{
  "format": "CNO retained hospital records v1",
  "hcaiId": "106171049",
  "profileRecord": {
    "id": "106171049",
    "name": "ADVENTIST HEALTH CLEARLAKE",
    "county": "Lake",
    "tier": "DESCRIPTIVE PROFILE — NO STATE CALL",
    "identity": "CLEAR — UNIQUE ID MATCH",
    "workforce": "PRESENT — 2024",
    "capacity": "PRESENT — 2025",
    "history": "UNIQUE",
    "filing": "Audited",
    "pilot": false,
    "ceiling": "UNCLASSIFIED — INSUFFICIENT INDEPENDENT AUDIT",
    "disclosure": "Workforce reporting year 2024; capacity reporting year 2025; not a same-period state assessment.",
    "next": "Acquire third independent audited domain before any state call",
    "ownership": "Non-Profit",
    "type": "Comparable",
    "rnHours": 134385,
    "contractHours": 18135,
    "contractShare": 0.05467,
    "rnPerPatientDay": 23.44879,
    "licensedBeds": 25,
    "availableBeds": 25,
    "staffedBeds": 14,
    "capacityPatientDays": 5273,
    "baseline": 0.07084,
    "changePp": -1.61745,
    "ccn": null
  },
  "comparisonEligibility": {
    "rnHistory": true,
    "agencyHistory": true
  },
  "records": {
    "facilityRosterRecord": {
      "officialName": "ADVENTIST HEALTH CLEARLAKE",
      "county": "Lake",
      "city": "CLEARLAKE",
      "address": "15630 18TH AVE",
      "zip": "95422",
      "level": "Parent Facility",
      "category": "General Acute Care Hospital",
      "status": "Open",
      "statusEffective": "1968-04-18",
      "licensedBeds": 32,
      "erServiceLevel": "Emergency - Standby",
      "licenseNumber": "110000174",
      "rosterDate": "2026-10-01",
      "checkedOn": "2026-10-12",
      "sourceRow": 87,
      "officialUrl": "https://data.chhs.ca.gov/dataset/licensed-healthcare-facility-listing",
      "sourceFile": "/downloads/coverage/hcai-current-20261001.json.gz",
      "aliases": [
        "ADVENTIST HEALTH CLEARLAKE"
      ],
      "parentId": null,
      "parentName": null,
      "cdphFacilityType": "GENERAL ACUTE CARE HOSPITAL",
      "crosswalkRows": [
        {
          "_id": 2197,
          "LICENSED_CERTIFIED": "LICENSED AND CERTIFIED",
          "ELMS_FACID": "110000044",
          "LICENSE_NUMBER": "110000174",
          "LICENSE_STATUS_DESCRIPTION": "ACTIVE",
          "PERM_ID": "10247",
          "HCAI_ID": "106171049",
          "ASPEN_FACID": "CA11000000044",
          "CCN": "051317",
          "NPI": "1124018031",
          "ASPEN_STATUS": "ACTIVE",
          "FACNAME": "ADVENTIST HEALTH CLEARLAKE",
          "FAC_TYPE_DESCRIPTION": "GENERAL ACUTE CARE HOSPITAL",
          "FAC_FDR": "GENERAL ACUTE CARE HOSPITAL",
          "FAC_FAC_RELATIONSHIP": "Parent",
          "ELMS_PARENT_FACID": null
        }
      ],
      "addedByCoverageAudit": false
    },
    "annualFinancialRecords": [
      {
        "year": 2022,
        "begin": "2022-01-01",
        "end": "2022-12-31",
        "reportDays": 365.0,
        "filing": "Audited",
        "type": "Comparable",
        "sourceRecord": 3,
        "name": "ADVENTIST HEALTH CLEARLAKE",
        "county": "Lake",
        "rnHours": 266957.0,
        "patientDays": 6070.0,
        "ratio": 43.97973640856672,
        "components": {
          "PRD_HR_RN": 266957.0,
          "PRD_HR_LVN": 32143.0,
          "PRD_HR_AID": 303173.0,
          "CNT_HR_RN": 22554.0
        },
        "nursingHours": 624827.0,
        "contractShare": 0.036096391481161984,
        "careDays": {
          "DAY_ACUTE": 4976.0,
          "DAY_PSYCH": 0.0,
          "DAY_CHEM": 0.0,
          "DAY_REHAB": 0.0,
          "DAY_LTC": 1094.0,
          "DAY_RESDNT": 0.0
        }
      },
      {
        "year": 2023,
        "begin": "2023-01-01",
        "end": "2023-12-31",
        "reportDays": 365.0,
        "filing": "Audited",
        "type": "Comparable",
        "sourceRecord": 3,
        "name": "ADVENTIST HEALTH CLEARLAKE",
        "county": "Lake",
        "rnHours": 207229.0,
        "patientDays": 5470.0,
        "ratio": 37.88464351005484,
        "components": {
          "PRD_HR_RN": 207229.0,
          "PRD_HR_LVN": 30973.0,
          "PRD_HR_AID": 78508.0,
          "CNT_HR_RN": 14554.0
        },
        "nursingHours": 331264.0,
        "contractShare": 0.04393474690880989,
        "careDays": {
          "DAY_ACUTE": 5083.0,
          "DAY_PSYCH": 0.0,
          "DAY_CHEM": 0.0,
          "DAY_REHAB": 0.0,
          "DAY_LTC": 387.0,
          "DAY_RESDNT": 0.0
        }
      },
      {
        "year": 2024,
        "begin": "2024-01-01",
        "end": "2024-12-31",
        "reportDays": 366.0,
        "filing": "Audited",
        "type": "Comparable",
        "sourceRecord": 4,
        "name": "ADVENTIST HEALTH CLEARLAKE",
        "county": "Lake",
        "rnHours": 134385.0,
        "patientDays": 5731.0,
        "ratio": 23.448787297155818,
        "components": {
          "PRD_HR_RN": 134385.0,
          "PRD_HR_LVN": 30948.0,
          "PRD_HR_AID": 148263.0,
          "CNT_HR_RN": 18135.0
        },
        "nursingHours": 331731.0,
        "contractShare": 0.054667788057190914,
        "careDays": {
          "DAY_ACUTE": 5523.0,
          "DAY_PSYCH": 0.0,
          "DAY_CHEM": 0.0,
          "DAY_REHAB": 0.0,
          "DAY_LTC": 208.0,
          "DAY_RESDNT": 0.0
        }
      }
    ],
    "annualUtilizationRecords": [
      {
        "year": 2022,
        "begin": "2022-01-01",
        "end": "2022-12-31",
        "operated": "Yes",
        "sourceId": "AUR-2022",
        "sourceRow": 92,
        "diversionReported": "No",
        "icuLicensed": 4,
        "nicuLicensed": 0,
        "perinatalLicensed": 4,
        "edStations": 8,
        "edNonAdmitVisits": 19283,
        "edAdmissions": 706,
        "diversionHours": null
      },
      {
        "year": 2023,
        "begin": "2023-01-01",
        "end": "2023-12-31",
        "operated": "Yes",
        "sourceId": "AUR-2023",
        "sourceRow": 92,
        "diversionReported": "No",
        "icuLicensed": 4,
        "nicuLicensed": 0,
        "perinatalLicensed": 4,
        "edStations": 8,
        "edNonAdmitVisits": 18696,
        "edAdmissions": 1087,
        "diversionHours": null
      },
      {
        "year": 2024,
        "begin": "2024-01-01",
        "end": "2024-12-31",
        "operated": "Yes",
        "sourceId": "AUR-2024",
        "sourceRow": 93,
        "diversionReported": "No",
        "icuLicensed": 4,
        "nicuLicensed": 0,
        "perinatalLicensed": 4,
        "edStations": 12,
        "edNonAdmitVisits": 19389,
        "edAdmissions": 1018,
        "diversionHours": null
      }
    ],
    "licensedCareRecords": [
      {
        "year": 2022,
        "begin": "2022-01-01",
        "end": "2022-12-31",
        "operated": "Yes",
        "beds": {
          "acute": 32,
          "psychiatric": 0,
          "chemical": 0,
          "skilledNursing": 0,
          "intermediateCare": 0,
          "developmentalCare": 0
        },
        "total": 32,
        "sourceRow": 92,
        "sourceId": "AUR-2022"
      },
      {
        "year": 2023,
        "begin": "2023-01-01",
        "end": "2023-12-31",
        "operated": "Yes",
        "beds": {
          "acute": 32,
          "psychiatric": 0,
          "chemical": 0,
          "skilledNursing": 0,
          "intermediateCare": 0,
          "developmentalCare": 0
        },
        "total": 32,
        "sourceRow": 92,
        "sourceId": "AUR-2023"
      },
      {
        "year": 2024,
        "begin": "2024-01-01",
        "end": "2024-12-31",
        "operated": "Yes",
        "beds": {
          "acute": 32,
          "psychiatric": 0,
          "chemical": 0,
          "skilledNursing": 0,
          "intermediateCare": 0,
          "developmentalCare": 0
        },
        "total": 32,
        "sourceRow": 93,
        "sourceId": "AUR-2024"
      }
    ],
    "ambulanceOffloadRecords": {
      "cemsisId": "20449",
      "name": "Adventist Health Clearlake",
      "lemsa": "North Coast",
      "method": "unique normalized hospital / retained CMS name + EMS geography",
      "history": [
        {
          "month": "2024-10",
          "minutes": 15.8,
          "offloadCount": 299,
          "countPage": 32,
          "rawTime": "0:15:48",
          "sourceId": "EMSA-APOT-JUNE2025",
          "page": 21,
          "row": 36
        },
        {
          "month": "2024-11",
          "minutes": 16.683333333333334,
          "offloadCount": 264,
          "countPage": 37,
          "rawTime": "0:16:41",
          "sourceId": "EMSA-APOT-JUNE2025",
          "page": 21,
          "row": 36
        },
        {
          "month": "2024-12",
          "minutes": 16.083333333333332,
          "offloadCount": 274,
          "countPage": 42,
          "rawTime": "0:16:05",
          "sourceId": "EMSA-APOT-JUNE2025",
          "page": 21,
          "row": 36
        },
        {
          "month": "2025-01",
          "minutes": 18.083333333333332,
          "offloadCount": 301,
          "countPage": 47,
          "rawTime": "0:18:05",
          "sourceId": "EMSA-APOT-JUNE2025",
          "page": 21,
          "row": 36
        },
        {
          "month": "2025-02",
          "minutes": 17.05,
          "offloadCount": 282,
          "countPage": 52,
          "rawTime": "0:17:03",
          "sourceId": "EMSA-APOT-JUNE2025",
          "page": 21,
          "row": 36
        },
        {
          "month": "2025-03",
          "minutes": 13.866666666666667,
          "offloadCount": 268,
          "countPage": 57,
          "rawTime": "0:13:52",
          "sourceId": "EMSA-APOT-JUNE2025",
          "page": 21,
          "row": 36
        }
      ],
      "recent": null
    },
    "rnReferenceRecord": {
      "begin": "2024-01-01",
      "end": "2024-12-31",
      "reportDays": 366,
      "filing": "Audited",
      "type": "Comparable",
      "ratio": 23.448787297155818,
      "rnHours": 134385,
      "patientDays": 5731,
      "careDays": {
        "acute": 5523,
        "psychiatric": 0,
        "chemical": 0,
        "rehabilitation": 0,
        "longTermCare": 208,
        "residential": 0
      },
      "group": "acute",
      "majorityShare": 0.9637061594835107,
      "sourceRow": 4
    },
    "quarterlyHistory": [
      {
        "period": "2025-q1",
        "begin": "2025-01-01",
        "end": "2025-03-31",
        "sourceRecord": 3,
        "sourceFile": "/downloads/deep-review/qfu-2025-q1.json.gz",
        "sourceUrl": "https://data.chhs.ca.gov/api/3/action/datastore_search?resource_id=6e956cf6-5ced-4f4d-9cfd-0eb709b02cc3&limit=10000",
        "name": "ADVENTIST HEALTH CLEARLAKE",
        "address": "15630 18TH AVENUE",
        "city": "CLEARLAKE",
        "zip": "95422",
        "operationStatus": "Open",
        "licensedBeds": 25.0,
        "availableBeds": 25.0,
        "staffedBeds": 17.0,
        "patientDays": 1445.0,
        "outpatientVisits": 100322.0,
        "conflict": null,
        "raw": {
          "FAC_NO": "106171049",
          "YEAR_QTR": "20251",
          "BEG_DATE": "01/01/2025",
          "END_DATE": "03/31/2025",
          "LIC_BEDS": "25",
          "AVL_BEDS": "25",
          "STF_BEDS": "17",
          "DAY_TOT": "1445",
          "VIS_TOT": "100322"
        }
      },
      {
        "period": "2025-q2",
        "begin": "2025-04-01",
        "end": "2025-06-30",
        "sourceRecord": 3,
        "sourceFile": "/downloads/deep-review/qfu-2025-q2.json.gz",
        "sourceUrl": "https://data.chhs.ca.gov/api/3/action/datastore_search?resource_id=f902f922-6806-49c4-bfed-b1dadaab3cc1&limit=10000",
        "name": "ADVENTIST HEALTH CLEARLAKE",
        "address": "15630 18TH AVENUE",
        "city": "CLEARLAKE",
        "zip": "95422",
        "operationStatus": "Open",
        "licensedBeds": 25.0,
        "availableBeds": 25.0,
        "staffedBeds": 15.0,
        "patientDays": 1330.0,
        "outpatientVisits": 100955.0,
        "conflict": null,
        "raw": {
          "FAC_NO": "106171049",
          "YEAR_QTR": "20252",
          "BEG_DATE": "04/01/2025",
          "END_DATE": "06/30/2025",
          "LIC_BEDS": "25",
          "AVL_BEDS": "25",
          "STF_BEDS": "15",
          "DAY_TOT": "1330",
          "VIS_TOT": "100955"
        }
      },
      {
        "period": "2025-q3",
        "begin": "2025-07-01",
        "end": "2025-09-30",
        "sourceRecord": 3,
        "sourceFile": "/downloads/deep-review/qfu-2025-q3.json.gz",
        "sourceUrl": "https://data.chhs.ca.gov/api/3/action/datastore_search?resource_id=15939e50-5c82-46af-9653-d40a5458dc26&limit=10000",
        "name": "ADVENTIST HEALTH CLEARLAKE",
        "address": "15630 18TH AVE",
        "city": "CLEARLAKE",
        "zip": "95422",
        "operationStatus": "Open",
        "licensedBeds": 25.0,
        "availableBeds": 25.0,
        "staffedBeds": 14.0,
        "patientDays": 1269.0,
        "outpatientVisits": 100067.0,
        "conflict": null,
        "raw": {
          "FAC_NO": "106171049",
          "YEAR_QTR": "20253",
          "BEG_DATE": "07/01/2025",
          "END_DATE": "09/30/2025",
          "LIC_BEDS": "25",
          "AVL_BEDS": "25",
          "STF_BEDS": "14",
          "DAY_TOT": "1269",
          "VIS_TOT": "100067"
        }
      },
      {
        "period": "2025-q4",
        "begin": "2025-10-01",
        "end": "2025-12-31",
        "sourceRecord": 3,
        "sourceFile": "/downloads/deep-review/qfu-2025-q4.json.gz",
        "sourceUrl": "https://data.chhs.ca.gov/api/3/action/datastore_search?resource_id=8a512ca9-560e-4fcc-9c57-c928c874231b&limit=10000",
        "name": "ADVENTIST HEALTH CLEARLAKE",
        "address": "15630 18TH AVENUE",
        "city": "CLEARLAKE",
        "zip": "95422",
        "operationStatus": "Open",
        "licensedBeds": 25.0,
        "availableBeds": 25.0,
        "staffedBeds": 14.0,
        "patientDays": 1229.0,
        "outpatientVisits": 94791.0,
        "conflict": null,
        "raw": {
          "FAC_NO": "106171049",
          "YEAR_QTR": "20254",
          "BEG_DATE": "10/01/2025",
          "END_DATE": "12/31/2025",
          "LIC_BEDS": "25",
          "AVL_BEDS": "25",
          "STF_BEDS": "14",
          "DAY_TOT": "1229",
          "VIS_TOT": "94791"
        }
      },
      {
        "period": "2026-q1",
        "begin": "2026-01-01",
        "end": "2026-03-31",
        "sourceRecord": 3,
        "sourceFile": "/downloads/deep-review/qfu-2026-q1.json.gz",
        "sourceUrl": "https://data.chhs.ca.gov/api/3/action/datastore_search?resource_id=46f2a36e-e0ca-4509-a89a-2083e356169d&limit=10000",
        "name": "ADVENTIST HEALTH CLEARLAKE",
        "address": "15630 18TH AVENUE",
        "city": "CLEARLAKE",
        "zip": "95422",
        "operationStatus": "Open",
        "licensedBeds": 25.0,
        "availableBeds": 25.0,
        "staffedBeds": 15.0,
        "patientDays": 1257.0,
        "outpatientVisits": 97581.0,
        "conflict": null,
        "raw": {
          "FAC_NO": "106171049",
          "YEAR_QTR": "20261",
          "BEG_DATE": "01/01/2026",
          "END_DATE": "03/31/2026",
          "LIC_BEDS": "25",
          "AVL_BEDS": "25",
          "STF_BEDS": "15",
          "DAY_TOT": "1257",
          "VIS_TOT": "97581"
        }
      }
    ]
  },
  "quarterlyComparison": null,
  "sources": {
    "annualFinancial": [
      {
        "year": 2022,
        "file": "/downloads/hcai/afd-2022-api.json",
        "url": "https://data.chhs.ca.gov/api/3/action/datastore_search?resource_id=28df017b-7693-4d83-b105-69eeca4a12e0&limit=10000",
        "sha256": "a79841850b69181682634b9cf5baafc9886fc80761f7ef7bd18281d87c488e8e",
        "locator": "API record ID",
        "records": 444
      },
      {
        "year": 2023,
        "file": "/downloads/hcai/afd-2023-api.json",
        "url": "https://data.chhs.ca.gov/api/3/action/datastore_search?resource_id=244efb23-daf0-4137-9609-1bc25e4612b8&limit=10000",
        "sha256": "50ecefcc9e0613b9c65c7f292acbb5ea45d82205d0ec651ee7a42c153143a4ba",
        "locator": "API record ID",
        "records": 447
      },
      {
        "year": 2024,
        "file": "/downloads/hcai/hadr-2024.xlsx",
        "url": "https://data.chhs.ca.gov/dataset/ea0c8ca9-023e-46a3-b95b-b9d4ab8ec195/resource/3969a3b0-ec23-4962-b09d-89840a326b44/download/hadr-2024.xlsx",
        "sha256": "0fcc4c3c52f335adc63699cf65d5ecbe28b94bb2d20433508cfe799e82541e26",
        "locator": "HADR 01-01-2024 to 12-31-2024 row",
        "records": 444
      }
    ],
    "annualUtilization": [
      {
        "id": "AUR-2022",
        "sha256": "e94af1efd72ea5eec5d8db0302c3cb9f7070d0eac794be60d51909df5beaa466",
        "file": "/downloads/hcai/hosp22_util_data_final_revised_11.28.2023.xlsx",
        "officialUrl": "https://data.chhs.ca.gov/dataset/1902083c-f16a-434d-b8ac-f7a573a305df/resource/2b63a9e4-f695-4ea1-b229-5dff70f04ae8/download/hosp22_util_data_final_revised_11.28.2023.xlsx"
      },
      {
        "id": "AUR-2023",
        "sha256": "26de94367bc4c9056a18cd7517dbedc377bb2dea6d9b54627a4c87dd43a1c9f1",
        "file": "/downloads/hcai/hosp23_util_data_final.xlsx",
        "officialUrl": "https://data.chhs.ca.gov/dataset/1902083c-f16a-434d-b8ac-f7a573a305df/resource/d7b1bd2c-fd8c-4ebe-b1ac-1de197c01e5e/download/hosp23_util_data_final.xlsx"
      },
      {
        "id": "AUR-2024",
        "sha256": "f423f999c729ee333169bd161ade11550158d5147ae1ed91c1cfafe2d3e6f953",
        "file": "/downloads/hcai/hosp24_util_data_final.xlsx",
        "officialUrl": "https://data.chhs.ca.gov/dataset/1902083c-f16a-434d-b8ac-f7a573a305df/resource/e4f70066-c0ca-40f9-8f54-0ea033f900d9/download/hosp24_util_data_final.xlsx"
      }
    ],
    "ambulanceOffload": [
      {
        "id": "EMSA-APOT-JUNE2025",
        "url": "https://emsa.ca.gov/wp-content/uploads/sites/71/2025/07/Ambulance-Patient-Offload-Delays-Report-to-the-Commission-on-EMS-June-2025.pdf",
        "file": "/downloads/emsa/apot-june2025.pdf",
        "period": "October 2024–March 2025",
        "checked": "2026-10-03",
        "sha256": "d23ed95df643fe752ac0f8c8038b8575b0ac31d5ce9cf5406fb600a9fa93f401"
      },
      {
        "id": "EMSA-APOT-FEB2026",
        "url": "https://emsa.ca.gov/wp-content/uploads/sites/71/2026/02/February-2026-APOT-Exceedance-Report-to-the-Commission-on-EMS.pdf",
        "file": "/downloads/emsa/apot-feb2026.pdf",
        "period": "January 2026",
        "checked": "2026-10-03",
        "sha256": "b2dbac3bf6ce822c8c3f0e5d586874c13242bd4ed0998dda5b36fbdf0211d3d7"
      }
    ],
    "quarterlyHistory": [
      {
        "period": "2025-q1",
        "file": "/downloads/deep-review/qfu-2025-q1.json.gz",
        "sha256": "2ac1fa350a971ab0bfadd9dffcd35f92222464de76b9de9262663961996b1784",
        "url": "https://data.chhs.ca.gov/api/3/action/datastore_search?resource_id=6e956cf6-5ced-4f4d-9cfd-0eb709b02cc3&limit=10000"
      },
      {
        "period": "2025-q2",
        "file": "/downloads/deep-review/qfu-2025-q2.json.gz",
        "sha256": "eee229d4e6254937428d82f8be278a29766ce4a320aa54974d99c7ceca771b65",
        "url": "https://data.chhs.ca.gov/api/3/action/datastore_search?resource_id=f902f922-6806-49c4-bfed-b1dadaab3cc1&limit=10000"
      },
      {
        "period": "2025-q3",
        "file": "/downloads/deep-review/qfu-2025-q3.json.gz",
        "sha256": "2bfe93bafc7bb6c3076f1b014ca1c345af8770f36b10f41cdb1ff98d2c9e6d2b",
        "url": "https://data.chhs.ca.gov/api/3/action/datastore_search?resource_id=15939e50-5c82-46af-9653-d40a5458dc26&limit=10000"
      },
      {
        "period": "2025-q4",
        "file": "/downloads/deep-review/qfu-2025-q4.json.gz",
        "sha256": "7b93f40b26b152c701a47d4704b78de12fce37cabd6785eaef8ea5740f24b1f8",
        "url": "https://data.chhs.ca.gov/api/3/action/datastore_search?resource_id=8a512ca9-560e-4fcc-9c57-c928c874231b&limit=10000"
      },
      {
        "period": "2026-q1",
        "file": "/downloads/deep-review/qfu-2026-q1.json.gz",
        "sha256": "73658d202b8442fcc350747a900a552008065b91f39bbd6f96a29159eefb5dec",
        "url": "https://data.chhs.ca.gov/api/3/action/datastore_search?resource_id=46f2a36e-e0ca-4509-a89a-2083e356169d&limit=10000"
      }
    ]
  },
  "profileRecordProvenance": "Existing CNO reporting layers. Exact source locators are retained where recorded in the records below."
}