# Stroke-neurology receiving centers

The current OCEMS Stroke-Neurology Receiving Center list, plus the field routing checks that make the list usable.

Official source: 240.20. Effective: January 1, 2026.
Population: Adult / adolescent. Scope: ALS / System.
Updated and source-checked: 2026-09-16.
Canonical page: https://www.ocmedic.com/reference/240-20-list-of-stroke-neurology-receiving-centers/

Independent OC Medic summary. This page does not replace the complete policy, current system notices, agency requirements, or clinical judgment.

## Use base contact for the actual destination

- Base contact is required for patients who meet OCEMS stroke-neurology triage criteria.
- This list shows designated centers; it does not show real-time diversion, imaging capability, or specialty-bed availability.
- Orange County Global Medical Center is not on the current 240.20 list effective January 1, 2026.

## Current stroke-neurology receiving centers

- Eight hospitals appear on OCEMS Policy 240.20, effective January 1, 2026.
- Use the current policy list instead of memory; facility designations changed between the 2024 and 2026 versions.

| Stroke-neurology receiving center | City |
| --- | --- |
| Hoag Hospital - Newport Beach | Newport Beach |
| Mission Hospital - Mission Viejo | Mission Viejo |
| Saddleback Memorial Medical Center | Laguna Hills |
| Saint Joseph Hospital | Orange |
| Saint Jude Medical Center | Fullerton |
| UCI Health - Fountain Valley | Fountain Valley |
| UCI Health - Los Alamitos | Los Alamitos |
| UCI Health - Orange | Orange |

## Field routing sequence

1. Complete the OCEMS adult stroke-neurology triage assessment, including exact last-known-well time, responsiveness, and the qualifying new focal finding or intracerebral-hemorrhage criteria.
2. Make base contact for every patient who meets stroke-neurology triage criteria and report the actual findings, side, glucose, blood pressure, and time information.
3. Coordinate the Stroke-Neurology Receiving Center destination through base. If the patient does not meet the triage criteria, follow the standing order for transport to the nearest appropriate emergency receiving center.
4. Avoid IO and external-jugular access in a potential SNRC patient when the standing order's thrombolysis precaution applies.

## Quick links

- The full stroke guide includes the OCEMS neurologic checks, hemorrhage criteria, treatment, documentation, and base-contact requirements.
- Community spoke-hospital assignments are a system reference and do not replace prehospital base direction.

- [Open the Stroke & intracerebral hemorrhage guide](/guides/stroke/)
- [Open community spoke assignments - 650.05](/reference/650-05-community-spoke-hospital-assignments-to-adult-stroke-neurology-receiving-centers/)

## Official OCEMS sources

- [240.20 - List of Stroke Neurology Receiving Centers](https://www.ochealthinfo.com/sites/healthcare/files/2026-01/240.20%20List%20of%20SNRCs%20%2812-2025%29.pdf)
- [SO-M-025 - Suspected Acute Stroke or Intracranial Hemorrhage](https://www.ochealthinfo.com/sites/healthcare/files/2023-09/SO-M-025%20Stroke%2010-2023.pdf)
- [310.00 - 9-1-1 ALS Base Contact, Standing Order, and Transport Criteria](https://www.ochealthinfo.com/sites/healthcare/files/2025-03/310.00%20ALS%20Base%20Contact%204-2025.pdf)

[OCEMS notices and system updates](https://www.ochealthinfo.com/providers-partners/emergency-medical-services)
