The hospital is a Level IV NICU referral center for the Inland Empire, and the patient population is correspondingly complex: premature and critically ill neonates, children with congenital anomalies and chronic disease, and patients referred from across the region for care not available closer to home. The case mix spans neonatal and general pediatric surgery, orthopedics, neurosurgery, ENT, urology, craniofacial and plastic surgery, and a high volume of non-operating-room anesthesia in radiology, oncology, and procedural suites.