{
  "format": "CNO retained hospital records v1",
  "hcaiId": "106370875",
  "profileRecord": {
    "id": "106370875",
    "name": "SHARP CHULA VISTA MEDICAL CENTER",
    "county": "San Diego",
    "tier": "VERIFIED PILOT — REVIEWED EVIDENCE",
    "identity": "CLEAR — UNIQUE ID MATCH",
    "workforce": "PRESENT — 2024",
    "capacity": "PRESENT — 2025",
    "history": "UNIQUE",
    "filing": "Audited",
    "pilot": true,
    "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": 1838926,
    "contractHours": 1503,
    "contractShare": 0.00066,
    "rnPerPatientDay": 14.85425,
    "licensedBeds": 449,
    "availableBeds": 449,
    "staffedBeds": 315,
    "capacityPatientDays": 119331,
    "baseline": 0.00607,
    "changePp": -0.54074,
    "ccn": null
  },
  "comparisonEligibility": {
    "rnHistory": true,
    "agencyHistory": true
  },
  "records": {
    "facilityRosterRecord": {
      "officialName": "SHARP CHULA VISTA MEDICAL CENTER",
      "county": "San Diego",
      "city": "CHULA VISTA",
      "address": "751 MEDICAL CENTER COURT",
      "zip": "91911",
      "level": "Parent Facility",
      "category": "General Acute Care Hospital",
      "status": "Open",
      "statusEffective": "1975-05-27",
      "licensedBeds": 449,
      "erServiceLevel": "Emergency - Basic",
      "licenseNumber": "090000008",
      "rosterDate": "2026-10-01",
      "checkedOn": "2026-10-12",
      "sourceRow": 379,
      "officialUrl": "https://data.chhs.ca.gov/dataset/licensed-healthcare-facility-listing",
      "sourceFile": "/downloads/coverage/hcai-current-20261001.json.gz",
      "aliases": [
        "SHARP CHULA VISTA MEDICAL CENTER",
        "SHARP CHULA VISTA MEDICAL CENTER D/P SNF"
      ],
      "parentId": null,
      "parentName": null,
      "cdphFacilityType": "GENERAL ACUTE CARE HOSPITAL",
      "crosswalkRows": [
        {
          "_id": 1841,
          "LICENSED_CERTIFIED": "LICENSED AND CERTIFIED",
          "ELMS_FACID": "090000021",
          "LICENSE_NUMBER": "090000008",
          "LICENSE_STATUS_DESCRIPTION": "ACTIVE",
          "PERM_ID": "13336",
          "HCAI_ID": "106370875",
          "ASPEN_FACID": "CA090000021",
          "CCN": "050222",
          "NPI": "1396728630",
          "ASPEN_STATUS": "ACTIVE",
          "FACNAME": "SHARP CHULA VISTA MEDICAL CENTER",
          "FAC_TYPE_DESCRIPTION": "GENERAL ACUTE CARE HOSPITAL",
          "FAC_FDR": "GENERAL ACUTE CARE HOSPITAL",
          "FAC_FAC_RELATIONSHIP": "Parent",
          "ELMS_PARENT_FACID": null
        },
        {
          "_id": 1935,
          "LICENSED_CERTIFIED": "LICENSED AND CERTIFIED",
          "ELMS_FACID": "090000416",
          "LICENSE_NUMBER": "090000008",
          "LICENSE_STATUS_DESCRIPTION": "ACTIVE",
          "PERM_ID": "13336",
          "HCAI_ID": "106370875",
          "ASPEN_FACID": "CA080000416",
          "CCN": "555216",
          "NPI": "1538142369",
          "ASPEN_STATUS": "ACTIVE",
          "FACNAME": "SHARP CHULA VISTA MEDICAL CENTER D/P SNF",
          "FAC_TYPE_DESCRIPTION": "SKILLED NURSING FACILITY",
          "FAC_FDR": "SKILLED NURSING FACILITY",
          "FAC_FAC_RELATIONSHIP": "Distinct Part",
          "ELMS_PARENT_FACID": "090000021"
        }
      ],
      "addedByCoverageAudit": false
    },
    "annualFinancialRecords": [
      {
        "year": 2022,
        "begin": "2021-10-01",
        "end": "2022-09-30",
        "reportDays": 365.0,
        "filing": "Audited",
        "type": "Comparable",
        "sourceRecord": 354,
        "name": "SHARP CHULA VISTA MEDICAL CENTER",
        "county": "San Diego",
        "rnHours": 1415695.0,
        "patientDays": 112778.0,
        "ratio": 12.552935856284027,
        "components": {
          "PRD_HR_RN": 1415695.0,
          "PRD_HR_LVN": 35430.0,
          "PRD_HR_AID": 361256.0,
          "CNT_HR_RN": 82322.0
        },
        "nursingHours": 1894703.0,
        "contractShare": 0.04344849826067727,
        "careDays": {
          "DAY_ACUTE": 89045.0,
          "DAY_PSYCH": 0.0,
          "DAY_CHEM": 0.0,
          "DAY_REHAB": 0.0,
          "DAY_LTC": 23733.0,
          "DAY_RESDNT": 0.0
        }
      },
      {
        "year": 2023,
        "begin": "2022-10-01",
        "end": "2023-09-30",
        "reportDays": 365.0,
        "filing": "Audited",
        "type": "Comparable",
        "sourceRecord": 356,
        "name": "SHARP CHULA VISTA MEDICAL CENTER",
        "county": "San Diego",
        "rnHours": 1508594.0,
        "patientDays": 118427.0,
        "ratio": 12.738598461499489,
        "components": {
          "PRD_HR_RN": 1508594.0,
          "PRD_HR_LVN": 36108.0,
          "PRD_HR_AID": 400445.0,
          "CNT_HR_RN": 41204.0
        },
        "nursingHours": 1986351.0,
        "contractShare": 0.02074356445562743,
        "careDays": {
          "DAY_ACUTE": 89635.0,
          "DAY_PSYCH": 0.0,
          "DAY_CHEM": 0.0,
          "DAY_REHAB": 0.0,
          "DAY_LTC": 28792.0,
          "DAY_RESDNT": 0.0
        }
      },
      {
        "year": 2024,
        "begin": "2023-10-01",
        "end": "2024-09-30",
        "reportDays": 366.0,
        "filing": "Audited",
        "type": "Comparable",
        "sourceRecord": 353,
        "name": "SHARP CHULA VISTA MEDICAL CENTER",
        "county": "San Diego",
        "rnHours": 1838926.0,
        "patientDays": 123798.0,
        "ratio": 14.854246433706521,
        "components": {
          "PRD_HR_RN": 1838926.0,
          "PRD_HR_LVN": 46136.0,
          "PRD_HR_AID": 395898.0,
          "CNT_HR_RN": 1503.0
        },
        "nursingHours": 2282463.0,
        "contractShare": 0.0006584991739187009,
        "careDays": {
          "DAY_ACUTE": 94454.0,
          "DAY_PSYCH": 0.0,
          "DAY_CHEM": 0.0,
          "DAY_REHAB": 0.0,
          "DAY_LTC": 29344.0,
          "DAY_RESDNT": 0.0
        }
      }
    ],
    "annualUtilizationRecords": [
      {
        "year": 2022,
        "begin": "2022-01-01",
        "end": "2022-12-31",
        "operated": "Yes",
        "sourceId": "AUR-2022",
        "sourceRow": 364,
        "diversionReported": "Yes",
        "icuLicensed": 51,
        "nicuLicensed": 9,
        "perinatalLicensed": 19,
        "edStations": 48,
        "edNonAdmitVisits": 65298,
        "edAdmissions": 11974,
        "diversionHours": 109
      },
      {
        "year": 2023,
        "begin": "2023-01-01",
        "end": "2023-12-31",
        "operated": "Yes",
        "sourceId": "AUR-2023",
        "sourceRow": 367,
        "diversionReported": "Yes",
        "icuLicensed": 51,
        "nicuLicensed": 9,
        "perinatalLicensed": 19,
        "edStations": 48,
        "edNonAdmitVisits": 67760,
        "edAdmissions": 14258,
        "diversionHours": 6
      },
      {
        "year": 2024,
        "begin": "2024-01-01",
        "end": "2024-12-31",
        "operated": "Yes",
        "sourceId": "AUR-2024",
        "sourceRow": 367,
        "diversionReported": "Yes",
        "icuLicensed": 51,
        "nicuLicensed": 9,
        "perinatalLicensed": 19,
        "edStations": 48,
        "edNonAdmitVisits": 70655,
        "edAdmissions": 12236,
        "diversionHours": 17
      }
    ],
    "licensedCareRecords": [
      {
        "year": 2022,
        "begin": "2022-01-01",
        "end": "2022-12-31",
        "operated": "Yes",
        "beds": {
          "acute": 349,
          "psychiatric": 0,
          "chemical": 0,
          "skilledNursing": 100,
          "intermediateCare": 0,
          "developmentalCare": 0
        },
        "total": 449,
        "sourceRow": 364,
        "sourceId": "AUR-2022"
      },
      {
        "year": 2023,
        "begin": "2023-01-01",
        "end": "2023-12-31",
        "operated": "Yes",
        "beds": {
          "acute": 349,
          "psychiatric": 0,
          "chemical": 0,
          "skilledNursing": 100,
          "intermediateCare": 0,
          "developmentalCare": 0
        },
        "total": 449,
        "sourceRow": 367,
        "sourceId": "AUR-2023"
      },
      {
        "year": 2024,
        "begin": "2024-01-01",
        "end": "2024-12-31",
        "operated": "Yes",
        "beds": {
          "acute": 349,
          "psychiatric": 0,
          "chemical": 0,
          "skilledNursing": 100,
          "intermediateCare": 0,
          "developmentalCare": 0
        },
        "total": 449,
        "sourceRow": 367,
        "sourceId": "AUR-2024"
      }
    ],
    "cmsEdRecords": {
      "ccn": "050222",
      "name": "SHARP CHULA VISTA MEDICAL CENTER",
      "address": "751 MEDICAL CENTER COURT",
      "city": "CHULA VISTA",
      "zip": "91911",
      "method": "unique normalized address + city + ZIP",
      "hcaiRow": 367,
      "measures": {
        "OP_18b": {
          "value": 194.0,
          "raw": "194",
          "sample": "362",
          "footnote": "",
          "start": "2024-10-01",
          "end": "2025-09-30",
          "sourceRow": 10876,
          "measureName": "Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better"
        },
        "OP_18c": {
          "value": null,
          "raw": "Not Available",
          "sample": "Not Available",
          "footnote": "1",
          "start": "2024-10-01",
          "end": "2025-09-30",
          "sourceRow": 10877,
          "measureName": "Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better"
        },
        "OP_18d": {
          "value": null,
          "raw": "Not Available",
          "sample": "Not Available",
          "footnote": "1",
          "start": "2024-10-01",
          "end": "2025-09-30",
          "sourceRow": 10878,
          "measureName": "Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better"
        },
        "OP_22": {
          "value": 1.0,
          "raw": "1",
          "sample": "86761",
          "footnote": "",
          "start": "2024-01-01",
          "end": "2024-12-31",
          "sourceRow": 10879,
          "measureName": "Left before being seen"
        }
      }
    },
    "cmsQualityRecords": {
      "ccn": "050222",
      "name": "SHARP CHULA VISTA MEDICAL CENTER",
      "address": "751 MEDICAL CENTER COURT",
      "city": "CHULA VISTA",
      "zip": "91911",
      "match": "unique normalized address + city + ZIP",
      "measures": {
        "H_COMP_1_A_P": {
          "value": 77.0,
          "raw": "77",
          "footnote": "",
          "start": "2024-10-01",
          "end": "2025-09-30",
          "source": "hcahps",
          "sourceRow": 25570,
          "measureName": "Patients who reported that their nurses \"Always\" communicated well",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "",
          "surveys": "2585",
          "surveysFootnote": "",
          "responseRate": "16",
          "responseRateFootnote": "",
          "denominator": "",
          "lowerEstimate": "",
          "higherEstimate": ""
        },
        "H_COMP_3_A_P": {
          "value": 58.0,
          "raw": "58",
          "footnote": "",
          "start": "2024-01-01",
          "end": "2024-12-31",
          "source": "responsiveness",
          "sourceRow": 35184,
          "measureName": "Patients who reported that they \"Always\" received help as soon as they wanted",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "",
          "surveys": "1843",
          "surveysFootnote": "",
          "responseRate": "13",
          "responseRateFootnote": "",
          "denominator": "",
          "lowerEstimate": "",
          "higherEstimate": ""
        },
        "HAI_1_SIR": {
          "value": 0.224,
          "raw": "0.224",
          "footnote": "",
          "start": "2024-10-01",
          "end": "2025-09-30",
          "source": "hai",
          "sourceRow": 13543,
          "measureName": "Central Line Associated Bloodstream Infection (ICU + select Wards)",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "No Different than National Benchmark",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "",
          "lowerEstimate": "",
          "higherEstimate": ""
        },
        "HAI_1_NUMERATOR": {
          "value": 1.0,
          "raw": "1",
          "footnote": "",
          "start": "2024-10-01",
          "end": "2025-09-30",
          "source": "hai",
          "sourceRow": 13542,
          "measureName": "Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "No Different than National Benchmark",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "",
          "lowerEstimate": "",
          "higherEstimate": ""
        },
        "HAI_1_ELIGCASES": {
          "value": 4.462,
          "raw": "4.462",
          "footnote": "",
          "start": "2024-10-01",
          "end": "2025-09-30",
          "source": "hai",
          "sourceRow": 13541,
          "measureName": "Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "No Different than National Benchmark",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "",
          "lowerEstimate": "",
          "higherEstimate": ""
        },
        "HAI_1_CILOWER": {
          "value": 0.011,
          "raw": "0.011",
          "footnote": "",
          "start": "2024-10-01",
          "end": "2025-09-30",
          "source": "hai",
          "sourceRow": 13538,
          "measureName": "Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "No Different than National Benchmark",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "",
          "lowerEstimate": "",
          "higherEstimate": ""
        },
        "HAI_1_CIUPPER": {
          "value": 1.105,
          "raw": "1.105",
          "footnote": "",
          "start": "2024-10-01",
          "end": "2025-09-30",
          "source": "hai",
          "sourceRow": 13539,
          "measureName": "Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "No Different than National Benchmark",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "",
          "lowerEstimate": "",
          "higherEstimate": ""
        },
        "HAI_2_SIR": {
          "value": 0.404,
          "raw": "0.404",
          "footnote": "",
          "start": "2024-10-01",
          "end": "2025-09-30",
          "source": "hai",
          "sourceRow": 13549,
          "measureName": "Catheter Associated Urinary Tract Infections (ICU + select Wards)",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "No Different than National Benchmark",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "",
          "lowerEstimate": "",
          "higherEstimate": ""
        },
        "HAI_2_NUMERATOR": {
          "value": 2.0,
          "raw": "2",
          "footnote": "",
          "start": "2024-10-01",
          "end": "2025-09-30",
          "source": "hai",
          "sourceRow": 13548,
          "measureName": "Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "No Different than National Benchmark",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "",
          "lowerEstimate": "",
          "higherEstimate": ""
        },
        "HAI_2_ELIGCASES": {
          "value": 4.954,
          "raw": "4.954",
          "footnote": "",
          "start": "2024-10-01",
          "end": "2025-09-30",
          "source": "hai",
          "sourceRow": 13547,
          "measureName": "Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "No Different than National Benchmark",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "",
          "lowerEstimate": "",
          "higherEstimate": ""
        },
        "HAI_2_CILOWER": {
          "value": 0.068,
          "raw": "0.068",
          "footnote": "",
          "start": "2024-10-01",
          "end": "2025-09-30",
          "source": "hai",
          "sourceRow": 13544,
          "measureName": "Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "No Different than National Benchmark",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "",
          "lowerEstimate": "",
          "higherEstimate": ""
        },
        "HAI_2_CIUPPER": {
          "value": 1.334,
          "raw": "1.334",
          "footnote": "",
          "start": "2024-10-01",
          "end": "2025-09-30",
          "source": "hai",
          "sourceRow": 13545,
          "measureName": "Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "No Different than National Benchmark",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "",
          "lowerEstimate": "",
          "higherEstimate": ""
        },
        "HAI_3_SIR": {
          "value": 0.904,
          "raw": "0.904",
          "footnote": "",
          "start": "2024-10-01",
          "end": "2025-09-30",
          "source": "hai",
          "sourceRow": 13555,
          "measureName": "SSI - Colon Surgery",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "No Different than National Benchmark",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "",
          "lowerEstimate": "",
          "higherEstimate": ""
        },
        "HAI_3_NUMERATOR": {
          "value": 3.0,
          "raw": "3",
          "footnote": "",
          "start": "2024-10-01",
          "end": "2025-09-30",
          "source": "hai",
          "sourceRow": 13554,
          "measureName": "SSI - Colon Surgery: Observed Cases",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "No Different than National Benchmark",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "",
          "lowerEstimate": "",
          "higherEstimate": ""
        },
        "HAI_3_ELIGCASES": {
          "value": 3.317,
          "raw": "3.317",
          "footnote": "",
          "start": "2024-10-01",
          "end": "2025-09-30",
          "source": "hai",
          "sourceRow": 13553,
          "measureName": "SSI - Colon Surgery: Predicted Cases",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "No Different than National Benchmark",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "",
          "lowerEstimate": "",
          "higherEstimate": ""
        },
        "HAI_3_CILOWER": {
          "value": 0.23,
          "raw": "0.230",
          "footnote": "",
          "start": "2024-10-01",
          "end": "2025-09-30",
          "source": "hai",
          "sourceRow": 13550,
          "measureName": "SSI - Colon Surgery: Lower Confidence Limit",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "No Different than National Benchmark",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "",
          "lowerEstimate": "",
          "higherEstimate": ""
        },
        "HAI_3_CIUPPER": {
          "value": 2.461,
          "raw": "2.461",
          "footnote": "",
          "start": "2024-10-01",
          "end": "2025-09-30",
          "source": "hai",
          "sourceRow": 13551,
          "measureName": "SSI - Colon Surgery: Upper Confidence Limit",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "No Different than National Benchmark",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "",
          "lowerEstimate": "",
          "higherEstimate": ""
        },
        "HAI_4_SIR": {
          "value": 0.0,
          "raw": "0.000",
          "footnote": "",
          "start": "2024-10-01",
          "end": "2025-09-30",
          "source": "hai",
          "sourceRow": 13561,
          "measureName": "SSI - Abdominal Hysterectomy",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "No Different than National Benchmark",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "",
          "lowerEstimate": "",
          "higherEstimate": ""
        },
        "HAI_4_NUMERATOR": {
          "value": 0.0,
          "raw": "0",
          "footnote": "",
          "start": "2024-10-01",
          "end": "2025-09-30",
          "source": "hai",
          "sourceRow": 13560,
          "measureName": "SSI - Abdominal Hysterectomy: Observed Cases",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "No Different than National Benchmark",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "",
          "lowerEstimate": "",
          "higherEstimate": ""
        },
        "HAI_4_ELIGCASES": {
          "value": 1.001,
          "raw": "1.001",
          "footnote": "",
          "start": "2024-10-01",
          "end": "2025-09-30",
          "source": "hai",
          "sourceRow": 13559,
          "measureName": "SSI - Abdominal Hysterectomy: Predicted Cases",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "No Different than National Benchmark",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "",
          "lowerEstimate": "",
          "higherEstimate": ""
        },
        "HAI_4_CILOWER": {
          "value": null,
          "raw": "Not Available",
          "footnote": "8",
          "start": "2024-10-01",
          "end": "2025-09-30",
          "source": "hai",
          "sourceRow": 13556,
          "measureName": "SSI - Abdominal Hysterectomy: Lower Confidence Limit",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "No Different than National Benchmark",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "",
          "lowerEstimate": "",
          "higherEstimate": ""
        },
        "HAI_4_CIUPPER": {
          "value": 2.993,
          "raw": "2.993",
          "footnote": "",
          "start": "2024-10-01",
          "end": "2025-09-30",
          "source": "hai",
          "sourceRow": 13557,
          "measureName": "SSI - Abdominal Hysterectomy: Upper Confidence Limit",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "No Different than National Benchmark",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "",
          "lowerEstimate": "",
          "higherEstimate": ""
        },
        "HAI_5_SIR": {
          "value": 0.582,
          "raw": "0.582",
          "footnote": "",
          "start": "2024-10-01",
          "end": "2025-09-30",
          "source": "hai",
          "sourceRow": 13567,
          "measureName": "MRSA Bacteremia",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "No Different than National Benchmark",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "",
          "lowerEstimate": "",
          "higherEstimate": ""
        },
        "HAI_5_NUMERATOR": {
          "value": 3.0,
          "raw": "3",
          "footnote": "",
          "start": "2024-10-01",
          "end": "2025-09-30",
          "source": "hai",
          "sourceRow": 13566,
          "measureName": "MRSA Bacteremia: Observed Cases",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "No Different than National Benchmark",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "",
          "lowerEstimate": "",
          "higherEstimate": ""
        },
        "HAI_5_ELIGCASES": {
          "value": 5.152,
          "raw": "5.152",
          "footnote": "",
          "start": "2024-10-01",
          "end": "2025-09-30",
          "source": "hai",
          "sourceRow": 13565,
          "measureName": "MRSA Bacteremia: Predicted Cases",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "No Different than National Benchmark",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "",
          "lowerEstimate": "",
          "higherEstimate": ""
        },
        "HAI_5_CILOWER": {
          "value": 0.148,
          "raw": "0.148",
          "footnote": "",
          "start": "2024-10-01",
          "end": "2025-09-30",
          "source": "hai",
          "sourceRow": 13562,
          "measureName": "MRSA Bacteremia: Lower Confidence Limit",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "No Different than National Benchmark",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "",
          "lowerEstimate": "",
          "higherEstimate": ""
        },
        "HAI_5_CIUPPER": {
          "value": 1.585,
          "raw": "1.585",
          "footnote": "",
          "start": "2024-10-01",
          "end": "2025-09-30",
          "source": "hai",
          "sourceRow": 13563,
          "measureName": "MRSA Bacteremia: Upper Confidence Limit",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "No Different than National Benchmark",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "",
          "lowerEstimate": "",
          "higherEstimate": ""
        },
        "HAI_6_SIR": {
          "value": 0.283,
          "raw": "0.283",
          "footnote": "",
          "start": "2024-10-01",
          "end": "2025-09-30",
          "source": "hai",
          "sourceRow": 13573,
          "measureName": "Clostridium Difficile (C.Diff)",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "Better than the National Benchmark",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "",
          "lowerEstimate": "",
          "higherEstimate": ""
        },
        "HAI_6_NUMERATOR": {
          "value": 17.0,
          "raw": "17",
          "footnote": "",
          "start": "2024-10-01",
          "end": "2025-09-30",
          "source": "hai",
          "sourceRow": 13572,
          "measureName": "Clostridium Difficile (C.Diff): Observed Cases",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "Better than the National Benchmark",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "",
          "lowerEstimate": "",
          "higherEstimate": ""
        },
        "HAI_6_ELIGCASES": {
          "value": 60.128,
          "raw": "60.128",
          "footnote": "",
          "start": "2024-10-01",
          "end": "2025-09-30",
          "source": "hai",
          "sourceRow": 13571,
          "measureName": "Clostridium Difficile (C.Diff): Predicted Cases",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "Better than the National Benchmark",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "",
          "lowerEstimate": "",
          "higherEstimate": ""
        },
        "HAI_6_CILOWER": {
          "value": 0.17,
          "raw": "0.170",
          "footnote": "",
          "start": "2024-10-01",
          "end": "2025-09-30",
          "source": "hai",
          "sourceRow": 13568,
          "measureName": "Clostridium Difficile (C.Diff): Lower Confidence Limit",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "Better than the National Benchmark",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "",
          "lowerEstimate": "",
          "higherEstimate": ""
        },
        "HAI_6_CIUPPER": {
          "value": 0.443,
          "raw": "0.443",
          "footnote": "",
          "start": "2024-10-01",
          "end": "2025-09-30",
          "source": "hai",
          "sourceRow": 13569,
          "measureName": "Clostridium Difficile (C.Diff): Upper Confidence Limit",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "Better than the National Benchmark",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "",
          "lowerEstimate": "",
          "higherEstimate": ""
        },
        "READM_30_AMI": {
          "value": 13.9,
          "raw": "13.9",
          "footnote": "",
          "start": "2023-07-01",
          "end": "2025-06-30",
          "source": "readmissions",
          "sourceRow": 5274,
          "measureName": "Acute Myocardial Infarction (AMI) 30-Day Readmission Rate",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "Not Available",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "255",
          "lowerEstimate": "Not Available",
          "higherEstimate": "Not Available"
        },
        "READM_30_HF": {
          "value": 22.4,
          "raw": "22.4",
          "footnote": "",
          "start": "2023-07-01",
          "end": "2025-06-30",
          "source": "readmissions",
          "sourceRow": 5277,
          "measureName": "Heart failure (HF) 30-Day Readmission Rate",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "Not Available",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "933",
          "lowerEstimate": "Not Available",
          "higherEstimate": "Not Available"
        },
        "READM_30_PN": {
          "value": 17.7,
          "raw": "17.7",
          "footnote": "",
          "start": "2023-07-01",
          "end": "2025-06-30",
          "source": "readmissions",
          "sourceRow": 5279,
          "measureName": "Pneumonia (PN) 30-Day Readmission Rate",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "Not Available",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "894",
          "lowerEstimate": "Not Available",
          "higherEstimate": "Not Available"
        },
        "READM_30_COPD": {
          "value": 23.1,
          "raw": "23.1",
          "footnote": "",
          "start": "2023-07-01",
          "end": "2025-06-30",
          "source": "readmissions",
          "sourceRow": 5276,
          "measureName": "Rate of readmission for chronic obstructive pulmonary disease (COPD) patients",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "Not Available",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "253",
          "lowerEstimate": "Not Available",
          "higherEstimate": "Not Available"
        },
        "READM_30_CABG": {
          "value": 12.6,
          "raw": "12.6",
          "footnote": "",
          "start": "2023-07-01",
          "end": "2025-06-30",
          "source": "readmissions",
          "sourceRow": 5275,
          "measureName": "Rate of readmission for CABG",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "Not Available",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "77",
          "lowerEstimate": "Not Available",
          "higherEstimate": "Not Available"
        },
        "READM_30_HIP_KNEE": {
          "value": 5.5,
          "raw": "5.5",
          "footnote": "",
          "start": "2023-07-01",
          "end": "2025-06-30",
          "source": "readmissions",
          "sourceRow": 5278,
          "measureName": "Rate of readmission after hip/knee replacement",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "Not Available",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "35",
          "lowerEstimate": "Not Available",
          "higherEstimate": "Not Available"
        },
        "MORT_30_AMI": {
          "value": 11.1,
          "raw": "11.1",
          "footnote": "",
          "start": "2022-07-01",
          "end": "2025-06-30",
          "source": "mortality",
          "sourceRow": 7524,
          "measureName": "Death rate for heart attack patients",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "Not Available",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "137",
          "lowerEstimate": "Not Available",
          "higherEstimate": "Not Available"
        },
        "MORT_30_HF": {
          "value": 9.3,
          "raw": "9.3",
          "footnote": "",
          "start": "2022-07-01",
          "end": "2025-06-30",
          "source": "mortality",
          "sourceRow": 7527,
          "measureName": "Death rate for heart failure patients",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "Not Available",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "412",
          "lowerEstimate": "Not Available",
          "higherEstimate": "Not Available"
        },
        "MORT_30_PN": {
          "value": 11.7,
          "raw": "11.7",
          "footnote": "",
          "start": "2022-07-01",
          "end": "2025-06-30",
          "source": "mortality",
          "sourceRow": 7528,
          "measureName": "Death rate for pneumonia patients",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "Not Available",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "490",
          "lowerEstimate": "Not Available",
          "higherEstimate": "Not Available"
        },
        "MORT_30_COPD": {
          "value": 6.6,
          "raw": "6.6",
          "footnote": "",
          "start": "2022-07-01",
          "end": "2025-06-30",
          "source": "mortality",
          "sourceRow": 7526,
          "measureName": "Death rate for COPD patients",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "Not Available",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "126",
          "lowerEstimate": "Not Available",
          "higherEstimate": "Not Available"
        },
        "MORT_30_CABG": {
          "value": 3.3,
          "raw": "3.3",
          "footnote": "",
          "start": "2022-07-01",
          "end": "2025-06-30",
          "source": "mortality",
          "sourceRow": 7525,
          "measureName": "Death rate for CABG surgery patients",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "Not Available",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "53",
          "lowerEstimate": "Not Available",
          "higherEstimate": "Not Available"
        },
        "MORT_30_STK": {
          "value": 8.2,
          "raw": "8.2",
          "footnote": "",
          "start": "2023-07-01",
          "end": "2025-06-30",
          "source": "mortality",
          "sourceRow": 7529,
          "measureName": "Death rate for stroke patients",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "Not Available",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "364",
          "lowerEstimate": "Not Available",
          "higherEstimate": "Not Available"
        },
        "HAI_1_DOPC": {
          "value": 5295.0,
          "raw": "5295",
          "footnote": "",
          "start": "2024-10-01",
          "end": "2025-09-30",
          "source": "hai",
          "sourceRow": 13540,
          "measureName": "Central Line Associated Bloodstream Infection: Number of Device Days",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "No Different than National Benchmark",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "",
          "lowerEstimate": "",
          "higherEstimate": ""
        },
        "HAI_2_DOPC": {
          "value": 5177.0,
          "raw": "5177",
          "footnote": "",
          "start": "2024-10-01",
          "end": "2025-09-30",
          "source": "hai",
          "sourceRow": 13546,
          "measureName": "Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "No Different than National Benchmark",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "",
          "lowerEstimate": "",
          "higherEstimate": ""
        },
        "HAI_3_DOPC": {
          "value": 133.0,
          "raw": "133",
          "footnote": "",
          "start": "2024-10-01",
          "end": "2025-09-30",
          "source": "hai",
          "sourceRow": 13552,
          "measureName": "SSI - Colon Surgery: Number of Procedures",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "No Different than National Benchmark",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "",
          "lowerEstimate": "",
          "higherEstimate": ""
        },
        "HAI_4_DOPC": {
          "value": 113.0,
          "raw": "113",
          "footnote": "",
          "start": "2024-10-01",
          "end": "2025-09-30",
          "source": "hai",
          "sourceRow": 13558,
          "measureName": "SSI - Abdominal Hysterectomy: Number of Procedures",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "No Different than National Benchmark",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "",
          "lowerEstimate": "",
          "higherEstimate": ""
        },
        "HAI_5_DOPC": {
          "value": 98871.0,
          "raw": "98871",
          "footnote": "",
          "start": "2024-10-01",
          "end": "2025-09-30",
          "source": "hai",
          "sourceRow": 13564,
          "measureName": "MRSA Bacteremia: Patient Days",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "No Different than National Benchmark",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "",
          "lowerEstimate": "",
          "higherEstimate": ""
        },
        "HAI_6_DOPC": {
          "value": 96130.0,
          "raw": "96130",
          "footnote": "",
          "start": "2024-10-01",
          "end": "2025-09-30",
          "source": "hai",
          "sourceRow": 13570,
          "measureName": "Clostridium Difficile (C.Diff): Patient Days",
          "reportedName": "SHARP CHULA VISTA MEDICAL CENTER",
          "comparison": "Better than the National Benchmark",
          "surveys": "",
          "surveysFootnote": "",
          "responseRate": "",
          "responseRateFootnote": "",
          "denominator": "",
          "lowerEstimate": "",
          "higherEstimate": ""
        }
      }
    },
    "ambulanceOffloadRecords": {
      "cemsisId": "20416",
      "name": "Sharp Chula Vista Medical Center",
      "lemsa": "San Diego",
      "method": "unique normalized hospital / retained CMS name + EMS geography",
      "history": [
        {
          "month": "2024-10",
          "minutes": 46.416666666666664,
          "offloadCount": 674,
          "countPage": 29,
          "rawTime": "0:46:25",
          "sourceId": "EMSA-APOT-JUNE2025",
          "page": 22,
          "row": 29
        },
        {
          "month": "2024-11",
          "minutes": 54.416666666666664,
          "offloadCount": 1141,
          "countPage": 34,
          "rawTime": "0:54:25",
          "sourceId": "EMSA-APOT-JUNE2025",
          "page": 22,
          "row": 29
        },
        {
          "month": "2024-12",
          "minutes": 59.61666666666667,
          "offloadCount": 1328,
          "countPage": 39,
          "rawTime": "0:59:37",
          "sourceId": "EMSA-APOT-JUNE2025",
          "page": 22,
          "row": 29
        },
        {
          "month": "2025-01",
          "minutes": 85.56666666666666,
          "offloadCount": 1371,
          "countPage": 44,
          "rawTime": "1:25:34",
          "sourceId": "EMSA-APOT-JUNE2025",
          "page": 22,
          "row": 29
        },
        {
          "month": "2025-02",
          "minutes": 69.13333333333334,
          "offloadCount": 1220,
          "countPage": 49,
          "rawTime": "1:09:08",
          "sourceId": "EMSA-APOT-JUNE2025",
          "page": 22,
          "row": 29
        },
        {
          "month": "2025-03",
          "minutes": 54.083333333333336,
          "offloadCount": 1201,
          "countPage": 54,
          "rawTime": "0:54:05",
          "sourceId": "EMSA-APOT-JUNE2025",
          "page": 22,
          "row": 29
        }
      ],
      "recent": {
        "month": "2026-01",
        "minutes": 55.65,
        "rawTime": "0:55:39",
        "offloadCount": 1417,
        "standardMinutes": 30.0,
        "rawStandard": "0:30:00",
        "compliantPercent": 62.2,
        "sourceId": "EMSA-APOT-FEB2026",
        "page": 5,
        "rawLine": "San Diego County EMS Agency 20416 Sharp Chula Vista Medical Center 1417 0:55:39 0:30:00 0:25:39 62.2%"
      }
    },
    "rnReferenceRecord": {
      "begin": "2023-10-01",
      "end": "2024-09-30",
      "reportDays": 366,
      "filing": "Audited",
      "type": "Comparable",
      "ratio": 14.854246433706521,
      "rnHours": 1838926,
      "patientDays": 123798,
      "careDays": {
        "acute": 94454,
        "psychiatric": 0,
        "chemical": 0,
        "rehabilitation": 0,
        "longTermCare": 29344,
        "residential": 0
      },
      "group": "acute",
      "majorityShare": 0.762968707087352,
      "sourceRow": 353
    }
  },
  "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"
      }
    ],
    "cmsEd": [
      {
        "id": "yv7e-xc69",
        "released": "2026-08-13",
        "modified": "2026-07-22",
        "checked": "2026-10-03",
        "url": "https://data.cms.gov/provider-data/dataset/yv7e-xc69",
        "downloadUrl": "https://data.cms.gov/provider-data/sites/default/files/resources/0437b5494ac61507ad90f2af6b8085a7_1785189967/Timely_and_Effective_Care-Hospital.csv",
        "file": "/downloads/cms/cms-ed-2026-10-03.csv.gz",
        "sha256": "3cb70d2720e06eb7cffdc7c5139fce6347cfd51c9123e4eea57677fb50c3b7e9",
        "uncompressedSha256": "1e5a1ca803c2b09468fe3ae3fe60fef3e910f5f5300630a24791c88a1abff516"
      },
      {
        "id": "xubh-q36u",
        "released": "2026-08-13",
        "modified": "2026-07-22",
        "checked": "2026-10-03",
        "url": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
        "downloadUrl": "https://data.cms.gov/provider-data/sites/default/files/resources/893c372430d9d71a1c52737d01239d47_1785189955/Hospital_General_Information.csv",
        "file": "/downloads/cms/cms-hosp-2026-10-03.csv",
        "sha256": "f874f09fef895a1ccf5bb7392dcbb2be05c9860339261b093fe00f0c1b013480",
        "uncompressedSha256": "f874f09fef895a1ccf5bb7392dcbb2be05c9860339261b093fe00f0c1b013480"
      },
      {
        "id": "y9us-9xdf",
        "released": "2026-08-13",
        "modified": "2025-09-18",
        "checked": "2026-10-03",
        "url": "https://data.cms.gov/provider-data/dataset/y9us-9xdf",
        "downloadUrl": "https://data.cms.gov/provider-data/sites/default/files/resources/f29bb7c812e242f6edfef0a4b7d0eaca_1760630713/Footnote_Crosswalk.csv",
        "file": "/downloads/cms/cms-footnotes-2026-10-03.csv",
        "sha256": "5214e1468fb04c5cdeac8920f2c446cccaa65e2f6f929424cd228042a52d963e",
        "uncompressedSha256": "5214e1468fb04c5cdeac8920f2c446cccaa65e2f6f929424cd228042a52d963e"
      }
    ],
    "cmsQuality": [
      {
        "id": "hcahps",
        "release": "2026-08-13",
        "url": "https://data.cms.gov/provider-data/sites/default/files/resources/78a50346fbe828ea0ce2837847af6a7c_1785189950/HCAHPS-Hospital.csv",
        "file": "/downloads/cms/quality/hcahps.csv.gz",
        "metadata": "/downloads/cms/quality/hcahps-metadata.json",
        "sha256": "b70e598f29552df302e30ed649d178abd1b3d3c868ae97cf8e55453dd33898fc",
        "gzipSha256": "95684a71416b383524c79ad0c7ad112622e632df97f33dbc1d701827eeff04a9"
      },
      {
        "id": "responsiveness",
        "release": "2025-11-26",
        "url": "https://data.cms.gov/provider-data/sites/default/files/dataset-archives/theme/hospitals/hospitals_2025-11-26.zip",
        "file": "/downloads/cms/quality/responsiveness.csv.gz",
        "metadata": "/downloads/cms/quality/responsiveness-metadata.json",
        "sha256": "c11338a55a9ee674566493fe8abde8748d2809163e86de100bc45aaa382d8751",
        "gzipSha256": "7c48b1aefcba65ebbe26a1dba592c0319261b847cdd9bb7c58306d55466cd4f8"
      },
      {
        "id": "hai",
        "release": "2026-08-13",
        "url": "https://data.cms.gov/provider-data/sites/default/files/resources/43825e12dc0c923df9ba5cbdf473c9d5_1785189952/Healthcare_Associated_Infections-Hospital.csv",
        "file": "/downloads/cms/quality/hai.csv.gz",
        "metadata": "/downloads/cms/quality/hai-metadata.json",
        "sha256": "95283bf20e66c5f9271e6b0b98969d8655487b4d5fa074dcee6e204ee4574f3d",
        "gzipSha256": "f6f0f580606726171c93adad77cd1c92a4ec00a8b37563114414ff19116c39af"
      },
      {
        "id": "readmissions",
        "release": "2026-09-30",
        "url": "https://data.cms.gov/provider-data/sites/default/files/resources/30edc1d0417a34b58affcc2495a02b0a_1790013959/Unplanned_Hospital_Visits-Hospital.csv",
        "file": "/downloads/cms/quality/readmissions.csv.gz",
        "metadata": "/downloads/cms/quality/readmissions-metadata.json",
        "sha256": "98cc64f5fc330ffa7e4bef97f8e86a772a1d3dfe2f7dd08976cb1ee43fad1b2d",
        "gzipSha256": "1110a7b338b17e815ee9a2e3f6e40f7c53d9fde1df7663ff452b2f82ed7bb575"
      },
      {
        "id": "mortality",
        "release": "2026-09-30",
        "url": "https://data.cms.gov/provider-data/sites/default/files/resources/6af7c44d77436e5a1caac3ce39a83fe9_1790013956/Complications_and_Deaths-Hospital.csv",
        "file": "/downloads/cms/quality/mortality.csv.gz",
        "metadata": "/downloads/cms/quality/mortality-metadata.json",
        "sha256": "2f7112969e2de2a015af8574848973dc48595ca6f2fe032e5f0932c515d5f59a",
        "gzipSha256": "04b606e8f24603cc6711bd630abc02fee2ee707d81a529360c72433806b180ce"
      }
    ],
    "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"
      }
    ]
  },
  "profileRecordProvenance": "Existing CNO reporting layers. Exact source locators are retained where recorded in the records below."
}
