{
  "format": "CNO retained hospital records v1",
  "hcaiId": "106504042",
  "profileRecord": {
    "id": "106504042",
    "name": "KAISER FOUNDATION HOSPITAL - MODESTO",
    "county": "Stanislaus",
    "tier": "LIMITED PROFILE — FACILITY RECORD",
    "identity": "CLEAR — OFFICIAL HCAI FACILITY ID",
    "workforce": "UNKNOWN — NO STANDALONE MATCH",
    "capacity": "OFFICIAL FACILITY RECORD — CHECKED 2026-10-12",
    "history": "UNKNOWN",
    "filing": "Unknown",
    "pilot": false,
    "ceiling": "UNCLASSIFIED — INSUFFICIENT INDEPENDENT AUDIT",
    "disclosure": "Modesto-specific HCAI utilization 2022–2024 and CDPH CLABSI 2022–2025 verified. RN labor and traveler percentages remain unmatched in retained financial data; Manteca totals excluded.",
    "next": "Obtain and match Modesto-specific RN labor, traveler and staffed-bed financial records",
    "ownership": "Non-Profit",
    "type": "Kaiser",
    "rnHours": null,
    "contractHours": null,
    "contractShare": null,
    "rnPerPatientDay": null,
    "licensedBeds": 176,
    "availableBeds": null,
    "staffedBeds": null,
    "capacityPatientDays": null,
    "baseline": null,
    "changePp": null,
    "ccn": null
  },
  "comparisonEligibility": {
    "rnHistory": false,
    "agencyHistory": false
  },
  "records": {
    "facilityRosterRecord": {
      "officialName": "KAISER FOUNDATION HOSPITAL - MODESTO",
      "county": "Stanislaus",
      "city": "MODESTO",
      "address": "4601 DALE RD",
      "zip": "95356",
      "level": "Consolidated Facility",
      "category": "General Acute Care Hospital",
      "status": "Open",
      "statusEffective": "2008-10-01",
      "licensedBeds": 176,
      "erServiceLevel": "Emergency - Basic",
      "licenseNumber": "030000393",
      "rosterDate": "2026-10-01",
      "checkedOn": "2026-10-12",
      "sourceRow": 490,
      "officialUrl": "https://data.chhs.ca.gov/dataset/licensed-healthcare-facility-listing",
      "sourceFile": "/downloads/coverage/hcai-current-20261001.json.gz",
      "aliases": [
        "KAISER FOUNDATION HOSPITAL MODESTO"
      ],
      "parentId": "106394009",
      "parentName": "KAISER FOUNDATION HOSPITAL MANTECA",
      "cdphFacilityType": "GENERAL ACUTE CARE HOSPITAL",
      "crosswalkRows": [
        {
          "_id": 4383,
          "LICENSED_CERTIFIED": "LICENSED ONLY",
          "ELMS_FACID": "630011683",
          "LICENSE_NUMBER": "030000393",
          "LICENSE_STATUS_DESCRIPTION": "ACTIVE",
          "PERM_ID": "18151",
          "HCAI_ID": "106504042",
          "ASPEN_FACID": "CA630011683",
          "CCN": null,
          "NPI": null,
          "ASPEN_STATUS": "ACTIVE",
          "FACNAME": "KAISER FOUNDATION HOSPITAL MODESTO",
          "FAC_TYPE_DESCRIPTION": "GENERAL ACUTE CARE HOSPITAL",
          "FAC_FDR": "GENERAL ACUTE CARE HOSPITAL",
          "FAC_FAC_RELATIONSHIP": "Consolidated",
          "ELMS_PARENT_FACID": "030000973"
        }
      ],
      "addedByCoverageAudit": true
    },
    "annualUtilizationRecords": [
      {
        "year": 2022,
        "begin": "2022-01-01",
        "end": "2022-12-31",
        "operated": "Yes",
        "sourceId": "AUR-2022",
        "sourceRow": 473,
        "diversionReported": "No",
        "icuLicensed": 20,
        "nicuLicensed": 24,
        "perinatalLicensed": 36,
        "edStations": 36,
        "edNonAdmitVisits": 60842,
        "edAdmissions": 6499,
        "diversionHours": null
      },
      {
        "year": 2023,
        "begin": "2023-01-01",
        "end": "2023-12-31",
        "operated": "Yes",
        "sourceId": "AUR-2023",
        "sourceRow": 479,
        "diversionReported": "No",
        "icuLicensed": 20,
        "nicuLicensed": 24,
        "perinatalLicensed": 36,
        "edStations": 36,
        "edNonAdmitVisits": 62458,
        "edAdmissions": 6481,
        "diversionHours": null
      },
      {
        "year": 2024,
        "begin": "2024-01-01",
        "end": "2024-12-31",
        "operated": "Yes",
        "sourceId": "AUR-2024",
        "sourceRow": 477,
        "diversionReported": "No",
        "icuLicensed": 20,
        "nicuLicensed": 24,
        "perinatalLicensed": 36,
        "edStations": 36,
        "edNonAdmitVisits": 64041,
        "edAdmissions": 6621,
        "diversionHours": null
      }
    ],
    "licensedCareRecords": [
      {
        "year": 2022,
        "begin": "2022-01-01",
        "end": "2022-12-31",
        "operated": "Yes",
        "sourceId": "AUR-2022",
        "sourceRow": 473,
        "beds": {
          "acute": 152,
          "psychiatric": 0,
          "chemical": 0,
          "skilledNursing": 0,
          "intermediateCare": 0,
          "developmentalCare": 0
        },
        "total": 152
      },
      {
        "year": 2023,
        "begin": "2023-01-01",
        "end": "2023-12-31",
        "operated": "Yes",
        "sourceId": "AUR-2023",
        "sourceRow": 479,
        "beds": {
          "acute": 176,
          "psychiatric": 0,
          "chemical": 0,
          "skilledNursing": 0,
          "intermediateCare": 0,
          "developmentalCare": 0
        },
        "total": 176
      },
      {
        "year": 2024,
        "begin": "2024-01-01",
        "end": "2024-12-31",
        "operated": "Yes",
        "sourceId": "AUR-2024",
        "sourceRow": 477,
        "beds": {
          "acute": 176,
          "psychiatric": 0,
          "chemical": 0,
          "skilledNursing": 0,
          "intermediateCare": 0,
          "developmentalCare": 0
        },
        "total": 176
      }
    ],
    "ambulanceOffloadRecords": {
      "cemsisId": "20213",
      "name": "Kaiser Permanente, Modesto",
      "lemsa": "Stanislaus",
      "method": "Reviewed Modesto-specific name and Stanislaus geography; HCAI 106504042; no Manteca rollup",
      "history": [
        {
          "month": "2024-10",
          "minutes": 27.483333333333334,
          "offloadCount": 521,
          "countPage": 31,
          "rawTime": "0:27:29",
          "sourceId": "EMSA-APOT-JUNE2025",
          "page": 23,
          "row": 34
        },
        {
          "month": "2024-11",
          "minutes": 27.483333333333334,
          "offloadCount": 497,
          "countPage": 36,
          "rawTime": "0:27:29",
          "sourceId": "EMSA-APOT-JUNE2025",
          "page": 23,
          "row": 34
        },
        {
          "month": "2024-12",
          "minutes": 31.633333333333333,
          "offloadCount": 544,
          "countPage": 41,
          "rawTime": "0:31:38",
          "sourceId": "EMSA-APOT-JUNE2025",
          "page": 23,
          "row": 34
        },
        {
          "month": "2025-01",
          "minutes": 37.68333333333333,
          "offloadCount": 517,
          "countPage": 46,
          "rawTime": "0:37:41",
          "sourceId": "EMSA-APOT-JUNE2025",
          "page": 23,
          "row": 34
        },
        {
          "month": "2025-02",
          "minutes": 41.11666666666667,
          "offloadCount": 538,
          "countPage": 50,
          "rawTime": "0:41:07",
          "sourceId": "EMSA-APOT-JUNE2025",
          "page": 23,
          "row": 34
        },
        {
          "month": "2025-03",
          "minutes": 31.133333333333333,
          "offloadCount": 572,
          "countPage": 56,
          "rawTime": "0:31:08",
          "sourceId": "EMSA-APOT-JUNE2025",
          "page": 23,
          "row": 34
        }
      ],
      "recent": null
    },
    "localFacilityChecks": {
      "officialName": "Kaiser Foundation Hospital – Modesto",
      "address": "4601 Dale Road, Modesto, CA 95356",
      "officialUrl": "https://hcai.ca.gov/facility/kaiser-foundation-hospital-modesto/",
      "licensedBeds": 176,
      "edServiceLevel": "Basic",
      "facilityStatus": "Open",
      "checkedOn": "2026-10-13",
      "averageStayDays": 3.9,
      "averageStayPeriod": "2024-01-01–2024-12-31",
      "edStationsHistory": [
        {
          "period": "2022",
          "value": 36
        },
        {
          "period": "2023",
          "value": 36
        },
        {
          "period": "2024",
          "value": 36
        }
      ]
    }
  },
  "quarterlyComparison": null,
  "sources": {
    "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"
      }
    ]
  },
  "profileRecordProvenance": "Existing CNO reporting layers. Exact source locators are retained where recorded in the records below."
}