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Medicare levies higher average penalties on SoCal hospitals for high readmission rates

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 Medicare is increasing its penalties against more than 100 hospitals in Southern California for having too many patients readmitted to their facilities within 30 days of discharge, according to federal data. 

The region's average penalty was just over one-half of 1 percent of total Medicare reimbursements; last year it was one-third of 1 percent. Still, that's lower than the national average, says Jordan Rau, a Kaiser Health News journalist who interpreted the annual Medicare data.

In Southern California, 109 hospitals – or nearly four out of five of those reviewed in Los Angeles Orange, Riverside, San Bernardino and Ventura Counties -  got fined after the annual federal review, he says.

The penalties, which take effect in October, are one of the ways the Affordable Care Act tries to get hospitals to improve patient care.

The average penalty may have increased this year because the federal government added a new measure for readmissions - heart bypass surgery. 

That brings to six the number of situations Medicare uses to measure rehospitalizations. The others are heart attacks, heart failure, pneumonia, chronic lung disease and hip and knee replacements.

 

SOUTHERN CALIFORNIA PENALTIES BY COUNTY

County Penalized hospitals Total hospitals AVERAGE OF FY2017 READMISSION PENALTY
LOS ANGELES 61 78 0.49
ORANGE 16 23 0.28
RIVERSIDE 13 16 0.62
SAN BERNARDINO 13 15 0.41
VENTURA 6 6 0.44

 

When the number of readmissions exceeds the national average, the government reduces – by up to 3 percent - the amount of total Medicare dollars the facility receives for the next fiscal year.

The program does not measure readmission rates at a variety of facilities, including veterans', children's and psychiatric hospitals.

The addition of the sixth measure may have influenced outcomes nationwide. The federal government will fine more than half of the nation’s hospitals a total of $528 million  – about $100 million more than last year, Rau says.

"The more conditions they look at for excess rate of admissions, the more likely a hospital is going to be fined and the more they will be fined," he says.  

Locally, the highest fine levied was against Glendale Adventist Medical Center, which will lose 2.5 percent of its Medicare payments for the year starting in October.

Glendale Adventist spokeswoman Alicia Gonzalez says the hospital added a full-time registered nurse to help reduce its readmission rates about six months ago, and has since seen "dramatic improvements in reducing those numbers."

The hospital industry opposes the use of financial penalties as a way to reduce readmissions.

The program fails to "take into consideration the 'social determinants' of care  - those factors that are outside of the hospital’s control - that often result in patients needing to be readmitted," Jan Emerson-Shea, spokeswoman for the California Hospital Association, said in an email to KPCC.

"As a result, hospitals that treat high volumes of low-income patients tend to have higher readmission rates and incur the maximum penalty under the program," she said.

 

ALL CALIFORNIA HOSPITALS AND THEIR READMISSION PENALTIES

Hospital Name County Name FY2016 FY2017      
ALTA BATES SUMMIT MEDICAL CENTER ALAMEDA 1.42 1.34      
ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP ALAMEDA 0.16 0.18      
EDEN MEDICAL CENTER ALAMEDA 0.67 0.44      
HIGHLAND HOSPITAL ALAMEDA 0.11 0.07      
KAISER FOUNDATION HOSPITAL - FREMONT ALAMEDA 0 0      
KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND ALAMEDA 0.04 0.03      
KAISER FOUNDATION HOSPITAL - SAN LEANDRO ALAMEDA 0 0      
SAN LEANDRO HOSPITAL ALAMEDA 0.06 0.22      
ST ROSE HOSPITAL ALAMEDA 1.23 2.22      
VALLEYCARE MEDICAL CENTER ALAMEDA 0.24 0.78      
WASHINGTON HOSPITAL ALAMEDA 0.75 1.55      
SUTTER AMADOR HOSPITAL AMADOR 0.01 0.09      
ENLOE MEDICAL CENTER BUTTE 1.25 1.56      
FEATHER RIVER HOSPITAL BUTTE 0.76 0.01      
OROVILLE HOSPITAL BUTTE 0.98 3      
COLUSA REGIONAL MEDICAL CENTER COLUSA 0.09 0      
CONTRA COSTA REGIONAL MEDICAL CENTER CONTRA COSTA 0 0      
JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS CONTRA COSTA 0.03 0      
JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS CONTRA COSTA 0.05 0.2      
KAISER FOUNDATION HOSPITAL - ANTIOCH CONTRA COSTA 0 0.03      
KAISER FOUNDATION HOSPITAL - WALNUT CREEK CONTRA COSTA 0 0      
SAN RAMON REGIONAL MEDICAL CTR CONTRA COSTA 0.85 0.23      
SUTTER DELTA MEDICAL CENTER CONTRA COSTA 0.64 1      
SUTTER COAST HOSPITAL DEL NORTE 0.24 0.13      
BARTON MEMORIAL HOSPITAL EL DORADO 0 0      
MARSHALL MEDICAL CENTER EL DORADO 0.14 0.58      
ADVENTIST MEDICAL CENTER - REEDLEY FRESNO 0 0.01      
CLOVIS COMMUNITY MEDICAL CENTER FRESNO 0 0.11      
COALINGA REGIONAL MEDICAL CENTER FRESNO 0.62 0      
COMMUNITY REGIONAL MEDICAL CENTER FRESNO 0.61 0.93      
FRESNO HEART AND SURGICAL HOSPITAL FRESNO 0 0      
FRESNO SURGICAL HOSPITAL FRESNO 0 0      
KAISER FOUNDATION HOSPITAL - FRESNO FRESNO 0 0      
SAINT AGNES MEDICAL CENTER FRESNO 0.79 0.78      
MAD RIVER COMMUNITY HOSPITAL HUMBOLDT 0.09 0      
ST JOSEPH HOSPITAL HUMBOLDT 0 0      
EL CENTRO REGIONAL MEDICAL CENTER IMPERIAL 0.45 0.32      
PIONEERS MEMORIAL HEALTHCARE DISTRICT IMPERIAL 0.78 0.81      
BAKERSFIELD HEART HOSPITAL KERN 0.67 0.81      
BAKERSFIELD MEMORIAL HOSPITAL KERN 0.48 1      
DELANO REGIONAL MEDICAL CENTER KERN 0.44 0.95      
GOOD SAMARITAN HOSPITAL KERN 0.13 0.19      
KERN MEDICAL CENTER KERN 0 0.1      
MERCY HOSPITAL KERN 0.52 0.82      
SAN JOAQUIN COMMUNITY HOSPITAL KERN 0.72 0.65      
ADVENTIST MEDICAL CENTER KINGS 0.82 0.9      
ADVENTIST MEDICAL CENTER - CENTRAL VALLEY KINGS 0 0      
ALHAMBRA HOSPITAL MEDICAL CENTER LOS ANGELES 0.01 0      
ANTELOPE VALLEY HOSPITAL LOS ANGELES 0.5 0.87      
BEVERLY HOSPITAL LOS ANGELES 0.26 0.69      
CALIFORNIA HOSPITAL MEDICAL CENTER LA LOS ANGELES 0.7 0.56      
CEDARS-SINAI MEDICAL CENTER LOS ANGELES 0 0.18      
CENTINELA HOSPITAL MEDICAL CENTER LOS ANGELES 1.28 1.53      
CITRUS VALLEY MEDICAL CENTER-IC CAMPUS LOS ANGELES 0.06 0.54      
COAST PLAZA HOSPITAL LOS ANGELES 0.28 0.02      
COLLEGE MEDICAL CENTER LOS ANGELES 0 0      
COMMUNITY HOSPITAL OF HUNTINGTON PARK LOS ANGELES 1.02 1.21      
COMMUNITY HOSPITAL OF LONG BEACH LOS ANGELES 0.07 0.2      
EAST LOS ANGELES DOCTORS HOSPITAL LOS ANGELES 0.1 0.26      
ENCINO HOSPITAL MEDICAL CENTER LOS ANGELES 0.15 1.15      
FOOTHILL PRESBYTERIAN HOSPITAL LOS ANGELES 0.05 0.42      
GARDENS REGIONAL HOSPITAL AND MEDICAL CENTER LOS ANGELES 0 0.01      
GARFIELD MEDICAL CENTER LOS ANGELES 0.81 1.35      
GLENDALE ADVENTIST MEDICAL CENTER LOS ANGELES 0.87 2.51      
GLENDALE MEM HOSPITAL & HLTH CENTER LOS ANGELES 0.78 1.2      
GLENDORA COMMUNITY HOSPITAL LOS ANGELES 0 0      
GOOD SAMARITAN HOSPITAL LOS ANGELES 0.77 1.12      
GREATER EL MONTE COMMUNITY HOSPITAL LOS ANGELES 0.16 0.01      
HENRY MAYO NEWHALL HOSPITAL LOS ANGELES 0.68 1.38      
HOLLYWOOD PRESBYTERIAN MEDICAL CENTER LOS ANGELES 0.86 1.21      
HUNTINGTON MEMORIAL HOSPITAL LOS ANGELES 0.06 0.16      
KAISER FOUNDATION HOSPITAL - BALDWIN PARK LOS ANGELES 0 0      
KAISER FOUNDATION HOSPITAL - DOWNEY LOS ANGELES 0 0.08      
KAISER FOUNDATION HOSPITAL - LOS ANGELES LOS ANGELES 0 0      
KAISER FOUNDATION HOSPITAL - PANORAMA CITY LOS ANGELES 0 0      
KAISER FOUNDATION HOSPITAL - SOUTH BAY LOS ANGELES 0 0      
KAISER FOUNDATION HOSPITAL - WEST LA LOS ANGELES 0 0      
KAISER FOUNDATION HOSPITAL - WOODLAND HILLS LOS ANGELES 0 0      
KECK HOSPITAL OF USC LOS ANGELES 0.12 0.11      
LAC/HARBOR-UCLA MED CENTER LOS ANGELES 0.28 0.16      
LAC/OLIVE VIEW-UCLA MEDICAL CENTER LOS ANGELES 0.17 0.29      
LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR LOS ANGELES 0 0      
LAC+USC MEDICAL CENTER LOS ANGELES 0.22 0.19      
LAKEWOOD REGIONAL MEDICAL CENTER LOS ANGELES 0.64 0.9      
LONG BEACH MEMORIAL MEDICAL CENTER LOS ANGELES 0.09 0.28      
LOS ANGELES COMMUNITY HOSPITAL LOS ANGELES 0.26 0.35      
MARINA DEL REY HOSPITAL LOS ANGELES 0.2 0      
MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL LOS ANGELES          
MEMORIAL HOSPITAL OF GARDENA LOS ANGELES 0.35 0.28      
METHODIST HOSPITAL OF SOUTHERN CA LOS ANGELES 0.15 0.03      
MIRACLE MILE MEDICAL CENTER LOS ANGELES 0 0      
MISSION COMMUNITY HOSPITAL LOS ANGELES 0 0.14      
MONTEREY PARK HOSPITAL LOS ANGELES 0.3 0.83      
MOTION PICTURE & TELEVISION HOSPITAL LOS ANGELES 0 0      
NORTHRIDGE HOSPITAL MEDICAL CENTER LOS ANGELES 0.36 0.71      
OLYMPIA MEDICAL CENTER LOS ANGELES 0.39 1.75      
PACIFIC ALLIANCE MEDICAL CENTER LOS ANGELES 0.03 0.28      
PACIFICA HOSPITAL OF THE VALLEY LOS ANGELES 0.24 0.51      
PALMDALE REGIONAL MEDICAL CENTER LOS ANGELES 0.17 0.51      
PIH HOSPITAL - DOWNEY LOS ANGELES 0.25 0.37      
POMONA VALLEY HOSPITAL MEDICAL CENTER LOS ANGELES 0.1 0.2      
PRESBYTERIAN INTERCOMMUNITY HOSPITAL LOS ANGELES 0 0.06      
PROVIDENCE HOLY CROSS MEDICAL CENTER LOS ANGELES 0.56 0.49      
PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO LOS ANGELES 0.47 0.43      
PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE LOS ANGELES 0.89 0.69      
PROVIDENCE SAINT JOHN'S HEALTH CENTER LOS ANGELES 0.02 0      
PROVIDENCE SAINT JOSEPH MEDICAL CTR LOS ANGELES 0.36 0.94      
PROVIDENCE TARZANA MEDICAL CENTER LOS ANGELES 0.06 0.73      
RONALD REAGAN U C L A MEDICAL CENTER LOS ANGELES 0.13 0.47      
SAINT FRANCIS MEDICAL CENTER LOS ANGELES 0 0.1      
SAINT VINCENT MEDICAL CENTER LOS ANGELES 0.3 0.43      
SAN DIMAS COMMUNITY HOSPITAL LOS ANGELES 0.17 0.03      
SAN GABRIEL VALLEY MEDICAL CENTER LOS ANGELES 1.17 1.21      
SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL LOS ANGELES 1.34 1.99      
SHERMAN OAKS HOSPITAL LOS ANGELES 0.48 1      
SILVER LAKE MEDICAL CENTER LOS ANGELES 0.02 0      
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD LOS ANGELES 0.14 0.82      
ST MARY MEDICAL CENTER LOS ANGELES 0.13 0.43      
TORRANCE MEMORIAL MEDICAL CENTER LOS ANGELES 0.25 0.69      
USC VERDUGO HILLS HOSPITAL LOS ANGELES 0.15 1.16      
VALLEY PRESBYTERIAN HOSPITAL LOS ANGELES 0.14 0.52      
WEST COVINA MEDICAL CENTER LOS ANGELES 0 0      
WEST HILLS HOSPITAL & MEDICAL CENTER LOS ANGELES 0.3 0.64      
WHITE MEMORIAL MEDICAL CENTER LOS ANGELES 0.33 0.56      
WHITTIER HOSPITAL MEDICAL CENTER LOS ANGELES 0 0.03      
MADERA COMMUNITY HOSPITAL MADERA 0.35 0.68      
KAISER FOUNDATION HOSPITAL MARIN 0 0      
MARIN GENERAL HOSPITAL MARIN 0.1 0.07      
NOVATO COMMUNITY HOSPITAL MARIN 1.59 0.14      
UKIAH VALLEY MEDICAL CENTER MENDOCINO 0.09 0.03      
MEMORIAL HOSPITAL LOS BANOS MERCED 0.49 0.15      
MERCY MEDICAL CENTER MERCED 0.49 0.81      
COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA MONTEREY 0 0.02      
GEORGE L MEE MEMORIAL HOSPITAL MONTEREY 0.27 0.09      
NATIVIDAD MEDICAL CENTER MONTEREY 0.24 0.23      
SALINAS VALLEY MEMORIAL HOSPITAL MONTEREY 0.24 0.57      
QUEEN OF THE VALLEY MEDICAL CENTER NAPA 0.75 0.42      
ST HELENA HOSPITAL NAPA 0 0.19      
SIERRA NEVADA MEMORIAL HOSPITAL NEVADA 0.23 0.54      
AHMC ANAHEIM REGIONAL MEDICAL CENTER ORANGE 0.85 0.42      
ANAHEIM GLOBAL MEDICAL CENTER ORANGE 0.01 0.17      
CHAPMAN GLOBAL MEDICAL CENTER ORANGE 0.16 0      
COLLEGE HOSPITAL COSTA MESA ORANGE 0 0      
FOOTHILL REGIONAL MEDICAL CENTER ORANGE          
FOUNTAIN VALLEY REGIONAL HOSPITAL & MEDICAL CENTER ORANGE 0.19 0.21      
GARDEN GROVE HOSPITAL & MEDICAL CENTER ORANGE 0.01 0.04      
HOAG MEMORIAL HOSPITAL PRESBYTERIAN ORANGE 0.04 0      
HOAG ORTHOPEDIC INSTITUTE ORANGE 0 0      
HUNTINGTON BEACH HOSPITAL ORANGE 0.31 0.54      
KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHE ORANGE 0 0.01      
LA PALMA INTERCOMMUNITY HOSPITAL ORANGE 0.19 0.84      
LOS ALAMITOS MEDICAL CENTER ORANGE 0.65 0.25      
MISSION HOSPITAL REGIONAL MED CENTER ORANGE 0.22 0.34      
ORANGE COAST MEMORIAL MEDICAL CENTER ORANGE 0.89 0.88      
ORANGE COUNTY GLOBAL MEDICAL CENTER ORANGE 0.16 0.01      
PLACENTIA LINDA HOSPITAL ORANGE 0.07 1.52      
SADDLEBACK MEMORIAL MEDICAL CENTER ORANGE 0.08 0.31      
SOUTH COAST GLOBAL MEDICAL CENTER ORANGE 0.08 0      
ST JOSEPH HOSPITAL ORANGE 0.04 0      
ST JUDE MEDICAL CENTER ORANGE 0.1 0.07      
UNIVERSITY OF CALIFORNIA IRVINE MED CENTER ORANGE 0.07 0.15      
WEST ANAHEIM MEDICAL CENTER ORANGE 0.25 0.34      
KAISER FOUNDATION HOSPITAL - ROSEVILLE PLACER 0 0      
SUTTER AUBURN FAITH HOSPITAL PLACER 0 0.06      
SUTTER ROSEVILLE MEDICAL CENTER PLACER 0 0      
CORONA REGIONAL MEDICAL CENTER RIVERSIDE 0.26 1.1      
DESERT REGIONAL MEDICAL CENTER RIVERSIDE 0.69 1.37      
EISENHOWER MEDICAL CENTER RIVERSIDE 0 0.01      
HEMET VALLEY MEDICAL CENTER RIVERSIDE 1.2 1.24      
JOHN F KENNEDY MEMORIAL HOSPITAL RIVERSIDE 0.37 0.69      
KAISER FOUNDATION HOSPITAL, RIVERSIDE RIVERSIDE 0 0      
KAISER FOUNDATION HOSPITAL-MORENO VALLEY RIVERSIDE 0 0      
LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA RIVERSIDE 0.96 1.08      
MENIFEE VALLEY MEDICAL CENTER RIVERSIDE 0.49 1.16      
PALO VERDE HOSPITAL RIVERSIDE 0.13 0.51      
PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER RIVERSIDE 0.43 0.41      
RIVERSIDE COMMUNITY HOSPITAL RIVERSIDE 0.85 0.84      
RIVERSIDE UNIVERSITY HEALTH SYSTEM-MEDICAL CENTER RIVERSIDE 0.08 0.26      
SAN GORGONIO MEMORIAL HOSPITAL RIVERSIDE 0.26 0      
SOUTHWEST HEALTHCARE SYSTEM RIVERSIDE 0.22 0.54      
TEMECULA VALLEY HOSPITAL RIVERSIDE 0.22 0.78      
KAISER FOUNDATION HOSP SO SACRAMENTO SACRAMENTO 0.02 0.09      
KAISER FOUNDATION HOSPITAL - SACRAMENTO SACRAMENTO 0 0.03      
MERCY GENERAL HOSPITAL SACRAMENTO 0.1 0.53      
MERCY HOSPITAL OF FOLSOM SACRAMENTO 0.22 0.85      
MERCY SAN JUAN MEDICAL CENTER SACRAMENTO 0.78 1.43      
METHODIST HOSPITAL OF SACRAMENTO SACRAMENTO 0.21 0.44      
SUTTER MEDICAL CENTER, SACRAMENTO SACRAMENTO 0.08 0.13      
UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER SACRAMENTO 0.26 0.18      
HAZEL HAWKINS MEMORIAL HOSPITAL SAN BENITO 0.39 0.16      
ARROWHEAD REGIONAL MEDICAL CENTER SAN BERNARDINO 0.04 0.1      
BARSTOW COMMUNITY HOSPITAL SAN BERNARDINO 0.07 0.6      
CHINO VALLEY MEDICAL CENTER SAN BERNARDINO 0.04 0      
COMMUNITY HOSPITAL OF SAN BERNARDINO SAN BERNARDINO 0.08 0.13      
DESERT VALLEY HOSPITAL SAN BERNARDINO 0.38 1.56      
HI-DESERT MEDICAL CENTER SAN BERNARDINO 0.26 0.36      
KAISER FOUNDATION HOSPITAL FONTANA SAN BERNARDINO 0.09 0.17      
LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL SAN BERNARDINO   0      
LOMA LINDA UNIVERSITY MEDICAL CENTER SAN BERNARDINO 0.17 0.72      
MONTCLAIR HOSPITAL MEDICAL CENTER SAN BERNARDINO 0.04 0.07      
REDLANDS COMMUNITY HOSPITAL SAN BERNARDINO 0.05 0.02      
SAN ANTONIO REGIONAL HOSPITAL SAN BERNARDINO 0.07 0.11      
ST BERNARDINE MEDICAL CENTER SAN BERNARDINO 0.32 0.56      
ST MARY MEDICAL CENTER SAN BERNARDINO 0.8 0.98      
VICTOR VALLEY GLOBAL MEDICAL CENTER SAN BERNARDINO 0.32 0.73      
ALVARADO HOSPITAL MEDICAL CENTER SAN DIEGO 0.11 0.2      
GROSSMONT HOSPITAL SAN DIEGO 0.05 0.08      
KAISER FOUNDATION HOSPITAL - SAN DIEGO SAN DIEGO 0 0      
PALOMAR HEALTH DOWNTOWN CAMPUS SAN DIEGO 0 0.01      
PARADISE VALLEY HOSPITAL SAN DIEGO 0.05 0.11      
POMERADO HOSPITAL SAN DIEGO 0.62 0.88      
SCRIPPS GREEN HOSPITAL SAN DIEGO 0 0      
SCRIPPS MEMORIAL HOSPITAL - ENCINITAS SAN DIEGO 0 0      
SCRIPPS MEMORIAL HOSPITAL LA JOLLA SAN DIEGO 0.1 0      
SCRIPPS MERCY HOSPITAL SAN DIEGO 0.84 0.77      
SHARP CHULA VISTA MEDICAL CENTER SAN DIEGO 0.44 0.57      
SHARP CORONADO HOSPITAL AND HLTHCR CTR SAN DIEGO 0.15 0.06      
SHARP MEMORIAL HOSPITAL SAN DIEGO 0.02 0.01      
TRI-CITY MEDICAL CENTER SAN DIEGO 0.44 0.37      
UNIVERSITY OF CALIFORNIA SAN DIEGO MEDICAL CENTER SAN DIEGO 0.23 0.16      
CALIFORNIA PACIFIC MEDICAL CTR - ST. LUKE'S CAMPUS SAN FRANCISCO 0.37 0.21      
CALIFORNIA PACIFIC MEDICAL CTR-DAVIES CAMPUS HOSP SAN FRANCISCO 0 0      
CALIFORNIA PACIFIC MEDICAL CTR-PACIFIC CAMPUS HOSP SAN FRANCISCO 0.17 0.19      
CHINESE HOSPITAL SAN FRANCISCO 2.12 1.54      
KAISER FOUNDATION HOSPITAL - SAN FRANCISCO SAN FRANCISCO 0 0      
LAGUNA HONDA HOSPITAL & REHABILITATION CENTER SAN FRANCISCO 0.37 1.83      
SAINT FRANCIS MEMORIAL HOSPITAL SAN FRANCISCO 0.22 0.83      
SAN FRANCISCO GENERAL HOSPITAL SAN FRANCISCO 0.34 0.55      
ST MARY'S MEDICAL CENTER SAN FRANCISCO 0.25 0.15      
UCSF MEDICAL CENTER SAN FRANCISCO 0.34 0.2      
DAMERON HOSPITAL SAN JOAQUIN 0.17 0.52      
DOCTORS HOSPITAL OF MANTECA SAN JOAQUIN 1.28 0.83      
KAISER FOUNDATION HOSPITAL MANTECA SAN JOAQUIN 0 0      
LODI MEMORIAL HOSPITAL SAN JOAQUIN 0.35 0.46      
SAN JOAQUIN GENERAL HOSPITAL SAN JOAQUIN 0.02 0.12      
ST JOSEPH'S MEDICAL CENTER OF STOCKTON SAN JOAQUIN 0.21 0.66      
SUTTER TRACY COMMUNITY HOSPITAL SAN JOAQUIN 0.34 0.05      
FRENCH HOSPITAL MEDICAL CENTER SAN LUIS OBISPO 0 0.04      
SIERRA VISTA REGIONAL MEDICAL CENTER SAN LUIS OBISPO 0.02 0      
TWIN CITIES COMMUNITY HOSPITAL SAN LUIS OBISPO 0.87 0.86      
KAISER FOUNDATION HOSPITAL - REDWOOD CITY SAN MATEO 0 0      
KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO SAN MATEO 0 0      
MENLO PARK SURGICAL HOSPITAL SAN MATEO 0 0      
MILLS-PENINSULA MEDICAL CENTER SAN MATEO 0.02 0.01      
SAN MATEO MEDICAL CENTER SAN MATEO 0 0.08      
SEQUOIA HOSPITAL SAN MATEO 0.08 0      
SETON MEDICAL CENTER SAN MATEO 0.36 0.61      
GOLETA VALLEY COTTAGE HOSPITAL SANTA BARBARA 0 0      
LOMPOC VALLEY MEDICAL CENTER SANTA BARBARA 0.07 0.14      
MARIAN REGIONAL MEDICAL CENTER SANTA BARBARA 0 0      
SANTA BARBARA COTTAGE HOSPITAL SANTA BARBARA 0.11 0.13      
EL CAMINO HOSPITAL SANTA CLARA 0.75 0.53      
GOOD SAMARITAN HOSPITAL SANTA CLARA 0.73 0.22      
KAISER FOUNDATION HOSPITAL-SAN JOSE SANTA CLARA 0 0.13      
KAISER FOUNDATION HOSPITAL-SANTA CLARA SANTA CLARA 0 0.01      
O'CONNOR HOSPITAL SANTA CLARA 0.14 0.75      
REGIONAL MEDICAL CENTER OF SAN JOSE SANTA CLARA 1.18 1.55      
SAINT LOUISE REGIONAL HOSPITAL SANTA CLARA 0.13 0.36      
SANTA CLARA VALLEY MEDICAL CENTER SANTA CLARA 0.1 0.3      
STANFORD HEALTH CARE SANTA CLARA 0.06 0.11      
DOMINICAN HOSPITAL SANTA CRUZ 0 0.03      
SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ SANTA CRUZ 0 0      
WATSONVILLE COMMUNITY HOSPITAL SANTA CRUZ 0.33 0.48      
MERCY MEDICAL CENTER REDDING SHASTA 0 0      
PATIENTS' HOSPITAL OF REDDING SHASTA 0 0      
SHASTA REGIONAL MEDICAL CENTER SHASTA 1.49 0.61      
KAISER FOUNDATION HOSPITAL - VACAVILLE SOLANO 0 0      
KAISER FOUNDATION HOSPITAL AND REHAB CENTER SOLANO 0.02 0.25      
NORTHBAY MEDICAL CENTER SOLANO 0.52 0.38      
SUTTER SOLANO MEDICAL CENTER SOLANO 1.45 2.01      
KAISER FOUNDATION HOSPITAL-SANTA ROSA SONOMA 0 0      
PETALUMA VALLEY HOSPITAL SONOMA 0.02 0      
SANTA ROSA MEMORIAL HOSPITAL SONOMA 0 0      
SONOMA VALLEY HOSPITAL SONOMA 0 0      
SUTTER SANTA ROSA REGIONAL HOSPITAL SONOMA 0.02 0      
DOCTORS MEDICAL CENTER STANISLAUS 0.56 0.64      
EMANUEL MEDICAL CENTER STANISLAUS 1.47 1.4      
MEMORIAL MEDICAL CENTER STANISLAUS 0.23 0.26      
OAK VALLEY HOSPITAL DISTRICT STANISLAUS 0.22 0.52      
STANISLAUS SURGICAL HOSPITAL STANISLAUS 0 1.43      
SUTTER SURGICAL HOSPITAL - NORTH VALLEY SUTTER 3 0      
ST ELIZABETH COMMUNITY HOSPITAL TEHAMA 0 0      
KAWEAH DELTA MEDICAL CENTER TULARE 0.08 0.12      
SIERRA VIEW MEDICAL CENTER TULARE 0.68 0.65      
TULARE REGIONAL MEDICAL CENTER TULARE 0.16 0.48      
SONORA REGIONAL MEDICAL CENTER TUOLUMNE 0 0.04      
COMMUNITY MEMORIAL HOSPITAL SAN BUENAVENTURA VENTURA 0.17 0.16      
LOS ROBLES HOSPITAL & MEDICAL CENTER VENTURA 0.19 0.62      
SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES VENTURA 0.4 1.13      
ST JOHNS PLEASANT VALLEY HOSPITAL VENTURA 0.07 0.19      
ST JOHNS REGIONAL MEDICAL CENTER VENTURA 0.54 0.5      
VENTURA COUNTY MEDICAL CENTER VENTURA 0.01 0.05      
SUTTER DAVIS HOSPITAL YOLO 1.15 2.61      
WOODLAND MEMORIAL HOSPITAL YOLO 0.34 0.15      
RIDEOUT MEMORIAL HOSPITAL YUBA 0.75 0.97