Health

More than 100 SoCal hospitals hit with readmission penalties

Pay raise for Inland Empire doctors
Pay raise for Inland Empire doctors
Stock photo by Alex Proimos via Flickr Creative Commons

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Medicare is penalizing more than 100 hospitals in the five-county greater Los Angeles area  for having too many patients readmitted to their facilities within a 30-day period. 

A total of 111 hospitals in L.A., Orange, Riverside, San Bernardino and Ventura Counties got fined under the program – three out of four in the region. 

Southern California hospitals' penalties were slightly lower than last year's, and "about half those of the national average," says Jordan Rau, a senior correspondent with Kaiser Health News, who specializes in interpreting the annual Medicare data.

The penalties are based on the number of Medicare patients who are hospitalized for one of five conditions -  including heart attacks and elective hip and knee replacements – and then are forced to return for more care within a month of discharge.

When the number of these readmissions exceeds Medicare’s limit set for each hospital, the government reduces the amount of total Medicare dollars the facility gets in the next fiscal year, which for the federal government, begins each October.

Penalties by county

County Penalty Grand Total % Of All Hospitals Penalized Average of FY2016 Readmission Penalty
VENTURA 6 7 86% 0.23%
RIVERSIDE 13 16 81% 0.47%
ORANGE 19 24 79% 0.23%
SAN BERNARDINO 14 18 78% 0.20%
LOS ANGELES 59 85 69% 0.36%
TOTAL 111 150 74% 0.32%

The fines are one way the Affordable Care Act tries to encourage hospitals to improve patient care, "to focus hospitals on actually paying attention to what happens to their patients after they leave," says Rau. "In the past the hospital didn’t have any reason to do that, financially."

While some hospitals nationwide got hit with the maximum penalty of 3 percent of their Medicare budget, the highest fine levied locally was 1.34 percent against UCLA Medical Center in Santa Monica.  When asked to comment on the penalty and how much it would cost, UCLA said no one was available to speak about the matter. 

The other hospitals receiving the highest penalty in each county were: Hemet Valley Medical Center in Hemet, 1.2 percent; Orange Coast Memorial Medical Center in Fountain Valley, .9 percent; St. Mary Medical Center in Apple Valley, .8 percent; and St. John's Regional Medical Center in Oxnard, .5 percent.

Many hospitals consider the penalties to be unfair. 

"The current methodologies that are used don’t recognize factors that are outside the hospital’s control," says Marty Gallegos, who specializes in health care policy for the Southern California Hospital Association.

For instance, he says, some people may not be able to afford medications they’re supposed to take, which can land them back in the hospital. And in an area, such as Los Angeles, people may have to ride several buses to get to a post-op appointment – making them more likely to miss it and to end up back in the hospital.

Another concern is that a hospital's performance is measured against the national average, says Rau.

"So you’ve got these hospitals hustling and they have lowered their readmission rates but if they’re still behind the nation’s average hospital they’re still going to get penalized," he says. 

The readmission penalties are not the only fines hospitals could face this year. Those with high rates of infection and other avoidable problems will be penalized as well. What’s more, Medicare is poised to impose fines based on an additional series of yet-to-be-announced quality measures.  But there’s also a carrot:  The government is planning to award bonuses to hospitals that meet those new quality measures.

All California hospitals and their readmission penalties:

Hospital Name County Name FY2014 Readmission Penalty FY2015 Readmission Penalty FY2016 Readmission Penalty Yes Or No Penalty
ALAMEDA HOSPITAL ALAMEDA 0.29% 0.73% 0.48% Penalty
ALTA BATES SUMMIT MEDICAL CENTER ALAMEDA 0.20% 0.91% 1.42% Penalty
ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP ALAMEDA 0.10% 0.03% 0.16% Penalty
EDEN MEDICAL CENTER ALAMEDA 0.13% 0.66% 0.67% Penalty
HIGHLAND HOSPITAL ALAMEDA 0.20% 0.26% 0.11% Penalty
KAISER FOUNDATION HOSPITAL - FREMONT ALAMEDA 0.00% 0.00% 0.00% No Penalty
KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND ALAMEDA 0.02% 0.05% 0.04% Penalty
KAISER FOUNDATION HOSPITAL - SAN LEANDRO ALAMEDA Not Assessed Not Assessed Not Assessed Not Assessed
SAN LEANDRO HOSPITAL ALAMEDA 0.00% 0.00% 0.06% Penalty
ST ROSE HOSPITAL ALAMEDA 0.58% 1.06% 1.23% Penalty
VALLEYCARE MEDICAL CENTER ALAMEDA 0.19% 0.20% 0.24% Penalty
WASHINGTON HOSPITAL ALAMEDA 0.72% 1.24% 0.75% Penalty
SUTTER AMADOR HOSPITAL AMADOR 0.00% 0.22% 0.01% Penalty
BIGGS GRIDLEY MEMORIAL HOSPITAL BUTTE Not Assessed Not Assessed Not Assessed Not Assessed
ENLOE MEDICAL CENTER BUTTE 0.32% 2.05% 1.25% Penalty
FEATHER RIVER HOSPITAL BUTTE 0.00% 1.15% 0.76% Penalty
OROVILLE HOSPITAL BUTTE 0.81% 1.03% 0.98% Penalty
MARK TWAIN MEDICAL CENTER CALAVERAS Not Assessed Not Assessed Not Assessed Not Assessed
COLUSA REGIONAL MEDICAL CENTER COLUSA 0.59% 0.79% 0.09% Penalty
CONTRA COSTA REGIONAL MEDICAL CENTER CONTRA COSTA 0.17% 0.00% 0.00% No Penalty
DOCTORS MEDICAL CENTER - SAN PABLO CONTRA COSTA 0.00% 0.60% 0.86% Penalty
JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS CONTRA COSTA 0.00% 0.12% 0.03% Penalty
JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS CONTRA COSTA 0.00% 0.00% 0.05% Penalty
KAISER FOUNDATION HOSPITAL - ANTIOCH CONTRA COSTA 0.00% 0.00% 0.00% No Penalty
KAISER FOUNDATION HOSPITAL - WALNUT CREEK CONTRA COSTA 0.00% 0.00% 0.00% No Penalty
SAN RAMON REGIONAL MEDICAL CTR CONTRA COSTA 0.39% 0.63% 0.85% Penalty
SUTTER DELTA MEDICAL CENTER CONTRA COSTA 0.47% 0.50% 0.64% Penalty
SUTTER COAST HOSPITAL DEL NORTE 0.00% 0.05% 0.24% Penalty
BARTON MEMORIAL HOSPITAL EL DORADO 0.00% 0.68% 0.00% No Penalty
MARSHALL MEDICAL CENTER EL DORADO 0.35% 0.26% 0.14% Penalty
ADVENTIST MEDICAL CENTER - REEDLEY FRESNO 0.12% 0.09% 0.00% No Penalty
CLOVIS COMMUNITY MEDICAL CENTER FRESNO 0.05% 0.00% 0.00% No Penalty
COALINGA REGIONAL MEDICAL CENTER FRESNO 0.66% 0.45% 0.62% Penalty
COMMUNITY REGIONAL MEDICAL CENTER FRESNO 0.49% 0.43% 0.61% Penalty
FRESNO HEART AND SURGICAL HOSPITAL FRESNO 0.00% 0.00% 0.00% No Penalty
FRESNO SURGICAL HOSPITAL FRESNO 0.00% 0.00% 0.00% No Penalty
FRESNO VA MEDICAL CENTER - VA CENTRAL CALIFORNIA FRESNO Not Assessed Not Assessed Not Assessed Not Assessed
KAISER FOUNDATION HOSPITAL - FRESNO FRESNO 0.00% 0.00% 0.00% No Penalty
SAINT AGNES MEDICAL CENTER FRESNO 0.17% 0.62% 0.79% Penalty
GLENN MEDICAL CENTER GLENN Not Assessed Not Assessed Not Assessed Not Assessed
JEROLD PHELPS COMMUNITY HOSPITAL HUMBOLDT Not Assessed Not Assessed Not Assessed Not Assessed
MAD RIVER COMMUNITY HOSPITAL HUMBOLDT 0.00% 0.00% 0.09% Penalty
REDWOOD MEMORIAL HOSPITAL HUMBOLDT Not Assessed Not Assessed Not Assessed Not Assessed
ST JOSEPH HOSPITAL HUMBOLDT 0.00% 0.00% 0.00% No Penalty
EL CENTRO REGIONAL MEDICAL CENTER IMPERIAL 0.62% 0.90% 0.45% Penalty
PIONEERS MEMORIAL HEALTHCARE DISTRICT IMPERIAL 0.33% 0.62% 0.78% Penalty
NORTHERN INYO HOSPITAL INYO Not Assessed Not Assessed Not Assessed Not Assessed
SOUTHERN INYO HOSPITAL INYO Not Assessed Not Assessed Not Assessed Not Assessed
BAKERSFIELD HEART HOSPITAL KERN 0.19% 0.26% 0.67% Penalty
BAKERSFIELD MEMORIAL HOSPITAL KERN 0.32% 0.54% 0.48% Penalty
DELANO REGIONAL MEDICAL CENTER KERN 0.00% 0.42% 0.44% Penalty
GOOD SAMARITAN HOSPITAL KERN 0.09% 0.02% 0.13% Penalty
KERN MEDICAL CENTER KERN 0.05% 0.00% 0.00% No Penalty
KERN VALLEY HEALTHCARE DISTRICT KERN Not Assessed Not Assessed Not Assessed Not Assessed
MERCY HOSPITAL KERN 0.39% 0.39% 0.52% Penalty
SAN JOAQUIN COMMUNITY HOSPITAL KERN 0.52% 1.03% 0.72% Penalty
TEHACHAPI HOSPITAL KERN Not Assessed Not Assessed Not Assessed Not Assessed
ADVENTIST MEDICAL CENTER KINGS 0.16% 0.55% 0.82% Penalty
CENTRAL VALLEY GENERAL HOSPITAL KINGS 0.12% 0.00% 0.00% No Penalty
ST HELENA HOSPITAL-CLEARLAKE LAKE Not Assessed Not Assessed Not Assessed Not Assessed
SUTTER LAKESIDE HOSPITAL LAKE Not Assessed Not Assessed Not Assessed Not Assessed
BANNER LASSEN MEDICAL CENTER LASSEN Not Assessed Not Assessed Not Assessed Not Assessed
ALHAMBRA HOSPITAL MEDICAL CENTER LOS ANGELES 0.01% 0.00% 0.01% Penalty
ANTELOPE VALLEY HOSPITAL LOS ANGELES 0.25% 0.33% 0.50% Penalty
BEVERLY HOSPITAL LOS ANGELES 0.33% 0.31% 0.26% Penalty
CALIFORNIA HOSPITAL MEDICAL CENTER LA LOS ANGELES 0.42% 0.88% 0.70% Penalty
CATALINA ISLAND MEDICAL CENTER LOS ANGELES Not Assessed Not Assessed Not Assessed Not Assessed
CEDARS-SINAI MEDICAL CENTER LOS ANGELES 0.00% 0.15% 0.00% No Penalty
CENTINELA HOSPITAL MEDICAL CENTER LOS ANGELES 0.59% 0.79% 1.28% Penalty
CHILDREN'S HOSP OF LOS ANGELES LOS ANGELES Not Assessed Not Assessed Not Assessed Not Assessed
CITRUS VALLEY MEDICAL CENTER-IC CAMPUS LOS ANGELES 0.14% 0.25% 0.06% Penalty
CITY OF HOPE HELFORD CLINICAL RESEARCH HOSPITAL LOS ANGELES Not Assessed Not Assessed Not Assessed Not Assessed
COAST PLAZA HOSPITAL LOS ANGELES 0.05% 0.37% 0.28% Penalty
COLLEGE MEDICAL CENTER LOS ANGELES Not Assessed Not Assessed 0.00% No Penalty
COMMUNITY HOSPITAL OF HUNTINGTON PARK LOS ANGELES 0.10% 1.18% 1.02% Penalty
COMMUNITY HOSPITAL OF LONG BEACH LOS ANGELES 0.01% 0.03% 0.07% Penalty
DOCTORS HOSPITAL OF WEST COVINA, INC LOS ANGELES 0.00% 0.00% 0.00% No Penalty
EAST LOS ANGELES DOCTORS HOSPITAL LOS ANGELES 0.29% 0.13% 0.10% Penalty
ENCINO HOSPITAL MEDICAL CENTER LOS ANGELES 0.21% 0.35% 0.15% Penalty
FOOTHILL PRESBYTERIAN HOSPITAL LOS ANGELES 0.05% 0.11% 0.05% Penalty
GARDENS REGIONAL HOSPITAL AND MEDICAL CENTER LOS ANGELES 0.03% 0.01% 0.00% No Penalty
GARFIELD MEDICAL CENTER LOS ANGELES 0.56% 0.95% 0.81% Penalty
GLENDALE ADVENTIST MEDICAL CENTER LOS ANGELES 0.56% 0.86% 0.87% Penalty
GLENDALE MEM HOSPITAL & HLTH CENTER LOS ANGELES 0.86% 1.61% 0.78% Penalty
GLENDORA COMMUNITY HOSPITAL LOS ANGELES 0.00% 0.00% 0.00% No Penalty
GOOD SAMARITAN HOSPITAL LOS ANGELES 0.35% 0.39% 0.77% Penalty
GREATER EL MONTE COMMUNITY HOSPITAL LOS ANGELES 0.17% 0.44% 0.16% Penalty
HENRY MAYO NEWHALL HOSPITAL LOS ANGELES 0.00% 0.21% 0.68% Penalty
HOLLYWOOD PRESBYTERIAN MEDICAL CENTER LOS ANGELES 0.28% 0.82% 0.86% Penalty
HUNTINGTON MEMORIAL HOSPITAL LOS ANGELES 0.19% 0.17% 0.06% Penalty
KAISER FOUNDATION HOSPITAL - BALDWIN PARK LOS ANGELES 0.00% 0.00% 0.00% No Penalty
KAISER FOUNDATION HOSPITAL - DOWNEY LOS ANGELES 0.00% 0.00% 0.00% No Penalty
KAISER FOUNDATION HOSPITAL - LOS ANGELES LOS ANGELES 0.00% 0.00% 0.00% No Penalty
KAISER FOUNDATION HOSPITAL - PANORAMA CITY LOS ANGELES 0.25% 0.00% 0.00% No Penalty
KAISER FOUNDATION HOSPITAL - SOUTH BAY LOS ANGELES 0.21% 0.00% 0.00% No Penalty
KAISER FOUNDATION HOSPITAL - WEST LA LOS ANGELES 0.00% 0.00% 0.00% No Penalty
KAISER FOUNDATION HOSPITAL - WOODLAND HILLS LOS ANGELES 0.00% 0.00% 0.00% No Penalty
KECK HOSPITAL OF USC LOS ANGELES 0.06% 0.19% 0.12% Penalty
LAC/HARBOR-UCLA MED CENTER LOS ANGELES 0.01% 0.14% 0.28% Penalty
LAC/OLIVE VIEW-UCLA MEDICAL CENTER LOS ANGELES 0.19% 0.38% 0.17% Penalty
LAC+USC MEDICAL CENTER LOS ANGELES 0.11% 0.13% 0.22% Penalty
LAKEWOOD REGIONAL MEDICAL CENTER LOS ANGELES 0.22% 0.32% 0.64% Penalty
LANTERMAN DEVELOPMENTAL CENTER LOS ANGELES 0.00% 0.00% 0.00% No Penalty
LONG BEACH MEMORIAL MEDICAL CENTER LOS ANGELES 0.39% 0.24% 0.09% Penalty
LOS ANGELES COMMUNITY HOSPITAL LOS ANGELES 0.38% 0.21% 0.26% Penalty
MARINA DEL REY HOSPITAL LOS ANGELES 0.25% 0.03% 0.20% Penalty
MEMORIAL HOSPITAL OF GARDENA LOS ANGELES 0.41% 0.22% 0.35% Penalty
METHODIST HOSPITAL OF SOUTHERN CA LOS ANGELES 0.00% 0.16% 0.15% Penalty
MILLER CHILDREN'S HOSPITAL LOS ANGELES Not Assessed Not Assessed Not Assessed Not Assessed
MIRACLE MILE MEDICAL CENTER LOS ANGELES 0.00% 0.00% 0.00% No Penalty
MISSION COMMUNITY HOSPITAL LOS ANGELES 0.16% 0.03% 0.00% No Penalty
MONTEREY PARK HOSPITAL LOS ANGELES 0.05% 0.29% 0.30% Penalty
MOTION PICTURE & TELEVISION HOSPITAL LOS ANGELES 0.00% 0.00% 0.00% No Penalty
NORTHRIDGE HOSPITAL MEDICAL CENTER LOS ANGELES 0.00% 0.32% 0.36% Penalty
OLYMPIA MEDICAL CENTER LOS ANGELES 1.04% 0.50% 0.39% Penalty
PACIFIC ALLIANCE MEDICAL CENTER LOS ANGELES 0.19% 0.15% 0.03% Penalty
PACIFICA HOSPITAL OF THE VALLEY LOS ANGELES 0.31% 0.30% 0.24% Penalty
PALMDALE REGIONAL MEDICAL CENTER LOS ANGELES 0.16% 0.77% 0.17% Penalty
PIH HOSPITAL - DOWNEY LOS ANGELES 0.08% 0.25% 0.25% Penalty
POMONA VALLEY HOSPITAL MEDICAL CENTER LOS ANGELES 0.25% 0.41% 0.10% Penalty
PRESBYTERIAN INTERCOMMUNITY HOSPITAL LOS ANGELES 0.01% 0.00% 0.00% No Penalty
PROVIDENCE HOLY CROSS MEDICAL CENTER LOS ANGELES 0.27% 0.68% 0.56% Penalty
PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO LOS ANGELES 0.09% 0.23% 0.47% Penalty
PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE LOS ANGELES 0.59% 0.48% 0.89% Penalty
PROVIDENCE SAINT JOHN'S HEALTH CENTER LOS ANGELES 0.21% 0.20% 0.02% Penalty
PROVIDENCE SAINT JOSEPH MEDICAL CTR LOS ANGELES 0.13% 0.31% 0.36% Penalty
PROVIDENCE TARZANA MEDICAL CENTER LOS ANGELES 0.15% 0.27% 0.06% Penalty
RONALD REAGAN U C L A MEDICAL CENTER LOS ANGELES 0.19% 0.24% 0.13% Penalty
SAINT FRANCIS MEDICAL CENTER LOS ANGELES 0.01% 0.00% 0.00% No Penalty
SAINT VINCENT MEDICAL CENTER LOS ANGELES 0.07% 0.10% 0.30% Penalty
SAN DIMAS COMMUNITY HOSPITAL LOS ANGELES 0.00% 0.46% 0.17% Penalty
SAN GABRIEL VALLEY MEDICAL CENTER LOS ANGELES 1.12% 0.81% 1.17% Penalty
SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL LOS ANGELES 0.58% 1.08% 1.34% Penalty
SHERMAN OAKS HOSPITAL LOS ANGELES 0.65% 0.49% 0.48% Penalty
SILVER LAKE MEDICAL CENTER LOS ANGELES 0.14% 0.04% 0.02% Penalty
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD LOS ANGELES 0.01% 0.03% 0.14% Penalty
ST MARY MEDICAL CENTER LOS ANGELES 0.12% 0.21% 0.13% Penalty
TEMPLE COMMUNITY HOSPITAL LOS ANGELES 0.00% 0.00% 0.08% Penalty
TORRANCE MEMORIAL MEDICAL CENTER LOS ANGELES 0.25% 0.28% 0.25% Penalty
USC KENNETH NORRIS JR CANCER HOSPITAL LOS ANGELES Not Assessed Not Assessed Not Assessed Not Assessed
USC VERDUGO HILLS HOSPITAL LOS ANGELES 0.00% 0.06% 0.15% Penalty
VA GREATER LOS ANGELES HEALTHCARE SYSTEM LOS ANGELES Not Assessed Not Assessed Not Assessed Not Assessed
VA LONG BEACH HEALTHCARE SYSTEM LOS ANGELES Not Assessed Not Assessed Not Assessed Not Assessed
VALLEY PRESBYTERIAN HOSPITAL LOS ANGELES 0.35% 1.39% 0.14% Penalty
WEST HILLS HOSPITAL & MEDICAL CENTER LOS ANGELES 0.02% 0.14% 0.30% Penalty
WHITE MEMORIAL MEDICAL CENTER LOS ANGELES 0.10% 0.28% 0.33% Penalty
WHITTIER HOSPITAL MEDICAL CENTER LOS ANGELES 0.00% 0.00% 0.00% No Penalty
MADERA COMMUNITY HOSPITAL MADERA 0.13% 0.18% 0.35% Penalty
KAISER FOUNDATION HOSPITAL MARIN 0.00% 0.00% 0.00% No Penalty
MARIN GENERAL HOSPITAL MARIN 0.00% 0.22% 0.10% Penalty
NOVATO COMMUNITY HOSPITAL MARIN 0.00% 0.32% 1.59% Penalty
JOHN C FREMONT HEALTHCARE DISTRICT MARIPOSA Not Assessed Not Assessed Not Assessed Not Assessed
FRANK R HOWARD MEMORIAL HOSPITAL MENDOCINO Not Assessed Not Assessed Not Assessed Not Assessed
MENDOCINO COAST DISTRICT HOSPITAL MENDOCINO Not Assessed Not Assessed Not Assessed Not Assessed
UKIAH VALLEY MEDICAL CENTER/HOSPITAL D MENDOCINO 0.07% 0.19% 0.09% Penalty
MEMORIAL HOSPITAL LOS BANOS MERCED 0.11% 0.52% 0.49% Penalty
MERCY MEDICAL CENTER MERCED 0.59% 0.54% 0.49% Penalty
MODOC MEDICAL CENTER MODOC Not Assessed Not Assessed Not Assessed Not Assessed
SURPRISE VALLEY COMMUNITY HOSPITAL MODOC Not Assessed Not Assessed Not Assessed Not Assessed
MAMMOTH HOSPITAL MONO Not Assessed Not Assessed Not Assessed Not Assessed
COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA MONTEREY 0.00% 0.00% 0.00% No Penalty
GEORGE L MEE MEMORIAL HOSPITAL MONTEREY 0.07% 0.19% 0.27% Penalty
NATIVIDAD MEDICAL CENTER MONTEREY 0.12% 0.33% 0.24% Penalty
SALINAS VALLEY MEMORIAL HOSPITAL MONTEREY 0.00% 0.11% 0.24% Penalty
QUEEN OF THE VALLEY MEDICAL CENTER NAPA 0.00% 0.03% 0.75% Penalty
ST HELENA HOSPITAL NAPA 0.01% 0.00% 0.00% No Penalty
SIERRA NEVADA MEMORIAL HOSPITAL NEVADA 0.75% 0.50% 0.23% Penalty
TAHOE FOREST HOSPITAL NEVADA Not Assessed Not Assessed Not Assessed Not Assessed
AHMC ANAHEIM REGIONAL MEDICAL CENTER ORANGE 0.27% 0.80% 0.85% Penalty
CHAPMAN MEDICAL CENTER ORANGE 0.32% 0.16% 0.16% Penalty
COASTAL COMMUNITIES HOSPITAL ORANGE 0.03% 0.13% 0.08% Penalty
COLLEGE HOSPITAL COSTA MESA ORANGE 0.00% 0.00% 0.00% No Penalty
FAIRVIEW DEVELOPMENTAL CENTER ORANGE 0.00% 0.00% 0.00% No Penalty
FOUNTAIN VALLEY REGIONAL HOSPITAL & MEDICAL CENTER ORANGE 0.62% 0.93% 0.19% Penalty
GARDEN GROVE HOSPITAL & MEDICAL CENTER ORANGE 0.01% 0.13% 0.01% Penalty
HOAG MEMORIAL HOSPITAL PRESBYTERIAN ORANGE 0.01% 0.00% 0.04% Penalty
HOAG ORTHOPEDIC INSTITUTE ORANGE 0.00% 0.00% 0.00% No Penalty
HUNTINGTON BEACH HOSPITAL ORANGE 0.31% 0.38% 0.31% Penalty
KAISER FOUNDATION HOSPITAL - ANAHEIM ORANGE 0.00% 0.00% 0.00% No Penalty
LA PALMA INTERCOMMUNITY HOSPITAL ORANGE 0.10% 0.20% 0.19% Penalty
LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR ORANGE 0.00% 0.00% 0.00% No Penalty
LOS ALAMITOS MEDICAL CENTER ORANGE 0.22% 0.62% 0.65% Penalty
MISSION HOSPITAL REGIONAL MED CENTER ORANGE 0.00% 0.13% 0.22% Penalty
ORANGE COAST MEMORIAL MEDICAL CENTER ORANGE 0.04% 0.57% 0.89% Penalty
PLACENTIA LINDA HOSPITAL ORANGE 0.08% 0.39% 0.07% Penalty
SADDLEBACK MEMORIAL MEDICAL CENTER ORANGE 0.00% 0.00% 0.08% Penalty
ST JOSEPH HOSPITAL ORANGE 0.00% 0.06% 0.04% Penalty
ST JUDE MEDICAL CENTER ORANGE 0.00% 0.07% 0.10% Penalty
UNIVERSITY OF CALIFORNIA IRVINE MED CENTER ORANGE 0.11% 0.13% 0.07% Penalty
WEST ANAHEIM MEDICAL CENTER ORANGE 0.01% 0.29% 0.25% Penalty
WESTERN MEDICAL CENTER ANAHEIM ORANGE 0.06% 0.16% 0.01% Penalty
WESTERN MEDICAL CENTER SANTA ANA ORANGE 0.23% 0.12% 0.16% Penalty
KAISER FOUNDATION HOSPITAL - ROSEVILLE PLACER 0.00% 0.00% 0.00% No Penalty
SUTTER AUBURN FAITH HOSPITAL PLACER 0.00% 0.01% 0.00% No Penalty
SUTTER ROSEVILLE MEDICAL CENTER PLACER 0.00% 0.46% 0.00% No Penalty
EASTERN PLUMAS HOSPITAL - PORTOLA CAMPUS PLUMAS Not Assessed Not Assessed Not Assessed Not Assessed
PLUMAS DISTRICT HOSPITAL PLUMAS Not Assessed Not Assessed Not Assessed Not Assessed
SENECA DISTRICT HOSPITAL PLUMAS Not Assessed Not Assessed Not Assessed Not Assessed
CORONA REGIONAL MEDICAL CENTER RIVERSIDE 0.31% 0.40% 0.26% Penalty
DESERT REGIONAL MEDICAL CENTER RIVERSIDE 0.00% 0.56% 0.69% Penalty
EISENHOWER MEDICAL CENTER RIVERSIDE 0.00% 0.00% 0.00% No Penalty
HEMET VALLEY MEDICAL CENTER RIVERSIDE 0.19% 0.59% 1.20% Penalty
JOHN F KENNEDY MEMORIAL HOSPITAL RIVERSIDE 0.13% 1.07% 0.37% Penalty
KAISER FOUNDATION HOSPITAL, RIVERSIDE RIVERSIDE 0.00% 0.00% 0.00% No Penalty
KAISER FOUNDATION HOSPITAL-MORENO VALLEY RIVERSIDE 0.07% 0.07% 0.00% No Penalty
LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA RIVERSIDE 0.11% 0.71% 0.96% Penalty
MENIFEE VALLEY MEDICAL CENTER RIVERSIDE 0.34% 0.61% 0.49% Penalty
PALO VERDE HOSPITAL RIVERSIDE 0.00% 0.22% 0.13% Penalty
PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER RIVERSIDE 0.04% 0.78% 0.43% Penalty
RIVERSIDE COMMUNITY HOSPITAL RIVERSIDE 0.51% 0.93% 0.85% Penalty
RIVERSIDE COUNTY REGIONAL MEDICAL CENTER RIVERSIDE 0.27% 0.16% 0.08% Penalty
SAN GORGONIO MEMORIAL HOSPITAL RIVERSIDE 0.15% 0.21% 0.26% Penalty
SOUTHWEST HEALTHCARE SYSTEM RIVERSIDE 0.30% 0.21% 0.22% Penalty
TEMECULA VALLEY HOSPITAL RIVERSIDE Not Assessed Not Assessed 0.22% Penalty
KAISER FOUNDATION HOSP SO SACRAMENTO SACRAMENTO 0.00% 0.00% 0.02% Penalty
KAISER FOUNDATION HOSPITAL - SACRAMENTO SACRAMENTO 0.02% 0.00% 0.00% No Penalty
MERCY GENERAL HOSPITAL SACRAMENTO 0.00% 0.07% 0.10% Penalty
MERCY HOSPITAL OF FOLSOM SACRAMENTO 0.17% 0.17% 0.22% Penalty
MERCY SAN JUAN MEDICAL CENTER SACRAMENTO 0.40% 0.49% 0.78% Penalty
METHODIST HOSPITAL OF SACRAMENTO SACRAMENTO 0.26% 0.41% 0.21% Penalty
SUTTER GENERAL HOSPITAL SACRAMENTO 0.00% 0.05% 0.08% Penalty
UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER SACRAMENTO 0.10% 0.36% 0.26% Penalty
VA N CALIFORNIA HEALTHCARE SYSTEM SACRAMENTO Not Assessed Not Assessed Not Assessed Not Assessed
HAZEL HAWKINS MEMORIAL HOSPITAL SAN BENITO 0.64% 0.55% 0.39% Penalty
ARROWHEAD REGIONAL MEDICAL CENTER SAN BERNARDINO 0.19% 0.04% 0.04% Penalty
BARSTOW COMMUNITY HOSPITAL SAN BERNARDINO 0.15% 0.37% 0.07% Penalty
BEAR VALLEY COMMUNITY HOSPITAL SAN BERNARDINO Not Assessed Not Assessed Not Assessed Not Assessed
CHINO VALLEY MEDICAL CENTER SAN BERNARDINO 0.05% 0.02% 0.04% Penalty
COLORADO RIVER MEDICAL CENTER SAN BERNARDINO Not Assessed Not Assessed Not Assessed Not Assessed
COMMUNITY HOSPITAL OF SAN BERNARDINO SAN BERNARDINO 0.08% 0.06% 0.08% Penalty
DESERT VALLEY HOSPITAL SAN BERNARDINO 0.11% 0.38% 0.38% Penalty
HI-DESERT MEDICAL CENTER SAN BERNARDINO 0.27% 0.37% 0.26% Penalty
KAISER FOUNDATION HOSPITAL FONTANA SAN BERNARDINO 0.00% 0.11% 0.09% Penalty
LOMA LINDA UNIVERSITY MEDICAL CENTER SAN BERNARDINO 0.31% 0.06% 0.17% Penalty
LOMA LINDA VA MEDICAL CENTER SAN BERNARDINO Not Assessed Not Assessed Not Assessed Not Assessed
MONTCLAIR HOSPITAL MEDICAL CENTER SAN BERNARDINO 0.27% 0.20% 0.04% Penalty
MOUNTAINS COMMUNITY HOSPITAL SAN BERNARDINO Not Assessed Not Assessed Not Assessed Not Assessed
REDLANDS COMMUNITY HOSPITAL SAN BERNARDINO 0.21% 0.00% 0.05% Penalty
SAN ANTONIO COMMUNITY HOSPITAL SAN BERNARDINO 0.00% 0.36% 0.07% Penalty
ST BERNARDINE MEDICAL CENTER SAN BERNARDINO 0.20% 0.20% 0.32% Penalty
ST MARY MEDICAL CENTER SAN BERNARDINO 0.61% 0.56% 0.80% Penalty
VICTOR VALLEY GLOBAL MEDICAL CENTER SAN BERNARDINO 0.16% 0.26% 0.32% Penalty
ALVARADO HOSPITAL MEDICAL CENTER SAN DIEGO 0.03% 0.05% 0.11% Penalty
FALLBROOK HOSPITAL DISTRICT SAN DIEGO 0.02% 0.10% 0.05% Penalty
GROSSMONT HOSPITAL SAN DIEGO 0.20% 0.04% 0.05% Penalty
KAISER FOUNDATION HOSPITAL - SAN DIEGO SAN DIEGO 0.00% 0.00% 0.00% No Penalty
PALOMAR HEALTH DOWNTOWN CAMPUS SAN DIEGO 0.01% 0.00% 0.00% No Penalty
PARADISE VALLEY HOSPITAL SAN DIEGO 0.08% 0.05% 0.05% Penalty
POMERADO HOSPITAL SAN DIEGO 0.00% 0.00% 0.62% Penalty
SCRIPPS GREEN HOSPITAL SAN DIEGO 0.00% 0.00% 0.00% No Penalty
SCRIPPS MEMORIAL HOSPITAL - ENCINITAS SAN DIEGO 0.00% 0.00% 0.00% No Penalty
SCRIPPS MEMORIAL HOSPITAL LA JOLLA SAN DIEGO 0.19% 0.24% 0.10% Penalty
SCRIPPS MERCY HOSPITAL SAN DIEGO 0.11% 0.55% 0.84% Penalty
SHARP CHULA VISTA MEDICAL CENTER SAN DIEGO 0.00% 0.40% 0.44% Penalty
SHARP CORONADO HOSPITAL AND HLTHCR CTR SAN DIEGO 0.01% 0.02% 0.15% Penalty
SHARP MEMORIAL HOSPITAL SAN DIEGO 0.08% 0.03% 0.02% Penalty
TRI-CITY MEDICAL CENTER SAN DIEGO 0.00% 0.06% 0.44% Penalty
UNIVERSITY OF CALIFORNIA SAN DIEGO MEDICAL CENTER SAN DIEGO 0.27% 0.21% 0.23% Penalty
VA SAN DIEGO HEALTHCARE SYSTEM SAN DIEGO Not Assessed Not Assessed Not Assessed Not Assessed
CALIFORNIA PACIFIC MEDICAL CTR - ST. LUKE'S CAMPUS SAN FRANCISCO 0.20% 0.22% 0.37% Penalty
CALIFORNIA PACIFIC MEDICAL CTR-DAVIES CAMPUS HOSP SAN FRANCISCO 0.01% 0.01% 0.00% No Penalty
CALIFORNIA PACIFIC MEDICAL CTR-PACIFIC CAMPUS HOSP SAN FRANCISCO 0.00% 0.01% 0.17% Penalty
CHINESE HOSPITAL SAN FRANCISCO 0.51% 2.16% 2.12% Penalty
KAISER FOUNDATION HOSPITAL - SAN FRANCISCO SAN FRANCISCO 0.00% 0.06% 0.00% No Penalty
LAGUNA HONDA HOSPITAL & REHABILITATION CENTER SAN FRANCISCO 0.28% 0.00% 0.37% Penalty
SAINT FRANCIS MEMORIAL HOSPITAL SAN FRANCISCO 0.42% 0.53% 0.22% Penalty
SAN FRANCISCO GENERAL HOSPITAL SAN FRANCISCO 0.25% 0.24% 0.34% Penalty
SAN FRANCISCO VA MEDICAL CENTER SAN FRANCISCO Not Assessed Not Assessed Not Assessed Not Assessed
ST MARY'S MEDICAL CENTER SAN FRANCISCO 0.03% 0.16% 0.25% Penalty
UCSF MEDICAL CENTER SAN FRANCISCO 0.02% 0.23% 0.34% Penalty
DAMERON HOSPITAL SAN JOAQUIN 0.10% 1.90% 0.17% Penalty
DOCTORS HOSPITAL OF MANTECA SAN JOAQUIN 0.93% 0.99% 1.28% Penalty
KAISER FOUNDATION HOSPITAL MANTECA SAN JOAQUIN 0.00% 0.00% 0.00% No Penalty
LODI MEMORIAL HOSPITAL SAN JOAQUIN 0.06% 0.10% 0.35% Penalty
SAN JOAQUIN GENERAL HOSPITAL SAN JOAQUIN 0.00% 0.00% 0.02% Penalty
ST JOSEPHS MEDICAL CENTER OF STOCKTON SAN JOAQUIN 0.17% 0.02% 0.21% Penalty
SUTTER TRACY COMMUNITY HOSPITAL SAN JOAQUIN 0.16% 0.18% 0.34% Penalty
FRENCH HOSPITAL MEDICAL CENTER SAN LUIS OBISPO 0.08% 0.02% 0.00% No Penalty
SIERRA VISTA REGIONAL MEDICAL CENTER SAN LUIS OBISPO 0.07% 0.02% 0.02% Penalty
TWIN CITIES COMMUNITY HOSPITAL SAN LUIS OBISPO 0.12% 1.49% 0.87% Penalty
KAISER FOUNDATION HOSPITAL - REDWOOD CITY SAN MATEO 0.00% 0.00% 0.00% No Penalty
KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO SAN MATEO 0.00% 0.00% 0.00% No Penalty
MENLO PARK SURGICAL HOSPITAL SAN MATEO 0.00% 0.00% 0.00% No Penalty
MILLS-PENINSULA MEDICAL CENTER SAN MATEO 0.06% 0.00% 0.02% Penalty
SAN MATEO MEDICAL CENTER SAN MATEO 0.00% 0.00% 0.00% No Penalty
SEQUOIA HOSPITAL SAN MATEO 0.03% 0.01% 0.08% Penalty
SETON MEDICAL CENTER SAN MATEO 0.49% 0.59% 0.36% Penalty
GOLETA VALLEY COTTAGE HOSPITAL SANTA BARBARA 0.00% 0.00% 0.00% No Penalty
LOMPOC VALLEY MEDICAL CENTER SANTA BARBARA 0.00% 0.01% 0.07% Penalty
MARIAN REGIONAL MEDICAL CENTER SANTA BARBARA 0.00% 0.00% 0.00% No Penalty
SANTA BARBARA COTTAGE HOSPITAL SANTA BARBARA 0.00% 0.13% 0.11% Penalty
SANTA YNEZ VALLEY COTTAGE HOSPITAL SANTA BARBARA Not Assessed Not Assessed Not Assessed Not Assessed
EL CAMINO HOSPITAL SANTA CLARA 0.00% 0.43% 0.75% Penalty
GOOD SAMARITAN HOSPITAL SANTA CLARA 0.07% 1.02% 0.73% Penalty
KAISER FOUNDATION HOSPITAL-SAN JOSE SANTA CLARA 0.02% 0.14% 0.00% No Penalty
KAISER FOUNDATION HOSPITAL-SANTA CLARA SANTA CLARA 0.07% 0.08% 0.00% No Penalty
LUCILE SALTER PACKARD CHILDREN'S HSP AT STANFORD SANTA CLARA Not Assessed Not Assessed Not Assessed Not Assessed
O'CONNOR HOSPITAL SANTA CLARA 0.15% 0.22% 0.14% Penalty
PALO ALTO VA MEDICAL CENTER SANTA CLARA Not Assessed Not Assessed Not Assessed Not Assessed
REGIONAL MEDICAL CENTER OF SAN JOSE SANTA CLARA 0.11% 0.65% 1.18% Penalty
SAINT LOUISE REGIONAL HOSPITAL SANTA CLARA 0.05% 0.38% 0.13% Penalty
SANTA CLARA VALLEY MEDICAL CENTER SANTA CLARA 0.05% 0.10% 0.10% Penalty
STANFORD HOSPITAL SANTA CLARA 0.18% 0.15% 0.06% Penalty
DOMINICAN HOSPITAL SANTA CRUZ 0.00% 0.00% 0.00% No Penalty
SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ SANTA CRUZ 0.00% 0.00% 0.00% No Penalty
WATSONVILLE COMMUNITY HOSPITAL SANTA CRUZ 0.31% 0.36% 0.33% Penalty
MAYERS MEMORIAL HOSPITAL SHASTA Not Assessed Not Assessed Not Assessed Not Assessed
MERCY MEDICAL CENTER REDDING SHASTA 0.00% 0.00% 0.00% No Penalty
PATIENTS' HOSPITAL OF REDDING SHASTA 0.00% 0.00% 0.00% No Penalty
SHASTA REGIONAL MEDICAL CENTER SHASTA 0.04% 0.65% 1.49% Penalty
FAIRCHILD MEDICAL CENTER SISKIYOU Not Assessed Not Assessed Not Assessed Not Assessed
MERCY MEDICAL CENTER MT SHASTA SISKIYOU Not Assessed Not Assessed Not Assessed Not Assessed
KAISER FOUNDATION HOSPITAL - VACAVILLE SOLANO 0.00% 0.00% 0.00% No Penalty
KAISER FOUNDATION HOSPITAL AND REHAB CENTER SOLANO 0.01% 0.00% 0.02% Penalty
NORTHBAY MEDICAL CENTER SOLANO 0.86% 0.70% 0.52% Penalty
SUTTER SOLANO MEDICAL CENTER SOLANO 0.00% 0.13% 1.45% Penalty
HEALDSBURG DISTRICT HOSPITAL SONOMA Not Assessed Not Assessed Not Assessed Not Assessed
KAISER FOUNDATION HOSPITAL-SANTA ROSA SONOMA 0.00% 0.00% 0.00% No Penalty
PETALUMA VALLEY HOSPITAL SONOMA 0.02% 0.00% 0.02% Penalty
SANTA ROSA MEMORIAL HOSPITAL SONOMA 0.00% 0.00% 0.00% No Penalty
SONOMA DEVELOPMENTAL CENTER SONOMA 0.00% 0.00% 0.00% No Penalty
SONOMA VALLEY HOSPITAL SONOMA 0.00% 0.00% 0.00% No Penalty
SUTTER SANTA ROSA REGIONAL HOSPITAL SONOMA 0.00% 0.01% 0.02% Penalty
DOCTORS MEDICAL CENTER STANISLAUS 0.36% 0.59% 0.56% Penalty
EMANUEL MEDICAL CENTER STANISLAUS 0.72% 1.89% 1.47% Penalty
MEMORIAL MEDICAL CENTER STANISLAUS 0.12% 0.18% 0.23% Penalty
OAK VALLEY DISTRICT HOSPITAL STANISLAUS 0.29% 0.29% 0.22% Penalty
STANISLAUS SURGICAL HOSPITAL STANISLAUS 0.00% 0.68% 0.00% No Penalty
SUTTER SURGICAL HOSPITAL - NORTH VALLEY SUTTER 0.00% 3.00% 3.00% Penalty
ST ELIZABETH COMMUNITY HOSPITAL TEHAMA 0.00% 0.00% 0.00% No Penalty
TRINITY HOSPITAL TRINITY Not Assessed Not Assessed Not Assessed Not Assessed
KAWEAH DELTA MEDICAL CENTER TULARE 0.18% 0.00% 0.08% Penalty
PORTERVILLE DEVELOPMENTAL CENTER TULARE 1.33% 1.61% 0.84% Penalty
SIERRA VIEW MEDICAL CENTER TULARE 0.02% 0.75% 0.68% Penalty
TULARE REGIONAL MEDICAL CENTER TULARE 0.28% 0.06% 0.16% Penalty
SONORA REGIONAL MEDICAL CENTER TUOLUMNE 0.00% 0.00% 0.00% No Penalty
COMMUNITY MEMORIAL HOSPITAL SAN BUENAVENTURA VENTURA 0.00% 0.00% 0.17% Penalty
LOS ROBLES HOSPITAL & MEDICAL CENTER VENTURA 0.00% 0.15% 0.19% Penalty
OJAI VALLEY COMMUNITY HOSPITAL VENTURA Not Assessed Not Assessed Not Assessed Not Assessed
SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES VENTURA 0.54% 0.75% 0.40% Penalty
ST JOHNS PLEASANT VALLEY HOSPITAL VENTURA 0.11% 0.25% 0.07% Penalty
ST JOHNS REGIONAL MEDICAL CENTER VENTURA 0.01% 0.72% 0.54% Penalty
VENTURA COUNTY MEDICAL CENTER VENTURA 0.00% 0.19% 0.01% Penalty
SUTTER DAVIS HOSPITAL YOLO 0.00% 0.27% 1.15% Penalty
WOODLAND MEMORIAL HOSPITAL YOLO 0.06% 0.12% 0.34% Penalty
RIDEOUT MEMORIAL HOSPITAL YUBA 0.25% 0.62% 0.75% Penalty