive resources, and continued reliance on higher-cost healthcare settings. This finding is particularly important given that 11% of respondents reported being denied healthcare services due to lack of insurance or inability to pay. Knowledge of recommended screening intervals varied by type of preventive service. Awareness was strongest for blood pressure screening (71%) and vision/hearing screening (73%). Awareness was lower for prostate cancer screening (45%) and osteoporosis screening (35%). Although 52% of respondents reported receiving recommended cancer screenings, 20% showed that they had never received cancer screening services. Awareness of health plan incentives for preventive care was limited, with only 17% reporting knowledge of available incentives. However, among those aware of these benefits, most reported using them. These findings highlight the importance of expanding health literacy initiatives throughout RCHF’s service area. Future strategies may include community education campaigns, multilingual resource navigation, partnerships with trusted community organizations, and outreach designed to improve understanding of available healthcare services and preventive health recommendations. Strengthening health literacy is a long-term investment in community health by empowering residents to make informed healthcare decisions, access proper services, and take part more actively in prevention and wellness activities. 12

Mental Wellness and Coping Strategies The supplemental survey findings prove that mental wellness continues to be a key part of community health planning within the expanded service area. While residents reported awareness of strategies to manage stress and trauma, the findings also show ongoing opportunities to expand behavioral health education, increase access to counseling services, and strengthen community-based support. Many respondents (79%) reported at least some familiarity with coping strategies for stress or trauma, including 58% who showed familiarity with multiple approaches. When experiencing stress, residents reported using a range of coping behaviors. Positive strategies included exercise (82%) and seeking support from friends or family (68%), underscoring the importance of social connection and healthy lifestyle practices in promoting emotional well-being. However, respondents also reported coping behaviors that may show opportunities for added education and support. 75% reported turning to comfort foods when experiencing stress, 61% reported withdrawing from others, and 21% reported alcohol use as a coping strategy. These findings reinforce the importance of providing residents with accessible behavioral health resources and practical tools that promote healthy stress management. Counseling and therapy appeared as the most identified mental health service need, selected by 55% of respondents. This was higher than interest in mental health education (15%) or support groups (10%). These findings are consistent with themes shown through the broader 2024 CHNA process, including community feedback about the need for improved behavioral health access and support. Compared with the 2024 assessment, a greater proportion of supplemental survey respondents found counseling as an important community need. Younger adults ages 18–34 expressed stronger interest in mental wellness programming and services compared with older adults ages 55 and older. Younger respondents were also more likely to report using gaming and comfort foods as responses to stress. Residents who typically relied on emergency departments or urgent care facilities for medical needs were more likely to report social withdrawal as a coping response, suggesting a relationship between healthcare access patterns, social support, and emotional well-being. These findings support continued investment in behavioral health programming, including counseling access, community education, prevention-focused wellness initiatives, and partnerships with behavioral health providers. Future RCHF efforts may include expanding awareness of available mental health resources, support early intervention strategies, and develop community-based programs that reduce stigma and improve access to care.

Community Needs and Priorities The supplemental survey provided residents with an opportunity to name and prioritize community health concerns affecting the expanded service area. These findings offer important guidance for future RCHF investments, programming decisions, and community partnerships. 13

When residents ranked nine community health issues, injury prevention received the highest ranking, with a median score of 7.0 out of 9. Infectious diseases, environmental health, and maternal and child health followed, each receiving a median score of 6.0. Chronic disease and mental health were both ranked with a median score of 4.0, while access to affordable healthcare received the lowest ranking, with a median score of 3.0. The lower ranking of affordable healthcare access reflects the high level of insurance coverage reported among respondents. However, added findings prove that insurance coverage does not end barriers related to cost, availability, navigation, and other factors affecting prompt access to care. When asked to name the most important priority for improving community health, respondents selected: • • • •

Strengthening healthcare infrastructure (30%) Expanding mental health services (26%) Promoting healthy behaviors (25%) Addressing social drivers of health (19%)

Compared with the 2024 CHNA survey, community priorities shifted. The original assessment showed affordable healthcare access, mental health and well-being, and nutrition/healthy eating as leading concerns. In the supplemental survey, injury prevention appeared as the highest-ranked issue, while interest in mental wellness services remained particularly strong among younger adults. Residents also expressed substantial interest in future community health programming. The most requested areas included: • • •

Physical activity programs (44%) Nutrition education and healthy eating initiatives (43%) Stress management programs (41%)

These findings provide clear direction for future RCHF programming and community investment strategies. RCHF may consider expanding prevention-focused initiatives, wellness programming, behavioral health resources, and community education efforts that address both individual health behaviors and broader community conditions influencing health outcomes.

Demographics and Representation The supplemental survey was designed to improve representation among residents living within the eight ZIP codes added to RCHF’s service area. The sample was generated through random sampling of registered voters living in the targeted communities and was weighted to align with the distribution of residents by city and gender. Survey participation reflected geographic representation across the expanded service area: • 14

Moreno Valley: 42%

• • •

Perris: 29% Corona: 20% Norco: 6%

Respondents stood for a diverse cross-section of residents within the targeted communities. The demographic profile included: • • • •

Female respondents: 54% White respondents: 44% Hispanic/Latino respondents: 31% Respondents age 65 and older: 37%.

English was identified as the primary language spoken at home by 97% of respondents, while 12% reported speaking Spanish at home. The demographic composition of the supplemental sample provides more representation of the expanded service area and strengthens RCHF’s ability to understand the healthcare experiences and priorities of residents in newly incorporated communities. These findings complement the original CHNA data and provide a more balanced perspective across RCHF’s full 21-ZIP-code service area. The supplemental assessment also reinforces the importance of continued engagement with diverse populations, particularly communities that may require added outreach, trusted partnerships, languageaccess strategies, and culturally responsive approaches to participation.

Comparative Analysis: Alignment with Regional and National Healthcare Trends The supplemental survey findings offer an opportunity to compare health conditions and healthcare experiences within RCHF’s expanded service area against themes found in the 2024 Community Health Needs Assessment (CHNA) and broader healthcare trends occurring nationally and throughout California. Across the United States and within California, healthcare systems continue to experience significant transformation driven by rising demand for preventive care, persistent behavioral health needs, an aging population, increasing healthcare complexity, and a growing recognition that health outcomes are influenced by factors beyond medical care alone. Current healthcare strategies increasingly emphasize prevention, early intervention, health literacy, care coordination, and community-based partnerships as essential components of improving population health. The supplemental assessment shows that residents in the eight newly added ZIP codes share many of these broader healthcare experiences. The findings show meaningful strengths, including high insurance coverage, regular engagement with healthcare providers, and interest in wellness programming. At the same time, the assessment shows persistent gaps that reflect larger statewide

and national challenges, including incomplete preventive screening participation, behavioral health access needs, healthcare navigation barriers, and the evolving needs of older adults. Overall, the comparative findings reinforce the importance of continued investment in prevention, community partnerships, health education, and fair access strategies throughout RCHF’s 21-ZIP-code service area.

Preventive Care Utilization and Early Intervention Preventive healthcare is still a central priority in national and California healthcare policy due to its role in reducing chronic disease burden, improving early detection, and lowering avoidable healthcare costs. While healthcare systems have expanded efforts to increase preventive screenings and primary care engagement, many communities continue to experience gaps between awareness of recommended services and completion of those services. The supplemental survey shows that residents within the expanded service area show strong engagement with routine healthcare. 77% of respondents reported receiving a routine medical checkup within the previous year, compared with 59% reported in the 2024 CHNA survey. Annual dental visits also showed modest improvement, and blood pressure screening was often reported, particularly among older adults. These findings suggest that residents have meaningful connections to healthcare services and show positive engagement with basic preventive care activities. However, opportunities are still to strengthen preventive care participation in areas where follow-through continues to lag. Cancer screening is one of the most significant areas requiring continued attention. In the supplemental survey, 39% of respondents reported receiving any cancer screening within the previous year, and 52% showed that they received cancer screenings as recommended. These findings appear lower than the screening rates reflected in 2024 CHNA secondary data for cervical, breast, and colorectal cancer, suggesting a potential gap between knowledge of screening recommendations and completion of recommended services. This pattern reflects a broader healthcare challenge nationally and within California: individuals may understand the importance of preventive care but still experience barriers that prevent prompt completion. Factors such as appointment availability, competing work and family responsibilities, transportation, healthcare navigation challenges, fear, and uncertainty about eligibility may influence screening participation. The finding that 20% of respondents reported never receiving cancer screening services highlights the importance of continued outreach, education, provider partnerships, and navigation support. Future RCHF investments may focus on improving awareness, reducing practical barriers, and connecting residents with accessible preventive screening resources.

Mental Health Needs and Behavioral Health Trends Behavioral health continues to be one of the most significant healthcare priorities nationally and throughout California. Increased recognition of mental health needs, workforce shortages among behavioral health providers, and growing demand for counseling and supportive services have placed behavioral health access among the leading concerns for healthcare systems and community organizations. The supplemental findings offer added insight into behavioral health needs within the expanded service area. Although mental health ranked lower than some other issues when residents were asked to prioritize broad community concerns, the findings show a continued need for behavioral health education, coping resources, and accessible services. Approximately 20% of residents reported that they did not know how to cope with trauma or stress, while another 20% showed that they understood some coping strategies but wanted more information and support. Residents also clearly found counseling and therapy as the most needed mental health service, selected by 55% of respondents. These findings align with broader healthcare trends proving increased demand for accessible behavioral health services, particularly community-based approaches that provide early support before needs escalate to crisis-level care. The supplemental survey also found stress-related behaviors that call for continued attention. Respondents reported high likelihood of using comfort foods (75%) and withdrawing from others (61%) during periods of stress, while 21% named alcohol use as a coping strategy. Although these measures are not directly comparable to all 2024 CHNA indicators, they reinforce the importance of strengthening mental wellness education, resilience-building programs, and community-based support systems. Future RCHF programming opportunities may include partnerships that expand counseling access, promote early intervention, increase awareness of behavioral health resources, and provide residents with practical tools for managing stress and emotional well-being.

Older Adults, Aging Services, and Care Coordination California and the nation continue to experience significant demographic shifts associated with an aging population. As more adults live longer with complex healthcare needs, communities must strengthen systems that support healthy aging, coordinated care, caregiver support, and access to appropriate services. Older adults stood for a sizable part of the supplemental survey sample, with 37% of respondents aged 65 and older. While this group showed several positive indicators, including regular healthcare use, strong connections to providers, and low rates of denied care due to insurance status or inability to pay—the findings also show areas requiring more attention. 17

Among older respondents, awareness of available community healthcare resources remained limited. Large majorities reported being unaware of free or low-cost health clinics, and nearly one-third showed that they had postponed medical or dental care within the previous year. When older adults delayed care, reported reasons included fear or anxiety, transportation challenges, scheduling difficulties, and competing practical concerns. These findings reflect broader challenges affecting older adults nationally, where healthcare access often depends not only on coverage but also on transportation, caregiver availability, digital literacy, and the ability to navigate increasingly complex healthcare systems. Although overall healthcare satisfaction among older adults was favorable, some respondents reported fair or poor experiences with selected service providers, including home health aides, chiropractors, and physical therapists. These findings suggest opportunities to strengthen quality improvement efforts across the continuum of senior services. Future strategies may include expanding partnerships with aging-service organizations, improving awareness of available resources, supporting caregiver education, and strengthening referral networks that help older adults access proper services.

Healthcare Access, Health Literacy, and Community Partnership Implications The comparative findings prove that healthcare access is increasingly defined by more than insurance coverage alone. National and California healthcare trends continue to show that improving health outcomes requires attention to healthcare navigation, health literacy, prevention, behavioral health, and community-based support systems. The supplemental assessment confirms that residents in RCHF’s newly added ZIP code show important strengths, including high insurance coverage, engagement with routine healthcare services, and interest in health improvement programs. However, the findings also show opportunities to improve awareness of available resources, increase preventive screening completion, strengthen behavioral health support, and address barriers affecting vulnerable populations. These findings reinforce the importance of expanding community partnerships throughout Corona, Norco, Moreno Valley, and Perris. Trusted local organizations, healthcare providers, schools, faithbased organizations, and community leaders will remain essential partners in reaching residents, improving health education, and increasing use of available services.

Summary of Comparative Findings The comparative analysis supports a balanced assessment of health conditions within the expanded service area:

• • • • • •

Residents show strong healthcare coverage and meaningful engagement with routine healthcare services. Preventive care use has improved in several areas, but cancer screening completion is still an opportunity for focused intervention. Behavioral health is still an important community need, particularly abo access to counseling, stress management, and early intervention resources. Older adults show strong healthcare connections but continue to experience challenges related to awareness, navigation, transportation, and care coordination. Health literacy and community awareness remain critical factors influencing healthcare use and outcomes. Continued expansion of trusted community partnerships will be essential to achieving measurable improvements in health equity and community well-being.

Together, the original 2024 CHNA and supplemental assessment provide RCHF with a stronger RCHF for responsible decision-making, strategic investment, and measurable community benefit. The findings support continued efforts to improve healthcare access, expand prevention, strengthen health literacy, and develop partnerships that address the evolving healthcare needs of residents throughout RCHF’s expanded service area.

Strategic Implications for Community Health The findings presented in this supplemental Community Health Needs Assessment extend beyond documenting existing health conditions; they set up a strategic framework for improving health outcomes throughout RCHF's twenty-one ZIP-code service area. As RCHF’s geographic footprint continues to evolve, too must its approach to community engagement, resource allocation, and program development. Although residents in the expanded service area report relatively high levels of health insurance coverage and routine healthcare use, the supplemental findings show that insurance alone does not ensure fair access to healthcare services. Financial barriers, transportation challenges, scheduling conflicts, limited awareness of available resources, language barriers, fear, and health system navigation difficulties continue to delay preventive care for many residents. These findings illustrate the distinction between healthcare coverage and healthcare access, emphasizing the importance of addressing social, educational, and structural barriers alongside traditional clinical services. The assessment also shows that communities within RCHF's expanded service area have distinct demographic, geographic, and healthcare use characteristics. Consequently, future community benefit investments should continue to emphasize neighborhood-level planning that recognizes the differing needs of individual ZIP codes while keeping consistency with regional public health priorities. RCHF is uniquely positioned to serve as a convener among healthcare providers, public agencies, educational institutions, nonprofit organizations, faith-based organizations, and community leaders. By strengthening these partnerships, RCHF can improve coordination of services, reduce duplication of

efforts, and expand opportunities for residents to access preventive care, behavioral health services, health education, and community resources.

Implications for Future RCHF Programming and Community Partnerships The supplemental findings provide important guidance for RCHF’s future community benefit strategy. While residents within the expanded service area show strengths in insurance coverage, healthcare use, and preventive care engagement, the findings also show persistent opportunities to improve access, health literacy, behavioral health support, and awareness of available resources. RCHF will use these findings to guide future investments and partnerships focused on measurable community health improvement. Key areas of opportunity include: Expanding preventive health engagement. RCHF can support initiatives that improve cancer screening participation, increase awareness of preventive recommendations, and connect residents with healthcare services before conditions become more complex. Strengthening behavioral health access. The continued demand for counseling and therapy services highlights the importance of expanding partnerships with behavioral health providers, increasing awareness of available resources, and supporting community-based wellness initiatives. Improving healthcare navigation and resource awareness. The high percentage of residents unaware of free and low-cost healthcare resources shows the need for stronger communication strategies, trusted referral networks, and partnerships with organizations already serving local communities. Advancing health literacy. Future programming should continue to provide accessible, culturally right health information that helps residents understand preventive care recommendations, healthcare options, insurance benefits, and available community resources. Building stronger community partnerships. RCHF recognizes that sustainable improvements in health outcomes require collaboration across healthcare, education, nonprofit, government, and community sectors. Expanding relationships between Corona, Norco, Moreno Valley, and Perris will be essential to increasing trust, improving outreach, and ensuring that future programs reflect community priorities. Supporting equitable community health outcomes. The supplemental assessment provides a stronger RCHF for identifying disparities, targeting resources, and evaluating the impact of charitable investments. Continued data collection and community engagement will allow RCHF to adapt programs as community needs evolve.

Together, the original 2024 CHNA and supplemental assessment provide a comprehensive framework for advancing RCHF’s mission. The findings show both the progress achieved within the service area and the continued need for strategic investments that improve healthcare access, strengthen prevention, expand health literacy, and promote healthier communities. Through responsible stewardship, collaborative partnerships, and evidence-based decision-making, RCHF stays committed to creating measurable and lasting health benefits for residents throughout its expanded service area.

Conclusion This supplemental Community Health Needs Assessment reflects RCHF’s commitment to responsible stewardship, transparency, and evidence-based community investment. By addressing limitations shown in the original assessment and expanding representation across RCHF's twenty-one ZIP-code service area, RCHF has strengthened its understanding of community health needs while reinforcing its commitment to equitable service delivery. The findings show that improving community health requires more than expanding healthcare services alone. Sustainable improvements depend upon increasing health literacy, strengthening trusted community partnerships, reducing barriers to preventive care, promoting behavioral health, and ensuring that residents are aware of and able to access the services available to them. As Riverside County continues to experience demographic growth and changing healthcare needs, RCHF’s ability to meet healthcare providers, public agencies, educational institutions, nonprofit organizations, and community stakeholders will become increasingly important. Strong community partnerships create opportunities to use shared resources, coordinate services, improve outreach, and maximize the collective impact of community benefit investments. This supplemental assessment provides a strengthened RCHF for future decision-making by showing both immediate needs and emerging priorities. It also sets up a framework through which future grantmaking, advocacy, education, research, and community programming can be aligned with documented local needs and measurable public benefit. The value of this assessment lies not only in the information collected but in the actions it informs. Through continued collaboration, strategic investment, and a sustained commitment to health equity, RCHF is well positioned to improve healthcare access, expand community knowledge, strengthen health literacy, and enhance the quality of life for the more than 807,000 residents who now comprise its service area. These efforts support RCHF's charitable mission while contributing to a healthier, more informed, and more resilient Riverside County.

Public Accountability and Charitable Benefit Statement The Riverside Community Health Foundation (RCHF) is committed to serving the public interest by responsibly stewarding charitable assets to improve the health and well-being of the communities within 21

its service area. This supplemental Community Health Needs Assessment (CHNA) reflects commitment by strengthening the evidence used to guide community investments, expanding representation across newly incorporated communities, and ensuring that future decisions are informed by dependable, equitable, and community-centered data. As RCHF's service area has grown to encompass twenty-one ZIP codes and approximately 807,000 residents, it has become increasingly important that community health planning accurately reflects the experiences of all populations served. By finding and addressing limitations in the original survey representation, this supplemental assessment shows RCHF’s commitment to continuous quality improvement, transparency, and accountability in the use of charitable resources. RCHF recognizes that meaningful community benefit extends beyond the provision of healthcare services. Improving health outcomes also requires investments in prevention, education, health literacy, community engagement, and cross-sector collaboration that address the factors influencing health before illness occurs. So, the findings of this supplemental assessment will inform both immediate programmatic priorities and long-term strategic planning to improve population health throughout the service area.

Commitment to Health Equity RCHF recognizes that communities do not experience health opportunities equally. Geographic location, socioeconomic conditions, educational attainment, language access, transportation, disability, age, and other social and environmental factors all influence an individual's ability to obtain prompt, high-quality healthcare. The supplemental findings show that while insurance coverage is high, significant barriers to care remain. Delayed treatment, limited awareness of community resources, lower use of preventive services, and behavioral health needs continue to affect many residents despite having health insurance. These findings reinforce the importance of addressing both clinical and non-clinical barriers through coordinated community strategies. Future RCHF initiatives will continue to emphasize equitable access to health information, preventive services, behavioral healthcare, and community resources, particularly within neighborhoods where healthcare awareness and service use remain comparatively low.

Advancing Community Health Through Partnerships No single organization can address complex community health challenges independently. Sustainable improvements require coordinated action among healthcare providers, public health agencies, educational institutions, nonprofit organizations, local governments, community-based organizations, employers, faith communities, and residents themselves.

RCHF views community partnerships as essential infrastructure for improving health outcomes. Expanding relationships within the newer service area ZIP codes will strengthen trust, improve outreach, increase participation in health initiatives, and enhance awareness of available services. Future partnership strategies may include: • • • •

•

Expanding collaborations with schools, colleges, and universities to improve health education and preventive care awareness. Strengthening relationships with community-based and faith-based organizations that serve historically underserved populations. Supporting partnerships with healthcare providers to improve preventive screening, chronic disease management, behavioral health referrals, and care coordination. Collaborating with municipal governments and public agencies to address transportation, environmental health, emergency preparedness, and other community-level determinants of health. Engaging residents as partners in future community health planning through advisory groups, listening sessions, and culturally responsive outreach.

These collaborative approaches recognize that community knowledge, lived experience, and local leadership are indispensable to successful public health planning.

Expanding Health Literacy Health literacy is a foundational element of community health. Residents who understand how to navigate healthcare systems, interpret health information, access preventive services, and manage chronic conditions are better equipped to make informed decisions that improve long-term health outcomes. The supplemental assessment found opportunities to strengthen public understanding of preventive care recommendations, cancer screening guidelines, behavioral health services, insurance benefits, and available community resources. Improving health literacy may also reduce unnecessary emergency department use, increase participation in preventive care, and support earlier intervention for chronic disease. Future educational strategies should prioritize: • • • • • • • 23

Plain-language health communication. Multilingual educational materials. Digital health literacy initiatives. Community health workers and promotor(a) outreach. Culturally responsive health education. Preventive health campaigns focused on cancer screening, cardiovascular disease, diabetes, nutrition, physical activity, and behavioral health. Navigation aid helps residents find healthcare providers and community resources.

These investments are long-term strategies that empower individuals while strengthening the health of entire communities.

Measuring Community Benefit RCHF is committed to evaluating the effectiveness of its community investments through measurable outcomes and continuous assessment. The supplemental findings show a stronger baseline from which future progress can be evaluated. Future evaluation efforts may include monitoring: • • • • • • • • • •

Use of preventive healthcare services. Cancer screening participation. Community awareness of free and low-cost healthcare resources. Participation in RCHF-supported educational and wellness programs. Behavioral health service use. Health literacy indicators. Community engagement activities. Geographic distribution of program participation. Partnership development and collaborative initiatives. Resident beliefs of healthcare access and quality.

Monitoring these indicators will aid RCHF in evaluating program effectiveness, showing emerging needs, and directing charitable resources toward interventions proving meaningful community impact.

Strategic Direction The supplemental assessment affirms several strategic priorities that will guide future RCHF activities: 1. 2. 3. 4. 5. 6. 7. 8.

Expand equitable access to preventive healthcare and early intervention services. Increase awareness and use of available healthcare resources. Strengthen behavioral health education and access to counseling and supportive services. Improve cancer screening participation through education and community outreach. Advance healthy aging initiatives that address the unique needs of older adults. Expand health literacy programming throughout RCHF's service area. Strengthening community partnerships that improve service coordination and local engagement. Continue using data-driven decision-making to guide grantmaking, programming, advocacy, and strategic investments.

Statement of Ongoing Commitment This supplemental Community Health Needs Assessment reflects RCHF's ongoing commitment to responsible governance, transparent public accountability, and continuous improvement. RCHF 24

recognizes that community health is dynamic and that effective charitable stewardship requires regular assessment, meaningful community engagement, and responsiveness to changing conditions. The expanded assessment strengthens RCHF’s ability to understand the needs of its diverse communities and to align charitable investments with documented priorities. It also shows a commitment to ensuring that residents across all twenty-one ZIP codes have an equitable opportunity to inform future planning and benefit from RCHF-supported initiatives. Looking forward, RCHF will continue to use the findings of this assessment to guide grantmaking, advocacy, education, partnership development, and community programming that promote measurable improvements in health outcomes. By combining rigorous assessment with collaborative action, RCHF looks to improve healthcare access, strengthen health literacy, reduce disparities, and advance health equity for current and future generations of Riverside County residents. RCHF respectfully sends this supplemental report as evidence of its continuing dedication to serving the public interest, fulfilling its charitable mission, and investing responsibly in healthier, stronger, and more resilient communities.

Appendices The Appendices provide supporting documentation and add details about the supplemental Community Health Needs Assessment (CHNA) research process, findings, and analysis. These materials are included to promote transparency, support validation of the reported findings, and provide more context about the method and conclusions presented in this report. The Appendices include the following: 1. Supplemental Survey Topline Results Detailed topline results presenting the distribution of survey responses across all questions included in the supplemental resident survey. These results provide the underlying response data used to inform the analysis and findings presented throughout this report. 2. EVITARUS Supplemental Survey Findings Presentation Materials prepared by EVITARUS summarizing key findings, analytical observations, and supporting data from the supplemental survey conducted within the eight newly added ZIP codes. 3. CHNA Supplemental Research Comparative Analysis A comparative analysis examining supplemental survey findings alongside the 2024 Community Health Needs Assessment results and relevant secondary data. This analysis names areas of consistency, emerging trends, and opportunities for future community health investments, programming, and partnership development. Together, these supplemental materials provide more transparency into the research process and support RCHF’s commitment to data-informed decision-making, responsible stewardship of charitable resources, and continuous improvement in addressing community health needs throughout its expanded service area.

RCHF CHNA SUPPLEMENTAL SURVEY RESEARCH TOPLINE WEIGHTED TOPLINE RESULTS* Survey Sample Size: 260 Riverside County Residents** June 25-July 2, 2026 Mode: Online Languages: English and Spanish *

Results have been weighted to match the distribution by gender and city. All numbers are percentages, and some may not sum precisely or to 100% due to rounding. **

A registration-based sampling frame (RBS) was used to reach residents.

SECTION I: INTRODUCTION 1. In what city do you live? Corona--------------------------------------------------------------------------- 20 Jurupa Valley---------------------------------------------------------------------0 March Air Reserve Base --------------------------------------------------------0 Mira Loma -----------------------------------------------------------------------0 Moreno Valley ---------------------------------------------------------------- 42 Norco -----------------------------------------------------------------------------6 Perris ---------------------------------------------------------------------------- 29 Riverside -------------------------------------------------------------------------1 Other-------------------------------------------------------------------------------2 2. What is your zip code? [OPEN-END RESPONSES CODED INTO CATEGORIES] 92551 ------------------------------------------------------------------------------6 92553 ---------------------------------------------------------------------------- 14 92557 ---------------------------------------------------------------------------- 23 92570 ---------------------------------------------------------------------------- 15 92571 ---------------------------------------------------------------------------- 15 92860 ------------------------------------------------------------------------------6 92879 ---------------------------------------------------------------------------- 11 92881 ------------------------------------------------------------------------------9 <Next Page>

RCHF-CHNA Supplemental Survey FINAL Survey Topline Page 2

3. Do you currently have health insurance? Please select all that apply. [MULTIPLE RESPONSES ACCEPTED] Medical insurance ------------------------------------------------------------- 97 Dental insurance --------------------------------------------------------------- 75 Neither medical nor dental -----------------------------------------------------3 [Q4 ASKED OF RESPONDENTS WHO HAVE MEDICAL OR DENTAL INSURANCE] 4. What type of medical/dental insurance do you have? Please select all that apply. [MULTIPLE RESPONSES ACCEPTED] Employer-sponsored health insurance -------------------------------------- 49 Medicare (for seniors or people with certain disabilities) --------------- 38 Private health insurance (e.g., Covered California) ---------------------- 13 Other----------------------------------------------------------------------------- 21 [Q5 ASKED OF RESPONDENTS WHO SELECTED “MEDICAL INSURANCE” IN Q3] 5. Is your medical insurance with any of the following? Please select all that apply. [MULTIPLE RESPONSES ACCEPTED] Kaiser Permanente ------------------------------------------------------------ 42 IEHP ----------------------------------------------------------------------------- 13 Anthem/Anthem Blue Cross ------------------------------------------------- 10 Blue Shield of California ----------------------------------------------------- 10 United Health Group ------------------------------------------------------------6 Aetna ------------------------------------------------------------------------------5 Health Net ------------------------------------------------------------------------3 Molina Health Care -------------------------------------------------------------1 I’m not sure -----------------------------------------------------------------------1 Other----------------------------------------------------------------------------- 14 [RESUMED ASKING ALL RESPONDENTS] 6. When was the last time you visited a medical provider? Within the past month -------------------------------------------------------- 49 Within the past 3 months ----------------------------------------------------- 23 Within the past 6 months ----------------------------------------------------- 13 Within the past year -------------------------------------------------------------8 More than a year ago ------------------------------------------------------------7 <Next Page>

RCHF-CHNA Supplemental Survey FINAL Survey Topline Page 3

7. Where do you usually go when you are sick or need advice about your health? HMO/Kaiser -------------------------------------------------------------------- 39 Private practice----------------------------------------------------------------- 23 ER/Urgent Care ---------------------------------------------------------------- 15 Community health clinic or community hospital ------------------------- 13 Some other source of care ---------------------------------------------------- 10 8. How well do you feel you are treated by each of the following types of health care providers? [RESPONSE OPTIONS: POOR, FAIR, GOOD, VERY GOOD, EXCELLENT, NEVER SEEN THIS TYPE OF PROVIDER]

[ ]a. Primary Care Physicians (PCPs) [ ]b. Specialists (e.g., cardiologists, dermatologists, etc.) [ ]c. Nurses or nurse practitioners (NPs) [ ]d. Physician Assistants (PAs) [ ]e. Dentists and Dental Hygienists [ ]f. Mental Health Professionals [ ]g. Physical Therapists (PTs) [ ]h. Chiropractors [ ]i. Home Health Aides [ ]j. Midwives

EXC.

NEVER SEEN.

TOTAL EXC./VRY. GOOD

TOTAL FAIR/ POOR

POOR

FAIR

GOOD

VRY. GOOD

2 <1

4 3

12 7

13 5

23 12

47 73

36 16

6 3

<1 -

2 1

3 2

3 <1

6 4

86 93

9 4

2 1

RCHF-CHNA Supplemental Survey FINAL Survey Topline Page 4

9. In the past 12 months, have you put off or postponed getting medical/dental care? Yes ------------------------------------------------------------------------------- 44 No -------------------------------------------------------------------------------- 56 [Q10 ASKED OF RESPONDENTS WHO ANSWERED “YES” TO POSTPONING GETTING MEDICAL/DENTAL CARE IN Q9] 10. Below are some possible reasons you may have put off or postponed getting medical or dental care. If it was a reason, please indicate whether you postponed your medical care, dental care, or both.

[ ]a. [HIGH COSTS] The expenses associated with medical/dental treatment were a reason. [ ]b. [LACK OF INSURANCE OR ACCESS] The absence of insurance services was a reason [ ]c. [FEAR AND ANXIETY] Anxiety or fear played a role in delaying care. [ ]d. [WORK SCHEDULE, TRANSPORTATION, OR TIME CONSTRAINTS] Your busy schedule prevented you from seeking timely care [ ]e. [PERCEIVED LACK OF NEED] You believed you didn’t need medical/dental treatment

MEDICAL CARE

DENTAL CARE

NOT A REASON FOR POSTPONING CARE

TOTAL REASON FOR POSTPONING CARE

RCHF-CHNA Supplemental Survey FINAL Survey Topline Page 5

11. How satisfied or dissatisfied are you with each of the following types of health care services in your community? [RESPONSE OPTIONS: VERY UNSATISFIED, UNSATISFIED, NEUTRAL, SATISFIED, VERY SATISFIED]

[ ]a. [PRIMARY CARE SERVICES] Routine and preventative healthcare services, including vaccinations, annual physicals, treatment for common illnesses and minor injuries [ ]b. [SPECIALTY CARE SERVICES] Specific areas of medicine, such as cardiology, dermatology, offering expert care in particular medical fields [ ]c. [MENTAL HEALTH SERVICES] Counseling, therapy, medication management, and support groups [ ]d. [DENTAL CARE] General/family dentistry, pediatric dentistry, cosmetic dentistry, endodontics, oral surgery, and other specialty care [ ]e. [VISION] Comprehensive eye exams, eye surgery, diagnosing and treating eye diseases [ ]f. [ADDICTION SERVICES] Treatment for substance abuse, including detoxification, rehabilitation, and counseling [ ]g. [EMERGENCY SERVICES] Immediate care for acute and lifethreatening conditions in settings like ERs and urgent care centers [ ]h. [LONG-TERM CARE SERVICES] Including assisted living, nursing homes, and hospice care for chronic illness management and end-of-life care [ ]i. [REHABILITATIVE SERVICES] Help recovering and regaining skills after injuries or surgeries, such as physical therapy, occupational therapy, and speechlanguage pathology

VRY. UNSAT.

UNSAT.

NEUT.

SAT.

VRY. SAT.

TOTAL UNSAT.

TOTAL SAT.

RCHF-CHNA Supplemental Survey FINAL Survey Topline Page 6

12. Are you aware of local free or low-cost health clinics in your area? Yes ------------------------------------------------------------------------------- 23 No -------------------------------------------------------------------------------- 77 13. Have you ever been denied health care services due to lack of insurance or inability to pay? Yes ------------------------------------------------------------------------------- 11 No -------------------------------------------------------------------------------- 89 SECTION III: PREVENTIVE CARE 14. Which of the following preventive care services have you received in the last 12 months? Please select all that apply. [MULTIPLE RESPONSES ACCEPTED] Routine check-ups ------------------------------------------------------------ 77 Blood pressure checks -------------------------------------------------------- 68 Blood glucose test ------------------------------------------------------------- 59 Cholesterol tests --------------------------------------------------------------- 59 Dental exam -------------------------------------------------------------------- 56 Vaccinations (e.g., flu shots)------------------------------------------------- 52 Vision exam -------------------------------------------------------------------- 52 Cancer screenings (e.g., mammogram, colonoscopy, etc.) -------------- 39 Education on self-care (e.g., meditation, acupuncture) ------------------ 12 I have not utilized any preventive services ----------------------------------5 Other-------------------------------------------------------------------------------5 15. If you are a parent or guardian to a child under 18, which of the following preventive care services has your child/children received in the last 12 months? Please select all that apply. [MULTIPLE RESPONSES ACCEPTED] I do not have any children under 18 ---------------------------------------- 72 Routine check-ups, well-child visit ----------------------------------------- 24 Dental exam -------------------------------------------------------------------- 20 Vaccinations (e.g., flu shots)------------------------------------------------- 15 Vision exam -------------------------------------------------------------------- 13 Blood glucose test ---------------------------------------------------------------3 Blood pressure checks ----------------------------------------------------------3 Cholesterol tests -----------------------------------------------------------------2 Cancer screenings (e.g., mammogram, colonoscopy, etc.) ----------------1 Education on self-care (e.g., meditation, acupuncture) --------------------1 My child has not utilized any preventive services --------------------------1 Other-------------------------------------------------------------------------------1

RCHF-CHNA Supplemental Survey FINAL Survey Topline Page 7

16. Do you know how often you should receive each of the following health screenings? Please respond “yes” or “no.”

[ ]a. [ ]b. [ ]c. [ ]d. [ ]e. [ ]f. [ ]g. [ ]h. [ ]i.

Blood pressure Cholesterol Colorectal cancer (Colonoscopy) Breast cancer (Mammogram) Cervical cancer (Pap Smear) Prostate cancer (Prostate-Specific Antigen, PSA) Osteoporosis (Bone density test) Diabetes (Blood glucose test) Vision and hearing

YES

71 69 67 61 57 45 35 65 73

29 31 33 39 43 55 65 35 27

17. How often have you been screened for cancer (e.g., mammogram, colonoscopy, pap test, etc.)? Regularly: I get screened as recommended by my healthcare provider ----------------------------------------------------- 52 Occasionally: I’ve had screenings, but not consistently --------------------- 16 Rarely: I’ve had very few screenings ------------------------------------------ 12 Never: I haven’t undergone any cancer screenings -------------------------- 20 18. Are you aware of any rewards (e.g., a gift card) that your health plan offers you for completing routine check-ups, wellness checks, or other preventive services? Yes ---------------------------------------------------------------------------------- 17 No ----------------------------------------------------------------------------------- 83 [Q19 ASKED OF RESPONDENTS WHO ANSWERED “YES” IN Q18] 19. Have you received any of those incentives? Yes ---------------------------------------------------------------------------------- 62 No ----------------------------------------------------------------------------------- 27 I’m not sure ------------------------------------------------------------------------ 11

RCHF-CHNA Supplemental Survey FINAL Survey Topline Page 8

SECTION IV: MENTAL WELLNESS 20. Are you familiar with ways to cope with trauma or stress? TOTAL YES---------------------------------------------------------------------- 79 Yes, I am familiar with several ways. ------------------------------------------ 58 I have some knowledge but would like to learn more. ---------------------- 21 No, I am not familiar with any ways. ------------------------------------------ 21 21. When you are feeling stressed or overwhelmed, how likely are you to respond by doing each of the following? NOT LIKELY

SOMEWHAT LIKELY

VERY LIKELY

TOTAL LIKELY

Meditating, using guided imagery or progressive relaxation [ ]b. Drinking alcohol

[ ]c.

[ ]a.

Taking illegal or prescription drugs [ ]d. Using over-the-counter drugs (e.g., sleeping pills) [ ]e. Smoking (tobacco or marijuana) [ ]f. Exercising or getting some physical activity [ ]g. Eating “comfort” foods [ ]h. Sleeping too much [ ]i.

Calling on friends or family for support [ ]j. Doing something creative (like art or music) [ ]k. Withdrawing from others [ ]l. Engaging in religious or spiritual practices [ ]m. Gambling [ ]n. Gaming (playing video games)

RCHF-CHNA Supplemental Survey FINAL Survey Topline Page 9

22. Which mental health service do you feel is most necessary or most important in your community? Counseling/therapy------------------------------------------ 55 Education ----------------------------------------------------- 15 Support groups ----------------------------------------------- 10 Crisis hotlines ------------------------------------------------ 11 Medication management -------------------------------------6 Other ------------------------------------------------------------4 SECTION V: PERCEIVED COMMUNITY NEED 23. In your opinion, what should be the top priority for improving community health? ENHANCING HEALTHCARE INFRASTRUCTURE Physical, technological, or human resources essential for delivering health services (e.g., hospital buildings, medical equipment, telehealth technologies, health professionals)------------------------------------------------------------------------------------ 30 STRENGTHENING MENTAL HEALTH SERVICES Individual counseling or therapy, support groups, inpatient or residential mental health treatment, alternative care, and psychiatric care ----------------------------------- 26 PROMOTING HEALTHY BEHAVIORS Education and classes focusing on topics like nutrition and healthy eating, physical activity, stress management, workplace wellness, and more ------------------ 25 ADDRESSING SOCIAL DRIVERS OF HEALTH Social, economic, and environmental factors that impact people's health outcomes ----------------------------------------------------------------------------------------- 19 24. Below are nine (9) health issues. Please rank each topic in order of importance from 1 to 9, with the issue you feel is least important ranked “1” and most important is ranked “9.” Please rank each health issue differently so that no two issues have the same ranking.

Chronic diseases (e.g., diabetes, hypertension) [ ]b. Mental health and well-being [ ]c. Access to affordable healthcare

LEAST IMPORTANT, NOT IMPORTANT (1)

MOST IMPORTANT, EXTREMELY IMPORTANT (9)

MEDIAN

13 9

13 22

13 17

16 12

13 11

7 11

7 5

11 9

6 3

4.0 4.0

3.0

[ ]a.

RCHF-CHNA Supplemental Survey FINAL Survey Topline Page 10

[ ]d. Substance abuse and addiction [ ]e. Nutrition and healthy eating Infectious diseases (e.g., flu, COVID-19) [ ]g. Environmental health (e.g., air quality, water safety) [ ]h. Maternal and child health

LEAST IMPORTANT, NOT IMPORTANT (1)

MOST IMPORTANT, EXTREMELY IMPORTANT (9)

MEDIAN

5.0

6.0

7.0

[ ]f.

[ ]i.

Injury prevention (e.g., accidents, falls)

25. If you feel there are other issues that are more important than the ones listed previously, please list them here. [OPEN END RESPONSES PROVIDED SEPARATELY]

26. Which of the following programs or services would you be interested in participating in or learning more about? Please select all that apply. [MULTIPLE RESPONSES ACCEPTED] Physical activity and exercise ----------------------------------------------------- 44 Nutrition and healthy eating ------------------------------------------------------- 43 Stress management ------------------------------------------------------------------ 41 Mental wellness --------------------------------------------------------------------- 37 Chronic disease prevention (e.g., diabetes, heart disease) -------------------- 29 Cancer screenings (e.g., mammogram, colonoscopy, etc.)-------------------- 25 Teen/Youth health issues (e.g., healthy relationships, peer pressure, etc.) ------------------------------ 16 Support for women, maternal health --------------------------------------------- 16 Sexual health and reproductive education --------------------------------------- 13 Substance abuse prevention ------------------------------------------------------- 10 Other ------------------------------------------------------------------------------------2 None of the above ------------------------------------------------------------------- 28

RCHF-CHNA Supplemental Survey FINAL Survey Topline Page 11

27. How do you like to learn about health topics? Please select all that apply. [MULTIPLE RESPONSES ACCEPTED] Using apps on your mobile device ------------------------------- 45 Watching webinars online ---------------------------------------- 36 Attending workshops in person ---------------------------------- 28 Reading brochures in print ---------------------------------------- 28 One-on-one ---------------------------------------------------------- 26 Following topics on social media -------------------------------- 21 Group setting-------------------------------------------------------- 14 No preference ------------------------------------------------------- 21 SECTION VI: DEMOGRAPHICS

28. Gender Male ----------------------------------------------------------- 43 Female -------------------------------------------------------- 54 Transgender -------------------------------------------------- <1 Non-binary or other -------------------------------------------1 Prefer not to say -----------------------------------------------1 29. Race American Indian or Alaska Native--------------------------2 Asian ------------------------------------------------------------6 Black or African American -------------------------------- 11 Hispanic/Latino/other Spanish origin -------------------- 31 Native Hawaiian/Pacific Islander ---------------------------1 White/Caucasian --------------------------------------------- 44 Other ------------------------------------------------------------4 30. Age 18-24 ------------------------------------------------------------2 25-34 ------------------------------------------------------------8 35-44 ---------------------------------------------------------- 17 45-54 ---------------------------------------------------------- 15 55-64 ---------------------------------------------------------- 20 65+------------------------------------------------------------- 37

RCHF-CHNA Supplemental Survey FINAL Survey Topline Page 12

31. Primary language(s) spoken at home English -------------------------------------------------------- 97 Spanish -------------------------------------------------------- 12 Other ------------------------------------------------------------5 32. Which best describes you? I was born outside the U.S. -------------------------------- 17 I was born in the U.S. to immigrant parents. ------------ 17 I was born in the U.S. and have parents that were also born in the U.S. ----------------- 64 Not sure ---------------------------------------------------------2 33. Is there anyone in your household (including yourself) that is not employed due to childcare responsibilities? Yes---------------------------------------------------------------9 No-------------------------------------------------------------- 90 Not sure ---------------------------------------------------------1 34. A multigenerational household refers to a living arrangement where two or more adult generations reside together under one roof. It may also refer to a household where grandparents and their grandchildren (younger than 25) live together. Given this definition, do you currently live in a multigenerational household? Yes------------------------------------------------------------- 35 No-------------------------------------------------------------- 64 Not sure ---------------------------------------------------------1 35. How did you hear about the Community Health Needs Assessment we are currently conducting? Please select all that apply. [MULTIPLE RESPONSES ACCEPTED] I just found out about the needs assessment today. ----- 50 RCHF website or other internet sources -------------------8 My health care provider/health clinic ----------------------3 Friends or family ----------------------------------------------3 Community event/meeting ----------------------------------2 My employer ------------------------------------------------- <1 Flyer ----------------------------------------------------------- <1 I’m not sure -------------------------------------------------- 15 Other ---------------------------------------------------------- 31 <Next Page>

RCHF-CHNA Supplemental Survey FINAL Survey Topline Page 13

SAMPLE FILE INFORMATION LANGUAGE OF RESPONSE

English ----------------------------------------- 98 Spanish -------------------------------------------2

CITY ON FILE

Corona------------------------------------------ 20 Moreno Valley -------------------------------- 43 Norco ---------------------------------------------6 Perris ------------------------------------------- 30

2026 COMMUNITY HEALTH NEEDS ASSESSMENT SUPPLEMENTAL SURVEY KEY FINDINGS PRESENTATION 260 RIVERSIDE COUNTY RESIDENTS FIELDING DATES: JUNE 25-JULY 2, 2026 ————————

JULY 17, 2026

OVERVIEW I. Research Objectives II. Survey Methodology III. Key Findings IV. Sample Characteristics V. Detailed Findings A. Coverage and Service Utilization B. Satisfaction with Service Provision C. Awareness of Health Care Services D. Perceived Community Needs and Priorities 2

RESEARCH OBJECTIVES ▪ The Riverside Community Health Foundation’s (RCHF) Community Health Needs Assessment Supplemental Survey was designed to meet several objectives, including:

❑ Collecting data on the health needs of Riverside County residents across eight zip codes that represent areas recently added to RCHF’s areas of service. 92551

92553

92557

92570

92571

92860

92879

92881

❑ Supplementing data collected in 2023 as a part of RCHF’s Community Health Needs Assessment (CHNA) by centering the needs of residents whose perspectives may not have been reflected in the existing data. 3

SURVEY METHODOLOGY 260 Riverside County Residents

Sample Fielding Dates

June 25-July 2, 2026

Sampling Frame

Riverside County residents residing in the eight select zip codes were drawn at random from the file of registered voters in the County (RBS-registration based sampling)

Data Collection Mode

Online

Weighting and Rounding

Results have been weighted to match the distribution of California parents. All numbers are percentages; some may not sum precisely or to 100% due to rounding.

KEY FINDINGS ▪ Survey respondents demonstrate high rates of insurance coverage and engagement with the health care system. ❑ 97% have health insurance ❑ 75% have dental insurance

❑ 93% have seen a provider in the last year ❑ Notably, however, just over two in five (44%) report postponing some form of care due to cost (dental care) or scheduling constraints

▪ Respondents report receiving high quality care from a range of health care providers and a majority report being satisfied with health care services in their communities.

KEY FINDINGS ▪ A majority of respondents, however, report low levels of awareness about free or low-cost services. That notwithstanding, few have been denied care due to a lack of insurance or inability to pay. ▪ Most respondents (30%) identify enhancing health care infrastructure as the top priority for community health—but at least one in five (19%) identify a range of following as a top priority: ❑ Strengthening mental health services (26%)

❑ Promoting healthy behaviors (25%) ❑ Addressing social drivers of health (19%)

SAMPLE CHARACTERISTICS

SAMPLE CHARACTERISTICS: GEOGRAPHY Zip Code

City by Self Reported Zip Code

23%

42%

Moreno Valley

29%

Perris 15%

14%

15%

Corona Norco

11% 9% 6%

92551

92553

92557

92570

92571

92860

92879

92881

20% 6%

Riverside

Other

SAMPLE CHARACTERISTICS: AGE, GENDER, RACE, HOUSEHOLD COMPOSITION Gender Female 54%

Age 18-24 25-34 35-44 45-54 55-64 65+

Male 43%

Multi-Generational Household

No 64%

8% 17% 15% 20%

Not Sure 1%

Race

Other 2% 2%

Yes 35%

White Hispanic/Latino Black or African American Asian Native American Pacific Islander 37% Other 9

44% 31% 11% 6% 2% 1% 4%

SAMPLE CHARACTERISTICS: LANGUAGE AND NATIVITY Primary Languages Spoken At Home

Language Of Response 98%

English

Spanish

English 97%

2% Spanish 12%

Nativity

Other 5% I was born outside the U.S.

17%

I was born in the U.S. to immigrant parents. I was born in the U.S. and have parents that were also born in the U.S.

17%

Not Sure

64% 2% 10

DETAILED FINDINGS

COVERAGE AND SERVICE UTILIZATION

NEARLY ALL RESPONDENTS REPORT HAVING HEALTH INSURANCE 3 IN 4 REPORT DENTAL COVERAGE Q: Do you currently have health insurance?

Has Dental Insurance 75%

Total Insured 97%

No Dental Insurance 25% Total Uninsured 3%

MOST RECEIVE COVERAGE THROUGH AN EMPLOYER Q: What type of medical/dental insurance do you have?

49%

Employer-sponsored health insurance

Medicare (for seniors or people with certain disabilities) Private health insurance (e.g. Covered California)

38%

13%

Other

21%

2 IN 5 RESPONDENTS HAVE COVERAGE THROUGH KAISER Q: Is your medical insurance with any of the following? 42%

Kaiser Permanente

13%

IEHP Anthem/Anthem Blue Cross

10%

Blue Shield of California

10%

United Health Group

Aetna

Health Net Molina Health Care

I’m Not Sure

Other

14%

KAISER/HMO AND PRIVATE PRACTICE EMERGE AS TYPICAL SOURCES OF CARE Q: When was the last time you visited a medical provider?

Q: Where do you usually go when you are sick or need advice about your health? 39%

HMO/Kaiser

Within the past month 49%

Private practice

Within the past 3-12 months 44%

ER/Urgent Care

More than 1 year ago 7%

Community health clinic or community hospital

Some other source of care 16

23%

15%

13%

10%

A MAJORITY OF RESIDENTS HAVE RECEIVED A RANGE OF PREVENTATIVE SERVICES IN THE LAST YEAR Q: Which of the following preventative care services have you received in the last 12 months? 77%

Routine check-ups Blood pressure checks

68%

Blood glucose test

59%

Cholesterol tests

59%

Dental exam

56%

Vaccinations (e.g., flu shots)

52%

Vision exam

52%

Cancer screenings (e.g., mammogram, colonoscopy, etc.)

39%

Education on self-care (e.g., meditation, acupuncture)

12%

I have not utilized any preventative services

Other

4 IN 5 PARENTS REPORT THAT THEIR CHILDREN HAVE RECEIVED ROUTINE CHECK-UPS IN THE LAST 12 MONTHS Q: If you are a parent or guardian to a child under 18, which of the following preventative are services has your child/children received in the last 12 months? 84%

Routine check-ups Dental exam

72%

Vaccinations (e.g., flu shots)

54%

Vision exam

45%

Blood pressure checks

11%

Blood glucose test

10%

Cholesterol tests

Education on self-care (e.g., meditation, acupuncture)

Cancer screenings (e.g., mammogram, colonoscopy, etc.)

My child has not utilized any preventative services

Other

A MAJORITY REPORT THAT THEY ARE REGULARLY SCREENED FOR CANCER Q: How often have you been screened for cancer (e.g., mammogram, colonoscopy, pap test, etc.)? Regularly: I get screened as recommended by my healthcare provider

How often have you been screened for cancer ?

52% Occasionally: I’ve had screenings, but not consistently

16% Rarely: I’ve had very few screenings 12% Never: I haven’t undergone any cancer screenings 20%

2 IN 5 HAVE POSTPONED MEDICAL OR DENTAL CARE FEW HAVE BEEN DENIED CARE DUE TO INSURANCE OR ABILITY TO PAY Q: In the past 12 months, have you put off or postponed getting medical/dental care?

Q: Have you ever been denied health care services due to lack of insurance or ability to pay?

Yes 44%

Yes 11%

No 56%

No 89%

HIGH COST HAS CAUSED 3 IN 5 RESPONDENTS TO POSTPONE DENTAL CARE Q: Below are some possible reasons you may have put off or postponed getting medical or dental care. If it was a reason, please indicate whether you postponed your medical care, dental care, or both. Total: 69%

Total: 60%

Total: 46%

60%

Medical 47%

Total: 45%

Total: 39%

Dental

43%

42% 35%

31%

24%

23% 13%

High Costs

Work Schedule, Transportation, Or Time Constraints

Fear And Anxiety

Lack Of Insurance Or Access

Perceived Lack of Need

SATISFACTION WITH SERVICE PROVISION

RESPONDENTS REPORT RECEIVING “EXCELLENT” OR “VERY GOOD” CARE FROM A RANGE OF PROVIDERS Q: How well do you feel you are treated by each of the following types of health care providers? [Results shown only for those who have seen that type of provider] Total Excellent/Very Good

Good

Total Fair/Poor

Net Positive/Negative

Physical Therapists (PTs)

67%

22%

11%

+78 pts.

Nurses or nurse practitioners (NPs)

66%

26%

+83 pts.

Home Health Aides

65%

19%

16%

+68 pts.

Primary Care Physicians (PCPs)

63%

24%

13%

+74 pts.

Specialists (e.g., cardiologists, dermatologists, etc.)

62%

28%

10%

+80 pts.

*Net Positive/Negative Score is calculated by subtracting the percentage offering Total Fair/Poor ratings from the percentage of respondents rating that type of provider excellent, very good, or good. 23

3 IN 5 OFFER POSITIVE RATINGS FOR A RANGE OF PROVIDERS Q: How well do you feel you are treated by each of the following types of health care providers? [Results shown only for those who have seen that type of provider] Total Excellent/Very Good

Good

Net Positive/Negative

Total Fair/Poor

Physician Assistants (PAs)

62%

28%

10%

Dentists and Dental Hygienists

62%

23%

15%

+70 pts.

Chiropractors

61%

26%

13%

+74 pts.

Mental Health Professionals

61%

22%

Midwives

58%

31%

18%

11%

+80 pts.

+65 pts. +78 pts.

OVER HALF OF RESPONDENTS SAY THEY HAVE NEVER SEEN MENTAL HEALTH PROFESSIONALS Q: How well do you feel you are treated by each of the following types of health care providers? Percentage Reporting: Never Seen

93%

Midwives

86%

Home Health Aides

73%

Chiropractors

54%

Mental Health Professionals

47%

Physical Therapists (PTs)

A MAJORITY REPORT SATISFACTION WITH A NUMBER OF EVERYDAY HEALTHCARE SERVICES Q: How satisfied or dissatisfied are you with each of the following types of health care services in your community? Total Satisfied

Neutral

Total Unsatisfied

68%

Vision

23%

Net Satisfaction 9%

+59 pts.

Specialty Care Services

59%

27%

14%

+45 pts.

Primary Care Services

59%

23%

17%

+42 pts.

Dental Care

56%

25%

19%

+37 pts.

Emergency Services

52%

35%

* Percentages below 5% not displayed. 26

13%

+39 pts.

SIGNIFICANT MAJORITIES SAY THEY ARE NEUTRAL WITH REGARD TO OTHER SERVICES Q: How satisfied or dissatisfied are you with each of the following types of health care services in your community?

Total Satisfied

Neutral

Total Unsatisfied

Net Satisfaction

Mental Health Services

35%

52%

13%

+22 pts.

Rehabilitative Services

32%

54%

14%

+18 pts.

Long-Term Care Services

18%

68%

14%

+4 pts.

Addiction Services

16%

73%

10%

+6 pts.

* Percentages below 5% not displayed. 27

AWARENESS OF HEALTH CARE SERVICES

NEARLY 8 IN 10 RESPONDENTS ARE NOT AWARE OF LOCAL LOW-COST HEALTH CLINICS Are you aware of local free or low-cost health clinics in your area?

Yes

11%

23%

77%

have been denied health care services due to lack of insurance or inability to pay

BROAD MAJORITIES ARE AWARE OF WHEN THEY SHOULD RECEIVE HEALTH SCREENINGS Q: Do you know how often you should receive each of the following health screenings?

Difference

Vision and Hearing

Yes 73%

No 27%

Blood Pressure

71%

29%

+42 pts.

Cholesterol

69%

31%

+38 pts.

Colorectal Cancer (Colonoscopy)

67%

33%

+34 pts.

Diabetes (Blood Glucose Test)

65%

35%

+30 pts.

Breast Cancer (Mammogram)

61%

39%

+22 pts.

Cervical Cancer (Pap Smear)

57%

43%

+14 pts.

45%

Prostate Cancer (Prostate-Specific Antigen, PSA) Osteoporosis (Bone Density Test)

35%

+46 pts.

55% 65%

-10 pts.

-30 pts.

NEARLY 3 IN 5 RESPONDENTS ARE UNFAMILIAR WITH WAYS TO COPE WITH STRESS Q: Are you familiar with ways to cope with trauma or stress?

Are you familiar with ways to cope with trauma or stress?

Yes, I am familiar with several ways 58% I have some knowledge but would like to learn more 21% No, I am not familiar with any ways 21%

RESPONDENTS USE A RANGE OF APPROACHES TO COPE WITH STRESS Q: When you are feeling stressed or overwhelmed, how likely are you to respond by doing each of the following? Total Likely

Not Likely

Net Difference

Exercising or getting some physical activity

82%

18%

+64 pts.

Eating “comfort” foods

75%

25%

+50 pts.

Calling on friends or family for support

68%

32%

+36 pts.

Doing something creative (like art or music)

67%

33%

+34 pts.

Withdrawing from others

61%

39%

+22 pts.

Meditating, using guided imagery, or progressive relaxation

55%

45%

+10 pts.

Engaging in religious or spiritual practices

53%

47%

+6 pts.

LOWER PROPORTIONS EMPLOY COPING STRATEGIES THAT MAY HAVE ADVERSE OR DETRIMENTAL HEALTH CONSEQUENCES Q: When you are feeling stressed or overwhelmed, how likely are you to respond by doing each of the following?

Sleeping too much Gaming (playing video games)

Net Difference

Total Likely

Not Likely

46%

54%

30%

-8 pts. -40 pts.

70%

Drinking alcohol

21%

79%

-58 pts.

Using over-the-counter drugs (e.g., sleeping pills)

19%

81%

-62 pts.

Smoking (tobacco or marijuana)

12%

88%

-76 pts.

Taking illegal or prescription drugs

92%

-84 pts.

95%

-90 pts.

Gambling

A SUBSTANTIAL MAJORITY ARE UNAWARE OF REWARDS OFFERED BY HEALTH PLANS FOR PREVENTATIVE SERVICES Received Health Plan Incentives

Awareness of Health Plan Rewards

62%

Yes

Yes 17%

27%

No 83% I’m Not Sure

11%

PERCEIVED COMMUNITY NEEDS AND PRIORITIES

NEARLY 2 IN 5 IDENTIFY INJURY PREVENTION AS THE MOST IMPORTANT HEALTH ISSUE Please rank each topic in order of importance from 1 to 9,with the issue you feel is least important ranked “1” and most important is ranked “9.” Please rank each health issue differently so that no two issues have the same ranking.

Least Important Injury prevention (e.g., accidents, falls)

12%

14%

Infectious diseases (e.g., flu, COVID-19) Nutrition and health eating

Most important Median Score 36%

Maternal and child health Environmental health (e.g., air quality, water safety)

7.0 7%

6.0

11%

6.0

5.0 5.0

Substance abuse and addiction Chronic diseases (e.g., diabetes, hypertension) Mental health and well-being Access to affordable healthcare

13%

4.0 4.0

35%

18%

* Percentages 5% and under not displayed 36

3.0

NEARLY 1 IN 3 RESIDENTS VIEW ENHANCING HEALTHCARE INFRASTRUCTURE AS ESSENTIAL TO COMMUNITY HEALTH In your opinion, what should be the top priority for improving community health?

30%

Enhancing Healthcare: Infrastructure Physical, technological, or human resources essential for

26%

Strengthening Mental Health Services: Individual counseling or therapy, support

25%

Promoting Healthy Behaviors: Education and classes focusing on topics like nutrition and

19%

Addressing Social Drivers Of Health: Social, economic, and environmental factors

delivering health services (e.g., hospital buildings, medical equipment, telehealth technologies, health professionals)

groups, inpatient or residential mental health treatment, alternative care, and psychiatric care

healthy eating, physical activity, stress management, workplace wellness, and more

that impact people's health outcomes

A MAJORITY IDENTIFY COUNSELING AND THERAPY SERVICES AS THE MOST IMPORTANT MENTAL HEALTH SERVICE Q: Which mental health service do you feel is most necessary or most important in your community?

Counseling/Therapy

55%

Education

15%

Crisis Hotlines

11%

Support Groups

10%

Medication Management Other

6% 4%

MANY IDENTIFY EXERCISE AND NUTRITION AS TOPICS THEY WANT TO LEARN MORE ABOUT Q: Which of the following programs or services would you be interested in participating in or learning more about? Please select all that apply.

44%

Physical activity and exercise

43%

Nutrition and healthy eating

41%

Stress management

37%

Mental wellness

ABOUT 3 IN 10 RESIDENTS ARE INTERESTED IN LEARNING ABOUT CHRONIC DISEASE PREVENTION Q: Which of the following programs or services would you be interested in participating in or learning more about? Please select all that apply.

Chronic disease prevention (e.g., diabetes, heart disease) Cancer screenings (e.g., mammogram, colonoscopy, etc.) Teen/Youth health issues (e.g., healthy relationships, peer pressure, etc.)

29% 25% 16% 16%

Support for women, maternal health Sexual health and reproductive education

13%

Substance abuse prevention Other

10% 2% 28%

None of the above

MANY RESPONDENTS PREFER LEARNING ABOUT HEALTH TOPICS ON THEIR MOBILE DEVICE Q: How do you like to learn about health topics? Please select all that apply.

Using apps on your mobile device

45%

Watching webinars online

36%

Attending workshops in person

28%

Reading brochures in print

28%

One-on-one

26%

Following topics on social media

21%

Group setting

14% 21%

None of the above

www.evitarus.com

TO:

Riverside Community Health Foundation (RCHF)

FROM:

EVITARUS

DATE:

July 20, 2026

RE:

CHNA Supplemental Research Comparative Analysis

This memorandum provides a summary comparison of RCHF’s 2024 Community Health Needs Assessment (CHNA) secondary data findings to the primary data collected as a part of the 2026 Community Health Needs Assessment Supplemental Survey (the “CHNA Supplemental Research”). Given that zip-code level data is available in the 2024 CHNA and the CHNA Supplemental Research, this memorandum focuses upon the eight (8) CHNA Supplemental Research zip codes1 (the “Focal Zip Codes”). Residents Appear to Utilize Selected Preventative Care Services More Than Others Relative to 2024, several indicators suggest that a greater share of people residing in Focal Zip Codes are utilizing preventative care services. Overall, during the last 12 months, 95% of residents utilized at least one of the care services mentioned in the CHNA Supplemental Research or another service that was not mentioned. Only 5% stated that they had not used any preventative services. ▪

Routine check-ups – In 2026, almost four-in-five (77%) residents in the Focal Zip Codes got a routine checkup in the last 12 months. In 2024, the share was only 59%. o Utilization rates were 78% among both males and females.

▪

Blood pressure checks – 68% of in Focal Zip Code residents in the CHNA Supplemental Research got their blood pressure checked within the last year. o Although this indicator was not included in the 2024 CHNA’s secondary data, the report did note that 66% of adults over 18 who had high blood pressure were taking medication(s) for the condition. ▪

▪

This was especially prevalent among those who were ages 50 and older (80%), versus compared to those under age 50 (46%).

Annual dental visits – Nearly three-in-five (58%) Focal Zip Code residents in the CHNA Supplemental Research reported visiting the dentist within the last year. This is a slight increase since 2024 (54%).

Included zip codes: 92551, 92553, 92557, 92570, 92571, 92860, 92879, and 92881.

CHNA Supplemental Research Comparative Analysis

o Notably, 87% of respondents in zip code 92551 indicated that they had done so. Cancer Screening Rates Appear to Have Plateaued Although Riverside County residents appear to receive multiple preventative care services at a higher rate than in 2024, there is also evidence to suggest that a major share of residents are not getting their cancer screenings as often as they should, and that overall screening rates have ceased to increase since 2024. While the CHNA Supplemental Research did not ask residents about the rate at which they received specific cancer screenings (e.g., colorectal or cervical), the data did suggest that only 39% received any cancer screening in the last year. Additionally, just over half (52%) of Focal Zip Code residents in the CHNA Supplemental Research reported getting cancer screenings regularly (e.g., as recommended by their healthcare provider). Both findings are notably lower than the 2024 CHNA’s secondary data finding that an average 81% of residents in the Focal Zip Codes had a cervical cancer screening, nearly 73% had a mammogram (within the past two years), and 57% had gotten a colon cancer screening. Evidently, screening rates varied considerably by type. Yet, none of the average cancer screening rates in the 2024 CHNA were as low as the overall utilization rate in the CHNA Supplemental Research. ▪

Black or African Americans represent a notable potential outlier within the 2026 data. Among these residents, 71% reported regular cancer screenings. This is a higher rate than all other racial groups, and also higher than the average in the Focal Zip Codes. o Residents age 50 and up were also more than twice as likely (66%) to get regular screenings, as compared to those under age 50 (25%).

▪

On the other hand, one-in-five residents have never had cancer screening. This is very pronounced in zip codes 92551 and 92571, where the rates surpass one-in-three. o Men are also almost twice as likely as women to have never received a screening.

Though the share of residents getting cancer screenings seems to have plateaued since the 2024 CHNA, their awareness of when they should get screenings remains slightly elevated. ▪

57% of residents in the CHNA Supplemental Research knew how often they should receive a cervical cancer screening, while 61% knew when to get a mammogram.

▪

67% knew when to get a colonoscopy, and 45% knew when to get a pap smear.

Like the 2024 secondary data for the residents who got cancer screenings, considerable variation exists among the CHNA Supplemental Research resident who knew when to get screened, depending on the type of cancer. The disconnect between the share who are aware of when to get screened and those who actually got a screening continues to be visible, as CHNA Supplemental Research suggests. 2|Page

CHNA Supplemental Research Comparative Analysis

Mental Health Is Still Valued Among Residents; Perhaps No Longer The Top Health Priority Somewhat surprisingly, among residents in the CHNA Supplemental Research, mental health and well-being rank among the least important health issues. Specifically, the only health issue with a lower median score than mental health is “access to affordable healthcare.” Nonetheless, the demand for continued mental health services persists among a sizable portion of Focal Zip Code residents. Just over 17% of respondents in the 2024 CHNA reported needing help for mental health problems in the past year. In addition, around 12% reported experiencing serious psychological distress (e.g., feeling nervous, hopeless, etc.) in the past year. Results from the CHNA Supplemental Research demonstrate that mental health resources are still seen as vital to the community: ▪

21% of residents report not knowing of any ways to cope with trauma or stress. o A higher share of men (28%) than women (13%) do not know how to cope with trauma or stress.

▪

Another 21% of residents have knowledge of some ways to cope but would like to learn more. o More than two-in-five Asian or Pacific Islanders identified with this category.

Strategies For Coping With Mental Stress Although the 2024 CHNA did not utilize secondary data that assessed how Riverside County residents dealt with stress, it did capture the share of residents engaging in two coping behaviors that were asked in the CHNA Supplemental Research: binge drinking and drinking sugarsweetened beverages. ▪

Binge drinking – In the CHNA Supplemental Research, 21% said they were likely to drink alcohol as a coping strategy. o This was more pronounced among those under 50 years old (31%) than those over age 50 (15%). o By comparison, 17% of adults who were featured in the 2024 CHNA reported binge drinking in the last 30 days. ▪

▪

There was no major difference across the Focal Zip Code. However, it cannot be concluded whether the motivation behind binge drinking was to cope with mental health.

Drink sugar-sweetened beverages – The 2026 assessment found that three quarters (75%) of residents were likely to “eat comfort foods” as a stress response. This was one of the more common behaviors that residents were likely to engage in. o By contrast, only one-in-five adults (19.7%) in the 2024 CHNA reported consuming soda or sugar sweetened beverages at least once a day. 3|Page

CHNA Supplemental Research Comparative Analysis

▪

A slightly higher share of residents in zip codes 92553 (24.7%), 92551 (22.5%), and 92571 (22.4%) reported engaging in this behavior than the average among all Focal Zip Codes. Just as with the binge drinking indicator, it cannot be concluded whether the motivation behind drinking sugar-sweetened beverages was to cope with mental health.

Residents expressed clarity about the services they feel are essential to improve mental health. ▪

55% felt that counseling and therapy are the most important service.

▪

The next most popular services were education (11%) and crisis hotlines (10%).

Older Residents Hint at Areas to Improve the Quality of Senior Care Residents age 65 and older made up 11% of the population across the Focal Zip Codes according to the 2024 CHNA. By contrast, in the CHNA Supplemental Research, this age segment comprised 37% of the sample—nearly twice (2x) the share (20%) of the next largest age cohort (ages 55-64). Thus, the experiences and perspectives of this group appear more prominently in the findings relative to other age groups. On the surface, there is evidence that most are successful in accessing health care services. ▪

Far fewer residents aged 65 and up in the CHNA Supplemental Research had gone more than a year without visiting a provider (5%) than residents ages 18-34 (21%).

▪

Additionally, the vast majority (93%) have not been denied health care services due to lack of insurance or ability to pay.

Opportunities For Improvement Although surface level indicators suggest positive feedback on the quality of senior care, residents ages 65 and up also noted several areas where improvements could be made. 1. An overwhelming majority (85%) are not aware of free health clinics in their area. o By contrast, significantly fewer residents ages 18-34 are not aware (62%). 2. Approximately one-in-three (31%) have had to postpone getting medical or dental care in the last 12 months. o Two-in-five residents within this age group said that fear and anxiety was a reason for postponing care. o Thirty-one percent (31%) said that their work schedule, transportation, or time constraints were a driving factor. o Four percent (4%) said that a lack of insurance or access was a reason. 4|Page

CHNA Supplemental Research Comparative Analysis

3. Overall satisfaction with healthcare providers among this age group is high, though a few noted poor or fair treatment from certain providers. o Home Health Aides – Of those who have seen the provider, 19% said that they were treated fairly or poorly. o Chiropractors – of those who have seen the provider, 13% said that they were treated fairly or poorly. o Physical Therapists – Of those who have seen the provider, 11% said that they were treated fairly or poorly. Research Methodology From June 25-July 2, 2026, EVITARUS conducted the 2026 Community Health Needs Assessment Supplemental Survey, in English and Spanish. Completed surveys were collected from 260 residents across the Focal Zip Codes that were recently added to RCHF’s service area. Respondents completed the survey online. The sample was drawn using registration-based sampling (RBS), where residents were selected at random from the file of registered voters in Riverside County.

5|Page